First few days to The All Clear. Please make sure you do your test afterwards!

Vasectomy Aftercare

What should I do in the first 24 hrs after Vasectomy?

  • Rest
  • Using ice for the first 24 hrs is helpful. Apply the ice over a towel for 10 minutes at a time.
  • Taking paracetamol for a day or two may be needed. It’s best to avoid ibuprofen / neurofen.
  • Wear supportive underwear in the first few days

What happens if I get some swelling or bleeding?

There may be some slight bleeding after the procedure when blood has gone through the dressing – in this case, just apply 20 minutes of firm pressure followed by an ice pack. Then replace the dressing. The bleeding will almost certainly have stopped by the following day.

Bruising is usually mild for a few days. Sometimes, bruising lasts a couple of weeks.

Occasionally (less than 1%) there is a haematoma caused by some internal bleeding. The scrotum becomes swollen. The bleeding will stop at some stage. Eventually, the blood is absorbed into the body though this can take up to 3 months.

When should I go back to work?

Take it easy – particularly in the first week. The key is to reduce strenuous heavy lifting. You can usually go back to a non-physical job the Monday after the procedure.

It is possible to get a haematoma even a week or two after a vasectomy with very strenuous activities. For this reason, guys doing manual work are best taking a week off & then play it by ear. 

When Can I have sex?

Good question! A week is the perfect answer. We rarely get complications in the real world – but don’t have sex in the first 3 days.

Getting your post vasectomy sample

When & Where should I get the Post Vasectomy Test done?

The Vasectomy Doctor advises you to get your test done 16 weeks after the procedure. After The Vasectomy you will be given the pathology sample & form, together with a date for the semen test.

Guidelines suggest a post vasectomy test at 12 to 16 weeks, so you can do it earlier than 16 weeks if you want. It seems likely that a test at 16 weeks rather than 12 weeks will reduce the need for an additional sample. At 12 weeks, around 80% of men will be all-clear, so there is a 20% chance you’ll need to repeat the test. Given that some studies show that only half of men get any sample done at all, it seems sensible to wait just a few more weeks to increase the all-clear rate.

Please don’t be one of the 1 in 3 guys who doesn’t do their post vasectomy sample. You got a vasectomy for a reason, and you need to be 100% sure it’s worked.

How do I get my post vasectomy result?

We will send you an email or text. Please contact the clinic if you have not received your result within one week of the test.

What will happen if the sample still shows some sperm?

There are two scenarios

Non-Motile sperm are (obviously) sperm that don’t move. It takes around 25 ejaculations to clear-out the old sperm.  Occasionally, a few new non-motile sperm persists. “Special Clearance” is given seven months after the vasectomy  when there are fewer than 100,000 non-motile sperm per ml. The risk of pregnancy is then considered to be close to zero. For comparison, a normal count is around 40 million and most of these are moving, so a very few non-motile is considered acceptable. Special Clearance is unusual but not so unusual as to be rare. You may certainly consider your vasectomy to be 100% successful if you fall under the category of special clearance.

“Swimmers” are more of a concern, and the sample will certainly need repeating. When motile sperm persist, the vasectomy is a failure. This is caused by recanalisation. You can only marvel how a tube that is completely divided and sealed may grow back.

The bottom line is this. Whilst it’s not a worry to have a few non-motile sperm in your post vasectomy sample, it is a bit of a hassle to have to repeat the sample 7 months after your vasectomy to get the all clear (“special clearance”).

Dr Richard Beatty
Last Reviewed / Modified: 21/08/2015
First Published: 5/2/2015