Vasectomy, Care After

Refer to this sheet in the next few weeks. These instructions provide you with information on caring for yourself after your procedure. Your health care provider may also give you more specific instructions. Your treatment has been planned according to current medical practices, but problems sometimes occur. Call your health care provider if you have any problems or questions after your procedure.

WHAT TO EXPECT AFTER THE PROCEDURE

After your procedure, it is typical to have the following:

  • Slight swelling or redness or both at the surgical site.

  • Mild pain or discomfort in the scrotum.

  • Some oozing of blood from the cuts (incisions) made by the surgeon is normal during the first day or two after the procedure.

  • Blood in the ejaculate is common and typically clears after a few days.

HOME CARE INSTRUCTIONS

  • Only take over-the-counter or prescription medicines for pain, discomfort, or fever as directed by your health care provider.

  • Avoid using nonsteroidal anti-inflammatory drugs (NSAIDs) because these can make bleeding worse.

  • Apply ice to the injured area:

  • Put ice in a plastic bag.

  • Place a towel between your skin and the bag.

  • Leave the ice on for 20 minutes, 2–3 times a day.

  • Avoid being active for the first 2 days after surgery.

  • Wear a supporter while moving around for the first week after surgery. You may add some sterile fluffed bandages or a clean washcloth to the scrotal support if the scrotal support irritates your skin.

  • Do not participate in sports or perform heavy physical labor for at least 2 weeks.

  • You may have protected intercourse 7–10 days after your procedure. Remember, you are not sterile until follow-up specimens show no sperm in your ejaculate.

  • Be sure to follow up with your surgeon as instructed to confirm sterility. It usually requires multiple ejaculations to clear the sperm located beyond the vasectomy site of blockage. You will need at least two specimens showing an absence of sperm before you can resume unprotected intercourse. 

SEEK MEDICAL CARE IF:

  • You have redness, swelling, or increasing pain in the wounds or testicles (scrotum).

  • You see pus coming from the wound.

  • You have a fever.

  • You notice a foul smell coming from the wound or dressing.

  • You notice a breaking open of the stitches (suture) line or wound edges even after sutures have been removed.

  • You have increased bleeding from the wounds.

SEEK IMMEDIATE MEDICAL CARE IF:

  • You develop a rash.

  • You have difficulty breathing.

  • You have any reaction or side effects to medicines given.