General Questions about Vasectomy
How much does a Vasectomy cost?
Is Vasectomy free?
No Needle, No Scalpel vasectomy and all related pre- and post-procedural care is fully covered by OHIP at any institution or private clinic in Ontario; if you have valid OHIP coverage, your vasectomy is free. You do not pay any fees at our clinic, and you should not be asked to pay for a vasectomy anywhere in Ontario, regardless of the technique used. Click below to review the Ministry of Health policies regarding insured services:
Should you request them, a nominal fee will be charged for non-OHIP services such as doctor's notes, chart copies and insurance forms.
At the Toronto Vasectomy Clinic we do not charge block fees.
Please note that if you do not show up for your appointment, or cancel with either less than 48 hours notice, or less than 2 business days, you will be charged a $100 cancellation fee.
What do I bring?
For your initial appointment, please bring your health card and a list of your current medications. The doctor will discuss the procedure in detail, and answer any questions you may have.
How Do I Prepare?
Your vasectomy will be booked after you have met the doctors for your initial consultation, at which they will explain to you what you need to do to prepare. Please refer to the FAQ's: Before Your Vasectomy for detailed instructions.
How much does a Vasectomy hurt?
During your No Needle, No Scalpel vasectomy, you may experience the sensation of mild pressure, but most men do not feel any pain. Any unusual discomfort can be treated with more local anaesthetic (freezing). About 1% of men who receive local anaesthetic with the MadaJet® also require a small needle to inject additional freezing. This needle injection is performed in an area that has already been partially frozen, so the experience of the needle is diminished.
After a vasectomy, about half of men do not require any pain medication. Of those who do, a few doses of acetaminophen (Tylenol®), or ibuprofen (Advil®), generally alleviate any discomfort. Stronger medication is almost never required.
What if I have concerns after my Vasectomy?
At the time of your vasectomy, your surgeon will review with you your post vasectomy care instructions, which also appear under FAQ's: After Your Vasectomy. You will also receive a written instruction sheet, along with the cellphone number of the surgeon. You may contact the surgeon for any post operative concerns that you may have.
When can I return to my activities?
Most men are able to return to driving and desk work the following day. For those whose work requires heavy lifting or strenuous activity, please see the detailed information provided in the FAQ's: After Your Vasectomy.
When Can I have Sex after Vasectomy?
You may have sex five days after your vasectomy. You should be very gentle initially, and proceed according to your level of comfort. You may notice a small amount of blood in your first few ejaculations; do not be alarmed, as this is not uncommon.
Vasectomy does NOT affect:
• sensation during sex and orgasm
• the amount or appearance of the semen
• sexual libido or sex drive
• your ability to have or maintain an erection
• your ejaculation
• your levels of male hormones (testosterone)
When can we stop using our regular birth control?
You must continue other forms of contraception until we tell you that laboratory testing has confirmed that your semen is free of sperm.
After your vasectomy, you must wait at least twelve weeks AND have at least twenty ejaculations, then you will need to submit a semen sample to your local lab (see FAQ's: After Your Vasectomy for details). You will then make an appointment to follow up with us in the clinic. Only after we tell you that the lab has confirmed that your semen is free of sperm, can you then dispense with other forms of contraception.
Does Vasectomy increase my risk of cancer or other disease?
Several large studies have addressed this question, and no increased risk of prostate or testicular cancer has been associated with vasectomy.
Most recently, a widely publicized study from July 2014 reported an association between vasectomy and prostate cancer. The American Urology Association reviewed this study and performed a large analysis combining the data from this report along with all the previous studies that addressed this question. They found that the total evidence showed no relationship between vasectomy and prostate cancer. In 2015 the AUA updated their 2012 guidelines to reflect this process.
The AUA also reviewed the evidence for an association between vasectomy and several other chronic diseases. No evidence was found for vasectomy being a risk factor for other diseases.
This information can be found at the AUA site under "Guideline Statement 3: Discussion"
Do I need to worry about the metal clips?
As described in the "About Vasectomy" page, titanium clips or surgical ties are placed on the sheath surrounding each vas deferens, in order to create a barrier between the cut ends; this is the fascial interposition method. If titanium clips are use, they are inert, non-reactive, and non-magnetic metal. Titanium is commonly used to make clips and surgical implants. These surgical clips do not cause increased pain or complications when used in vasectomy. They will not set off metal detector alarms, nor would will they affect MRI (Magnetic Resonance Imaging) testing.
Creating the fascial tissue barrier is a key step, and there are technical and anatomical conditions that must be considered at the time of surgery. The decision to use ties or titanium clips is made at the time of surgery and is based on which method will work best for each patient.
Does a reversible Vasectomy exist?
Although there are operations to reverse vasectomy, these do not always restore fertility. As such, vasectomy should be considered a permanent form of birth control. Alternatives to vasectomy are currently in the experimental phase of development, and are not available for men at this time.