UOHS home page

INFORMATION ICON
  • Vasectomy Information
  • Mirena Information


  • Prepare for your Appointment
  • Book your Appointment
  • Appointment Details

A vasectomy is an excellent choice for a man who does not want to father more children. It is highly effective, there is little discomfort, and it is a much smaller procedure than the operation for a woman.

How to prepare for your appointment

  • Please read all of the information on this webpage and complete the Vasectomy Patient Profile Form to bring with you to your appointment.
  • Fees Page Bring your valid Provincial Health Card to both appointments. Quebec (RAMQ) patients will be required to pay $100.00 for additional costs not covered by your provincial health plan. The fee is payable at the first visit.

How to Book your Vasectomy Appointment

  • Book your appointment by phone at (613) 564-3950 or in person at 100 Marie Curie.
  • To cancel your vasectomy appointment with Health Services, fill out the online appointment cancellation form, or cancel your appointment by phone at 613-564-3950. Consult our Missed Appointment Policy for more information

Vasectomy Appointments Details

Although a referral is preferred, patients without a family doctor may be given an appointment without a referral. Contact us at 613-564-3950 to book your appointment.

Two appointments are required for this procedure.

First visit – 10 minutes:
During this 10-minute consultation, your physician will explain the vasectomy procedure and you will be given an opportunity to ask questions. Bring the completed Vasectomy Patient Profile Form with you.

  • Remember to bring your valid OHIP or RAMQ card with you to your appointment.

Second visit – 30 minutes:
The surgery will take place at your second appointment. The procedure takes 10-15 minutes.

  • Plan to have someone drive you home after the operation.
  • If you have a physical occupation, plan to be off work or on light duties for one week following the procedure.
  • Remember to bring your valid Provincial Health Card with you to your appointment.

General Vasectomy Information

A vasectomy is an operation designed to make you permanently infertile. An operation can be done to reverse a vasectomy, but a vasectomy reversal is a delicate and expensive operation that is not always successful.

Because a vasectomy should be considered permanent and irreversible, you obviously will want to look carefully at your family situation before deciding to have the operation. If you have any doubts, don't have a vasectomy! Highly effective non-permanent methods of birth control are widely available, including birth control pills, a hormone-releasing skin patch, a hormone-releasing vaginal ring, condoms and spermicide, and an intrauterine contraceptive device.

A vasectomy will make you incapable of fathering a child. It will not affect your ability to have an erection, there will be no noticeable change in the amount of ejaculation fluid, nor will it impact your sex drive.

The Surgical Procedure
Vasectomy is a small operation done in a doctor's office without an assistant. The doctor will clean the scrotum (the skin over the testicles) with an antiseptic solution, and then "freeze" a small area of skin just below the penis. The skin is then pierced - not cut - with a scalpel, and the sperm-carrying tube from each testicle is operated on through this little opening. This ‘no-scalpel’ vasectomy typically takes only 10-15 minutes. When the operation is finished, the opening in the skin is covered with a small bandage. No stitches are needed.

What to Expect After Surgery
Plan to have someone drive you home after the operation, so that you can sit back with your legs apart and relax. For the rest of the day, rest at home and apply ice frequently to the front of the scrotum. The next day, you can walk, drive, and do other non-strenuous activities. Avoid sexual activity, lifting (especially children), and sports for a week. Wear a tight elastic garment (a ‘scrotal support’ or ‘athletic support’) every day for the first week and during exercise or heavy work for the first month. Don’t wear ‘boxer’ shorts for at least a month – they don’t provide enough support. After about a week, you will probably feel comfortable enough to resume normal activities, including sexual intercourse, but please be aware that you will not be infertile yet. You should continue using another reliable birth control method until you have a test showing that you have no living sperm. A sperm test is done three months after the operation. You will be given details about this after your vasectomy.

After a vasectomy, it is normal to have a bruised or aching feeling for a while. It is surgery, after all! The amount and the duration of discomfort vary from person to person, but usually nothing more than Tylenol or ibuprofen is needed. Discomfort may last a few days or a few weeks and may return now and then depending on your level of activity and how quickly you heal.

The front of the scrotum may appear to be bruised shortly after surgery, and a small amount of swelling is normal. Some men say they notice a very slight change in the height or position of their testicles. A small lump may be felt above each testicle where the tubes were blocked.

Possible Complications
Even though the surgeon always does his best, and even when a patient is careful to follow instructions, complications can happen. Infection, bleeding, and painful swelling of the scrotum are all very uncommon and are usually easily treated. Chronic pain (lasting more than 3 months) after a vasectomy is rare, and may be less likely to happen when the “open-ended” vasectomy technique is used. Serious complications requiring hospitalization or surgery are very rare. If you find it difficult to accept the fact that complications may happen, don’t have a vasectomy.

Effectiveness as a Contraceptive
Even though vasectomy has the lowest failure rate of all types of birth control, it is not effective 100% of the time. It is possible for your vasectomy to reverse itself. What can happen is that your body might form a new passage around the blockage created during the vasectomy. The risk of this happening is significantly less than 1% and it almost always occurs in the first 3 months. This is why it is important to have a sperm test 3 months after your surgery. After a ‘zero’ sperm count, it is very unlikely (although not impossible) for a vasectomy to fail.

Despite questions raised many years ago, current research shows that vasectomy does not seem to increase the risk of illnesses such as prostate cancer, testicular cancer, or heart disease.

In summary, vasectomy is generally a safe, minor operation intended to make you permanently infertile.  The failure rate is low, and complications are uncommon. Although your semen will no longer contain sperm, your body will function the same after your vasectomy as it did before; in fact, your sex life may improve when you no longer have to worry about an unplanned pregnancy.

Be Sure
Before making a final decision to have this operation, make sure that both you and your partner are in agreement with each other and absolutely certain that you want no more children. If you are uncomfortable about the permanence of vasectomy, or about the possibility of having complications, don’t have a vasectomy.

When you see the doctor, you will be asked if you have any questions. Also, the doctor will examine your scrotum to see if any difficulties are anticipated prior to planning a vasectomy.

Bruce Eveleigh MD                                                                                                                                   2011-10-16

Mirena Information

A vasectomy is an excellent choice for a man who does not want to father any more children. It is highly effective, there is little discomfort, and it is a much smaller procedure than the operation for a woman. A vasectomy should be thought of as irreversible.

But there is another option worth considering. It is called Mirena. This is a relatively new birth control method for women. It is also used for reducing menstrual bleeding and pain. The reason we are sending you this information now is that many couples change their minds about vasectomy once they learn about what Mirena does. If you change your mind about having a vasectomy, please call as soon as possible so that we may give your consultation appointment to someone else.

Mirena

*** It is as effective as a vasectomy
*** Menstrual periods usually become much lighter and may disappear completely
*** A reduced or absent period means less iron deficiency and possibly less risk of cancer in the uterus

Some basic information about Mirena:

  • It is a tiny flexible plastic “T” that fits inside the uterus
  • It is inserted through the opening in the cervix
  • The insertion takes only a minute in most women
  • It lasts 5 years, and can then be replaced with a new one
  • It is similar to the old “IUD”, but more effective as a contraceptive
  • It doesn’t have the side effects of IUDs from many years ago
  • The lining of the uterus absorbs a miniscule amount of progestin from it each day
  • Compared with “the pill”, it delivers no estrogen and only about 20% of the progestin
  • The progestin reduces the monthly thickening of the lining of the uterus
  • A thinner uterine lining results in less menstrual bleeding and cramping
  • Less bleeding means less iron deficiency (a common cause of fatigue, hair loss and memory problems)
  • A thinner uterine lining may reduce the risk of cancer

Mirena is prescribed by a doctor and bought at a pharmacy. Ask your prescription insurance provider if your plan covers this product.

If your family doctor does not insert Mirena, you can be referred to another doctor who does.
In addition to vasectomies, Dr. Eveleigh also performs Mirena insertions. Appointments are usually available within a couple of weeks.

613-564-3950, ext. 497