Vasectomy Clinic

Every year in the United States, more than half a million men choose to eliminate their risk of causing an unintended pregnancy by having a vasectomy. As a permanent form of male birth control, vasectomy surgery prevents sperm from entering your semen, which prevents it from leaving your body. The team of men’s health specialists at Associated Urologists of North Carolina offers vasectomy consultations and vasectomy reversal at their seven locations in Apex, Cary, Clayton, Dunn, Raleigh, and Wake Forest, North Carolina. Call your nearest office today.

Vasectomy Q & A

What is a Vasectomy?

Vasectomies are a safe and effective way for men to attain permanent birth control. The simple procedure, which is usually done in an outpatient setting, works by disconnecting the pathway that allows sperm to enter your semen.

Your semen is what carries your sperm out of your body during ejaculation. While you still ejaculate normally following a vasectomy, your semen no longer contains any sperm. Because the sperm that your body still produces has nowhere to go, it’s simply absorbed by your body.

What are the Benefits of a Vasectomy?

Quick, easy, and permanent vasectomy surgery means you can be intimate with your partner without having to worry about causing an unintended pregnancy. It also means you no longer have to worry about birth control.

Vasectomy surgery has been an effective form of permanent birth control for countless men over the years. With few risks or side effects, the procedure won’t affect your ability to get an erection or change your testosterone levels in any way.

It’s important to recognize, however, that a vasectomy can’t protect you from contracting a sexually transmitted disease (STD). To reduce your risk of getting an STD, you should always use condoms.

What are the costs of a vasectomy?

Most health insurance plans will cover a vasectomy. Please contact your health insurance provider to determine how much is covered. For those minority plans that do not cover the procedure, the total cost of the vasectomy is $1000.

Why Do Men Opt for a Vasectomy?

Men have different reasons for wanting a vasectomy. Some have children already and don’t want to have any more in the future, while others simply don’t wish to become a father at all.

Some men opt for a vasectomy if they have a genetic disorder that they don’t want to pass on to a child; others choose to have the procedure if they’re in a stable, long-term relationship, and pregnancy would be a health risk for their partner.

A vasectomy isn’t the right birth control solution for men who are unsure about whether they’ll want children in the future or young men who may have other partners in the future.

How Effective is Vasectomy Surgery?

Vasectomy surgery is nearly 100% effective — fewer than 1% of men who have a vasectomy go on to cause a pregnancy. The procedure isn’t effective right away, however, as some sperm remain in your semen, just beyond the disconnected part of the tubes.

Following a vasectomy, you must continue using another form of birth control for up to three months, or until your semen is sperm-free. During your follow-up visit, your doctor at Associated Urologists of North Carolina checks your semen to make sure it no longer contains any sperm.

Is it Possible to Reverse a Vasectomy?

Yes. It is possible to reverse a vasectomy, but the surgery is more challenging than the original procedure. Vasectomy reversal typically involves microsurgery to reattach the vas deferens so sperm can exit the testes again.

The success rate for vasectomy reversal can vary from 30% to more than 90% depending on factors like your age, health, previous fertility issues, and the type of procedure used.

The In-Office Vasectomy

A vasectomy is a quick, safe, and highly effective form of permanent birth control for men who have completed their families or decided not to have children. Performed right in our comfortable clinic setting, a vasectomy takes less than 20 minutes and allows for a rapid recovery with minimal downtime.

With a success rate exceeding 99%, a vasectomy is one of the most reliable contraceptive options available—and significantly simpler and safer than tubal ligation for women.

Why Choose Our Vasectomy Clinic?

No-Scalpel Technique: We utilize modern, minimally invasive techniques that eliminate the need for traditional scalpels or stitches, resulting in less discomfort, minimal bleeding, and a faster recovery.
In-Office Comfort: Performed in our private, relaxing clinic rooms using local anesthesia. You are awake, comfortable, and able to return home immediately after the procedure.
Board-Certified Expertise: Performed by experienced urologists who specialize in microsurgery and male reproductive health. There are other providers who advertise performing vasectomies, but may not be qualified.
Discreet & Efficient: From your initial consultation to post-procedure follow-ups, your care is handled with complete privacy and efficiency.

How the No-Scalpel Vasectomy Works

During a vasectomy, the tubes that carry sperm from the testicles (the vas deferens) are gently accessed, divided, and sealed. This prevents sperm from mixing into the ejaculate.

Gentle Numbing: A local anesthetic is applied to numb the scrotal area completely, ensuring a pain-free procedure.
Micro-Access: Rather than making traditional surgical cuts, a specialized tool creates a single tiny puncture (less than a quarter-inch) in the skin.
Sealing the Tubes: The physician gently locates the vas deferens tubes through this tiny opening, cuts a small section, and seals the ends using thermal cautery or small clips.
Quick Healing: The puncture site is so small that it naturally closes without stitches—just a small bandage is applied.

Important Note on Sexual Function: A vasectomy does not affect your testosterone levels, sexual desire, ability to achieve an erection, or the appearance and volume of your ejaculate. Sperm makes up less than 5% of total semen volume; your body simply continues producing fluid without sperm present.

What to Expect: Recovery & Timeline

Recovery is straightforward, with most men resuming light daily activities within a day or two.

Timeline	What to Expect & Recommendations
Day of Procedure	Rest at home. Apply ice packs periodically over a supportive pair of tight underwear or an athletic supporter to minimize swelling.
Days 1 – 3	Expect mild aching or dull pressure, easily managed with over-the-counter pain relievers. Avoid heavy lifting or strenuous exertion.
Days 4 – 7	Most men return to desk work within 1 to 2 days and resume normal daily routines. You may resume light sexual activity once comfortable.
3 Months Post-Op	Semen Analysis Check: You are not clear of sperm immediately! You must use alternative birth control until a follow-up semen test confirms zero active sperm.

How to Get Started

Initial Consultation: Meet with our team to review your medical history, discuss the procedure in detail, and answer any questions you or your partner may have.
Procedure Day: Arrive for your appointment and return home the same morning.
Clearance Check: Submit your follow-up semen sample at 12 weeks to confirm complete sterility.