Q&A: Orgasm And Desire After Vasectomy

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QUESTION: Before I had a vasectomy, I used to have good powerful orgasms which let me feel relieved and satisfied after ejaculation. Now, after the vasectomy I still have the desire but at the moment of ejaculation I no longer have any orgasm or feeling of release. The standard response from the doctors is that the vasectomy changed nothing. What are your views?

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Vasectomy is generally regarded as a highly safe and effective means of permanent birth control. There are various methods of vasectomy that are available to doctors, with the end result being that the vas deferens – which are the tubes that carry sperm from the testicles – are clamped, cut or sealed so that sperm are no longer able to leave the body through ejaculation.

Affect On Sexual Desire And Orgasm

Because only the sperm are blocked, and sperm make up a very tiny proportion of the volume of a man’s semen, the amount of ejaculation released during orgasm is pretty much the same before vasectomy as it is after vasectomy.

And when it comes to sex, research generally suggests that men’s sexual desire, satisfaction and erectile function are just as strong after vasectomy as compared to before vasectomy.

In fact, without the anxiety about accidentally getting their partner pregnant during intercourse, quite a few men even indicate that they have stronger erections or are more sexually satisfied after their vasectomy.

Less Pleasurable Sex Very Rare

It is very rare for men who have had vasectomies to report having less pleasurable sex or no experience of release at the time of orgasm. Because this is so rare, many doctors – even those who have performed hundreds of vasectomies – may have never encountered a patient who told them that their experience of sex became worse after the vasectomy, and that may explain why the doctors you’ve met with have had little to say in response to your question.

That doesn’t mean that your experience isn’t valid or doesn’t warrant attention. Having a vasectomy can affect men’s feelings about themselves, their bodies, and their sexuality in important ways, and it may be worth meeting with a trained sex therapist to further explore how having a vasectomy has impacted your sex life.

You can find a sex therapist on the web site of the American Association of Sex Educators, Counselors and Therapists. You might also want to meet with a urologist or a neurologist who has experience in sexual issues as it is certainly possible that there may be physical causes related to your lack of pleasure in relation to orgasm.

Recommended Reading

Finally, you might find it helpful to read a book such as For Each Other: Sharing Sexual Intimacy by Dr. Lonnie Barbach that focuses on ways that couples can use sexual exploration to foster closeness, intimacy and pleasure.

Dr. Debby Herbenick (M.P.H., Ph.D.)

is a sexual health educator at The Kinsey Institute, Associate Director of the Center for Sexual Health Promotion at Indiana University and author of several books including Sex Made Easy and Because It Feels Good: A Woman's Guide to Sexual Pleasure and Satisfaction.
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Comments

  • Lance

    While the deisre for sex is still as strong, there is a change in your head. I know sex changed for me, and the only other man I know of felt the same. i do not believe there has ever been a proper survey.