Ya, been there, still there, 13 years now.But were all different. A lot of guys it takes about a year for things to settle. Your body has to get used to the back pressure from things not flowing anymore. Things are now plugged. The doctors tell us that the sperm stuck there will absorb back into the body… It does for some, others not, thus our problem. Your vas deferens and epididymis/balls will swell from sperm going nowhere. In some guys no problem, many it is a problem. When the vas and epididymis swell there becomes more surface area to absorb this extra sperm, and in some guys this will eventually allow the extra sperm to absorb, some not. Some guys report that after their vas and epididymis stretched enough that their problems became less. On average it takes 1-3 years for all the stretching to take place. But in some men the swelling causes the vas inner lining to rupture. Do some research yourself. Some guys it doesn’t cause problems, others terrible.
Got my vas at 43 after 9 wonderful kids, 6 girls in a row (2 were twins) then poof, 3 boys!. Also had problems with my testosterone levels dropping, more on that later. Been on this site & others for 12 years. My procedure was average, the consistent pain and problems started about 1-2 weeks after vas. My consistent problem is mostly on left side, right side flares up 1- 2x a year. It usually depends on which vas, epididymis or testicle is more sensitive to the backed up pressure as to which one hurts more, pretty common for one side to give more problems. So many guys report no problems after a reversal though. I’ve been saving to get a reversal. Wife went through menopause so i’m getting reversed.
My vas and epididymis continually swelled for the first 2-3 years and are 3 to 4 times as large as they were before vas. My doctor tied the ends of each vas back together after they were tied & cauterized so I can feel were the plug is and both sides of the vas. The vas upstream is a little smaller than the size of a pencil led. The vas on the plugged side about 1/8". That’s pretty common to. Left side at least a pain level 1 always, goes to a 3 several times a month. About 6 times a year pain goes to a 4-5 for a couple days, about once or twice a year pain goes to 6-7. 12 years ago I read on this site that some guys got relief from massaging epi, vas & testicle so I tried & it helped a lot. I massage every day, wife even helps. If I decrease my massaging or forget that’s usually when I get one of the higher pain episodes and im reminded to massage. So I massage when the pain goes up, the massaging hurts while I do it but I can actually feel the congestion dissipate/move as I gently squeeze and my pain goes down afterward until I forget to massage. The massaging didn’t help a lot the first year, but enough, then as the vas and epi stretched to accommodate the continual pressure the next two years (common again) the massaging became more helpful. Now about testosterone levels. Fortunately I had a full blood work done before my vas. My T (testosterone) was around 850 (high for my age). Within 2 or 4 weeks of my vas I was feeling sluggish but thought it was a cold. This went on and got worse over the next year, would come home beat from a job I always liked, would collapse on the coach, was getting nothing done at home, not playing w the kids, hardly any sex & losing my life. Having erection problems & hard to finish/ejaculate. My wife enjoyed sex & we had a lot more sex after vas at first but then I started having problems and that went away. After about a year my balls had shrunk about 30% (low testosterone) & I went back for annual checkup & for blood work, I asked for a complete hormone- T & estridol panel because I was just getting into researching my pain issues and energy level when I found these sites. My T came back at ~300! At 44 that’s bad, 300 is like a 90 year old. My doc gave me a shot of T at 9am… WOW, about 2-3 hrs later I felt like I was coming out of a thick fog! My brain started working, my energy was coming back. By 9pm I was 80% my old self, playing w my kids, doing dishes, mowed the lawn (freaked my wife out). It was wonderful to be back & sex that nite was great again for me & my wife. I did years of research after that. Heres the thing, when your balls & other stuff down there hurts it frequently shuts down you Testosterone production. Your body reacts to the pain. Get your testosterone check asap, if anything, just to track it just in case. Ive talked to about 400 guys and 90% of the ones IN PAIN had a significant drop in their testosterone over the months after their vas. Im on testosterone therapy and do my own injections. My GP didn’t know squat about hormone therapy 13 years ago and it took me years to get my levels good, mostly by myself. That’s a whole nother story. Give it a year if you really need to be sterile, if it gets worse, get reversed. Reversals are really successful at 1-2 years, if your vas doesn’t rupture. Sorry that “wait” is the only good news but that’s mostly what were up against. All the other procedures like epedidmies, nerve blocks-stripping ect are more risks.