I am thankful for this forum and wanted to share my story. And even vent a little.
I am 39 years old and had my no scalpel vasectomy on April 5th. I thought I was being smart by scheduling it to when I could watch nonstop coverage of the Masters golf tournament. The first week after the vas I didn't have any problems so my wife and I resumed sex after 7 days. That was a mistake. During the middle of orgasm I had a terrible pain in what felt like my left epididymis. The pain died down some the rest of the night, and the next day there was swelling, bruising and a general ache. I called the urologist and he wrote me a prescription for 600mg Motrin and scheduled me for a follow up a few days later.
After examination he said that I most likely had a small blood vessel burst in my scrotum which was causing the pain and swelling. He told me to continue to ice the area take the Motrin. After about 5 days I was starting to feel a little better and worked from home on Thursday before going into the office on Friday. While at the office I started to get some numbness in my left thigh and testicle.
I went to bed Friday night and woke up at midnight with a terrible abdominal cramp in my right side. The next morning I went to the ER and they diagnosed my with appendicitis and performed an emergency appendectomy that night. I spent the next 3 nights in the hospital because I was really struggling with the pain from the surgery. I actually passed out twice in the hospital due to the pain. The doctors said it was most likely a vasovagal response. They finally sent me home Tuesday with Norco for the pain.
The next 2-3 weeks were fairly uneventful as I recovered from the laparoscopic surgery. My abdomen was swollen so I couldn't wear any tight or supportive underwear and mostly wore loose boxers. Probably a mistake. During this time, I only had minimal discomfort in the testicles which could have been due to the body focusing on the surgery pain or the Norco.
A few days before my follow up with the surgeon I started to get a sharp burning pain above my left groin between 2 of the incisions whenever I turned to the right or rolled over from my back to the side while sleeping. The surgeon wasn't concerned and said it was just the muscle healing.
I was planning to go back to work the following Monday. My wife and I had sex a couple of times over the weekend, and I woke up Sunday morning with a painful dull ache in both testicles (similar to blue balls). Although I have pain on both sides it is mainly on the left near the same location as the previous burst blood vessel. It feels like congestion pain although I don't notice any swelling in my epididymis.
The ache was constant and seemed to get worse throughout the next 2 weeks along with nausea, depression and hopelessness. I spent a lot of time using ice and taking hot baths. During this time I also realized that I had not been taking my provigil for the previous 4-5 weeks, which I have been on for 8 years for hypersomnia and focus. This drug also acts similar to an antidepressant. I honestly don't know why I stopped taking it. I guess I was just overwhelmed with everything going on. I think this just fed the fatigue and depression.
Last week I saw the urologist again and I started taking Tramadol in addition to the Motrin for the pain which has started to help a little if taken regularly. He told me to restart the provigil and he wanted to test my testosterone.
I met with him today to discuss the results and my total testosterone was 179 no/dL and the free testosterone was 44 pg/ml! Both well below the normal range and the equivalent of an 80 year old man. I had been tested about 8 years ago for testosterone and was borderline low. The doc thinks that the provigil has been masking some of the low t symptoms like lack of energy, motivation, etc.
My plan is to try the TRT over the next 3 months since my testosterone is so low. I think it will help with the fatigue, depression, lack of motivation and hopelessness. I am hoping it will help with the congestion pain as well.
This has been the toughest 7 weeks of my life. The hardest part has been the downward spiral of negative thoughts and not being able to see a light at the end of the tunnel. I am lucky to have a very supportive wife who has been my rock and helped me through this.
I am also thankful for this site and inspired by the success stories. I am so mad at myself for not researching the vasectomy more beforehand. I am making it a personal mission of mine to educate other men I meet about the potential consequences of vasectomies.