Debunking Vasectomy Myths: A Conversation with Dr. Allen Medway

When it comes to permanent birth control options, vasectomies offer a safe, effective, and relatively simple solution for men who have completed their families. However, misconceptions and concerns often prevent men from considering this option. In a recent episode of Alomere Health’s “Head to Toe” podcast, Dr. Allen Medway, urologist at Alomere Health, sat down with Eddie Reif, Director of Community Relations and Development, to discuss vasectomies, address common concerns, and explain the procedure and recovery process.

Addressing Common Concerns

One of the biggest hesitations men have about vasectomies is fear of pain. Dr. Medway reassures patients by comparing it to a common dental procedure. “Most men are very worried and concerned that this is going to be very painful.”

Another common misconception is that vasectomies affect sexual performance or cause erectile dysfunction. Dr. Medway clearly refutes this: “There’s no evidence whatsoever that that is the case. In fact, there’s actually good evidence, that men have better sexual encounters. They are not having to worry about stopping and putting a condom on. They are not having to worry about unplanned pregnancies, and they find that their sex life actually improves after a vasectomy.”

The Procedure and Recovery

Dr. Medway describes the vasectomy as a minor procedure typically performed in the clinic, taking about 20-30 minutes. The patient receives local anesthetic before small incisions are made to access and seal the vas deferens, the tubes that carry sperm. Recovery is relatively quick for most patients. “Most men actually return to normal activity within one to three days,” says Dr. Medway.

Important Considerations

Dr. Medway emphasizes that the effects of a vasectomy are not immediate. “Some sperm are still alive and swimming downstream from where I make the incision and the cut, these sperm can get your partner pregnant. So it’s important to continue using other forms of birth control until we have a specimen that shows there’s no live sperm.” This typically takes about 20-25 ejaculations, which could be two to six months. Dr. Medway recommends bringing in a sample after about two months to confirm the procedure’s success. When compared to other contraceptive methods, vasectomies are highly effective with a 99% success rate, similar to tubal ligations but at a fraction of the cost and with significantly less risk.

Taking the Next Step

For men considering a vasectomy, Dr. Medway encourages them to reach out for a consultation, even if they’re not ready to commit to the procedure. “If you’re hesitant, if you are anxious, or you want to just find out more information, I encourage you to reach out. Give the clinic a call. We can get you in to come see me for a consult visit without any need to commit to the procedure itself,” says Dr. Medway. “I also encourage you to bring your partner with you in case she has any questions or concerns, and I can help answer those at the same time.”