Before The Day, On The Day, and Aftercare
Before The Day, On The Day, and Aftercare
Ensure that you bring your Medicare card to process your health rebate for the procedure.
Absolutely, your partner is welcome to attend the consultation and the procedure itself. She won’t see any of the action from her vantage point! Her chair is placed beside your head, and the electric couch is raised to elbow height.
Yes! You are welcome to use your smartphone and play a game or listen to music. The more relaxed you are, the better.
The scrotum will need to be shaved or clipped. This is best done by yourself the before the procedure. The areas that need shaving are at the front and side of the scrotum. There is no need to shave above or behind the scrotum. Use either electric clippers or a beard trimmer if you have one.
For wet shaving:
Shaving very close can increase the chance of cutting the skin. It’s best to shave the day before your procedure.
Remember that the objective is to eliminate the long hairs at the front of the scrotum – stubble is fine.
The best way for you to be relaxed is to arrive in good time. Please ensure you let us know if you’re running late and we might suggest a later time.
We pride ourselves on being on time and having a dependable schedule.
Please do not take any anti-inflammatory medications (Ibuprofen, Nurofen, Voltaren, Diclofenac) for at least three days before the procedure because this can increase bleeding. If you take some accidently, it’s unlikely unlikely to be an issue but please mention it to the doctor on the day.
It is generally advisable not to stop low dose aspirin when it’s been prescribed for established medical conditions like heart disease.
Other types of “blood thinners” such as plavix, clopidogrel and especially the newer “anti platelets” tend to cause more of a bleeding problem than aspirin. They were prescribed for good reasons to begin with so specialist advice may be required.
You’ll feel movement and a tugging sensation during the procedure (but not pain). Most patients cope really well with this and say afterwards it wasn’t as bad as they thought. On the other hand, if you are not good at distracting yourself or relaxing, then just ask the clinic for a valium script to take an hour before. There’s no shame in asking for some extra help.
The dose of valium is 10mg of diazepam taken one hour before the procedure. Just let the clinic staff know and you can pick up the script beforehand. You have to arrive an hour earlier than normal so that you can see the doctor and sign the consent form. Take the valium 45 minutes before the procedure so it’ll have the desired effect. You’ll need someone to drive you home.
What To Expect
Vasectomy is a big deal for our patients but routine for us. Allow yourself to lie back, enjoy some down-time and let us do the hard work.
Here are some pointers on what to expect on the day.
It’s worth having a look at the FAQ’s.
Please arrive on time so that you can complete your registration form. We’ll ask for your Medicare and personal details. You must complete the pre-vasectomy questionnaire which covers any relevant medical history.
You will then meet Dr Beatty and be taken to the consulting room where you have a chat about the procedure. Your partner is welcome to attend.
The doctor will need to briefly examine you in privacy.
Feel free to ask any questions at all. The doctor will explain the small risks of no scalpel vasectomy. You are invited to sign the consent form when you’re happy to go ahead. You will be asked to come back on another day when you are not certain of your decision.
You will be in the procedure room for around half an hour. Before the doctor starts you must empty your pockets (your things will be in arm’s reach). You remove just your shoes at this stage and lie on the couch. The doctor and nurse prepare the trolley whilst a hot water bottle is applied over your trousers. Your privacy is prioritised throughout the procedure.
Try to distract yourself and let the vasectomy doctor do his bit. He’s friendly but he has a job to do! So bring your headphones, read a book or play on whatever app you usually do – whatever you’d do at home when you get to lie down on the couch.
The doctor applies a small dressing. You’ll stay in the clinic for fifteen minutes or so for recovery.
Our patients usually drive home. It is highly unlikely that you will not feel able to drive home. The doctor will discuss driving with you after the procedure.
First few days to The All Clear. Please make sure you do your test afterwards!
Absolutely. The service includes full aftercare.
Please text the doctor if you have any concerns at all on his mobile number. The mobile is given to you at the appointment.
You do not need to use Ice. Lie up on the couch and chill. Rest is the key!
You might feel the need to take paracetamol for a day or two. It’s best to avoid ibuprofen / nurofen.
Wear clean supportive underwear for a few days after the procedure.
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 normally stops the following day.
Bruising is usually mild for a few days but normal. Sometimes, bruising lasts a couple of weeks. Though rare (> 1%), haematomas are caused due to internal bleeding. The scrotum becomes swollen but the bleeding will stop at some stage. Eventually, the blood is absorbed into the body. This process, though, can take up to 3 months.
Take it easy, especially in the first week. Avoid heavy lifting or strenuous activity. You can usually go back to a non-physical job a day or two after the procedure.
It is possible to get a haematoma even a week or two after a vasectomy if your job is physical. For this reason, guys doing manual work are best taking a week off & then play it by ear.
Good question! A week is the perfect answer. We rarely get complications in the real world but don’t have sex in the first three days.
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 and 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. Tests taken after 16 weeks reduces 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. Some studies show that only half of men get any sample done at all, so it’s sensible to wait just a few more weeks to increase the all-clear rate.
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.
There are two scenarios
Non-Motile sperm are sperm that don’t move. It takes around 25 ejaculations to clear 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 considered close to zero. To compare, 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 you can certainly consider your vasectomy to be 100% successful if you fall under this category.
Swimmers, though, are more of a concern. Repeat samples are always required in these cases. When motile sperm persist, the vasectomy is a failure. This is due to recanalisation. You can only marvel how a tube that is completely divided and sealed may grow back.
The bottom line is this. It’s not a worry to have a few non-motile sperm in your post vasectomy sample. It is a bit of a hassle however, to repeat the sample 7 months after your vasectomy to get the all clear (“special clearance”).