It’s tip-off season! While March Madness is filled with the thrill of buzzer-beaters, bracket-busters and slam dunks, it’s also prime time for vasectomies. Vasectomy appointments increase by about 30% during March Madness, giving men a guilt-free pass to watch basketball while recovering from this high effective, low-maintenance contraception option.

“March Madness is an ideal time for men considering a vasectomy,” explains Sarah Vij, M.D., a board-certified urologist in UT Medicine’s Urology Clinic. “Many of my patients appreciate having a reason to take it easy for a few days, and the tournament provides the perfect downtime for recovery. It’s a win-win situation — they can focus on their favorite teams while taking an important step in family planning.”

What is a vasectomy?

A vasectomy is a simple and safe procedure that seals off the ends of the vas deferens, the tubes that carry sperm. “A vasectomy is considered a permanent form of sterilization,” explains Vij. “After a vasectomy, you will no longer be able to father a child naturally.”

Benefits

A vasectomy offers a reliable, long-term solution for those looking for family planning options.

Benefits to undergoing a vasectomy:

  • Highly effective: A vasectomy is a safe and effective way to prevent pregnancy. “With a failure rate of less than 0.5%, it is more effective than any other form of birth control,” shares Vij. “However, since a vasectomy does not provide protection against sexually transmitted infections, it’s important to continue using other forms of protection.”
  • Low maintenance: Unlike other contraceptive options, vasectomy doesn’t require ongoing use or appointments. “It’s a one-time procedure with long-term results,” continues Vij. “Once your test confirms the procedure’s success, you can enjoy the long-term benefits without worry.
  • Minimally invasive: The procedure is outpatient and typically takes less than 10 minutes. “It’s less invasive than tubal ligation for women,” says Vij. “You can expect to resume normal activities within a few days.”

Risks

A vasectomy has a low complication rate, but as with any procedure, there are potential risks.

Risks to undergoing a vasectomy:

  • Not immediately effective: It can take up to 3 months or at least 20 ejaculations to clear any remaining sperm from your semen. “You’re not considered sterile until your doctor confirms it,” says Vij. “Continue using other forms of birth control until you receive confirmation.”
  • Temporary discomfort: Mild pain, swelling or bruising is common after the procedure and typically resolves within a few days. “In rare cases, the surgical wound may become infected,” warns Vij. “The epididymis, where sperm are stored, can also become inflamed or infected, causing new pain.” This can be treated with antibiotics, anti-inflammatories, ice and rest.
  • Reversal not guaranteed: While vasectomy reversal is possible, it is not always successful and can be costly. “If you’re considering a vasectomy, it’s important to have an open discussion with your health care provider,” advises Vij. “They can help you weigh your options, address concerns, and ensure it’s the best choice for you.”

Fact vs. myth

Vasectomies are a safe and effective option, but misconceptions still exist. Vij sheds light on the truth behind some common myths.

Will a vasectomy cause sexual dysfunction?

It’s a common misconception that a vasectomy causes sexual dysfunction. “A vasectomy does not impact testosterone production or sexual performance,” explains Vij. “The procedure only blocks sperm from being present in semen. It does not affect your ability to get an erection, ejaculate or experience sexual pleasure.”

Does vasectomy increase the risk of prostate cancer?

Despite concerns, research has found no proven link between vasectomy and prostate or testicular cancer. “Those who undergo a vasectomy are often more likely to have regular prostate screenings, which may result in a slightly higher rate of early detection,” continues Vij. “However, a vasectomy itself does not increase the risk of developing cancer.”

Will my ejaculate (semen) volume change?

Since sperm makes up only about 5% of semen volume, a vasectomy has little to no impact on overall ejaculate volume. “Semen volume can naturally fluctuate due to factors such as the length of abstinence, overall health, age, stress levels and certain medications, but the procedure itself won’t have a substantial long-term effect.” shares Vij. Any changes are typically minor and not noticeable over time.

Ready to take the shot? Make the most of March Madness with a vasectomy. Enjoy a smooth recovery while cheering on your favorite team. After all, the best plays in life are the ones that set you up for success.

Featured clinics

An older man sits across from a healthcare worker in a bright, indoor setting. The man is wearing a blue cardigan and shirt, while the professional is dressed in white attire, possibly a nurse or doctor. They appear to be engaged in a discussion, with the man holding a tablet or clipboard.

UT Medicine Urology Clinic