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Wayne D.  Weissman, MD
Issaquah, WA
James E.  Gottesman, MD
Seattle, WA
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Does a Vasectomy Reduce a Man's Sexual Drive?

It's a natural concern, for both husband and wife. Couples often want to know, but sometimes don't know how to ask the question. Will things be the same - especially for the man - following a vasectomy?

There’s no effect on masculinity.

Does a vasectomy effect a male sex life? The straightforward answer to this question is a "No." A vasectomy does not reduce a man's sexual drive or his ability to have or enjoy sex. The procedure eliminates only the man's ability to father a child...   he can still experience an erection and ejaculation as before.

This is an excellent topic for a candid discussion between husband and wife, and perhaps with the doctor of their choice. Some couples are concerned about a reduced libido or sex drive, but they may be shy about asking the question.

What they may come to discover is, once sterility is complete, they no longer need to worry about accidental pregnancy - and that lovemaking can be more spontaneous, more sensuous and more enjoyable than before.

A vasectomy does not effect the blood vessels or nerves that are part of having an erection or ejaculation. Nothing physiologically changes in that respect.

Two important cautions!

It's important to note that a man will not be sterile immediately following a vasectomy. Talk to your doctor, who will test your semen for sperm before you can have unprotected sex. It may take up to 20 ejaculations or more and several weeks before your reproductive system is free of active sperm.

Another caution is that a vasectomy is not a protection against sexually transmitted disease (STD). If you are at risk of transmitting or acquiring an STD, you and your partner will still need the protection of a condom or other means of protection.

So what’s the difference?

Typically, the only significant difference after a vasectomy is that the sperm normally produced is missing from the semen. The glands that produce semen are not changed by a vasectomy. Sperm is such a tiny portion of the total ejaculation fluid (about 2 percent) that the change can't be noticed. Even the color and consistency of the ejaculate are not changed.

There's no effect on "masculinity," either. The man's body continues to produce hormones as before, and there is no change in any of the male characteristics such as beard or voice. Testosterone continues to be produced and released into the bloodstream. Testicles continue to manufacture sperm, but they don't leave the body. Unused sperm are simply absorbed by the body as normally occurs with or without a vasectomy.

In Summary:

  • Talk candidly with your spouse and your doctor.
  • A vasectomy will not decrease your sex drive.
  • The procedure only eliminates your ability to father a child.
  • Sterility is not immediate; your doctor will need to test you and advise.
  • Vasectomy is no protection against sexually transmitted disease (STD).
  • You can still have an erection and ejaculate.
  • The body continues to produce hormones.
  • Male characteristics (voice, beard) are not affected.

Consider a consultation.
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Contact him/her for an appointment and get answers to your important questions.

  Additional Information
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  • Risks & Complications - Learn about the general risks and possible complications associated with having a vasectomy procedure.

  • After Your Vasectomy - Be prepared for your recovery with our guide on what to expect in the days and weeks after a vasectomy surgery.

  • What to Expect After the Procedure - You have decided to undergo a vasectomy, now it's time to prepare yourself for the recovery.

  • Common Fears: Real & Imagined - Knowing the facts can help ease concerns about the vasectomy procedure.

  • Alternatives - Find out how the vasectomy procedure compares with alternative methods of contraception available today.


  • Visit our Site Map to see everything about the vasectomy procedure that our site has to offer.




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