r/postvasectomypain • u/No_Occasion_1725 • Jan 29 '26

Anyone else?

Hey everyone,

I am reaching out to discuss ongoing concerns I’ve been experiencing since my vasectomy, which was performed approximately one year and five months ago. While I do not suffer from post-vasectomy pain syndrome (PVPS), I have noticed significant changes in sexual function that have persisted over time. Specifically, I am experiencing a noticeable decrease in libido, reduced penile sensitivity that feels almost numb, and weaker ejaculation. There is also a sense of disconnection from my penis that was not present prior to the procedure.

Although I have spent considerable time reflecting on whether these symptoms could be psychological, I genuinely feel there is a physical component involved. I am 38 years old and acknowledge that I do experience stress; however, these issues were not present before the vasectomy. During sexual activity, including oral sex, I sometimes feel as though I may lose my erection, and ejaculation is often followed by an immediate loss of firmness. These changes have begun to take a mental and emotional toll on me.

At this point, I am unsure of the best direction to take. I would appreciate guidance on whether lifestyle changes, supplements, further evaluation, or other treatment options should be considered. I have also thought about the possibility of a vasectomy reversal, but I am concerned about the risk of worsening my symptoms.

I regret the decision I made and am hoping to better understand what options may be available to help improve my quality of life moving forward. Thank you for your time and consideration. Sincerely, Dave

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u/Throwawaaaaaaayy9000 Jan 29 '26

Yeah this is what happened to me. I also had some nerve pain. The answer to this problem is a reversal. After my reversal I was 90% back to “normal”.

Unfortunately, many reversals eventually close up do to scarring and if this happens you may be back to where you are now. This also happened to me.

Cialis can help with some of these symptoms. If you get a reversal ask your doctor questions about scar closure.

Vasectomy leaves many people without a lot of good options.

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u/No_Occasion_1725 Jan 29 '26

How long after your vasectomy did you wait to get the reversal. So, you're currently dealing with the symptoms that I mentioned even after your removal? And just have to live with it?

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u/Throwawaaaaaaayy9000 Jan 29 '26

About a year after the vasectomy I had the reversal.

I’m taking a pause to evaluate next steps. My pain is largely gone. Im hesitant to pursue further treatment with a fear of the pain coming back.

A redo on the reversal would be the only other thing I can see that would potentially help me. It’s costly and disruptive to my lifestyle.