Male sterilisation (vasectomy)

Male sterilisation (vasectomy) is a permanent method of contraception that's carried out on a man. Find how it's done, and what to expect.

A woman can get pregnant if a man’s sperm reaches one of her eggs (ova). Contraception tries to stop this happening by keeping the egg and sperm apart or by stopping egg production. One method of contraception is male sterilisation (vasectomy).

During a minor operation, the tubes that carry sperm from a man's testicles to the penis are cut, blocked or sealed with heat. 

It's usually carried out under local anaesthetic, and takes about 15 minutes. 

How does a vasectomy work?

Sperm are prevented from reaching the seminal fluid (semen), which is ejaculated from the penis during sex. This means that there are no sperm in the semen, so a woman's egg can't be fertilised. Find out more about how a vasectomy is carried out.

How effective is it?

The lifetime failure rate is about one in 2,000. This means that one out of 2,000 men who are sterilised will get a woman pregnant during the rest of his lifetime.

Added benefits of a vasectomy?

Male sterilisation is considered permanent. Once it's done, you don't have to think about contraception again.

What else should I know?

  • You need to use contraception for about eight weeks after the operation because sperm stay in the tubes leading to the penis.
  • Two semen tests are done after the operation to ensure that all the sperm have gone.
  • Your scrotum (ball sack) may become bruised, swollen or painful – some men have ongoing pain in their testicles.
  • As with any surgery, there's a slight risk of infection.
  • Reversing the operation isn't easy, and is rarely available on the NHS.

Find out more about recovering from a vasectomy.

Male sterilisation doesn't protect against sexually transmitted infections (STIs), so use a condom to protect yourself and your partner against STIs.  

Further information

Find out about the 15 methods of contraception

What should my testicles normally look and feel like?

Can I get a sterilisation reversal on the NHS?

Find sexual health services near you

 

Where to get contraception

Find out where you can go for confidential access to the contraception that's right for you.

Last reviewed: 15/09/2011

Next review due: 15/09/2013

Comments are personal views. Any information they give has not been checked and may not be accurate.

Thum Nose said on 11 December 2011

I had a vasectomy two years ago and although the result was generally good I still have a numbing pain occssionally, especially when active. It seems vasectomy is going out of fashion as men, and couples, have many other contraceptive options without needing to rely on surgical intervention which always carries risks. Although my pain is not permament or extreme I may not have choosen vasectomy if all the risks and side effects had been carefully explained to me, However the fear of an unwanted pregnancy with any partner is a great outcome.

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Thunderballs said on 13 June 2011

My vasectomy went very well.

I am delighted with the results.

I am sorry for people whose surgery doesn't go as they hoped but statistics do not show 100% success rate. to write of a procedure on the basis of a very small % of patients having complications is unfortunate, as very little in life is guaranteed.

Research the procedure carefully.

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cricket55 said on 04 January 2011

This op often goes" wrong" just type vasectomy pains and see the huge number of dissatisfied "customers" .If you do go ahead and then oh well it`s to late to go back.I have suffered ever since that awfull day and carry on suffering after contraception is`nt even needed.

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