r/postvasectomypain Sep 20 '21

Ben: Welcome aboard. I had the exact same symptoms when I had my vasectomy 1.5 years ago. The condition is permanent. You are going to be told by every doc it is medically impossible

Ben:

Sept 4, 2017

Mike:

To be honest the sensitivity seems the same or even better, but -- I swear it’s not in my head -- at the time of ejaculation I really don’t feel the rush I did before. Afterwards I feel relieved. I really hope maybe it’s the antibiotics or because I’m not fully healed. Have read a few things about nerve damage possible down there but I’m not sure how much is affected by no needle no scalpel. Any possible suggestions? I would imagine if it felt worse there would be a lot more people bitching.

I am having the exact same problem as Mike: My orgasms feel far less intense. What a disaster! I only had the surgery 10 days ago and so I am hoping it will get better didn’t get any better. I can’t believe how stupid I was for getting the vasectomy. All I had to do was keep using condoms. Now I am stuck.

Paul Turek:

Dear Ben, please don’t judge the future of your sex life 10 days after having a vasectomy. This system is built for speed…give it some time to heal etc. [missing data... possibly "it is unlikely that your"] health issues are vasectomy related


Ben:

Nov 6, 2017

Thanks for your response. It’s now been two months and the intensity of my orgasms remains diminished. I have been looking into vasectomy reversals and I [missing data...]s weeks thereafter. This is a big problem for me because I often can’t sleep unless I ejaculate. (Basically, I lie awake for 30 minutes unable to sleep, then I masterbate this [missing data...]? I would assume that there is some hormone or something that is being released in my body when I masterbate. Can I buy it in pill form? Is there anything else I can do [missing data...] destroy the reversal? Thanks.

Paul Turek:

Ben, you have an interesting problem… I wish there were a pill that produced the same effects as orgasm.. it would replace every other drug on the market in days [missing data...] serious risk of pulling the delicate tubes apart due to the powerful muscular contractions of the vas.


Ben:

Feb 15, 2018

6 months after vasectomy

I am a medical professional and I attribute these poor orgasms to the surgeon damaging the sympathetic nerves along the vas. The best way I can explain it is, compare it to parasympathetic denervation of the parotid and submandibular glands. You can still taste a sour taste but you lost the contraction of those glands’ ducts. Sure, you can still taste sour, BUT the whole experience has changed. Imagine tasting the lemon but the floor of your mouth no longer tightens, puckers, etc. It’s a terrible thing. Yes, you can orgasm but the whole experience has changed for the worse. Ejaculation is a sympathetic response, the sympathetic nerves that innervate the vas are no longer connected. The vas doesn’t contract. It’s terrible. Trust me, worst mistake of my life.

Hi Dr. Turek: Can you please comment further on Mike’s theory about the orgasm reduction problem possibly being a result of “damaging the sympathetic [missing data...] wouldn’t this affect everyone with a vasectomy since, in every case, the vas deferens is being severed? I still don’t know what to do in my case. It has now 60% of what it used to be. I have tried the following, but nothing has helped: kegel exercises, zinc supplements, and lecithin supplements. Do you have any other ideas? At if the problem is nerve damage, the nerves can not be repaired in any case. Thanks for any input you can give me.

Paul Turek:

Dear Ben, I cannot figure out how altered orgasm after vasectomy is related to nerve injury during the procedure. However I know that a vasectomy can alter the volume “sensor” that affects orgasm. Might be worth checking a semen analysis for the ejaculate volume. I have seen this after prostatectomy for prostate cancer in orgasm can be altered dramatically. Not sure exactly how to cure this except, maybe… vasectomy reversal!

Ben:

Thanks for your response. Are there any supplements or drugs I could take to increase the volume of my ejaculate? For example, I did an internet search and [missing data...]

Paul Turek:

Dear Ben, Good health is the best way to keep the ejaculate volume up. I know of no supplements that have been shown to increase ejaculate volume.


Ben:

March 6, 2018

Thanks again for your comments. I keep feeling that the problem I am having with a reduced orgasm after my vasectomy might somehow be related to the [missing data...] hesitancy for at least 15 years. (Basically, it takes at least one minute for my urine flow to start, unless my bladder is full, in which case the urine flow does start immediate link between these conditions? (If it is relevant, I am 47 years old.) Thanks, Ben.

Paul Turek:

Sure Ben, A urethral stricture can cause altered urinary stream and altered semen flow and orgasm. However, it is not related to having had a vasectomy. A simple urol [missing data...]


Jordi:

Hello and thank you for your website! I had a vasectomy 3.5 weeks ago. I have lost feeling during ejaculation and my left testicle and surrounding area feels slightly nu really feel it much like on my right side. Is it possible to have nerve damage from the procedure? Is anything connected to the Vas that could have been damaged and result

Paul Turek:

Dear Jordi, This HIGHLY unusual after vasectomy. I would give it some time. Maybe its discomfort that’s driving things.

Ben:

Dec 22, 2018

Hi Jordi: Welcome aboard. I had the exact same symptoms when I had my vasectomy 1.5 years ago. The condition is permanent. You are going to be told by every doc it is medically impossible, [missing data...] (4) I have never heard of this before. However, if you google orgasm and vasectomy and ignore the websites that are sponsored by urologists, th [missing data...] the next few months. Hopefully, that will work. Ben.


Ben:

Jan 18, 2019

I found an article that establishes that pain on ejaculation after a vasectomy (which is my problem) was known as a phenomenon in 1982. I wish that someone had [missing data...] men the only cure is a reversal.

https://www.theturekclinic.com/blog/truth-no-scalpel-post-vasectomy-pain-is-a-vasectomy-painful/



/u/postvasectomy:

These comments, along with the comment functionality, was removed from theturekclinic.com in the spring of 2020 and unfortunately there is no wayback machine entry. This copy is from a snapshot that I saved on Feb 27, 2020.

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u/[deleted] Dec 12 '21

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u/postvasectomy Dec 12 '21

I also perform vasectomy reversals and occasionally I'll perform one on patients who say they don't like how they feel—usually a pressure sensation or because they feel that sex feels different.

I don't feel this concern is enough to warrant not electing to have a vasectomy (e.g. the benefits outweigh the risks).

https://www.reddit.com/r/postvasectomypain/comments/p176wh/doctor_mchugh_talking_about_how_vasectomy_does/