My husband had a vasectomy 8 months ago he has had more then 40 ejaculation since his surgery, or maybe even more. The semen analysis came back with more then 20 hpf. Motile and non motile sperm were seen. Could his vasectomy have failed, or can it take a long time to become sterile? Thank you.
Dr. McHugh’s answer:
There two scenarios here. It is possible that the vasectomy has successfully divided the vas and that the sperm are, for whatever reason, slow to completely clear. If this is the thinking you would re check after another twenty or so ejaculations. On the other hand this may represent a recanalization of the vas tubes, a small channel, that has reconnected the vas tubes. In this case another vasectomy would be performed. A couple of things: You could have a formal semen analysis performed to actually get a count, it is possible that 20 per highpower field correlates with a very low total count. Some feel that after a vasectomy less than 100,000 on a semen analysis is acceptable. I have experienced your particular situation about five times in my career and I have repeated the vasectomy. Interestingly each time it corrected the small numbers of sperm that persistently showed up on microscopic exam.
Convincing Your Partner / Myths About Vasectomy
Convincing your partner that vasectomy is the right choice for birth control is a simple task. That is because vasectomy truly is the safest, cheapest, and most effective form of birth control. To convince your partner, just present the following facts:
- Vasectomy does not cause any hormonal changes, nor will it change his sexual function or desire.
- Vasectomy will not significantly change the character or quantity of his ejaculation. It simply blocks the sperm cells from being in the seminal fluid.
- The local anesthetic used is injected into the skin of the scrotum, not into the testicle.
- The no scalpel vasectomy is an innovative method of performing a vasectomy. It is done through a single small puncture through the scrotal skin, not an incision. It does not even require a stitch or a suture to close the skin.
- MAN UP! The burden of birth control and child bearing needs to be shared. Tell him that stepping up for a vasectomy is an important way for him to do his share.
- A Board Certified Urologist is a fully trained surgeon, and the no scalpel vasectomy is commonplace and easy for him. The procedure is safe and easy to perform.
- Show him the less than perfect options in our COMPARING OPTIONS section.
- Again: Vasectomy is the safest, cheapest, and most effective form of birth control.