Hello everyone. I wanted to ask for some advise to see what problems I may be dealing with and what I could do to help. I had my vasectomy on Aug 26. I’m 30 with 3 kids and only went with the vasecomty because it was a “quick, simple procedure with rare complications.” I really wouldn’t care if I had more kids, but I was content and everyone I know that has had one never said a bad thing about it. I never would have done it if I thought for a second getting pvps was possible. I’m not nearly as bad off as some so I feel guiltily complaining. I could live with this level of pain and even no sex if I had to, but I’m mostly concerned because I am active duty USMC with a kid with medical issues so I need to be able to exercise to keep my job, but exercise would make this way worse now.
The first week I was supprised how little it hurt. I was a little sore but wasn’t worried about it. I first tried ejaulating 2 days after (my post ops instructions said they recommended waiting 3-7 days but you could whenever you felt able) and it hurt, but not horrible and no blood.
Around 1 week after I started noticing a “blue ball” feeling and a pressure like pain behind my testicles. It is worse when I have an erection and when getting close to ejuculation and when I would ejuculate it felt like someone was squeezing my testicles; like pressure needed to come out but had no were to go.
At 2 weeks after I saw the surgeon that did the operation and he referred me to a urologist. He prescribed Ibuprofenand and doxy for 2 weeks. I started taking 800 mg of ibuprofen 3 times a day for about two weeks and the antibiotics; id say over all I felt a little better but ejuculation and running or lifting deffently irritated things. I never had a fever and the area doesn’t seem warm. No weird discharge.
The around two weeks out I had having a lot of pelvic floor pain like I was sitting on a base ball, but I started to try to be more relaxed and not always clenched (stress didn’t help) and that went away. The pain then was mostly just pressure in my testicles or epididimis. The best way I can describe it is the feeling when you have an ear infection or sinus infection with ocational light burning. Sharp ball squeezing pain before, during and after ejuculation.
After 2 more weeks (now at a month post V)I may pain and discomfort was down from about a 3-5 to about a 1-2 with some spikes of 3 when walking or moving the wrong way. The Urologist said it was deffently strange that it had been a month and I was not better but he recommended giving it another month. If that didn’t work we could look into converting to an open vasectomy (which he said helps domes times but not always, but has never seen it make it worse) or reversal. I quite taking the ibuprofen and tylonal at this point to gauge how I was feeling and 3 days later I was pretty much back at the 2-4 pain. Only now it was just pressure and burning, but not that kicked in the ball feeling. Still sharp pain when ejuculating, but better than the first week.
I also feel like there is nociably less semen; like everything I’ve read says the sperm makes up 5-10%; I feel like total volume is about 75% what is was. Are there any hypothesises that conjestive complications are linked to above average sperm count?
I’ve read some people on here say it can takes months for conjestion to go away. Like I said, I’m active duty USMC, now on light duty, but can only be on limited duty for a year before I’d get forced out so I feel like I can’t just sit and wait too long. I started taking the bulk supliments papaya seed power yesterday; 1/2 tps st nights and morning. We’ll see how that goes. Taking ibuprofen again for now Incase maybe keepin inclination down will help everything heal.
What do those with experience think: is the connection or nerve pain? It always seems to hurt but the pain is very much linked to the epididimis contracting near and at ejuculation. I could deal with the slight burn with may or may not be nerves or just a result of inflammation. Orgasms suck but at this point I’m more concerned with just being pain free enough to be able to run and lift again; I have a kid with a medical condition so losing my job and medical insurance is something I want to avoid. I don’t want to push myself now and delay healing though.
I am concerned about going open vasectomy because it may or may not help; more surgery could mark it worse and would make reversal harder. I’ve read that reversals have never found a blow out if they are done in the first 2 years. My insurgence might cover a reversal if it’s medically nessicary, but even if they do, i won’t get to pick my dr. It would likely be a urologist but not one that specializes in reversals.
I am thinking of waiting until Feb-March when I get tax returns and getting reversal done by Dr. Daniels at Carolina Vasectomy Reversal if it’s not manageable by then. I live 40 min away and it seems he only does reversals, has been doing them for the past 30 ears and has great reviews. It’s $7400 but seems a small price if it gives me back my chance to keep a job for my family, gets ride of pain, and last but still important, the ability to have sex without pain.
What do those with experience think: does this sound like connection or nerve pain? Would you risk the open vasectomy if it reduces chances of successful reversal? I know I don’t have it nearly as bad as some here. I could live with the pain I feel when I’m siting still, wouldn’t be a fun life but I could manage, but sex is off the table and I need to be able to exercise for my job. I’m now at 5 weeks post vasectomy. I’ve very depressed because of regret for this stupid decision. I feel like my wife is unsympathetic because everyone else we know never had problems (that they’ll admit to) and thinks a lot of it’s in my head. I really wonder how many men have problems but won’t say anything because they don’t want to admit that they’re “manhood” is messed up. Men need to be more open about this and earn others. If PVPS is so common I can’t belive the military lets service members get vasectomies; I can’t be the only ones whose had this happen. With them so worried about force protection I would think this would not be allowed knowing what I know now. I can’t help but feel there is a depopulation push and the insurance companies want to cut costs by reducing the amount of kids they have to pay medical bills for.