A vasectomy is a minor outpatient surgical procedure done as a permanent method of birth control. It involves cutting or sealing the vas deferens, the tubes that carry sperm from the testicles to the urethra. It does not impact testosterone levels, sexual desire, or performance. It only blocks sperm from being part of the ejaculate, not semen production.

Effectiveness: Vasectomies are one of the most effective methods of birth control, with better success rates than birth control pills, IUDs, or fallopian tube surgery¹.

Procedure Time: The procedure typically takes 15-30 minutes and is usually done under local anesthesia. It will take about 30 days and 20-25 ejaculations post-surgery before the vasectomy is effective at preventing pregnancy.

Recovery: Recovery time is relatively short, with most people able to return to light activities within a couple of days. Full recovery, including avoiding heavy lifting, usually takes about a week. 

Pain and Discomfort: Most people experience mild discomfort or swelling that can be managed with ice, over-the-counter pain relievers, and supportive underwear.

Reversibility: Though vasectomies are meant to be permanent, reversal procedures exist but can be complex, expensive, and not always successful.

Does Not Affect Testosterone or Sexual Function: A vasectomy does not impact testosterone levels, sexual desire, or performance. It only blocks sperm from being part of the ejaculate, not semen production.

Low Risk of Complications: The risks are very low, but possible complications include infection, hematoma (blood pooling), or post-vasectomy pain syndrome (rare chronic pain).

Cost: Vasectomy costs can vary wildly depending on whether you are insured or your access to state, county, or local government programs. There is no federal requirement that insurance cover the cost of vasectomy, so if you are insured your cost will vary depending on your specific plan. However some states do require full insurance coverage: California, Illinois, Maryland, New Jersey, New Mexico, New York, Oregon, Vermont, and Oregon. If you’re looking for a low cost or free option, a good place to start would be checking with your local Planned Parenthood or Community Health Center.