Vasectomy Reversal?

Before anyone runs off to a doctor to be surgically altered because of a post I wrote
“You mention vasectomies in this post. I have had one. I still ejaculate semen, just not sperm (unless I am mistaken). After reading your post today, I was toying with the idea of having a reversal. Then I read the article. According to the article:

And that is a rather odd omission in the biological literature indeed, since there could hardly be anything more obvious in Darwinian terms than the fact that semen is, almost by definition, naturally designed to get into the chemically-absorptive vagina. Bear in mind that although they are often conflated in everyday parlance, along with many other less scientific terms, “semen” is not the same thing as “sperm.” In fact, you may be surprised to learn that only about 1 to 5 percent of the average human ejaculate consists of sperm cells. The rest of the ejaculate, once drained of these famously flagellating gametes, is referred to as “seminal plasma.” So in discussing the chemical composition of semen, it is the plasma itself, not the spermatozoa, that is at issue.”
You are correct, a vasectomy blocks the route sperm takes to join up with the rest of the semen. When a man with a vasectomy ejaculates, he ejaculates sperm-free semen.
If you have had a successful unproblematic vasectomy, I don’t advise a reversal unless you’re seeking to have more children.
My general concern with vasectomy is that some 3-30% of men have long term pain from the proceedure. If you have had a vasectomy and don’t have pain, then this isn’t a concern for you.
My other concern with vasectomy is that some unknown (but likely very small) quantity of men suffer a marked reduction in their total ejaculate much greater than just the loss of sperm that would be in there. If that is the case there’s likely minimal transmission of the anti-depressant hormones that are in the seminal fluid. If this isn’t a result of your vasectomy, then it isn’t a concern for you either.
Like all surgical procedures there is a risk for infection and other complications. I don’t mean to over state that aspect though. Most modern surgeries of all types go quite well in terms of infection and vasectomy is minimally invasive.
Basically vasectomy is advertised as simple, easy and very safe. For many men their vasectomy goes extremely well. For some other men it really doesn’t. It’s just not as perfectly safe as it is made out to be.
I also “just have a hunch” that vasectomy is a factor in some divorces. That’s all I’m saying, it’s a hunch, nothing more. There’s no science on this issue that I know of. Which is kind of concerning.
Basically the reasons to have a vasectomy reversal are to try and have more children, or to try and repair a botched vasectomy.


  1. Pol Mordreth says:

    Something else to remember about Vasectomies. If you have prior damage to the area from low inguineal hernias, there is a very high risk that the vasectomy will cost you one or both testes.

    This is caused by the lack of appropriate blood flow to the testes. There are two main blood supplies to them. The secondary one is the vas artery, and this is severed during a vasectomy. If the primary one has been damaged (usually in hernia repair surgery, but sometimes in sporting accidents or testicular torsion) then the severing of the vas artery will kill the testicle.


  2. Anonymous says:

    Ok, being completely non-sarcastic here – if semen has anti-depressant qualities based on chemicals that can act on all human brains, would you recommend men "taking" it as well?

  3. Athol Kay says:

    That's a question I had not thought of Anon. The article I linked to showed effects for gay men that had positive bonding for backbacking anal sex. Assuming you're hetrosexual though I quess the question would be how to get your own semen into your own ass.

    Overall though, some some of what is in semen seems designed for women rather than men. If your own body can make these chemicals anyway, it likely has ability to make appropriate amounts of them anyway. So may all be a moot point.

  4. Anonymous says:

    Your blog is fantastic. Ordering your book.

    I think a lot of your stuff is spot on, but I do wonder (and worry slightly, but not much) about the vasectomy stuff … since i'm due for one. Things are not great at home anyway, but I want one – i have three kids, and I'd like to make sure I don't have more.

    I know some couples do get off on insemination. I never did, my wife never did as far as I could tell. When our sex life was good (god willing it will come back with more alpha added to my life) she usually wanted it in the mouth …

    But I think its worth noting that women usually are NOT ovulating. Which means from an evolutionary perspective, having a baby was usually NOT the primary goal – thought it always MIGHT have happened. So women would only want sex with men they were willing to have children with. But most of the time, the reason – from an evolutionary perspective – women genuinely want sex is to keep a good partner around.

    On another board i was talking to some women about men they had good sex lives with vs. bad and they commented how the good lives, the guys 'had to have it'. the guys they kept miserable, they perceived to have lower drives.

    I think that matters at least as much as wanting babies. A quality man they feel they will lose if they aren't screwing, they feel a natural desire to screw. Even if he's infertile ;)

  5. Athol Kay says:

    Hi Anon, if you want a vasectomy, do it for you. I'm just of the opinion that the surgical option is always the last one to try.

    The sex drive link to sexual happiness observation is very interesting. Thanks.

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