Frequently asked questions

The NSV procedure itself usually takes 7–10 minutes. However, the patient stays with us for about 30 minutes, which includes preparation, reading and signing the documentation, and a conversation before and after the procedure.

Compared to other methods of contraception, vasectomy is the most effective method of preventing pregnancy. Couples who choose a highly reliable and permanent form of contraception often opt for a vasectomy, where the method's effectiveness exceeds 99.9%.

No. After a vasectomy, caution is advised during the first two menstrual cycles of the partner. Immediately after a vasectomy, a small amount of sperm is observed in the semen. A certain period of time passes when the semen is free of sperm. Sixty days after the vasectomy (after eight weeks), it is recommended to perform a semen analysis to check for the presence of sperm. A second semen analysis is recommended after 90 days. Some of our patients undergo further examinations, e.g. after a year, to satisfy their own curiosity.

This is a mystery to many of our patients, but the answer is simple and natural. The body absorbs unused sperm cells regardless of whether a vasectomy has been performed (periodic or prolonged abstinence). After the procedure, the testicles continue to produce sperm, but do not release it into the semen. The sperm dissolves and is naturally absorbed by the body.

The vasectomy procedure only blocks the passage of sperm, but does not affect sexual behaviour such as the ability to have an erection, orgasm, ejaculate or enjoy sex. Sperm cells are only a small fraction of the total semen volume. The amount of fluid, consistency, uniform colour and composition remain unchanged even when semen is absent. Male hormones are present in the blood, and additional changes such as facial hair growth and voice deepening do not occur. Approximately 80% of couples report an improvement in their relationship after a vasectomy.

The current cost of a vasectomy procedure in European countries ranges from €600 to €1,000, but this cost is covered by many health insurance programmes (in our case, less than $900). In other countries, these costs can be agreed with your insurer, but in Poland this is not yet possible. One of our patients' costs were covered by the Company. In Switzerland, there is an unwritten custom that the female partner pays for her male partner. The practice of such financial flows boils down to transferring funds from one family account to another, but it is a nice custom.

Yes, as with any surgical procedure. These complications should be discussed with your doctor before undergoing a vasectomy. The literature describes this as the safest surgical procedure, but in the event of micro-complications, these are minor and easy to treat. These include local infection, bleeding, temporary bruising, and temporary swelling due to the accumulation of tissue fluid. During this procedure, some men experience slight aching, stinging, or dull pain in the epididymis area. Usually, the use of small doses of painkillers relieves these symptoms. Some scientific studies analysed men who had undergone a vasectomy 20 years earlier. A slightly higher risk of prostate cancer has been demonstrated compared to others who did not have a vasectomy. Most other studies have not confirmed these reports. The American Urological Association and the American Cancer Society recommend PSA testing for men over 50 and clinical prostate examination for early detection of any changes in the prostate. These recommendations are the same for men aged 50–70. This applies to both those who have had a vasectomy and those who have not undergone this procedure. Many previous studies analysing approximately 2,000 men did not confirm the risk of prostate cancer after vasectomy. (The Journal of the American Medical Association).

It should be noted that a vasectomy is permanent. There are delicate procedures for restoring the patency of the vas deferens, but it is not certain whether sperm flow will be restored and pregnancy will occur as in previous cases. The likelihood of success may be highly dependent on individual circumstances, including the length of time since the vasectomy was performed. If you are seriously considering having a vasectomy, it is best to assume that it will be a permanent change. The clinical recommendation is to deposit the sperm at a sperm bank. For example, in the US, 5% of vasectomy reversals are performed, and the main reasons are divorce and a new partner.

• Be prepared to ask many questions: well-considered decisions are the best ones.
• Always discuss your conclusions regarding the choice of method with your doctor.
• A vasectomy is a simple, safe and highly effective procedure.
• The NSV method is more favoured than traditional vasectomy.
• The contraceptive effect is not immediate; it may take up to 8 weeks.
• A vasectomy does not affect your ability to have an erection or enjoy sex.
• The procedure itself is safe, the risk is low, and complications are very rare.
• Vasectomy should be effective and permanent, and may be difficult to reverse.

This is one example of correspondence with a patient via the Internet. On top of that, there are telephone calls. If the patient can afford to come in for a chat before the procedure, we discuss many other matters over a cup of coffee. It is beneficial to establish a rapport.

Hello and good morning

I would like to undergo a vasectomy (I am 31 years old and married). I have two healthy children. I am determined to undergo this procedure. Above all, I want to take greater responsibility for contraception (so that my wife is not burdened with it all the time). In this regard, I have a few questions. Thank you in advance for your reply.

1. How much does this procedure cost? Do I pay before or after the procedure?

The current cost is PLN2399 or instalments, regardless of the number of visits. Fee payable upon arrival for the procedure or by bank transfer.

2. What does the qualification for the procedure look like (apart from medical aspects, tests, etc.)? I am mainly interested in whether I should be the only one present during the consultation with the doctor, or whether the doctor would like to discuss this with my wife (possibly a joint consultation).

It is nice when your partner is present during the consultation. Ultimately, we will take your decision into account... The conversation can be held together, but we do not require your partner to be present.

3. Do you currently perform vasectomies only using this new “scalpel-free” method, or do you use both the “old” and “new” methods? Is there a difference in price?

Currently, only “no scalpel” is available, and there is only one fee as above.

4. When do you perform this procedure? Does it depend solely on “interest” and is there a lot of flexibility in terms of agreeing on the day and time?

In Warsaw, we perform procedures from Monday to Saturday from 8:00 a.m. to 8:00 p.m.

5. How many visits to your clinic are necessary before the procedure (bearing in mind that I will have all my medical records from the examinations)?

Visits are not necessary, but if there is a need for an on-site consultation, every patient is welcome. Please bring your test results with you.

6. If I have all the tests (and documents) done and the documents required by you (on the website) signed, can the procedure be performed during one visit, after prior arrangement by telephone?

With the test results, you can come straight to the treatment and return home after 30 minutes.

With best regards

Andrzej from Toruń

These are natural concerns for both the patient and his partner. Couples often want to know whether their sex drive will remain the same after a vasectomy, but sometimes we don't know who to talk to about it, because even if a neighbour has had a vasectomy, he won't admit it, but we already know some pleasant exceptions to the rule of silence. The answer to this question is simple. NO! Vasectomy does not reduce sex drive, and considering the improvement in partner relations after the procedure, in 80% of cases it even increases it, as the constant stress of unwanted pregnancy is a thing of the past. Erections and ejaculation are still experienced! Partner relations are more sensual, and partners are more attractive than before the vasectomy.

A vasectomy does not affect the existing course of blood vessels and nerves. Even if there are minor discomforts, they usually occur within the first 7 days after the procedure.

Previously, we recommended performing a semen analysis after 12–16 ejaculations. This did not prove successful, because, as practice shows, 25 ejaculations are achieved in 5 days. The current recommendations are: it is advisable to perform a semen analysis after 60 days, and a second follow-up test after 3 months, i.e. after 90 days. Therefore, until the test results are received, relative caution should be exercised and one of the contraceptive methods should be used, especially around the fertile days. Vasectomy does not protect against sexually transmitted diseases. If this possibility exists, you and your partner still need to use protection, such as condoms.

The only difference is that semen lacks sperm. The glands that produce ejaculate remain unchanged after a vasectomy. Visually, no changes are observed in the ejaculate except for the absence of sperm. Some authors estimate that the volume of ejaculate may decrease to 2%, which may not be noticeable. The colour, smell and consistency of the ejaculate remain unchanged. A vasectomy does not affect masculinity. The body receives the same amount of hormones, the voice does not change, and facial hair does not grow excessively. The testicles continue to produce sperm, which does not leave the body. Unused sperm are simply reabsorbed by the sperm, which is a known phenomenon and occurs without vasectomy, e.g. in celibacy.