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Will a Vasectomy Reversal Affect Sexual Function? The Answer is…

I see many couples in consultation who are considering having a vasectomy reversal, eager and hopeful to naturally conceive a baby together. At some point in our conversation, the room gets a bit quiet and the man will ask me, “Will the vasectomy reversal cause any problems with my sexual function?”   Similar to the concerns that are often raised with the initial vasectomy procedure, men are often very concerned that the reversal may adversely affect his erections, his sexual desire or the intensity of his orgasm. 

The answer to this common is absolutely NO.  A vasectomy reversal, just as with the original vasectomy, will NOT cause sexual dysfunction.  

Let’s talk about anatomy for a moment to better explain how I can be so definitive and certain about this.  The testicles are where sperm and testosterone are made.  Testosterone is secreted into the blood supply and during a vasectomy reversal arteries and blood flow are not involved or damaged during surgery.  Erections and ejaculation are controlled by nerves that run deep in the pelvis, along the prostate and in the penis.  The area that is operated on for the vasectomy reversal is the scrotum, and specifically the vas deferens, which is the tube that delivers sperm out into the ejaculate. This is the tube that was cut at the time of vasectomy.  The vas deferens is the tube that is put back together during a vasovasostomy, and when an epididymovasostomy is performed, the vas deferens and the epididymis are connected. 

With vasectomy reversal, nothing is disrupted that is responsible for either testosterone production or erection.  As a result, a man will not experience any difficulty with sexual performance, and his ability to achieve an erection and orgasm will remain post-operatively what it was pre-operatively.

 

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