Is a Vasectomy the Right Choice for You? | Minneapolis & St Paul

Both you and your partner should decide if a vasectomy is the right choice.

Vasectomy is indicated for men in Minnesota and Florida who:

• Are in a stable relationship, and you and your partner agree that you do not want any more children. You do not want to use, or cannot use, other forms of birth control.
• Your partner has health problems that would make pregnancy unsafe for her.
• You and/or your partner have genetic disorders that they do not want to risk passing on to their children.

Vasectomy may NOT be a good choice for the men in Minnesota who:

• You and/or your partner are still unsure about whether you should have children
• Are in a unstable or stressful relationship.
• Are thinking about having it just to please their partner.
• Want to have children later by storing their sperm or by reversing their vasectomy.
• Are very young and still have many life changes ahead.
• Are single when they want to have a vasectomy. This includes men who are divorced, widowed, or separated.
• Are interested in temporary birth control

The Procedure Clinic has two offices, Edina office in Minnesota and Orlando office in Florida. When you are ready, please fill out the online registration form in our website, and we will call you to schedule the Easy Vasectomy procedure within 2 business days.

If you have any specific questions, please email us or call us at 952-922-9999, or 1-888-992-0019. Please keep in mind, the clinic is closed on Mondays, and it opens 9am to 5pm from Tuesday to Friday.

11 Reasons to Gift Yourself a Vasectomy This Christmas | Minneapolis & St. Paul

The holiday season is right around the corner, and what better way to celebrate Christmas and New Year’s than by scheduling that vasectomy you’ve been thinking of doing for months? But just in case you’re still on the fence, here are a few reasons to consider this low-risk, rewarding procedure.

13 Reasons to Get a Vasectomy This Christmas

1. Most importantly: A vasectomy is extremely effective in preventing pregnancy.
While it’s not 100 percent effective (just like any other form of contraception or birth control that isn’t abstinence), a vasectomy yields a 99+ percent success rate.

2. It’s reversible.
Maybe you decide later on that you DO, in fact, want children. Whatever your reasoning, a vasectomy can easily be reversed, so you can enjoy its long-lasting benefits without the fear of permanent sterility.

3. It’s affordable.
Here at One Stop Medical Center, we keep our Easy VasectomyⓇ costs as transparent and fair as possible. For patients who pay with cash, check or charge card, we offer a discounted rate that’s significantly lower than those of other clinics.

4. The risks are low.
Our no-scalpel procedure is incredibly safe with very few potential risks or complications. While a very small percentage of patients experience post-surgery bleeding, infection or pain, a vasectomy is one of the safest procedures performed overall.

5. Your sperm count remains unaffected.
Vasectomies don’t halt sperm production. The procedure merely prevents your sperm from having access to being released. However, some sperm may remain in the semen for a small window of time immediately after the surgery, so be sure to use a form of birth control during this phase.

6. The procedure only takes a few minutes to complete.
The actual snipping takes about 10 minutes, while the entire surgery from start to finish (including setup and cleanup) requires about one hour. That’s basically one episode of Black Mirror!

7. It doesn’t change your hormones or sexual functioning.
A vasectomy does not affect the penis or a man’s ability to perform sexually. Most couples report that they do not experience changes in sexual activity or function following the procedure.

8. A vasectomy is very straightforward and easy to understand.
The whole thing is quite simple. Performed in a doctor’s office, the scrotum is opened before the two vas deferens are cut and stitched shut. Done.

9. The recovery process is pretty quick.
Downtime only takes about 7-10 days, with most men returning to regular activities (except heavy lifting) within two weeks. Other than keeping the area iced and avoiding straining, the recovery period is pretty chill and gives patients an excuse to lie on the couch for a few days.

10. You and your partner can have sexual freedom.
Think about it—never having to worry about birth control or contraception again. No more concerns about whether your partner took her pill on time, or if a last-minute run to the pharmacy is needed. So much less stressful.

11. More vasectomies encourages more family planning worldwide.
Our planet doesn’t have enough resources to accommodate our growing population, and many areas of the world are still being introduced to family planning. As vasectomy procedures become more accessible and culturally accepted, more men will hopefully choose the vasectomy route and participate in family planning.

For a vasectomy consultation, please call us at (952) 922-2151 or stop by our Edina office. We look forward to hearing from you!


In Case You’re Still Worried, Latest Research Shows Vasectomy Reversals Aren’t Related to Prostate Cancer | Minneapolis & St. Paul

The fear of increasing one’s risk of prostate cancer has stopped some men from undergoing a vasectomy or vasectomy reversal, thanks to old ’90s research that has since been refuted. We touched upon this topic in an earlier blog post, but new research has surfaced to confirm, once again, that prostate cancer and vasectomy-related procedures are NOT correlated.

Curtin University in Western Australia recently released research in The Journal of Urology that observed 10,000 men worldwide who had undergone vasectomy reversals. The paper, spearheaded by Dr. Sean Randall of Curtin University’s Centre for Data Linkage, examined the theory that “if a vasectomy is considered a cause of prostate cancer, then vasectomy reversal should hypothetically decrease the risk of prostate cancer.”

However, Randall confirmed that his team’s studies failed to find any sort of link between vasectomy reversals and prostate cancer, thereby also concluding that there is “no clinically meaningful relationship between men who had had vasectomies and the rate of prostate cancer.”

The paper studied 684,660 men with vasectomies in Australia, Canada and the United Kingdom, including 9,754 men with vasectomy reversals, from 1972 to 2016.

Thanks to Curtin University’s research and similar studies from other institutions, the myth of increased prostate cancer risk following a vasectomy is quickly fading away. For those considering a vasectomy or vasectomy reversal, this is an extremely significant development that can help more men accurately weigh their options.

Looking for a vasectomy or vasectomy reversal consultation? Let us know! Call us at (952) 922-2151, or visit our Edina office at 6545 France Avenue South, Suite 290.


Managing the Unpleasant Effects of Post-Vasectomy Pain Syndrome (PVPS) | Minneapolis & St. Paul

One of the biggest risks and potential effects of undergoing a vasectomy procedure is to succumb to post-vasectomy pain syndrome (PVPS), a condition affecting roughly one out of every 1,000 men who opt for the surgery. Unlike acute post-surgical pain that can last two to four weeks, PVPS symptoms can persist for months or even years after completion of the vasectomy.

This long-term pain, as you can imagine, can be truly debilitating and impact one’s quality of life. Defined as “constant or intermittent testicular pain for three months or longer with a severity that interferes with daily activities prompting the patient to seek medical treatment,” PVPS becomes even more frustrating when you consider how little is known about its treatment options. Despite a recent increase in men suffering from PVPS, a widely accepted protocol for evaluation and treatment has yet to be implemented.

However, there are a few ways to go about managing PVPS symptoms based on the severity of the patient’s pain. There are both non-surgical and surgical options, the latter typically being a last resort.

Non-Surgical Options

Oral Anti-Inflammatories – Ketorolac or ibuprofen can help with pain and inflammation of the vas deferens and epididymis (sperm duct)

Physical Therapy – Can help ease pelvic pain and discomfort that arises from testicular pain

Spermatic Cord Anesthetic Block (SCAB)– Combines numbing medicine and a steroid anti-inflammatory to work as an anesthesia for scrotal pain

Surgical Options

Vasectomy Reversal – Straightforward method to undo the intended effects of the original vasectomy procedure, which should include any related side effects/pain (but this will make the patient fertile again)

Epididymectomy – Removes the epididymis (sperm duct) entirely so that any sperm blockage/inflammation is no longer a factor (but this also permanently prevents any chance of fatherhood or vasectomy reversal)

Microscopic spermatic cord denervation – Newer surgical method that decreases PVPS pain by removing all nerves that run adjacent to the spermatic cord, almost like a surgical version of the SCAB method above (maintains patient’s sterility)
If you think you’re suffering from PVPS or experiencing any prolonged post-vasectomy pain, contact your doctor immediately for an evaluation.


Is Ouabain the Key to Male Birth Control? | Minneapolis & St. Paul

A safe, oral contraceptive pill for men has yet to be made available, but recent research on ouabain, an ancient African arrow poison, may be the key to developing the ever elusive male birth control.

Led by a small team of scientists from the Institute for Therapeutics Discovery and Development at the University of Minnesota, the search for a non-hormonal male birth control pill ultimately zeroed in on the toxic substance known as ouabain. Found in two types of African plants, ouabain was traditionally used as poison on hunting arrows and is sometimes medically used to treat heart arrhythmias.

In addition to disrupting ion-transporting proteins in cardiac tissue, ouabain is known to affect a transporter subunit found only in sperm cells, an integrin called α4. Because α4 plays a major role in male fertility, research has focused on developing an ouabain-based contraceptive that would specifically bind to the α4 protein and disrupt sperm motility.

This newly created derivative compound, designed to target α4 proteins in sperm cells, has successfully interfered with the cells’ ability to swim and fertilize eggs—without any signs of toxicity when tested on rats. Moreover, the contraceptive effect should, hypothetically, also be reversible since the α4 protein is only found in mature sperm cells.

While there’s still plenty of testing left to do before this pill hits the market, current studies have been extremely promising. The University of Minnesota researchers plan to test the effectiveness of their ouabain-based compound in animal mating trials before moving on to toxicology and safety pharmacology studies. If all goes well, human clinical trials may launch within five years.

A safe, reversible male birth control pill is clearly within reach!


This One Nutrient May Help Improve Male Fertility | Minneapolis & St. Paul

If you’re looking for a natural, inexpensive way of boosting sperm quality and overall fertility, the answer may lie within…tomatoes?

Recent studies have shown that lycopene, a natural, plant-derived carotenoid pigment that provides the red color of tomatoes, watermelon and other fruits, contains powerful antioxidants that protect the body’s cells—including sperm. Lycopene acts to prevent free radicals from attaching to and harming our cells, which in turn can help increase sperm count and improve the body’s overall immune system. On the flip side, men who consume low amounts of lycopene tend to have lower overall sperm quality.

According to Life Extension magazine, one study showed that after being given two milligrams of lycopene twice daily, male subjects with impaired fertility showed improved sperm concentration, improved motility and improved numbers of normal sperm forms. Furthermore, 23 percent of the subjects achieved fatherhood.

Found mostly in sun-ripened tomatoes, lycopene can be consumed through processed tomato products (contains the highest amount of lycopene), pink grapefruits, watermelons, apricots, guavas, papayas and rose hips. Canned tomatoes used to make pasta or pizza sauce, as well as ketchup, may be your best bet in consuming a larger amount of lycopene in one sitting. In terms of manufactured options, lycopene is mostly available in capsule and softgel form, with dosage guidelines from manufacturers ranging from 10-30 mg twice daily. Multivitamin and multimineral products are also available.


Vasectomy Procedures Predicted to Increase By 30 Percent in 2019 | Minneapolis & St. Paul

As the sixth annual World Vasectomy Day quickly approaches, it’s no surprise that more men around the world are becoming increasingly informed about vasectomy options and family planning. With vasectomy global awareness rapidly rising, it’s only a matter of time before we see a spike in procedures performed., a New York “web-based surgical instrument and information store” that has promoted vasectomies for over two decades, recently predicted that US doctors will see a whopping 30 percent increase in vasectomy procedures in 2019. As public perceptions and knowledge of male contraception slowly change, more men and couples are expected to consider the underutilized vasectomy procedure.

“Vasectomy has experienced a popularity surge in recent years,” the company said in a statement. “It’s partly the economy but also events like World Vasectomy Day that really spotlight the value of men taking responsibility in family planning.”

World Vasectomy Day celebrates responsible men who rise up out of love for their partner, their family and our future. Please join One Stop Medical Center in supporting this movement—our clinic will offer a gift card for one free large pizza to all patients who undergo a vasectomy on November 14, 2018.

For more information on our clinic’s vasectomy services, please click here or call us at (952) 922-2151.


Robot-Assisted Vasectomy Reversals: Are They Reliable? | Minneapolis & St. Paul

From self-order kiosks to robot vacuum cleaners and robot cafes, the rise of robot-assisted experiences in recent years has been undeniable. But would you ever consider participating in a robot-assisted surgical procedure?

In a previous blog post, we detailed the pros and cons of electing a robotic vasectomy reversal over a traditional vasectomy reversal performed by a surgeon. While a robot would provide more precise cuts and deliver a more efficient process overall, actual results seemed to show that patient outcomes were simply comparable to, rather than improved from, those of traditional reversals. And since robot machines are quite expensive, most surgical centers are sticking to traditional reversals for the time being.
However, costs aside, it’s still noteworthy to highlight the reliability and effectiveness of robot-assisted vasectomy reversals. A 2014 study conducted by urologist Parviz K. Kavoussi concluded that “transitioning from MVR (microsurgical vasectomy reversal) to RAVR (robot-assisted vasectomy reversal) is feasible with comparable outcomes.”
Comparing 27 men who elected MVR and 25 men who elected RAVR, Kavoussi found that there was “no statistically significant difference” between the two groups in “overall patency rates (89 percent vs 92 percent), six weeks post-VR mean sperm concentrations (28 million ml−1 vs 26 million ml−1), total motile counts (29 million vs 30 million) or mean operative times (141 min vs 150 min).”

Interestingly, the study also found that for men who were in the 0–8 years obstructed interval, RAVR had a 100 percent patency rate compared to an 89 percent patency rate for MVR. This particular finding could be a game changer in the development of robotic vasectomy reversals and significantly influence some patients’ preferred techniques.

As more research on robot-assisted procedures surfaces in the coming years, we may see shifts in how doctors and patients perceive such methods. One thing’s for certain, though—the use of robots in everyday life will surely become more common than ever.


Celebrate World Vasectomy Day on Nov. 14 With One Stop Medical Center | Minneapolis & St. Paul

From Bali to Kenya to Mexico, the World Vasectomy Day (WVD) movement has rapidly spread across the globe with the crucial mission of engaging men in family planning conversations. This year’s WVD celebration, held in Kigali, Rwanda, on November 14, is set to feature the movement’s most comprehensive and innovative event lineup to date.

By teaming up with local NGOs and the Rwanda Ministry of Health, WVD aims to not only provide high-quality vasectomies to men whose families are complete, but to also promote family planning through a broad media campaign. This dynamic, exciting two-week lineup showcases everything from doctor training programs and vasectomy-focused lectures to a reproductive health fair and an all-day vasectomy-athon.

Dr. Shu and One Stop Medical Center are proud to support WVD for a sixth straight year. Our clinic will offer a gift card for one free large pizza to all patients who undergo a vasectomy on November 14, 2018. Through our collaboration efforts, we hope to make vasectomies more accessible worldwide while helping more men explore family planning options.

World Vasectomy Day celebrates responsible men who rise up out of love for their partner, their family and our future. Please join us in supporting this movement.


8 Foods That Boost Sperm Health and Male Fertility | Minneapolis & St. Paul

If you’re trying to conceive, good diet and nutrition habits are essential for healthy sperm development. While overall sperm count is an important aspect of male fertility, the sheer number of sperm shouldn’t be the only factor considered. Sperm vitality is what we’re after, so the following must all be factored in:

  • Sperm Count: The number and concentration of sperm cells in a sample
  • Semen Volume: A minimum amount of semen needed to actually deliver the sperm cells
  • Sperm Morphology: The size and shape of sperm cells
  • Sperm Motility: Ability of the sperm cells to properly “swim”
    To improve sperm quality and boost your chances of conception, eat more of the eight nutrition-packed foods below:

    1. Walnuts

    Walnuts are PACKED with omega-3 fatty acids and zinc. While omega-3 helps enhance sperm count, morphology and motility, zinc works to regulate overall sperm count and quality. Just one handful of walnuts daily can help boost sperm quality.

    2. Tomatoes

    We detailed the link between tomatoes and male fertility in a previous post and continue to stand by this food’s high amount of Vitamin C and lycopene. Lycopene has been shown to improve sperm motility and can be found more in cooked tomatoes.

    3. Green, leafy vegetables

    Spinach, romaine lettuce, brussels sprouts, asparagus—they’re full of folate, a B vitamin linked to healthy sperm DNA and higher sperm densities.

    4. Fish

    Fish and seafood contain lots of Vitamin B-12, a nutrient that enhances sperm motility, increases sperm count and reduces damage to sperm DNA. Fish also provides Vitamin D and the antioxidant Coenzyme Q10 (CoQ10).

    5. Dark Chocolate

    In addition to tasting great, dark chocolate can help increase sperm volume and sperm count. After consumption, the chocolate transforms into nitric oxide, which promotes sperm function.
    6. Meat/Poultry

    Meat and poultry contain an amino acid known as D-aspartic acid, which is believed to help regulate testosterone. There’s research suggesting that sodium D-aspartic acid supplements can increase sperm count and motility.

    7. Lentils

    Just like green vegetables, lentils are rich in folate. Men with lower folate intakes have been shown to have higher rates of sperm chromosomal abnormalities.

    8. Ginseng

    It has long been believed that ginseng root and ginseng supplements can improve sperm development. Ginsenoside, an active ingredient in ginseng, may stimulate nitric oxide production, and men who take ginseng supplements appear to have higher sperm counts and increased sperm motility.


    The Curious Case of Vasectomy Late Failure | Minneapolis & St. Paul

    After undergoing a vasectomy procedure, patients typically aren’t declared sterile until a post-surgery semen examination comes back negative. While early failure of a vasectomy—where semen is detected in the ejaculate soon after the procedure—has been recorded and recognized as a possibility for nearly 50 years, late failure of a vasectomy wasn’t considered until years later.

    Late failure of a vasectomy occurs when semen reappears in the ejaculate even after two previous negative specimens. In an eight-year span between 1984 and 1992, six spontaneous late failure cases were recorded. All six cases resulted in DNA-proven fatherhood despite previously consistent negative semen analyses that confirmed patients could forego secondary contraception.

    In one case, a patient who underwent a vasectomy in March ’84 recorded one positive semen analysis before recording two consecutive negative analyses later that year. Despite his negative semen results, he conceived a child in November ’85 while still showing a negative sperm count post-conception.

    How does late failure of a vasectomy even happen? Based on study results from Churchill Hospital in the UK, it’s assumed that patients must have intermittently produced small amounts of viable semen either in between semen analyses or after the final analysis. Furthermore, results showed that even when post-conception semen analyses came back negative, paternity was still possible and, in these cases, actually confirmed via DNA.

    All in all, a vasectomy is still the most reliable method of permanent male contraception. However, it’s important for all patients to note that late failure and/or pregnancy after a vasectomy, while rare, is still a possibility.


    Study Finds Limited Use of Post-Vasectomy Secondary Contraception | Minneapolis & St. Paul

    Last month, we published a post emphasizing the importance of using contraception even after a vasectomy, as patients are NOT completely sterile immediately following the procedure. Because “a series of follow-up tests is required to first confirm that sperm are no longer present in the patient’s semen,” using some form of birth control in the first few months post-surgery is strongly advised.

    However, a study conducted within the Pregnancy Risk Assessment Monitoring System (PRAMS) found that over half of the study’s couples (57.8%) did NOT use secondary contraception after undergoing a vasectomy postpartum. All couples had recently given birth and had reported a partner vasectomy four months following the live birth. Conducted in 15 states and New York City, the study assessed both the election of post-vasectomy birth control and the method of birth control used.

    Essentially, this means that the 57.8% of couples who chose not to use secondary contraception relied solely on the vasectomy itself as their birth control method. Of the remaining 42.4% who opted for secondary contraception, 50% used condoms, 26.5% used oral contraceptive pills, and 9.5% chose the withdrawal method.

    Based on these results, it seems that doctors and clinics need to better communicate to patients the necessity of secondary contraception in the months immediately following a vasectomy. In order to reduce the chance of unintended pregnancy, it is also important to understand the complexities surrounding why some couples choose not to use secondary contraception, despite being advised to.

    For more info on our vasectomy procedures, please refer to our FAQ page or schedule an Easy VasectomyⓇ consultation.


    A Brief History of the Eugenics Movement in America | Minneapolis & St. Paul

    If you haven’t heard of eugenics (meaning “well-born”), it is the study of or belief in societal and scientific intervention to bring about the “fittest” population through means such as forced sterilization, abortions, euthanasia and discriminatory marriage laws. The movement’s intent was to improve the quality of the human population by discouraging reproduction by people with genetic defects or what were thought to be inheritable undesired traits.

    The origin of eugenics in the United States began in 1899 with Albert Ochsner, future Professor of Surgery at the University of Illinois. In his published paper Surgical Treatment of Habitual Criminals, Ochsner described a new procedure that sterilized a male subject by cutting his vas deferens, a procedure that became known as a vasectomy. He advocated for the use of vasectomies on criminals, believing that:

  • It would dispense with hereditary criminals from the father’s side
  • Aside from being sterile, the criminal would be unchanged (unlike after castration)
  • It would protect the community at large without harming the criminal
  • The height of the eugenics movement (1920s to mid-20th century) saw compulsory sterilization programs established in over 30 states, resulting in over 60,000 sterilizations of often healthy people. Criminals and prison inmates were especially targeted, as well as those deemed “feeble-minded,” mentally deficient, or simply capable of passing on undesirable genes.

    Planned Parenthood, a global reproductive health care provider, was actually a product of the eugenics movement. Its founder, Margaret Sanger, was a prominent eugenicist who argued that this “new weapon of civilization and freedom” could solve “race problems” and result in “racial regeneration.” This belief in ensuring “racial purity” typically involved laws that aimed to prevent interracial marriage, taking the concept of eugenics and population control another step further.

    If any of this sounds familiar, history’s most infamous admirer of America’s eugenics policies was Adolf Hitler, who modeled the Third Reich after American eugenic institutions. As he expressed in Mein Kampf, Hitler was determined to prevent “defective people” from “propagating equally defective offspring,” a mission that he firmly believed required a systematic execution. In response, the American Eugenics Society issued a statement of praise in 1937 to the Nazi scientists who hoped to cleanse the gene pool.


    What Exactly Is a Post-Vasectomy Scrotal Hematoma? | Minneapolis & St. Paul

    While a No-Scalpel Easy Vasectomy® is one of the safest procedures, there are still chances of minor complications, such as bleeding and infection. One potential post-surgery complication is a scrotal hematoma—a collection of blood inside the scrotum—and it occurs in approximately two to five percent of vasectomies.


    Scrotal hematomas typically occur within a few days following a vasectomy procedure. They’re often accompanied by swelling, bruising and pain around the scrotum. The severity of one’s symptoms mainly depends on the size of the hematoma: a small hematoma may not have any symptoms at all or simply cause minimal swelling and discomfort, while a larger hematoma can result in extensive bruising and severe pain. After the swelling reduces, a hematoma generally feels like a hard lump in the scrotum.


    If you experience post-vasectomy discomfort such as significant bruising, swelling and unexpectedly intense pain, you may have developed a scrotal hematoma and will need to see your doctor immediately.

    Depending on size, hematomas may gradually resolve on their own after a few weeks, and symptoms should diminish as the hematoma shrinks. Your doctor may recommend pain medications, a scrotal supporter, and hot baths to alleviate discomfort and speed up recovery. Surgical intervention may be necessary in cases of very large hematomas or arterial hematomas.


    While it’s impossible to completely eliminate the risk of developing a hematoma after your vasectomy, there are two crucial factors that can potentially help minimize the odds of it occurring.

    Firstly, experience matters. In general, the more vasectomy operations a doctor has performed, the lower the chance of patients developing hematomas. One study found that “the incidence of hematomas was 4.6 percent for physicians performing 1–10 vasectomies annually, 2.4 percent for those performing 11–50 annually, and 1.6 percent for those performing >50 annually.”

    Secondly, the no-scalpel vasectomy technique offers a number of benefits over the traditional vasectomy method, one of those being a lower risk of developing a post-vasectomy hematoma.


    Here’s Why Using Birth Control After a Vasectomy Is Crucial | Minnesota

    Being told to use contraception after undergoing a (hopefully successful) vasectomy may seem counterintuitive, but the patient is NOT completely sterile immediately following the procedure. A series of follow-up tests is required to first confirm that sperm are no longer present in the patient’s semen, a process that can take many weeks. There is also the chance that the vasectomy procedure failed. In either case, patients must err on the side of caution and use birth control during intercourse in the first three months following a vasectomy.

    How a Vasectomy Affects Sperm Travel

    Before joining the semen, sperm must first make their way through several tubes, including the two vas deferens. Both vas deferens—one attached to each testicle—are cut during a vasectomy procedure, preventing new sperm made in the testicles from traveling through the vas deferens and being ejaculated.

    Despite the vas deferens being severed, leftover sperm may still remain in the upper part of the vas deferens near the penis. It may take anywhere from 15 to 30 ejaculations before all the leftover sperm are cleared from the tubes, and it’s not uncommon for patients to wait at least three months before becoming completely or nearly sterile. Therefore, it’s important to use birth control during intercourse until your doctor confirms that you are, indeed, free of motile sperm.

    What to Expect From Follow-Up Testing

    Your doctor will test your semen approximately 12 weeks after your vasectomy to examine for presence of motile sperm. If test results show that your semen is sperm-free, then the vasectomy was successful, and additional birth control will no longer be necessary. Some patients’ semen may show a small number of non-motile sperm, whereby the risk of pregnancy is very low, and additional birth control may not be needed.

    If follow-up testing shows that sperm are still present in your semen, your doctor will talk to you about your options. This may include further testing, in which case you will need to use some form of contraception during intercourse until you receive the green light that you’re sperm-free. Your doctor may also decide that the chance of pregnancy is low enough that birth control is no longer necessary.

    Yes, A Vasectomy Can Fail

    While the failure rate of vasectomies is extremely low, there is still a chance that the procedure fails to make you sterile. A vasectomy failure essentially means that sperm continue to be present in the semen after a notable amount of time has passed following the procedure. This can be due to sperm that existed pre-surgery, or the severed ends of the vas deferens rejoined to form a complete tube (recanalization) and resulted in an increased count of motile sperm.

    If a vasectomy fails, patients can either undergo another vasectomy or continue using a different form of contraception.


    The Dos and Don’ts of Preparing for a Vasectomy | Minneapolis & St. Paul

    So you’ve finally made the decision to go for that vasectomy procedure—congrats! Knowing what’s best for your body and future is the first step, and now it’s time to make sure you’re well-versed in preparing for the surgery. The outcome and success of your vasectomy can depend on how well you prepare yourself pre-surgery, so we’ve compiled a list of essential pre-operation dos and don’ts.


    Do let your doctor know if you’ve undergone previous scrotal surgery.

    Do inform your doctor about any other medications you may be taking.

    Do follow a diet that’s high in antioxidants (fruits and vegetables, whole grains, green tea).

    Do eat a normal breakfast/lunch on the day of your procedure to avoid becoming lightheaded later on.

    Do fully shower and clean the area around the scrotum on the day of your procedure.

    Do shave your genital area if your doctor instructs you to.

    Do arrange for a friend or family member to help drive you home after the surgery. Driving yourself may put pressure on the surgical area.


    Don’t take any aspirin, anticoagulants, or non-steroidal anti-inflammatory drugs such as Ibuprofen, Motrin, Aleve or Advil starting two weeks before your procedure. These medications can thin your blood and cause bleeding afterward.

    Don’t drink alcohol starting 2-3 days before your surgery.

    Don’t shave the scrotum the day before your surgery, as any nicks and cuts will not be fully healed by the next day.

    Don’t apply any lotions, colognes or deodorants prior to surgery.

    Don’t wear any jewelry or piercings to the surgery.

    Don’t bring a jockstrap or athletic supporter to wear post-surgery. Our office will provide you one.

    Don’t forget to sign a consent form before surgery. This is to protect both you and your doctor to ensure that you’re aware of what the operation entails and its potential risks.
    For more on how to prepare for your vasectomy, check out our earlier post on how to prepare for an Easy Vasectomy®.


    Getting Back Into Exercise & Fitness After a Vasectomy | Minneapolis & St Paul

    Great news—so you underwent a vasectomy, and everything went smoothly. Now, it’s time to talk recovery process, downtime, and the timeline for easing back into your usual activities. For many patients, a regular routine involves some form of fitness and exercise, be it lifting weights at the gym, running, a pick-up basketball game, or biking.

    But returning to your regularly scheduled programming takes anywhere from a few days to a few weeks, and rushing into strenuous activities too soon can cause extreme pain/discomfort in the surgical area. The key is to regain your fitness routine while being extremely mindful of anything that may cause infection in or reopen the surgical wound. Below is an overall guideline for regaining fitness levels after undergoing a vasectomy:

    Immediately After Surgery

    As soon as you complete a vasectomy procedure, you should not engage in any form of physical activity for 48 hours. This includes any form of exercise, sports, sexual activity, prolonged periods of standing, or even walking. Try to stay off your feet as much as possible, and follow care instructions provided by your doctor. Just turn on Netflix, ice the surgical area if you prefer, and rest. That’s it.

    First Week After Surgery

    In the 3-7 days following surgery, you can gradually increase your amount of physical activity ONLY if necessary. Rigorous exercise and sports should still be avoided, and do not lift objects (and babies!) heavier than 20 pounds.

    If you feel fine after approximately four days and aren’t experiencing any discomfort/pain, walking or light exercises are allowed. Avoid anything more intense like weight-lifting, running, or biking, as this can cause significant build-up in pressure in the treated area. Furthermore, biking puts pressure on the penis and could hinder the healing process.

    Two Weeks After Surgery

    After two weeks of downtime, most men are able to resume their usual workouts (except extreme heavy lifting…more on that below). Non-contact sports such as golfing, bowling, tennis, and biking are allowed, but again, be extra aware of any pain or swelling. Stop activities immediately if aching occurs.

    3+ Weeks After Surgery

    While three or more weeks sounds like an excruciatingly long period of downtime, it’s best to err on the side of caution. Contact sports such as football, boxing, wrestling, hockey, basketball, martial arts, etc should not be resumed for at least three weeks after surgery.

    **ATTENTION, WEIGHT LIFTERS: Wait at least four weeks before attempting heavy weights in low-repetition sets. Stick to lighter weights for now, as intense spurts of heavy lifting can significantly build up pressure in the surgical area and lead to massive internal bleeding in the scrotum. Not fun.

    Ultimately, follow your doctor’s guidance on what is appropriate for your post-surgery timeline. Keep a close eye on signs of pain, swelling, and discomfort and judge your fitness abilities accordingly. In the event of any unpleasant side effects due to exercise, contact your physician immediately.

    18 Vasectomy Facts | Minneapolis & St Paul

    • factsA vasectomy is one of the most popular forms of contraception in the United States and worldwide. Each year, more than half million men in the US choose to get a vasectomy.
    • The No Scalpel Vasectomy procedure was developed in the early 1970s in China. About 50 million No-Scalpel Vasectomies have been performed around the world.
    • The introduction of no-needle, no-scalpel vasectomy has successfully allayed many men’s fears with regard to the needle and scalpel.
    • Vasectomies are nearly 100 percent effective, the failure rate is estimated to be one out of every 2000 if 3 steps of occlusion is used during vasectomy:
      1. cuts the vas deferens
      2. destroys the lining of the tube
      3. places small titanium clips (or sutures) in the vas fascia to separate the opened ends of vas deferens.
    • They don’t reduce a man’s sexual drive, virility, or ability to have or enjoy sex.
    • Most vasectomies are done in the doctors’ offices. A No-Scalpel Vasectomy takes only about 10 minutes.
    • Most patients can go back to work in two days.
    • Non-scalpel vasectomy is very safe office procedure. The incidence of complications from a vasectomy is very low due to minimal invasive non-scalpel technique.
    • Sterilization for a man (vasectomy) is significantly less expensive than for a woman (tubal ligation), which may be up to five times more costly. A vasectomy can cost between $700 and $2,000. There may be little or no cost to you since most health care insurance programs cover vasectomies.
    • A vasectomy has very little effect on ejaculate itself. Semen consists of sperm, fluid from the seminal vesicles and the prostate gland. Sperm is the only thing missing from the ejaculate, so removing them has little or no effect on the volume (2-5 percent ),, appearance, color, or consistency.

    Limitations of Vasectomy:

    • Not 100% reversible
    • Must use other forms of birth-control for three months until sperm-free.
    • Does not prevent transmission of sexually transmitted infections (STI’s).

    Advantages of Vasectomy…

    • Low one-time expense often covered by insurance companies
    • More dependable than any other form of contraception including female sterilization.
    • Eliminates risks associated with birth control pills or shots and the IUD.
    • Vasectomy reversals are less costly and more successful than tubal ligation reversals (see Vasectomy Reversal).
    • No need for inconvenient and less dependable methods, so there are…
    • no more worries!!!!

    No Scapel Vasectomy Versus Other Birth Control Options | Minnesota

    spermAll birth control methods work the best if used correctly and every time you have sex. Your choice of birth-control method is a personal one and depends on a number of variables, including short or long-term family planning, personal health, associated risks, failure rate and cost.

    The vasectomy is one of the lowest failure rates among the birth control methods. The study showed the traditional vasectomy failure rate is 1-3 per 1000 cases; the failure rate would be less than 1 per 20000 in no scalpel vasectomy with the fascia clipping technique.

    Dr. Shu uses 3 steps to insure complete occlusion: he cuts the vas deferens and destroys the lining of the tube on upper end with cautery (scarring it) and places small titanium clips (or sutures) in the vas fascia to separate the opened ends of vas deferens. The lower end keeps open without cauterization (open-ended technique). The vas deferens are then placed back into the scrotum in its normal anatomic position.

    Birth Control Methods Comparison

    Contraception Cost Failure Rate Duration Availability Advantages Disadvantages
    Condom <10 18% one time OTC prevent STIs; no hormonal side effects local reaction & breakage
    Vasectomy $700 – $2000 0.2% Permanent Office procedure No effect on hormones and sex drive No protection in the first 3 months, Surgical side effects
    Female Condom $2-$4 21% one time OTC prevent STIs; use during menstruation local reaction & breakage
    Spermicide $5-$10 28% one time OTC Lubricate, use with other BCP forms local reaction
    Sponge $3-$5 24% Up to 24h OTC Lasts 24 hours Local effects and infections
    Diaphragm $50-$300 5-20% Reusable Prescription Lasts 24 hours, reusable Insert challenging,local reaction
    Cervical cap $50-$75 14-30% 48-72 hours, reusable Prescription Protect 48-72 hours Abnormal Pap smear, local reaction & infection
    Birth Control Pill $15-$50/month 9% A month Prescription Regulate menstruation; reduce cramps and ovarian cysts Take daily, weight changes, and medical /risks/side effects*
    Vaginal ring $15-80/month 9% Wear monthly Prescription Regulate menstruation; reduce cramps and ovarian cysts Weight changes and medical risks/side effects*
    Contraceptive Patch $15-80/month 9% A month, replace weekly Prescription Regulate menstruation; reduce cramps and ovarian cysts Weight changes and medical risks/side effects*
    Birth Control shot $35-75/injection 6% 3 months doctor’s visit 4 shots/year; reduces menstrual cramps and the risk of ovarian cysts/cancer and PID Take up to 8 months to return; medical risks/side effects*
    Intrauterine device (IUD) $500-$1000 1% 5-12 years Doctor’s visit immediately effective Migrates, ovarian cysts, PID, and ectopic pregnancy
    Hormone Implants $400-$800 1% 3 yearse Doctor’s visit reduce menstrual flow, cramping, and PID office procedure, local reaction, Medical side effects**
    Tubal Ligation $1500-$6000 1% Permanent Outpatient surgery Permanent and immediate; does not impact sex drive More invasive, complicated than vasectomy, surgical side effect
    Essure $1500-6000 1% Permanent Outpatient surgery Less invasive than tubal ligation 3 months to take effect; side effects:cramping,irregular menstrual cycle, GI reaction, and infection

    * Medical risks and side effects: may increase risk of blood clots, stroke, breast cancer, heart attack, high blood pressure, depression and anxiety; may decrease sex drive; other side effects include weight gain, breast lumps, and hair loss or excessive growth.

    **Medical risks and side effects: can cause loss of bone density and sex drive, and mood swings, weight gain, breast and abdominal pain, and allergic reaction.

    References: Birth Control Guide. Food and Drug Administration Office of Women’s Health.

    How Long After a Vasectomy Will the Patients Become Completely Sterile? | Minneapolis & St Paul

    The patients in Minnesota offer ask how long after a vasectomy they become completely sterile and how they can get cleared faster for unprotected sex after a vasectomy. This blog will address these two questions.

    Every man produces the sperms that are reabsorbed back into the body. In fact, it is estimated that up to 50% of sperms a man produces is reabsorbed. Sperm travels to the epididymis for storage and maturing. While maturing in the epididymis, some sperms die and break down and reabsorbed through the membranes of tubules by macrophages.

    Sperm continues to be produced in the testicles after the procedure. The sperm continue to be stored in the epididymis and are eventually dissolved and absorbed by the body. With the increase of stagnant sperms, the membranes of the epididymis increase in size to absorb more liquid. The immune system increases the amount of macrophages to handle an increase of solid waste.

    The life cycle of sperm is 63 days. 80% of men will be sterile after 15 ejaculations or 6 weeks after a vasectomy. By 10 weeks, 85% of men will have no sperm in the ejaculate. Therefore, a safe time period to say would be approximately 3 months (12 weeks) after vasectomy with about 20 ejaculations.

    It is important to have a semen analysis after vasectomy to confirm absence of live sperm before stopping contraception. Keep in mind, there is a small chance of re-canalization even after no sperm is seen after 12 weeks.

    Should the patients be ejaculating a lot in order to clean the pipes out? That’s what some doctors recommended.

    The policy in our clinic is that all patients need to do semen analysis in 3 months after vasectomy with about 20 ejaculations.

    How to Prepare Before the Easy VasectomyⓇ ?

    The introduction of Easy VasectomyⓇ with no scalpel, no needle has successfully allayed many men’s fears with regard to the scalpel and needle. It is safer, less invasive, and has fewer complications and quick recovery. Under local anesthesia, only a tiny puncture is made at the midline of the scrotum skin. It can be done in less than 10 minutes. You don’t need to do any special preparations except simple consideration and common sense as listed below.


    Before the Easy VasectomyⓇ :

    • Review the information on vasectomy in our website. Read and Understand the “Post Vasectomy Instructions”in the website, so that you know what to expect.
    • To prevent the possibility of increased bleeding, do not take aspirin or other blood thinners for 7 days before the procedure.
    • Please shave the front wall of scrotum and underside of the penis, then take a good shower before you leave home for vasectomy. You will be asked to refrain from doing so again until 2 days after your procedure.
    • Shower and Use no powder or deodorant in the genital area on the day of your procedure.
    • Don’t bring an athletic supporter, we provide you a free athletic supporter on the day of the procedure.
    • Be prepared to sign the operative consent sheet upon your arrival in the office. Think of any questions you may want to ask your doctor.
    • You are able to drive home by yourself after the surgery although a flat tire or fender bender could lead to complications.
    • Eat before your procedure, a normal breakfast or lunch. Nervous men who do not eat beforehand are more likely to become lightheaded during or after their vasectomies.
    • If you are extremely nervous about it, please call us or come half hour early. You may need a sedative to relax, then you should arrange a driver.

    Male Birth Control: The 3 most promising new methods | Minnesota

    Traditionally, us guys don’t have a lot of options when it comes to contraception. There’s condoms, vasectomies, “pulling out”, and that’s about it. However, all of these methods have major setbacks. Condoms take a while to put on and can kill the mood. Vasectomies are convenient, but are not reversible without invasive surgery. And pulling out, well, is the hallmark of bad decision making.

    Every now and then, there are headlines that give hope to all the men looking to avoid children in their lives. Like the Italian guy who invented a magical “switch” implant that is now on permanent hiatus. Headlines like those, which never seem to go anywhere.

    Luckily, there are some new options in development for these men.

    Gel contraceptive

    This form of male birth control is closest to being put on the market. Called Nestorone-Testosterone, the gel contains two hormones, testosterone and progestin. The key ingredient here is the progestin, a synthetic version of the female sex hormone progesterone, which shuts down testosterone production by suppressing the gonadotropin hormones. Lower testosterone means lower sperm production, which means a lower chance of pregnancy.

    Of course messing with hormones can have very negative consequences, which is why the gel contains some testosterone to ensure levels are not too low, which can cause low libido and delayed ejaculation.

    A study funded by the National Institute of Child Health and human development revealed that 90% of men who used the gel had a sperm concentration lower than one million per milliliter, which is low enough to prevent pregnancy with minimal side effects.

    Still, there is a long road to go. Right now trails are being performed on 420 couples around globe- if successful, the contraceptive could move onto the next stage, which involves trials on an even larger scale. It might be another ten years- but it’s a start.

    Birth Control Pill

    The problem with male BC pills is the short half life of sperm-suppressing hormones, meaning the drug decays very quickly, and so do its effects. However, a new study featuring an experimental male BC pill seems to show promise.

    Dimethandrolone undecanoate, or DMAU, is a drug that works in a similar way to the gel contraceptive. Like the gel, it contains both testosterone and progestin. While its effectiveness and reducing sperm count is still unknown, the trials show that the drug is safe to take every day for a month, with minimal side effects.

    Researchers at the UCLA and University of Washington are beginning a joint study that tests the efficacy of a DMAU injection, which could work several months at a time, which would be more convenient and more similar to injectable female birth control methods.


    RISUG, which I have written about previously, is a promising new procedure that is like an advanced form of vasectomy. The method was pioneered by biomedical engineer Sujoy Guha from the Indian Institute of Technology, and involves injecting a gel into the vas deferens (the tube that carries sperm to the semen), preventing sperm flow without affecting production or hormone levels. Unlike a vasectomy, this process is (theoretically) easily reversible, requiring only one other injection to dissolve the block. This avoids the inconvenience and possible failure of a vasectomy reversal, which is like stitching together the ends of two wet noodles. Not to mention, it’ll be a lot cheaper

    It will be a considerable amount of time before this product hits the US market. The rights to the technology have been sold to the Parsemus Foundation, a nonprofit based in California, but there are unfortunately no human trials coming in the near future.

    Regardless, we can expect to see many of these inventive new technologies in pop up in the next decade or two. Adoption of new birth control methods could mean a major reduction in unplanned pregnancies, especially in more developed countries as birth controls cheaper and more convenient worldwide.

    Challenges of the Difficult Vasectomies | Minnesota

    Easy VasectomyⓇ is a minimal invasive office procedure with no scalpel, no needle and no stitches techniques, and it takes less than 10 minuets. Dr. Shu performs about 400 vasectomies every year, some of them could be very challenging.

    The common reasons of the difficult vasectomies:

    1. Large scrotum with obesity
    2. Tight and thick skin with small scrotum
    3. Short Vas Deferens
    4. Small size of Vas Deferens
    5. Previous history of scrotum surgeries
    6. Scrotum with hydrocele, hernia or other diseases

    Dr.Shu has extensive experience of doing no scalpel vasectomy, and he loves to do the challenging vasectomies. He has never referred any vasectomy patients out. Dr.Shu has never had a chance to tell any vasectomy patients that they need general anesthesia because he always can finish it under the local anesthesia regardless how difficult it is.

    Yesterday, we had a vasectomy case with the hydrocele and extensive scars inside the left scrotum. Dr.Shu successfully performed it although it did take extra 10 minutes to do it. He was telling the patients that, during his vasectomy missions trips in Haiti, some Haitian patients with huge hydroceles were much more challenging ones.

    Here is the testimonial published by one of our patients with the difficult vasectomy last month.

    “I highly recommend Dr. Shu and the EZ Vasectomy. It is refreshing to have a clinic that takes the patient experience into consideration. Everything from scheduling, to the follow up sample testing is done in a way that puts value on my time and makes it easy for me. Not to mention I received a consultation from a urologist before I saw Dr. Shu. They recommended general anesthesia that would have come at a $6,000+ cost to me plus the extra recovery time from the more invasive procedure. Dr. Shu was able to complete the procedure in 7 minutes with local anesthesia at 10% of the cost. For the recovery, I was able to function like normal, just took it a little easy for 2 days. I wouldn’t even call it a painful recovery. A sunburn is more painful than the recovery I experienced.”

    If you are told by any urologists or family physicians that

    1. You are a very difficult vasectomy case, or
    2. You need a sub-specialist to do it in the operating room, or
    3. You need to be done under general anesthesia in the hospital.

    Please come to the Procedure Clinic and try Dr.Shu’s vasectomy skills. You will be surprised to know that how much time and money you will save, and how much pain and suffering from vasectomy can be avoided or reduced. Easy VasectomyⓇ is your choice!

    General Information on Vasectomy Cost | Minnesota

    Vasectomy costs are usually affordable and often covered under health insurance plans in Minnesota. Typically, vasectomy costs will be in the range of $900 to $2000 in Minneapolis and St Paul areas, the suggested price range of a vasectomy includes your initial consultation, vasectomy procedure, and post semen analyses. The price can fluctuate based on where you live in Minnesota, the method of procedure, and other variables. Some clinics will include all of these in one price, while many may charge for each individually, so make sure to inquire about the price of consultation and post-op analysis when looking for potential doctors. In most cases, the cost is the same for the no-scalpel vasectomy or a conventional vasectomy.

    Vasectomy costs may differ depending on where the procedure takes place. Getting one at a doctor’s office under local anesthesia is usually the cheapest, as hospitals or surgical centers, while still a valid option, may cost more due to anesthesia or facility fees. Vasectomy in men is significantly less expensive than tubal ligation in women, which may be as much as five times more costly. Generally, this is because tubal ligation is a more complex surgery, performed in a hospital or surgery center and requiring a general anesthesia. A vasectomy is simpler, safer office procedure.

    Health insurance companies in Minnesota often cover vasectomy costs, but you should check it to make sure that your insurance company includes vasectomy benefits. Within the same company, some plans may cover and others may not. (Dr. Shu is a contracted provider under many plans offered by, among others, the following companies: Aetna, Blue Cross Blue Shield, Cigna, Medica, Preferred one, Select Care/Laborcare, United Healthcare.)

    Your exact out-of-pocket cost will depend on your plan’s: , Co-payment, deductible, and coinsurance.

    In addition, vasectomies are often a qualified health savings account (HSA) expense. If your insurance plan won’t pay for the procedure and you contribute to an HSA, you may be able to get reimbursed that way.

    If you don’t have medical insurance or you have high deductible, One Stop Medical Center is your best choice since we charge very affordable price ($690 only) for the self-pay patients.

    Why Procedure Clinic for Vasectomy and Vasectomy Reversal procedures | Minnesota

    1. No-scalpel and no needle technique that only requires one micro incision, which minimizes trauma, pain, and risk of complications, and it allayed many men’s fears with regard to the scalpel and needle

    2. Local anesthesia: Not having to use general anesthesia or IV sedation greatly reduces the risks associated with it.

    3. High success rate: The success rates of our operations are up there with the best, thanks to the extensive past surgical experience and high volume practice.

    4. High quality, personalized medical care: Being in an office allows for a more personal, patient oriented approach. Our team of professional and friendly staff go the extra mile to ensure patient satisfaction.

    5. Enjoy an accredited, private surgical center with a premium clinic environment.

    6. Affordability: At $690 for a vasectomy and $2741, an all inclusive price, for a vasectomy reversal, our prices are only a fraction of the cost of the same procedure done in a hospital or public surgical center. We do not charge facility fees or anesthesia fees.

    7. Website: Our website is full of information and resources for prospective patients. For those that want to learn more about the procedures, our practice, and our mission, our site is the right place to be!

    8. Online Registration: Using online registration makes scheduling appointments convenient and easy!

    9. We offer consultations on the same day as the surgery and the phone consultation.

    10. One trip system: An initial face-to-face consultation is no longer required. We also developed a mailer system to eliminate another trip for patients. This is especially good for those that live far away or out-of-state.

    11. Only 10 Minutes from the Minneaplios-St Paul airport (MSP)

    12. Located in the famous high end town of Edina, France Avenue is enriched with hospitals, medical offices, commercial and business centers, as well as hotels.

    Why Should You Get No-scalpel Vasectomy Instead of Tubal Ligation | Minnesota

    There are a lot of people out there that are trying not to have kids. In fact, there are so many people trying not to have kids that there’s a global market worth tens of billions of dollars. These include condoms, the pill, spermicide, IUDs, diaphragms, implants, and many more. Most of these are very effective, but none of them are permanent, and they are subject to human errors (e.g. forgot to take the pill, forgot a condom, incorrect diaphragm placement). Hormonal birth controls often cause a myriad of side effects for women, including menstrual pain, acne, nausea, weight gain, decreased libido, vaginal discharge, mood changes, and the list goes on.

    For couples that do not wish to have kids in the future, what options are available? Well, there are two main forms of permanent birth control: vasectomy and tubal ligation.

    If you’re reading this, you probably already know what a vasectomy is. But in case you don’t, vasectomy is a procedure in which the tube that transports sperm from the vas deferens to the urethra, the vas deferens, is surgically severed and the ends are blocked off, preventing any sperm from entering the semen. Vasectomies are permanent procedures, so it will last your entire life, though they are reversible depending on the time passed since the vasectomy. If you’re considering a vasectomy it’s important to be absolutely sure that you want it.

    The refined no-scalpel Easy Vasectomy® with no needle and no suture techniques minimizes trauma, pain and complications. New and minimal invasive vasectomy techniques have successfully allayed many men’s fears with regard to the scalpel.

    In a tubal ligation, often known as “having your tubes tied”, the doctor will sever and block off the fallopian tubes which transport the egg from the ovaries to the uterus. Like vasectomy, it is a permanent procedure. Either of these options will prevent a baby from entering your life, but which is the better options?

    If you guessed vasectomy, you’re completely right. For one, tubal ligation is far more labor intensive and invasive. A surgeon must make two small cuts in the abdomen and use what is called a laparoscope to severe and close up the ends of the fallopian tubes. A tubal ligation must be done in the hospital, may require several hours or an overnight stay in the hospital, while a vasectomy can be done in the office in under 10 minutes. Most men can return to work within 48 hours but women who undergo tubal ligation may require four to seven days. Not to mention that tubal ligation costs at least $5,000 to $8,500 on average.

    Side effects and complications are also more likely with tubal ligation. This includes nausea, vomiting, infection, bleeding, bruising and side effects from anesthesia. With vasectomies, especially no-scalpel vasectomies, there are minimal side effects (mild pain and bruising) and complications such as hematoma and infection are exceedingly rare, since the procedure is minimally invasive. The failure rate is 0.02%-0.2% for vasectomy while the failure rate for tubal ligation is 0.73%-1.85%. Despite this two thirds of couples still opt for the tubal ligation.

    While both of these methods are effective, it’s clear that vasectomies are safer, quicker, more convenient, and less costly than a tubal ligation. In our patriarchal society we often place much of the responsibility of birth control on the woman’s shoulder, despite the fact that doing so is less ideal. It’s time we make a change.

    Sexual changes post-vasectomy | Minneapolis & St Paul

    One of the reasons many men are hesitant to undergo a vasectomy is fear of reduced sexual function. It’s definitely not unreasonable by any means- most men value their sexual ability highly. After all, vasectomies are ultimately a form of sexual contraception for men. So, does undergoing vasectomy affect sexual function?

    In a survey done by Dr. Doug Stein, vasectomy patients from an secure database were asked to rate their sex drive, ability to obtain and maintain erections, stiffness of erection, strength of orgasm, semen volume, and frequency of testicular discomfort compared to prior the vasectomy. 119 responses were obtained. The table below outlines the results:

    Since your vasectomy, how have the following changed? Much Less Slightly Less No Change Slightly More Much More
    Sex Drive (Libido) <1 (1%) 6 (6%) 81 (75%) 18 (15%) 4 (4%)
    Ability to obtain and maintain erections 1 (1%) 6 (6%) 96 (89%) 5 (5%) 0
    Rigidity (stiffness) of erections 1 (1%) 5 (5%) 94 87%) 7 (6%) 1 (1%)
    Strength of orgasm (climax) sensation 0 3 (3%) 95 (88%) 6 (6%) 4 (4%)
    Semen volume (the amount of fluid that comes out when you ejaculate) 0 17 (16%) 80 (75%) 7 (7%) 2 (2%)

    The majority of those that responded to the survey reported no change in sexual function, which is expected. Detrimental effects to sex drive, erections are incredibly rare. In these cases, it’s probably the vasectomy that caused the effects, and it could be psychological. Vasectomy only prevents sperm from entering the semen- the other functions of the testicles which regulate sexual drive are not affected. Likewise, those that reported higher sex drive, stronger orgasms, stiffer erections, etc, were probably not linked directly to vasectomy, as there is no physical reason for vasectomies to effect these things. Most likely, it was a result of no longer having to worry about the fear of pregnancy.

    Sperm Banking | Minnesota

    Around 500,000 vasectomies are performed a year in the United States. For many men in the US, vasectomy is the most effective method of contraceptive due to its permanent, hands-off nature. However, it’s not uncommon for people have regrets when it comes to permanent procedures such as vasectomy. Maybe you remarried and want more kids, or maybe you decided that living child-free wasn’t for you after all.

    Vasectomy reversals are very effective (~97%) when performed within three years of the initial vasectomy. This drops to 91% from three to eight years, 82% from nine to fourteen years, and 69% beyond fourteen years. For those who decide that they want kids much later in life after a vasectomy, there’s some uncertainty as to how effective it might be. One way around this is sperm banking.

    The role of a sperm bank is to take healthy sperm and freeze it in a process called cryopreservation. The sperm is stored at very low temperatures, around -196 degrees. Once frozen, sperm can be stored almost indefinitely, though it may not be as effective after 12 years depending on how it was frozen.

    Before freezing, a sample of the semen is analyzed to determine the quality of sperm. If the sperm count and motility is good, it will be divided into batches and frozen. One ejaculation is about 1-6 vials of frozen sperm, and most opt to save multiple ejaculations. This process costs $500-700, and storage is about $300-$1000 per year.

    When it’s time to use the frozen sperm, the patient notifies the bank, who release it to the patients physician. The sperm can also be destroyed or donated. The sperm can then be used for artificial insemination, where the sperm is transferred to the uterus in a process called intrauterine insemination (IUI).

    A vasectomy is one of the best ways to prevent pregnancy without sacrificing physical well being and sexual pleasure. Because it’s permanent, its probably a good idea to have a back up plan. A vasectomy reversal is usually very effective but as time goes on, its effectiveness goes down. Sperm banking is a viable, if costly, alternative that allows one to save their sperm for future use should a vasectomy reversal prove to be impossible.

    Why don’t More Men in the World Get Vasectomies? | Minnesota

    Vasectomies have the potential to be a powerful tool to curb population. By nature, they serve as a more effective, long-term solution than other methods of contraception. The procedure is a one time ordeal, as opposed using a condom or birth control pill, and avoids the negative side effects of hormonal birth control for women while have very few side effects itself. This could be especially effective in areas with low resources that have poor access to other contraceptives. However, despite being the most effective form of male contraception, only 2.4% of men use vasectomy worldwide. Why are vasectomies so unpopular? And how can we change that?

    For one, many people are simply uninformed about vasectomy as a birth control method. Studies of vasectomy awareness in Ethiopian, Nigerian, and Turkish men and women range from a lowest of 15.6% to highest of 39.6%. This extends to doctors as well- many care providers in low resource areas are not well informed about vasectomy, and do not provide the service. This lack of awareness is a major barrier to making vasectomy a more popular form of birth control.

    Another reason is negative attitudes toward vasectomy. Surveys showed that some participants felt that a vasectomy results in a loss of masculinity, or that they would be judged by others if they found out about the procedure. In India, men felt that a vasectomy would make them subservient to their wife, and that female sterilization is preferred because men contribute more economically (note that tubal ligation is far more invasive, costly, and dangerous that a vasectomy). These attitudes ultimately stem from deeply ingrained sexism. Getting rid of these erroneous notions would go a long way in making vasectomy more prevalent. In Africa, 0.1% of men have undergone vasectomies. Myths and misconceptions stop African men from going for a vasectomy, and vasectomy is often associated with de-masculinisation, framing it in terms of castration.

    One of the most effective ways of both increasing awareness and correcting negative attitudes toward vasectomy is through education, both within the community and through mass communications. Programs such as the ACQUIRE Project’s “Get a Permanent Smile” campaign sought to address myths regarding vasectomies in low resource areas in Bangladesh and Ghana through posters, radio and television broadcasts. These types of campaigns are quite effective, and have been shown to cause spikes in demands for vasectomies.

    Employer based promotion is another method of making vasectomies more popular. Once again education is key here. In one Indian study, employees from several workplaces were allowed to attend educational workshops on long acting birth control methods. Companies also trained health coordinators, provided health service desks, and providing a family planning hotline. Participants were reportedly more likely to discuss family planning, as well as make the switch from short-term contraceptives to long term ones. Incentivising employers to provide such services to their employees would encourage more men to get a vasectomy.

    Vasectomies have been sorely underutilized as a form of contraception. It may be a long road ahead before worldwide adoption of vasectomy as a birth control method is reached, but as information becomes more widely available, more men will opt for vasectomies.

    Risks of NOT Getting a Vasectomy | Minnesota

    A lot of men worry about the risks of getting a vasectomy. If you’re reading this you might be one of them. It’s only natural – the decision to get a vasectomy is not one to be taken lightly. You’ve probably spent hours googling things like “how long will I be out of work vasectomy” or “vasectomy pain” or “vasectomy recovery time” But have you ever considered the risks of not getting a vasectomy?

    If you’re not planning on having another a child, and I mean really, really not planning to have a child, you have to ask whether the risks and possible consequences of using reversible forms of contraception outweigh the benefits of pregnancy. Hint: it doesn’t.

    If we’re just talking about the man’s health, it’s better to just not get a vasectomy. But by not getting a vasectomy, you accept all the risks and burdens associated with pregnancy and childbirth, most of which are put on your partner’s shoulders.

    “But what if I use other contraception?” Well, sure. But if you’re having any kind of sex, there is always an inherent risk. Yeah, condoms work. But maybe, one night you’ve had a little too much wine and suddenly not using condom seems like a better and better idea. With a vasectomy that’s not a problem.

    Other birth control methods have their own problems. Hormonal birth control often results in adverse reactions, including abdominal discomfort, weight gain, menstrual irregularity, decreased libido, headaches, edema, vaginal dryness, rash, fatigue, dizziness, and many more that vary depending on the birth control. Not to mention the failure rate- Nuvaring has a 9% failure rate. The patch has an 8% failure rate with typical use. The shot? 5%. Birth control pills is 0.3% with perfect use, but because it’s so easy to forget it’s 8% in reality.

    Now let’s say you decide to use contraception and it does fail. Here are the risks of surgical abortion:

    – Infection of the womb: One in ten abortions
    – Some of the pregnancy left in womb: one in twenty abortions
    – Continuation of pregnancy: Less than 1% of abortions
    – damage to cervix: one in one hundred abortions
    – Excessive bleeding: one in one thousand abortions

    That’s not including the emotional and psychological trauma of having an abortion.

    Now, if you do decide to go through with having the baby, you’re putting a lot of risk on your partner. Pregnancy can result in:

    – Hypertension: 6-8% of pregnancies
    – Preeclampsia: 2-6% of pregnancies
    – Ectopic pregnancy: 2% of pregnancies
    – Miscarriage: 10-20% of pregnancies
    – Gestational Diabetes: 2-10% of pregnancies
    – Rupture of the uterus: 1-8% of pregnancies
    – Severe vomiting: 20% of pregnancies
    – Uterine rupture: Less than 1% of pregnancies
    – Hyperthyroidism: 2.5% of pregnancies

    None of these conditions are fun. Of course, then comes childbirth:

    – Vaginal and perineal laceration: Majority of pregnancies
    – Puerperal infection: 1-8% of pregnancies
    – Fecal/Urinary incontinence: 28% of pregnancies
    – Post partum depression: 10-20% of pregnancies
    – Post partum hemorrhage: 18% of pregnancies
    – Stretch marks
    – Hemorrhoids
    – Mastitis
    – Clogged Ducts
    – Kidney infections

    And that’s not even the entire list. Then of course, if your pregnancy comes to term and you successfully have a child, you now have an entire human being to raise for the next two decades.

    Or, you could just get a vasectomy.

    Birth Control Comparison Chart | Minnesota

    All birth control methods work the best if used correctly and every time you have sex. Your choice of birth-control method is a personal one and depends on a number of variables, including short or long-term family planning, personal health, associated risks, failure rate and cost.

    The vasectomy is one of the lowest failure rates among the birth control methods. The study showed the traditional vasectomy failure rate is 1-3 per 1000 cases; the failure rate would be less than 1 per 20000 in no scalpel vasectomy with the fascia clipping technique.

    Birth Control Methods Comparison

    Contraception Cost Failure Rate Duration Availability Advantages Disadvantages
    Condom <10 18% one time OTC prevent STIs; no hormonal side effects local reaction & breakage
    Vasectomy $700 – $2000 0.2% Permanent Office procedure No effect on hormones and sex drive No protection in the first 3 months, Surgical side effects
    Female Condom $2-$4 21% one time OTC prevent STIs; use during menstruation local reaction & breakage
    Spermicide $5-$10 28% one time OTC Lubricate, use with other BCP forms local reaction
    Sponge $3-$5 24% Up to 24h OTC Lasts 24 hours Local effects and infections
    Diaphragm $50-$300 5-20% Reusable Prescription Lasts 24 hours, reusable Insert challenging,local reaction
    Cervical cap $50-$75 14-30% 48-72 hours, reusable Prescription Protect 48-72 hours Abnormal Pap smear, local reaction & infection
    Birth Control Pill $15-$50/month 9% A month Prescription Regulate menstruation; reduce cramps and ovarian cysts Take daily, weight changes, and medical /risks/side effects*
    Vaginal ring $15-80/month 9% Wear monthly Prescription Regulate menstruation; reduce cramps and ovarian cysts Weight changes and medical risks/side effects*
    Contraceptive Patch $15-80/month 9% A month, replace weekly Prescription Regulate menstruation; reduce cramps and ovarian cysts Weight changes and medical risks/side effects*
    Birth Control shot $35-75/injection 6% 3 months doctor’s visit 4 shots/year; reduces menstrual cramps and the risk of ovarian cysts/cancer and PID Take up to 8 months to return; medical risks/side effects*
    Intrauterine device (IUD) $500-$1000 1% 5-12 years Doctor’s visit immediately effective Migrates, ovarian cysts, PID, and ectopic pregnancy
    Hormone Implants $400-$800 1% 3 yearse Doctor’s visit reduce menstrual flow, cramping, and PID office procedure, local reaction, Medical side effects**
    Tubal Ligation $1500-$6000 1% Permanent Outpatient surgery Permanent and immediate; does not impact sex drive More invasive, complicated than vasectomy, surgical side effect
    Essure $1500-6000 1% Permanent Outpatient surgery Less invasive than tubal ligation 3 months to take effect; side effects:cramping,irregular menstrual cycle, GI reaction, and infection

    * Medical risks and side effects: may increase risk of blood clots, stroke, breast cancer, heart attack, high blood pressure, depression and anxiety; may decrease sex drive; other side effects include weight gain, breast lumps, and hair loss or excessive growth.

    **Medical risks and side effects: can cause loss of bone density and sex drive, and mood swings, weight gain, breast and abdominal pain, and allergic reaction.

    References: Birth Control Guide. Food and Drug Administration Office of Women’s Health.

    Three vasectomy myths debunked | Minnesota

    Myth #1: A vasectomy will hurt:

    It’s very natural to be afraid of pain, especially down there. Take a breath of relief, as vasectomy isn’t painful! local anesthesia is used, completely numbing the area. Mild pain or discomfort may be reported for a couple of days after the procedure, but it’s nothing most people can’t handle. Based on the vasectomy clinic survey, 50% vasectomy patient didn’t take any pain medications; 25% patients didn’t have pain, but they decided to take Tylenol; another 25% patients felt more pain and took Tylenol. This fear is temporary, and so is pain- it’s not a reason to refuse a vasectomy, which can have lifelong benefits to a man. You should take some time to think clearly when deciding to get a vasectomy, and not have your judgement clouded by fear.

    Myth #2: Loss of masculinity:

    Some people have this mistaken notion receiving a vasectomy will make them less of a man. This couldn’t be farther than the truth. There is no evidence that vasectomy decreases libido or change hormone levels in men. Men are still able to ejaculate and maintain erections after the procedure. You will not become more feminine if receive a vasectomy. Perhaps there is this sentiment that being infertile makes one less of a man, which comes purely from antiquated ideas surrounding masculinity. In fact, most women report greater sexual satisfaction with their partner after a vasectomy. When deciding whether or not a vasectomy is right for you, don’t be afraid of losing your masculinity.

    Myth #3: Being out of work:

    Luckily, modern vasectomy is not a very invasive procedure, especially with new No-scalpel Easy vasectomy®. Traditional vasectomy does have a long recovery time due to its bilateral big incisions and stitches, but no-scalpel vasectomy involves making a small hole instead of a large incision, and the vas deferens are pulled and severed through the hole. Because of how non-invasive this procedure is, the recovery time is very short- most people can return to work in two days, and exhibit a full recovery in one week.

    A vasectomy is a big life decision, and not one that should be made lightly. However, many of the worries you may have regarding vasectomies are not worries at all. We hope this blog post has given you some insight into your choice.

    Age Restrictions on Vasectomies | Minnesota

    While there are no laws expressly forbidding vasectomies to certain age groups, even for individuals under 18 with parental consent, federal programs providing financial aid require that recipients are at least 21 years of age and mentally capable of making that decision. Many doctors, such as myself, will not provide vasectomies for men under 21 with no children with an exception to those with specific health circumstances or those who clearly cannot raise children due to impairment. Other vasectomy providers may follow a different or more restrictive set of guidelines, as is their prerogative.

    Even for those who qualify, undergoing vasectomy is a huge decision for anyone. A few considerations for men, especially those under 30, seeking a vasectomy:

    While it may seem like a good idea now, you may want children in the future, especially if you are young. People can change many times throughout their lives. Even if you don’t, your partner may change and desire children someday.

    Currently, vasectomy reversals can be quite effective, but the later you wait the lower the chances of success are. There is technology that could potentially change this in the near future, but for the time being, it’s no guarantee a reversal will successful after a long period of time, which is often the case for young men who receive vasectomies.

    Lots of relationships end. The “over 50% of marriages end in divorce” statistic is inflated due to serial divorcers, but in the end many relationships are a gamble. When a relationship ends and you find a new partner, you may find yourself wanting children once again.

    Despite the existence of vasectomy reversals, vasectomies should be considered permanent as the success of a reversal is not guaranteed.

    Young men should consider Sperm Storage, and very young men should discuss your decision with your parents. You’re legally an adult, yes, but they helped you get there.

    Free Large Pizza for the Vasectomy Patients on 11/17/2017, 5th World Vasectomy Day | Minnesota

    On November 17th, World Vasectomy Day, the largest male-focused family planning event in history with over 1,200 providers in 50+ countries, takes the world on a historic 24-hour vasectomy-athon organized out of our headquarters in Mexico. We will e-travel from country to country conversing with vasectomy providers, advocates for male involvement in family planning and the men who choose a vasectomy as an act of love. WVD kicks off at 5:00 p.m. on November 16 with a joint ceremony taking place in Mexico City and on the island nation of Kiribati (where it will be 10 a.m. on Friday, November 17th). With conversations, live vasectomies and dozens of films, and in partnership with DKT Mexico, DKT International and the Centro Nacional de Equidad de Genero y Salud Reproductiva (National Center for Gender Equity and Reproductive Health), we will explore the current state of male involvement in family planning, learn about global efforts to make vasectomies accessible and celebrate men everywhere who have made the heroic decision to care for their families, communities and our planet. Join us!

    It might seem odd to dedicate an entire day to vasectomies, but for Dr. Shu and the other 1,200 doctors participating in World Vasectomy Day on November 17, it’s an important event that spreads awareness on the most effective but underutilized methods of contraception: the vasectomy.

    With industrialization and modern medicine making it safer and easier to give birth and raise children, the world population has skyrocketed- current projections predict the world population will plateau at 11 billion. High population puts a strain on resources like food, medicine, and energy. In many areas of the world that are seeing rapid population growth, sexual education and medical resources have not caught up to other areas in society. Vasectomies are excellent for family planning in areas that are not well developed and do not have the resources that most of us take for granted.

    This will be Dr. Shu’s 5th year participating in the event, and the One Stop Medical Center will offer free large pizza.

    Dr. Shu Performed 50 No-scalpel Vasectomies During His 2017 Haiti Mission | Minnesota

    This is the third time that Dr. Shu participated in the Haiti mission through No Scalpel Vasectomy Inc. (NSVI), and it is also the fifth time that he participated in the international mission in the past three years.

    From Oct 25 to Oct 28, NSVI conducted its 15th vasectomy mission in Haiti. Vasectomies were performed on 163 men (average age 43.8) who had had a total of 842 children. Dr. Shu performed about 50 vasectomies during this mission. While the average number of children per man (5.17) is still very high, we have seen a slight decrease over the last three missions. We may be seeing a greater percentage of men who accept vasectomy after 3 children, enabling themselves to nurture those children with more attention and better education even with their limited resources.

    Easy Vasectomy Receives Trademark from U.S. Patent and Trademark Office | Minnesota

    Office proceduralist, Dr. Steven Shu, obtains a registered trademark from the United States PTO, for his Easy VasectomyⓇ, a minimal invasive office procedure with no scalpel, no needle and no stitches techniques.

    The introduction of Easy VasectomyⓇ has successfully allayed many men’s fears with regard to the scalpel and needle. It is safer, less invasive, and has fewer complications and quick recovery. Under local anesthesia, only a tiny puncture is made at the midline of the scrotum skin. It can be done in less than 10 minutes.

    Easy VasectomyⓇ Service in One Stop Medical Center
    One Stop Medical Center developed a powerful website,, with rich information on vasectomy and vasectomy reversal. All patients are required to review the important vasectomy information and watch a consultation video. A separate initial consultation is no longer required, and Dr. Shu will finalize the consultation on the same day of surgery, so the patients don’t need another trip for the initial consultation. Moreover, the patients are able to register their vasectomy procedures by filling out the online registration form in the website.

    One Stop Medical Center developed a mailer system to eliminate another trip for patients. Patients who live far away may simply mail the specimen to the clinic instead of bringing it personally. Therefore, most patients are able to have a vasectomy done in just one trip to our clinic instead of three.

    In order to reduce the financial burden for our vasectomy patients, the price of no scalpel vasectomy was cut in half. This way, more men can afford to have their vasectomy done.

    One Stop Medical Center has simplified the vasectomy care system to create a more affordable, friendly and convenient vasectomy service.

    Dr. Shu Participating in International Medical Mission in the Fifth Time | Minneapolis & St Paul

    Minnesota physician Dr. Steven Shu, medical director of One Stop Medical Center, joins a group of doctors from the United States going to the Haiti in the last week of October, 2017 to provide free vasectomies for local residents. This is the fifth time that he has been part of an international vasectomy mission sponsored by the nonprofit organization, No Scalpel Vasectomy International Inc (NSVI).

    The mission of NSVI is to promote and provide free No-Scalpel Vasectomy services worldwide, but especially in developing countries whose infrastructure and environmental resources are challenged by rapid population growth unchecked by established and/or effective family planning programs.

    Over the past 14 years, Dr. Shu has been enjoying making his contributions to local communities. Since 2015, he has been focusing more on his international volunteer work in Philippines and Haiti. In 2017, he became a founding president of Medical Volunteers International (MVI,, a new non-profit organization for the Chinese American physicians dedicating the medical missions in the poorest countries around world.

    Find a Qualified Vasectomy Doctor | Minnesota

    A vasectomy is a simple office procedure that most doctors can complete within 30 minutes. Dr. Shu of One Stop Medical Center usually completes a non-scalpel, no-needle, no-suture vasectomy within 10 minutes. A vasectomy usually requires only 1% Lidocaine for local anesthesia with either a needle injection or the no-needle technique with Madajet. The patient usualy relax and take things easy for a couple of days, and the no-scalpel vasectomy typically has few complications. However, for very nervous patients with significant anxiety issues, vasectomies can also be performed under oral sedation.
    The vasectomy procedures are usually conducted by urologists, other surgeons, and family physicians. Here are some tips to help find a qualified doctor who can perform vasectomies.

    1. Check doctors’ credentials; besides basic medical credentials, the most important questions you need to ask are:

  • How many vasectomies does the doctor performs every year?
  • How many years has the doctor been performing vasectomies?
  • What is the failure rate?
  • What is the complication rate?
  • Experience matters.

    2. You may ask if the doctor uses the new no-scalpel techniques. It makes a big difference in many aspects between modern no scalpel vasectomy and traditional vasectomy. Some doctors claim they perform no-scalpel vasectomy, when their actual techniques are not necessarily the best. For example, spending 10 minutes, 30 minutes, and even 60 minutes to perform a vasectomy will result in very different experiences. The recovery is related to how much trauma the scrotum experiences during the procedure. The two day recovery time from no-scalpel vasectomy is another big difference compared to a 1-2 week recovery from traditional vasectomies. Moreover, the complication rate is much lower than traditional vasectomies.

    3. There are a multitude of sources that offer information on vasectomy doctors in a patient’s area. These include Google searches, insurance companies, and primary-care doctors. If the patient knows any friends, family members and colleagues who have had a vasectomy, ask them about their personal experience with that particular doctor and clinic. This information may be more in-depth, and can also provide the patient with a better understanding of the whole process and what to expect.

    4. Once a number of vasectomy doctors have been identified, try to find out more about them. While credentials and clinical experience are important to consider, there are also practical considerations to take into account. These factors indirectly indicate how much the doctors are committed to vasectomy care and quality of vasectomy care.

    a. You should review their website to see if:

  • It is an informative and well-designed website
  • The contents are frequently updated
  • There is a user friendly online registration.
  • It is a dynamic website with ongoing blog posting
  • There are positive testimonials. There is a big difference in the evaluation of patient satisfaction between a few outdated testimonials and hundreds of recent testimonials.
  • b. If the price is affordable, ask about the total cost (consultation fee, procedure fee, and semen analysis fee).

    c. You should find the whole vasectomy care system to be a friendly and patient-oriented service. For example, One Stop Medical Center offers online consultation through its convenient online registration and one trip care system.

    d. Consider the office location and convenience.

    e. Evaluate the quality of customer service: how the patient is treated on the phone during inquires, the cleanliness of the office, the attitudes of the staff during initial contacting, the level of the procedure room (simple office room or higher level of Surgicenter), and other less-tangible measurements should also influence your decision.

    More about Sperm Banking | Minnesota

    Sperm banking, in the simplest of terms, refers to the practice of storing sperm for future use. Sperm can be stored indefinitely when cryogenically frozen, and can be thawed and used to fertilize an woman’s egg. A pregnancy conceived using frozen sperm is no different from a normal pregnancy.

    There are two types of sperm banks- private sperm banks, and donor sperm banks. Donor sperm banks, which many of you may have heard of, purchase sperm provided by donors and sell it to those who want children. Donors are screened and added to a database, and buyers can select which donor they prefer.

    A private sperm bank, unlike a donor sperm bank, only cater to individual families. Private sperm banks may be associated with a fertility clinic, or may be a branch of a national corporation. The sperm sample is either collected locally, at a clinic, or mailed overnight through a home collection kit. Many doctors may recommend two samples taken on separate days, just to be safe.

    Before the sperm can be collected, the donor’s blood must be tested for diseases that could be transmitted through sperm. This includes HIV, hepatitis B and C, and many more. If the donor tests positive for any of these the sample may be unusable.

    Once collected, the a small portion of the sample is tested to see how well it holds up to freezing and thawing, and whether or not it will be viable for future use. If all goes well, the sperm is slowly frozen in liquid nitrogen tanks at -190C, where they can be kept stable almost indefinitely. Even twenty year old sperm can still be useable.

    When the time comes for the sperm to be used, the bank coordinates the transfer of the frozen sperm to the fertility clinic, where it is thawed and prepared for the insemination procedure. Usually, only a small amount of sperm is required. That way, if it doesn’t work the first time, there will be enough for future attempts.

    Why Sperm Banking?
    Private sperm banking is excellent for men who wish to conceive a child but have lost reproductive function or have issues with infertility. It is also great for men who are unsure if they want a child, but wish to have the option later on in life. Men who plan to undergo vasectomy are good candidates to have their sperm frozen. Sperm banking is highly effective and well established method of ensuring future reproductive success.

    5th World Vasectomy Day | Minnesota

    It might seem odd to dedicate an entire day to vasectomies, but for Dr. Shu and the other 1,000 doctors participating in World Vasectomy Day on November 17, it’s an important event that spreads awareness on the most effective but underutilized methods of contraception: the vasectomy.

    With industrialization and modern medicine making it safer and easier to give birth and raise children, the world population has skyrocketed- current projections predict the world population will plateau at 11 billion. High population puts a strain on resources like food, medicine, and energy. In many areas of the world that are seeing rapid population growth, sexual education and medical resources have not caught up to other areas in society. Vasectomies are excellent for family planning in areas that are not well developed and do not have the resources that most of us take for granted.

    At World Vasectomy Day, local Mexican and international doctors will provide free vasectomies, along with live-streamed interviews with family planning experts, patients, and their families. This will be Dr. Shu’s 5th year participating in the event, and the One Stop Medical Center will offer free large pizza.

    This year’s World Vasectomy Day is being held in Mexico. Doctors around the world participating in World Vasectomy Day will provide as many vasectomies as possible in a span of 24 hours. The goal of World Vasectomy Day is to spread awareness of vasectomies and to dispel myths associated with them through community outreach and open dialogue.

    Vasectomy and Sex Life | Minnesota

    Vasectomy is undeniably the most effective long term birth control for men, with half a million men undergoing the procedure in America every year, but some remain hesitant despite being assured of its safety and reliability. Faced with the idea of being infertile, the vasectomy can be a daunting proposition to many men. Fertility and sexual virility is heavily tied with the masculine identity, and to some vasectomy may be equivalent to surrendering some of it. Here’s why you shouldn’t worry.

    A fear of many men looking to get a vasectomy is the loss of sexual desire or satisfaction after getting snipped. What many people don’t seem to realize is that vasectomy rarely affects sexual pleasure physically- when men suffer erectile dysfunction or loss of sexual arousal after vasectomy, it is almost always psychological. Physically, vasectomy should not affect libido- vasectomy is simply the severance and obstruction of the vas deferens. Besides the semen containing no semen, there should be no difference in sexual function after a vasectomy. Of course, complications exist but with innovations such as no-scalpel vasectomy making the procedure increasingly less invasive, they are incredibly rare.

    Getting a vasectomy shouldn’t be seen as losing your manhood. Most men who are nervous about losing their manhood quickly realize that their sex is just as good as it was before, if not better. A study done on the effects of vasectomies on the sex lives of couples proved just that. In the study, a sample of 76 heterosexual couples were given a survey, one for the man and one for the woman, which score parameters such as sexual desire, coital satisfaction, erectile function, etc, before and after the procedure and the results were very interesting!

    In men, scores on the questionnaire revealed that quality of the sex was about the same before and after the procedure. Erectile function, orasm function, sexual desire, sexual satisfaction all either increased a slight amount or stayed level. The result, though unsurprising, should put some potential patients at ease. What was much more interesting was that in women, scores were higher in almost all areas, showing significant increase in sexual desire, arousal, lubrication, orgasm, and overall satisfaction. Women in relationships tend to be more satisfied sexually after their partner gets a vasectomy. This is further evidence that most issues with sex after vasectomy are psychological rather than physical.

    Another study examined the relationship between vasectomy and frequency of sexual intercourse in populations of vasectomized and non-vasectomized men. The results also seemed to support that sex is better after vasectomy- vasectomized men had sex an average of 5.9 times a month compared to 4.9 times per month in non vasectomized men. Furthermore, vasectomized men were 81% more likely to have at least once a week.

    So if the idea of losing sexual potency after a vasectomy scares you, don’t be- there’s really nothing to worry about. Studies have shown that vasectomy either has no effect or increases sexual satisfaction, and that vasectomy actually increases the frequency of intercourse.

    Introduction of Sperm Banking | Minnesota

    Cryopreservation (rapid freezing) is the method of preserving sperm for future use. There are many reasons an individual would choose to prepare for possible sterility, including

    1. Pending cancer treatments
    2. Elective vasectomy
    3. Infertility (use frozen donor semen)
    4. Initiating hormone therapy
    5. Having a high risk job.

    For some men, sperm banking is almost a necessity. Men diagnosed with cancer during their early 20’s face a course of chemotherapy likely to provide a cure but also likely to adversely affect sperm production. Their only hope of fathering children is with preservation and storage of sperm obtained prior to chemotherapy. For years, sperm banks have been providing this service.

    On occasion, a vasectomy candidate will ask about storing his sperm prior to undergoing vasectomy. The question is whether sperm freezing and storage (cryopreservation) might be considered a reasonable alternative to vasectomy reversal in the unlikely event that the individual wishes to father children in the future.

    For another group of men, infertility has necessitated use of donor semen. While these men may be infertile for a variety of reasons, use of donor sperm allows their wives to experience pregnancy and childbirth, obviously not part of the adoption process. Nearly all donor sperm used nowadays is obtained from frozen semen. Fresh semen is almost never used because infected donors may not test positive for hepatitis and AIDS until weeks after donation. Cryopreservation of semen provides the safety net needed to confirm that sperm donors are healthy and have negative tests weeks or months after donating.

    Frozen semen can be stored for an indefinite amount of time. It can be used effectively in different types of fertility treatments, including in vitro fertilization (IVF), intrauterine insemination (IUI), or gamete intrafallopian transfer (GIFT).

    RISUG- An Exciting, Potential Vasectomy Alternative | Minnesota

    Reversible inhibition of sperm under guidance (RISUG) is a procedure that could someday replace vasectomy as a long-term form of birth control. While RISUG and vasectomies have similar goals, the way they achieve those goals are quite different. Vasectomies involve cutting the vas deferens, and tying/stapling/cauterizing the open ends of the vas deferens. Even with the minimally invasive no-scalpel vasectomy, it is still a surgical procedure. RISUG is different- there is no cutting involved. Instead of severing the vas deferens, a polymer known as styrene maleic anhydride (SMA) is injected into the vas, which quickly hardens. This barrier does not block sperm; rather, it renders all the sperm that passes through it inactive, preventing conception. Reversing it simply requires another injection which dissolves the polymer, allowing the passage of motile sperm.

    RISUG provides a solution for a couple of problems that still affect vasectomies. First, it prevents backpressure from sperm in the epididymis and granulomas, which, while rare, are still a potential inconvenience for some who have a regular vasectomy. While RISUG procedure is not permanent (~10 years), it is very affordable and can be replaced indefinitely. It’s impermanence is a feature for some, as it is very easy to reverse the procedure. In the past few years, vasectomy reversals have become very effective, but they’re still known to fail and are costly compared to the initial vasectomy. The recovery time is short, and couples may resume intercourse within a week.

    Unfortunately, its development both here and abroad has been rocky. As of last year, advanced clinical trials on humans had very few volunteers- just 64 out of a targeted 500. In the US, the intellectual property rights are owned by the Parsemus Foundation, a non-profit, and is called “Vasalgel™”. Animal trials so far have been successful, but it still may be some time until human trials begin. Hopefully, this technology will one day revolutionize male birth control, but for now no-scalpel vasectomies are the best option for those seeking long-term male birth control.

    Why Male Sterilization Is the Way to Go? | Minnesota

    Around 2.4 percent of all men have had a vasectomy worldwide. Male sterilization is most common in developed areas of the world, especially North America, Asia, and Western Europe, where birth rates have declined. In America, 7 percent of men have had a vasectomy, 9 out of 10 of them married men. This number has been static since 1990s, and shows no signs of changing.

    The alternative to male sterilization is female sterilization, usually tubal ligation, wherein the fallopian tubes are cut and blocked up. It is commonly referred to as “getting your tubes tied”. This keeps eggs from being released into the womb, preventing conception.

    A similar method known as the tubal implant method involves placing spring-like coils into the fallopian tubes, causing scar tissue to form, which blocks the tubes. This can take up to 3 months to be effective.

    Vasectomy is both more effective and safer than tubal ligation. Vasectomies are nearly 100% of effective and less likely to fail compared to a tubal ligation. Furthermore, complications are less likely with a vasectomy. Part of this is due to vasectomies being inherently safer and less invasive than a tubal ligation due to where the vas deferens are located compared to the fallopian tubes. Thus, vasectomies are also more convenient and more affordable compared to tubal ligation.

    Despite this, tubal ligation is still more popular than vasectomy worldwide, by a factor of four or five times. Why is this the case? Well, historically reproduction was a duty that women were responsible for. In the past it was left to the woman to put on that condom, take her birth control pills, or get an abortion. Also consider, even today, that much of the male identity was tied with his fertility and ability to raise kids. Being sterile is not considered “manly”. So why would men get vasectomies when it was easier to just make women get a tubal ligation? The society we live in today is thankfully a little less sexist, and now it’s accepted that some of the responsibility lies on the man’s shoulders as well. Vasectomies are the best form of birth control, hands-down.

    What about Ejaculation After Vasectomy? | Minneapolis & St Paul

    Men in Minnesota who plan to have a vasectomy always wonder what their ejaculations will be like afterwards. This is not an unusual question’ many are simply curious, while others have anxiety about this sort of thing.

    Generally speaking, patients haven’t had any issues of ejaculation after vasectomy. Post-vasectomy ejaculation should be no different than it was before the procedure.
    This blog is going to address some common questions related to initial post-vasectomy ejaculations.

    1. When is the earliest time for the first ejaculation after the procedure?
    Most doctors recommend waiting for a week, other doctors recommend a few days. There is no “scientifically” correct answer. Regardless of when you start sexual activities, the most important thing is that you still use protection until you are cleared.

    2. Are the initial ejaculations painful after the vasectomy?
    Most patients should not have painful ejaculations after a vasectomy. A few patients reported mild discomfort in the first ejaculation. If the patient starts sexual activities very early (within a week), they may experience some discomfort due to local swelling, bruising, or tenderness.

    3. Do the ejaculations change after a vasectomy?
    No, the ejaculations after a vasectomy will be pretty much the same as they were before the vasectomy procedure. There are no noticeable changes in volume, color, or smell of semen. The force of your ejaculations will also remain same after your vasectomy.

    The only thing that really changes in post-vasectomy semen is that it no longer contain any sperm. Sperm only accounts for less than 5% of the volume of a man’s ejaculate, so the tiny change is not going to be noticeable. In fact, the volume of semen naturally varies at that rate based on fluid intake, diet, physical activities, frequency of ejaculation, etc.

    4. Should I be concerned about blood in ejaculations after a vasectomy?
    Blood in the ejaculate often causes great concern to the men who experience it after a vasectomy. This is due to a condition called hematospermia, or hemospermia. It could occasionally happen in the first month after a vasectomy. If you can imagine, the vas tube has been opened and any resultant blood from the wound or ruptured capillary vessels can pass through the tube during healing.

    Post vasectomy hematospermia is an uncommon finding after a vasectomy however it is not alarming. Most cases of hematospermia after vasectomy are generally self-limited, and it usually resolves within a few weeks. No further diagnostic workup is needed; however, in some patients, hematospermia may be the first indicator of other urologic diseases such as prostate or seminal vesicle (male sex glands). If it persists, it may be wise to consult with a urologist.

    Reasons of Vasectomy Failure | Minnesota

    While vasectomy has long been thought of as permanent, ending your ability to have kids, this is clearly not the case for Jets quarterback Antonio Cromartie, who had twins last year with his wife Terricka, conceived well after his vasectomy a couple years ago. The couple found out about the pregnancy completely on accident one day when his wife went to the ER with a bad stomach. However, it was clearly not an issue for the footballer and they kept the baby. He’s now welcoming their 14th child into their home.

    Why do vasectomies fail?
    Vasectomy failure is the occurrence of pregnancy or failure to achieve azoospermia after a reasonable period of time following vasectomy. The positive result of Post Vasectomy Semen Analysis (PVSA) can be stressful for couples looking forward to anxiety-free intercourse, without the threat of pregnancy.

    The most common reason is intercourse immediately after the vasectomy without protection. Even after the vas deferens (the tube that carries sperm) is cut and sealed, sperm will still be in the tube and it takes some time in order to ensure the vas is completely cleared out. Men typically have to ejaculate 20-25 times before all the sperm is gone. Unprotected sex before this time can definitely lead to unintentional pregnancy. This is the reason that you continue to use protection for three months after your vasectomy.

    The second most likely, though less common, is recanalization failure. Actually, recanalization is the most common reason for technical failure in vasectomy, and it could happen even in a experienced surgeon. In vasectomies, the vas deferens is cut and the ends are blocked. Recanalization occurs when the sperm is still allowed to pass and go into the ejaculate. Sperm try and often succeed in penetrating through the end of the blocked vas. After a couple months of this, there can be many tiny holes in end of the vas deferens where sperm may flow out through pseudo channels.

    Recanalization following vasectomy should be suspected if motile sperms or rising sperm concentrations are seen after a initial or routine PVSA has shown azoospermia or Rare Non-motile Sperms (RNMS). Recanalization can be either transient or persistent based on the results of serial PVSAs. Pregnancy due to recanalization is estimated to occur after approximately 1 in 2000 vasectomies or less often. The incidence of recanalization is very likely greater than the reported rate of pregnancy after post-vasectomy azoospermia because not all recanalizations result in pregnancy.

    About half of the recanalizations will close (seal by scarrring) by itself in 6 months and contraceptive success will be achieved, the patients don’t need to repeat vasectomy. Other 50% patients who have persistent recanalization need to repeat vasectomy.

    The third and least common is technical failure resulting from a surgical error such as occluding one vas twice without occluding the other vas or failure to identify the very rare situation of vas duplication on one side. An extra vas is a very rare condition. Very occationally, the wrong tube (unusual large blood vessels) can be mistakenly blocked. Technical failure is characterized by persistently normal or nearly normal motile sperm counts and sperm motility after vasectomy, as if the procedure was never done! It happens more often in a inexperienced family physicians or surgeons.

    It is recommended to get sperm tested three months after the vasectomy to ensure that it worked. But our patients usually don’t need to have a semen analysis periodically if the vasectomy performed in our clinic is confirmed to be successful. Dr. Shu has performed about 1500 cases of vasectomies, all of them being successful!

    Vasectomy is a big life decision. It is important to know if the vasectomy was successful or not, so get your sperm tested after your vasectomy!

    Comparative Analysis of Anticipated Pain Versus Experienced Pain in Patients Undergoing Office Vasectomy.

    Advances in vasectomy technique have minimized patient discomfort; however fear of pain remains a primary concern. The Urologist Dr. Furr at the University of Oklahoma just published the clinical research article on the pain related to vasectomy in Canadian J Urol. (2017 Apr;24(2):8744-8748), the research was to determine how the anticipation of pain associated with vasectomy compares with patient’s actual intraoperative experienced pain levels.

    A cohort of 172 patients undergoing clinic vasectomy was analyzed, and the result indicated that the actual pain experienced by a patient is significantly lower than their anticipation of vasectomy pain. This clinic research data will aid clinicians in appropriately counseling patients and minimizing pre-procedural anxiety.

    Modern no-scalpel vasectomy is a minimally invasive office procedure that performed near painlessly under local anesthesia. Fear of pain is still the number one reason for men in Minnesota to resist getting a vasectomy because they don’t want to have surgery near their genital organs. A good consultation before vasectomy the helps to relieve anxiety.

    Conventional needle anesthesia in vasectomy involves the use of a 27 gauge needle for local anesthesia. Dr. Shu applies local anesthesia with a special spray applicator without the use of needles. A spray applicator (MadaJet®) delivers a stream of anesthetic so fine that it penetrates the skin and diffuses to a depth of about 3/16 of an inch, enough to surround and anesthetize each vas tube in turn as it is lifted into position beneath the skin, attaining a close to 100% efficacy rate with no need for supplemental anesthetic.

    Dr. Shu uses the modern no-scalpel technique, exposing each vas in turn through a tiny opening in the front scrotal wall without using scalpel, the trauma in the scrotum is so minimal that significantly reduces the pain during the procedure and post-operative period.

    The patients always states right after their vasectomy, “it is amazing”, “Wow, much better than I thought”, “I worried for nothing”, “It is truly a easy vasectomy”, “easy vasectomy which is understated”, “it is almost painless”.



    Possible Vasectomy Alternative in the Future? | Minneapolis & St Paul

    Many men in Minnesota wonder if any vasectomy alternatives are available in the future. Yes, a simpler, reversible vasectomy alternative is in the works at the Parsemus Foundation in California. This works by injecting a gel into the vas deferens, blocking it and preventing sperm from entering the ejeculate. The difference is that another dissolving gel can be injected that restores fertility by removing the original gel barrier.

    The technology was tested on rhesus macaques monkeys who were allowed to mate for two years after the gel was injected, and in the that time no monkeys were birthed. In the words of Dr. Colagross-Schouten: “We were impressed that this alternative worked in every single monkey, even though this was our first time trying it.”

    Gel functions like a reversible vasectomy, blocking or filtering out sperm. It is made from a dense web of molecules that form a viscous barrier in the vas deferens. The resulting gel implant remains in a soft gel-like state that allows water-soluble molecules to pass but not larger structures such as spermatozoa. This quality is thought to be a benefit for preventing back-pressure on sperm storage areas, which helps to reduce “blow out” in the epididymis.

    The whole process of procedure will be almost same as the no scalpel vasectomy. A small amount of local anesthesia is placed into the scrotal skin and around the vas deferens. A tiny puncture is made with a pointy hemostat in the numbed area of scrotal skin. The vas deferens are then secured and pulled out with a ring clamp through the small opening. The surrounding fascia is stripped with a sharp instrument to expose the vas deferens, and the gel was injected in the lumen of vas deferens. The complications of post bleeding and hematoma are expected to be lower.

    Since tests in monkeys were successful, human trials will begin shortly. Pretty soon, this alternative vasectomy method may be available across the globe which come with the benefits of vasectomy, but are easily reversible.