We recommend the following: 

• Day of procedure: Following the procedure, take it very easy on the couch, bed, or recliner. Relax! Take acetaminophen (Tylenol), 1000 mg every 6 hours for pain. If that isn’t strong enough, then take Ibuprofen (Advil) 600-800 mg every 6 hours for pain.
• Day following the procedure: You may walk and drive as much as you like, but no sports, yard work, swimming, or heavy lifting. If your job is sedentary (like office work), you may return to work.
• Second day following the procedure: You may return to more strenuous work and exercise. When the discomfort is resolved, you can return to normal activity and exercise. This is generally within 3-4 days.
• Use your compression shorts full time for the first 2 days and for the first week when you’re physically active. 
• Resume ejaculation (sex or masturbation) in one week.
• Bathing: It’s OK to shower anytime, but don’t soak in water (bath, pool, hot tub) for the first 2 days. 

Call or text Dr. Tonozzi at (970)404-4885 for the following:

• Uncontrolled bleeding (a spot of blood on the gauze is normal).
• Swelling that doubles the size of the scrotum.
• Signs of infection like increasing tenderness, redness, fever, aches.
• Uncontrolled pain despite using the maximum dose of ibuprofen and acetaminophen.

Bruising on the thighs, scrotum, penis or lower belly is normal. Blood in your semen with your first ejaculations is normal. 

Keep using birth control for 2 months until you have successful semen testing. We recommend that two months after your vasectomy, you do a home semen analysis using “SpermCheck Vasectomy”.  You can order it on Amazon using this LINK. If you have two “low count” results, you can stop using other forms of birth control. If it is “high count”, repeat the SpermCheck one month later.  If it is still “high count”, then please contact Dr. Tonozzi to make a plan.