Use another form of birth control until 2 sperm samples show that there is no more sperm in the ejaculate. This usually takes 3 or 4 months to happen. I recommend taking in your first sample after 3 months. The second sample should be taken 1 month after the first one. If both samples show no sperm, it is safe to have sex without using other forms of contraception.
Pain after a vasectomy is almost always due to any swelling that has occurred.
To prevent swelling:
- Apply ice or a bag of frozen peas for at least 15 minutes three times daily for 3 or 4 days… more often is better, especially on the first day.
- Wear tight underwear or a jock strap for 1 week if it feels more comfortable to do so. Avoid wearing tight pants.
- Advil (Ibuprofen) is an anti-inflammatory pill which means that it shrinks swelling. I recommend using Advil only if you have any discomfort following your surgery. It does not require a prescription and 400 mg should be taken three times daily for several days. Taking only a few doesn’t work as well as taking it three times daily. Don’t use Tylenol - it doesn’t reduce swelling.