Considering a vasectomy? It's a sensitive topic, yet you’ve probably heard a thing or two about it. One concern some men have is whether a vasectomy affects their testosterone levels or masculinity. Will it zap your sex drive or leave you feeling less like a man?

Let's explore the science behind vasectomy and testosterone production, debunk some common myths, and find out what urologists want you to know about the procedure.

Does a Vasectomy Lower Testosterone?

The answer to whether a vasectomy affects testosterone is a resounding no. A vasectomy is a safe and effective permanent birth control option that won't mess with your hormones.

"There is no indication that a vasectomy harms the testicles or reduces testosterone production," emphasizes Hackensack Meridian Health urologist Kevin Basralian, M.D.

To fully understand how a vasectomy has zero effect on testosterone levels, it's helpful to know how a vasectomy works. This minor surgical procedure blocks the vasa deferentia, which are the tubes that carry sperm from the testicles.

"During a vasectomy, a small section of the vas deferens is removed or blocked,” explains Dr. Basralian. "This interrupts the sperm's passage without affecting the blood flow to the testicles or the production of testosterone."

There is no research that shows having a vasectomy lowers a man’s testosterone levels or affects his masculinity. In fact, some studies suggest vasectomies may even have positive downstream effects on a relationship. "By eliminating pregnancy concerns, vasectomies can improve a couple's sex life and overall relationship," says Dr. Basralian.

The Truth Behind a Vasectomy and a Man’s Sex Life

Regardless of what you’ve seen or read online, or heard through the grapevine, it’s important to know the evidence-based facts. Along with information from the National Institutes of Health (NIH), Dr. Basralian hopes to set the record straight on some common misconceptions:

Myth #1: A vasectomy will affect my erections.

Fact: "There's no connection between a vasectomy and erectile dysfunction," says Dr. Basralian. "Erectile function is controlled by nerves and blood flow, neither of which are affected by the procedure."

Myth #2: A vasectomy will lower my sex drive.

Fact: Having a vasectomy won't impact your sexual life. Because it has no effect on testosterone production, it does not lower your sex desire.

Myth #3: A vasectomy will affect how much I ejaculate.

Fact: You won't notice a difference in the volume of semen you ejaculate since sperm only make up a small portion of it.

Myth #4: Vasectomies are painful and involve a lengthy recovery.

Fact: Vasectomy is a minimally invasive procedure often performed with local anesthesia. Recovery is usually quick, with most men returning to normal activities within a few days.

Myth #5: A vasectomy will make me sterile right away.

Fact: It takes time for sperm to clear from the vas deferens after a vasectomy. A semen analysis is needed to confirm sterility, usually after a few months.

Considering a Vasectomy? Talk to Your Doctor

If you're on the fence about having a vasectomy, it's important to have a frank conversation with your doctor. They can address any questions or concerns you may have and help you determine if a vasectomy is the right choice for you.

Consider this advice from Dr. Basralian as you weigh the pros and cons of a vasectomy:

• Discuss with your partner: Open communication is essential when making this decision. Ensure you and your partner are on the same page about not wanting any more children.
• Understand all birth control options: Explore all birth control methods with your partner to see if vasectomy is the most suitable option. Consider factors like cost, effectiveness and reversibility.
• Think of it as permanent: A vasectomy reversal is possible, but it’s a more complex and expensive procedure with lower success rates than the initial vasectomy. Consider it a permanent solution.
• Sperm banking is an option: If you have reservations about the permanence of a vasectomy, sperm banking can provide you with peace of mind. It allows you to store sperm for potential future use with assisted reproductive technologies.

Here’s the truth: A vasectomy is a reliable and safe permanent birth control option for men. It does not affect testosterone levels or overall health and may even have positive effects on your relationship. If you have any questions or concerns, consult a urologist to see if a vasectomy is the right choice for you.

Next Steps & Resources

• Meet our source: Kevin R. Basralian, M.D.
• Learn about our urology services.
• To make an appointment with a doctor near you, call 800-822-8905 or visit our website.

The material provided through HealthU is intended to be used as general information only and should not replace the advice of your physician. Always consult your physician for individual care.