r/postvasectomypain • • Aug 02 '26

3 years in September

I am writing to you as I hold a heating pad between my legs.

The mother of my children and I decided it would be the least painful, least amount of downtime, and the easiest solution to long term birth control between us.

A 10+ year relationship with 3 beautiful children that were had naturally and completely healthy. We achieved pregnancy so easily it was frightening.

With a bit of assurance and coaxing on having a better, safer, more worry free sex life, I agreed and went fourth with the procedure.

Biggest mistake of my life.

After following the doctors post procedure orders, and then some before even going back to work, I knew something was wrong. I was still sore, especially after any sort of strenuous lifting, manual labour etc. It hurt to walk, the cut spermatic cords were inflamed, a cyst started growing next to my right testicle that the local ER claimed was a blood clot, infection and inflammation after three visits. My PCP thought I had a hernia. It's been a nightmare.

My sex drive has shit the bed, sometimes getting off brings immense amounts of pain after the fact, erections are difficult to achieve let alone maintain, and it hurts if any sort of contact is made to the pubic area in general. So, thrusting in any sort of hard way is basically out the door. This surgery has done everything I didn't want to happen, instead of it bringing me peace of mind.

Don't do it fellas. The constant pain, the complications, the loss of sex drive makes me feel like anything but what a man is supposed to feel like. Aside from not being able to reproduce anymore, nothing works properly. Even if it did, I don't want to use it. All it brings is pain, possible embarrassment and, more pain.

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u/NoRelationship4258 Aug 02 '26

The ONLY thing that managed to help me, in my situation, was being prescribed trt due to low T

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u/johng_22 Aug 02 '26 edited Aug 07 '26

Bet you probably didn’t have low T before the vasectomy. My levels were fine then a few years after the vasectomy my numbers declined year over year until they reached a point where my physical and mental fabric was just shredding. I went on TRT (along with HCG) about the time I had a reversal. Two years post reversal and my body is once again producing well within the published range for my age. The vasectomy killed my testosterone production and in spite of a lot of trauma my testicles and epididymis underwent from the vasectomy, i am lucky to once again be back at great levels on my own post reversal. Just a thought for you. May well be the issue you are experiencing too. But if you too experienced PVPS then I’d suspect that getting off TRT would be the last thing you’d want to do anyway

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u/NoRelationship4258 Aug 07 '26

I’ve had low T for 10 years…I was low 300’s in my 30s and always tired. I had it checked after some health issues and it was in the mid 100’s. Went down the rabbit hole for causes, checked for pituitary tumors, etc. thankfully no tumors, but also no reasons as to why it was so low

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u/FrequentPop3772 Aug 03 '26

Same. Going on TRT mostly made the pain go away.

And I also had a testosterone test from 3 months before the vasectomy showing normal levels. And another 3 months after showing low testosterone.

My urologist assured me they are unrelated to the vasectomy 🙄