1. Plan to spend a quiet evening at home, reclining in bed or a lounge chair. Minimize activity.
2. You may take acetaminophen/ibuprofen as directed if you have any discomfort. Avoid aspirin for two (2) days after the vasectomy. See medication directions below.
3. Apply ice for 30 minutes and then remove for 30 minutes. Repeat for four hours. Keep the area dry to avoid infections.
4. On the day after the procedure, you may walk and drive as much as you like. Avoid sports, yard work, swimming, and heavy lifting of any kind. If your job is sedentary (office work or supervisor), you may return to work.
5. You may take a daily shower beginning the morning after your procedure. Replace the scrotal support and wear it whenever you are standing for the next two days and during activities for the next seven days.
6. Two days after the procedure, you may return to more strenuous work and regular activities wearing your scrotal support. Wait three days for aggressive sports, such as basketball and tennis.
7. You may have sex 5-7 days after the procedure. It is common to have some blood in the semen for the first few ejaculations. Use other forms of contraception until you are told that your semen is sperm-free.
8. Since no incision is made, a follow-up visit is not required; but if you have undue discomfort or any concerns, please contact us.
9. It is normal to have some discoloration of the skin around the puncture site. Some men will develop considerable discoloration of the scrotum about four days after the vasectomy. Blood from the deep vasectomy site comes to the surface as a purplish-blue mark, gets darker, and spreads out like an oil slick, then gradually dissipates.
10. Some men (about one in 20) will develop swelling and discomfort on one or both sides, starting anytime from three days to three months following a vasectomy. This usually represents an exaggerated form of the normal inflammatory response necessary for sperm absorption and recycling. It is best managed with a 7-10 day course of Ibuprofen or Naproxen. See medication directions below.
11. At least 12 weeks and 20 ejaculations after your vasectomy, bring a semen sample to our office. This sample should be produced after a two-day period of no ejaculation. We will call you once your sample has been checked.