I’ve found this forum informative and thought I should contribute by sharing experience.
I had a “no scalpel” vasectomy performed in early September 2019. The procedure itself seemed to go according plan: it wasn’t fun, but wasn’t very painful. I waited about 5 days to have sex and things seemed to work ok. I waited 12 days to do any kind of serious exercise. I wore the jock strap like they recommended for the following month. Basically, I was never in any crazy pain like many of you here have experienced. However, I’m more than 4 months out and I’ve yet to fully recover.
Within a few weeks of the vasectomy my testicles became very sensitive to any kind of sudden contact. For example, I never realized how much a 1 year old kicks you in the balls when they tantrum in your arms. Testicular contact that used to be unnoticed now leaves me feeling like I was kicked in the balls. I’m not keeling over in pain, but the feeling is strong enough that you get that pain/nausea feeling that moves from your balls up into your lower gut. That used to be a rare sensation, but not anymore.
I also experienced on and off aching in the testicles. I mostly noticed this at night and it sometimes kept me up or woke me up. I wouldn’t ever describe this discomfort/pain above a 1-4, but it’s very annoying. I’ve had a couple periods of a handful of days where I thought I was past this, but now I’m past the 4 month mark and over the last week or two it’s become more constant than ever. I can feel them aching at a 2 -3 pain level as I type this. I’m an active person and it seems that increased activity increases this, but no activity does not eliminate it.
I’ve also had on and off pain that radiates from the testicles up through the lower side abdomen. This was probably the first pain I noticed post vasectomy other then the obvious localized discomfort. This too has been off and on again sometimes increasing in severity, over the past few weeks (again I’m past the 4 month mark) decreasing thankfully.
Possibly related, my occasional eczema has worsened dramatically. For the past year I’ve been battling some eczema on my hands and about a month or so post vasectomy that worsened and spread up my arms and around my knees. This makes me think of the potential autoimmune issue relating to a vasectomy that they don’t tell you about before hand. Also, about a month or two post vasectomy my energy level noticeably dropped. I rarely get quality sleep and have had to up my caffeine intake to keep up with life. My libido is noticeably down. It sounds like voodoo or something, but there’s an energy there that I feel I’m now missing. My testosterone had been checked about a year prior to the vasectomy and I was in the low range of normal. I do plan to get that checked soon to compare. I’m closing in on 40 so I’m at the age testosterone drops anyways, but what I’ve felt lately is way too much of a coincidence in my opinion.
From reading other’s experiences in this forum I’ve started to see a pelvic PT. I’m only at the start so not sure what to expect from that, but it’s very expensive. So far the diagnosis is not epididimytis like I suspected, but overly tight or more specifically not relaxed pelvic floor muscles. I’m going to continue down the PT route to see what improvement I can gain, but am very seriously starting to consider a reversal, but the painful lesson from this experience is that medical interventions have consequences so I’m torn about going down that road.
Any advice is appreciated, but mostly I wanted to contribute since I hope more men considering a vasectomy will come across this site prior to making their decision. Based on my experience so far I would easily not have gotten the procedure.