Is a Vasectomy Painful? – The Most Common Vasectomy Myths

Have you ever searched the internet to learn about a medical procedure but felt more confused than before you started? Many of my patients turn to Dr. Google for medical information. Unfortunately it’s difficult to sort fact from fiction. This is especially true of a vasectomy (a sterilization procedure that prevents sperm from getting into the semen).


I’m here to help. Let’s review and debunk the most common vasectomy myths so you can be armed with the most accurate information.

Myth #1: A vasectomy is painful!

Let’s admit it guys. We don’t do pain well. Especially any kind of pain down there. We’ve all been a victim of that well placed kick in the groin. And I completely understand the fear of being “cut on” in the private area. Thank goodness for modern medicine and anesthesia.

To begin, we offer nitrous oxide, also known as laughing gas, as a light general anesthesia. I’ve had patients quite literally laughing through the entire procedure. Others were so relaxed they were upset the procedure was over! Nitrous oxide is highly recommended and allows for a virtually painless vasectomy.

Next, we inject local anesthesia with a needless device that will numb the skin and the sperm tube (vas deferens). Even without the laughing gas, most men comment that the procedure wasn’t as bad as they expected.

Skeptical? Here’s what a few of my patients have had to say:

Jason age 38: “I didn’t take any of the pain pills … It was a great overall experience. It was a lot less painful than I thought. If you’re second guessing yourself just go for it! Dr. Pazona is a great doctor.”

James age 35: “Was that the local anesthesia? That wasn’t bad.”

Daniel age 35: “It was quick and easy with minimal pain. . . I didn’t feel a thing.”

Myth #2: A vasectomy is castration.

A vasectomy is NOT a castration. You will not be joining your dog in the neutered category. It’s important to understand your anatomy. A vasectomy involves disconnecting the tube (vas deferens) that delivers sperm from the testicle to where the semen or fluid is produced (seminal vesicle). We are going to stop the swimmers from reaching the swimming pool. You will still have all of your “manhood” intact.. 

Myth #3 A vasectomy will hurt my performance in the bedroom.

The only job of the vas deferens is to carry sperm. The male hormone testosterone is produced by the testicles and travels directly into the bloodstream. Therefore, a vasectomy WILL NOT AFFECT TESTOSTERONE LEVELS, ERECTIONS, PERFORMANCE OR ORGASM. In fact,  I will argue that having a vasectomy will get you MORE ACTION in the bedroom. How? Stay tuned for a future blog article.

Myth #4 A vasectomy can lead to prostate cancer.

This concern is not new. In 1993 a study reported that men who underwent a vasectomy were 1.5 times more likely to develop prostate cancer.1 A follow up 2020 study found a 15% increased risk of prostate cancer in men who previously had a vasectomy.2

Before jumping to conclusions, it’s important to understand the difference between causation and association. 

Causation = event A (vasectomy) leads to event B (prostate cancer)

Association = event A (vasectomy) and event B (prostate cancer) tend to occur together

Men who have had a vasectomy are also more likely to be diagnosed with prostate cancer. Why would that be?

Prostate cancer rarely causes symptoms. A prostate cancer diagnosis requires a visit to the doctor when you feel well. Which men go to their doctor when they feel well? The same men who also had a vasectomy 20 years earlier. Association NOT causation.

Need more convincing, a collection of 53 studies concluded the following3:

“At most, there is a trivial association between vasectomy and prostate cancer that is unlikely to be causal; therefore, concerns about prostate cancer should not preclude the use of vasectomy as an option for long-term contraception.” 

Bottom line: a vasectomy does NOT cause prostate cancer.

Don’t you feel better? Let’s review all of the vasectomy benefits:

  1. A painless experience 
  2. Keep your huevos (that’s Spanish for testicles LOL)
  3. Continued stud in the bedroom (and get more action)
  4. Won’t cause a painful death from prostate cancer

If you’re ready for a consultation then shoot me an email:

I’m happy to answer any questions that you may have as well.

Until next time!

Dr. P

Leave a Reply

Your email address will not be published. Required fields are marked *