Vasectomy is a highly effective method of birth control for men and anyone with anatomy that produces sperm who has decided they no longer want to cause a pregnancy.

We work with private insurance plans as an out-of-network provider. We will handle all necessary insurance paperwork on your behalf, so you don’t have to worry about submitting a claim yourself.

If your insurance plan provides coverage for the procedure, your insurance company will either mail the reimbursement directly to you or apply the covered amount toward your remaining deductible, depending on your plan and deductible status.

How Does a Vasectomy Work?

Think of the vas deferens as a small tube that carries sperm from the testicles, where sperm are produced, toward the penis. During a vasectomy, this tube is divided and the two ends are separated with a layer of tissue between them. This prevents sperm from entering the semen or reaching the penis during ejaculation.

The sperm remain in the body and are naturally broken down and recycled by the body, just like other cells that are no longer needed.

What Happens During the Procedure?

No-Needle, No-Scalpel Vasectomy (NNNSV)

To begin, a pressure-spray applicator is used to numb the skin and vas deferens without the use of needles.

Using specialized instruments, the procedure is performed through a single, tiny opening on the front of the scrotum. The opening is approximately ¼ inch and typically seals on its own within a few hours, so stitches are not needed.

Each vas deferens—the tube on the left and right side—is accessed just above the testicle, where it lies beneath the thin scrotal skin and can be easily reached. The vas is then divided, and the two ends are positioned out of alignment. The tissue surrounding the vas is closed between the two ends using a small suture or clip, creating a barrier that helps prevent the ends from reconnecting.

More Than a Procedure

Vasectomy may be a quick procedure, but the care surrounding it matters.

While some practices focus exclusively on vasectomy, I bring something different to the experience: the perspective of a primary care physician who treats patients as whole people—not just as a procedure.

My goal is to provide excellent, attentive care from your initial consultation through your procedure and follow-up. I take the time to answer questions, understand your individual circumstances, and remain available to you throughout the process. That continuity and personal attention are an important part of high-quality medical care, even for a procedure that may only take a short time.

I also believe high-quality vasectomy care should be accessible and affordable. My practice is intentionally designed with low overhead, allowing me to offer the same high-quality instruments, techniques, and medical expertise without passing the higher costs of a specialized practice on to my patients.

You don't have to choose between quality and affordability—and you shouldn't have to choose between a skilled procedure and a physician who genuinely cares about you as a person. I believe you deserve both.

No. You do not need to be a patient of Community Love Direct Primary Care to have a vasectomy with us. Our vasectomy services are available to everyone, regardless of whether you receive your primary care through our practice.

You pay $750 total for the vasectomy: a $75 deposit to schedule your consultation, with the remaining $675 due before the procedure.

If you have insurance, we will submit the necessary paperwork to your insurance company on the day of your procedure. If your insurance provides coverage, they will send any eligible reimbursement directly to you.

In some cases, your insurance may cover the procedure but apply the covered amount toward your remaining deductible if you have not yet met it.

Absolutely! If you have questions or would like to learn more, call our office at 919-899-1720 or email Dr. Devasthali at MyDoctor@CommunityLoveDPC.com.

What Changes After a Vasectomy?

Semen is made up primarily of fluid, with sperm making up only a small portion of the total volume. A vasectomy prevents sperm from reaching the penis, while the glands that produce most of the fluid in semen continue to function normally.

That means you will still ejaculate semen after a vasectomy. The amount, appearance, and sensation of ejaculation generally remain the same—the difference is that sperm are no longer present in the semen.

Of course, no method of birth control is 100% effective. A vasectomy is highly effective, but it is important to follow the recommended post-procedure testing to confirm that sperm are no longer present before relying on the vasectomy for contraception.

In Medical Terms

Sperm are produced in the testicles. From each testicle, sperm travel through a long, coiled tube called the epididymis, where they mature. They then travel through the vas deferens, a long tube that carries sperm toward the urethra.

The vas deferens can be easily felt just above the testicle, where it lies beneath the thin scrotal skin. This makes it an ideal location to access the vas during a vasectomy.

The goal of a vasectomy is to prevent sperm from entering the semen. Most of the fluid in semen is produced by the prostate and seminal vesicles, which remain completely unaffected by the procedure.

Because these glands continue to produce semen normally, ejaculation still occurs and feels essentially the same after a vasectomy—the semen simply no longer contains sperm.

Once a post-vasectomy semen analysis confirms that sperm are no longer present, the ejaculate cannot cause a pregnancy.

A vasectomy should be considered a permanent form of birth control. Before choosing a vasectomy, you should feel confident that you do not want to have biological children in the future.

Vasectomy reversal is possible, but it is a more complex procedure and is not guaranteed to restore fertility. The likelihood of success depends on several factors, including how long it has been since the vasectomy and your individual anatomy.

For this reason, it is best to approach a vasectomy as a permanent decision rather than a procedure that can simply be reversed later.

With the no-needle, no-scalpel technique, discomfort is typically minimal, and most patients can return to their regular activities within about 48 hours.

Your individual recovery may vary, and we will provide you with specific aftercare instructions to help ensure a smooth recovery.

No. A vasectomy does not affect your sex drive, ability to get or maintain an erection, orgasm, or the sensation of sex.

You will continue to ejaculate normally, and your semen will look and feel the same. The only difference is that, once the vasectomy has been confirmed effective through post-procedure testing, the semen will no longer contain sperm.

Many people report enjoying sex more without the worry of unintended pregnancy!

You have to be 21 to be eligible, but you do not have to already have children or be partnered.

Recovery & Aftercare

Pain: Most patients report minimal discomfort after a vasectomy, typically rating their pain around 1–2 out of 10 the day after the procedure. By one month, most patients report little to no pain.

It is also possible to experience occasional episodes of discomfort during the first six months after a vasectomy. We refer to these as “vasectomy aftershocks.” In most cases, these episodes are mild and resolve on their own or with over-the-counter pain medication. Most patients feel completely back to normal by the time of their 8-week semen analysis.

Activity: For the first 48 hours, avoid lifting anything heavier than a gallon of milk and avoid bending over. If you are comfortable after 48 hours, you can gradually return to normal activities. Most patients can resume exercise after approximately 72 hours, as long as they are not experiencing discomfort.

Showering: You may shower 24 hours after your procedure. Wait 5 days before taking a bath or swimming.

Sex: Wait 5 days before ejaculating. After that, if you are comfortable and not experiencing pain, you may resume sexual activity. Continue using contraception until you have received confirmation that your vasectomy is effective. Do not rely on your vasectomy as your sole method of birth control until you have been cleared by your semen analysis.

Semen Analysis: At approximately 8 weeks after your vasectomy, you will receive a semen analysis kit to provide and submit your sample. The sample will be examined under a microscope to confirm that no sperm are present. You will receive your results by email, along with confirmation when you can begin relying on your vasectomy for birth control.

Important: A vasectomy is highly effective, but no method of birth control other than complete abstinence is 100% effective. Continue using another form of contraception until you have received clearance based on your semen analysis.

You will get a semen analysis kit at our visit. 6 weeks after the procedure, you will mail a sample from privacy of your home to our clinic. The semen will be looked at under a microscope to make sure you are cleared to have sex without concern for causing a pregnancy and you will be notified of the results. 98% of people are sperm free at this time, 2% will still have sperm and if that is the case, we will repeat the analysis in 3-4 weeks to confirm there is no sperm.

When Should I Have My Semen Analysis?

The current American Urological Association (AUA) guidelines recommend the first post-vasectomy semen analysis 8–16 weeks after the procedure. We ask you to wait at least one week after your vasectomy before ejaculating to allow the area to heal, and then resume normal sexual activity with contraception, as you feel comfortable.

It is important to understand that the number of ejaculations does not determine when you are cleared. You must continue using another form of birth control until your semen analysis confirms that the vasectomy is effective.

Your semen analysis will confirm whether sperm are still present and whether you can safely rely on your vasectomy as your method of birth control.

No. A vasectomy prevents pregnancy, but it does not protect against sexually transmitted infections (STIs).

Even after your semen analysis confirms that your vasectomy is effective, you can still contract or transmit an STI. If you do not know the STI status of your sexual partner(s), condoms and regular STI testing are recommended.

At your visit, you will be given the doctor’s direct phone number so you can call or text with any questions or concerns after your procedure. We believe personalized follow-up is an important part of your care, there are no phone trees and you won’t be left wondering who to contact if you need help during your recovery.

Yes! Your gender does not determine whether a vasectomy may be right for you. Vasectomy is about anatomy, not gender.

If your body produces sperm and you want to prevent that sperm from causing a pregnancy, a vasectomy may be an appropriate birth control option for you.

Yes. Dr. Devasthali practices primary care in a way that is aligned with Health at Every Size® values. Your body size will not, by itself, prevent you from accessing vasectomy care at this clinic.

As with every patient, eligibility for the procedure depends on whether Dr. Devasthali can safely identify and access the anatomy needed to perform the vasectomy. In some cases, patients of any body size may need to be referred to another provider if the anatomy cannot be safely accessed in the office.

You will be evaluated based on your individual anatomy—not your weight or body size.