After Vasectomy Care Instructions

After your vasectomy, you should go home and rest for the remainder of the day and evening. Minimize any kind of activity.

Some men have no pain at all while many others have aches in the groin. That’s because the testes originate from the abdomen as an embryo and share some of the same nerve supplies. Anything in the scrotum may be perceived in the abdomen as well.

You may take a daily shower starting the next day, and remove the tape and gauze that was applied after the procedure.

Post Vasectomy Instructions

The First 48 Hours

For the first 48 hours, take two tablets of Extra-Strength Tylenol every 6 hours and ice the area regularly (20 min on, 40 min off). Use Tylenol instead of anti-inflammatories, like Ibuprofen, because inflammation is a normal component of the initial healing process and we prefer not to interfere with it.

If you have a kidney condition, please let us know as you should not take any anti-inflammatories in this case.

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The First Week

After 48 hours, take 2 tablets of Ibuprofen (400mg) every 6 hours with food no matter how good you feel as this will reduce the post-surgical inflammation. Do this for five days. If you get side effects, of course stop the pills. Monitor for high blood pressure and an upset stomach.

Remember no sex or ejaculation for a week. Light blood in the semen within the first month or two after a vasectomy is normal and no cause for concern.

For the first week, avoid any exertion, exercise, extensive walking, climbing, jogging, or sports…you get the idea.

When pain and tenderness are minimal, you may return to your usual activity but on the first day back start off at ½ your usual workout. In general, avoid lifting more than 15 lbs (including babies or children) in the first week.

It is normal to have some discoloration of the skin (blue and black) around the puncture site a few days after your vasectomy. This will gradually go away.

Some men will develop swelling and tenderness on one side or both. This is usually due to an exaggerated inflammatory response that is often normal and necessary for sperm recycling and reabsorption. It is managed effectively with ibuprofen 600mg 3 times a day.

You might notice a lump on each side of your scrotum after your vasectomy for the new few weeks. That is a scar where we cut and sealed your vas. It usually feels like a knot the size of a pea and may swell to the size of a marble and be tender for a few weeks after the procedure but then becomes smaller and non-tender.

After your vasectomy, you should go home and rest for the remainder of the day and evening.

Vasectomy Semen Testing

At 12 weeks, follow up with your semen analysis as outlined below. You will want to achieve 20 ejaculations within the first three months of your vasectomy to flush out the existing sperm in your reproductive tract. Continue birth control until Dr. Mulla reviews your test results.

Call our clinic 3 days after you take your sample in to ensure we have received the results. Once your sample has been completed and dropped off, the Comfort Care patients will be called by Dr. Mulla to go over the results of your semen analysis together. Otherwise, book a follow up in our clinic to go over the results with Dr. Mulla.

Post-Vasectomy Semen Analysis Procedure

Preparation

Please abstain from having sex or ejaculating for two days before you collect your specimen.

Call the lab

Please call the lab 2 weeks in advance to confirm they can accept your semen analysis (they may send you to a different lab). They should accept the requisition form that we will provide for you. When dropping off your sample, you must bring your requisition form with you or they will not accept your sample.

Collect

Collect the semen by masturbating directly into a sealed, sterile specimen container. If you lose a portion of the semen, throw the container out and collect your specimen at another time. If you’ve misplaced the container, please get another one – ask for a urine analysis container. Please do not use any other type of container.

Drop it off

Close the container tightly. Label it with your first and last name, date of birth, plus the date and time you produced the sample. Deliver your specimen to the laboratory immediately (within 1 hour) after collection, keeping the container warm in your pocket or next to your body en route.

Follow up

Two weeks after dropping off your specimen, please call us to ensure we have the results, if you have not heard from us. If you purchased our Comfort Package, we will schedule a call with the doctor to discuss the results with you over the phone. Otherwise, you will need to book an appointment to come in and review your results.

Saskatchewan Circumcision & Vasectomy Clinic Serving Saskatoon, Regina and Swift Current

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