Pre-Procedure Instructions

1.DO NOT TAKE ASPIRIN, IBUPROFEN, or NAPROXEN within two (2) days of the procedure. If you are taking medications, please record them in the registration page.

2. Bring someone with you. Although your procedure will NOT limit your ability to drive, you may want to have someone there for support or to assist you in the case of unexpected events, such as a flat tire – you don’t want to be on the side of the road dealing with a vehicle just after a surgery.

3. Make sure that you wear a jockstrap (it will be provided to you for the procedure), athletic supporter, or tight underwear. Wear it when you come to your surgery (under your underwear). During the week following the surgery, we suggest you use it for more scrotal support and comfort, particularly if physically active at work.

4. Please trim the hair of your scrotum prior to the surgery, this will allow for a quicker preparation for the procedure and an easier surgical field.

5. Take a shower prior to your surgery to minimize the potential of skin infections due to limited hygiene

Post-Procedure After Care

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.

Approved Medications

Over-The-Counter Medications for pain care after vasectomy

Take medications for at least 5-7 days to get the full anti-inflammatory effect

Alert Triangle



220mg / tablet

Take 2 tablets twice a day

IBUPROFEN(Motrin ®, Advil ®)

200mg / tablet

Take 3-4 tablets every 8 hours


500mg / tablet

Take 1-2 tablets every 6 hours

Semen Samples (PVSA)


1. Approximately 12 weeks and 20 ejaculations (whichever occurs later) following your vasectomy, collect one sample of your semen after a two day period of no ejaculation. The sample can be collected in any container convenient for you and transferred to the tube provided. Do not wash the tube out. The yellow powder in the tube prevents bacteria from growing in your specimen. Make sure the lid is screwed on securely. Place the tube into the plastic biohazard bag and seal the bag.

2. Tear and include the identification sheet below in the side pouch of the bag.

3. Place the biohazard bag with enclosed specimen vial and the enclosed completed form into the pre-addressed mailer envelope. You must apply correct postage. The post office will not deliver mail without postage.

4. If you send in your specimen before 12 weeks or if you lose the mailer provided at the time of the procedure, we will send to you another mailer for a fee of $20 payable by credit card online.

5. Remember: we will call you from (515) 603-2140 to discuss the results with you.

Insurance Information

Accepted Insurances

Aetna, Coventry, Cigna, Medica, HealthPartners, Midlands Choice, Wellmark BCBS, Medicare.

* We are NOT ACCEPTING Medicaid at this moment.

** Remember to verify with your insurance company if you are covered for this service.

1. Call the insurance phone number on the back of your insurance card. Consider that we will charge insurances their allowed scheduled fee. If you have a high deductible that you have not yet met, it might be more affordable to pay the price offered for those without insurance.

2. Let them know you want to have a vasectomy (CPT code for the procedure is 55250).

3. Make sure to tell them this is an “office procedure” and NOT an “outpatient procedure”.

Deposit Payment Policy


(No-shows and late cancellations limit access to other patients)

Reimbursed for those using insurance, unless coverage is insufficient

Refundable until seven calendar days prior to the vasectomy date (minus $40 for the cost of the SimpleVas® Box, if it has already been mailed to you).No refunds thereafter for cancellation/postponement (special circumstances will be considered).

Applied to cost of vasectomy for those opting out of using insurance

If you don’t schedule the procedure within two (2) weeks of registration, your record will be deleted and you will need a new record created to move forward.