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Finally, there is the "dementia connection". There is a certain rather obscure form of dementia called Primary Progressive Aphasia (PPA), that ends up with the individuals having trouble remembering and understanding words. One researcher, Sandra Weintraub, first posited this potential connection. However, the contrasting argument is simply this: millions of vasectomies have been done through the world, especially in China, and there is simply not an army of men walking around with PPA. Again, though, it may be something to research if you are concerned.
One other side effect that doctors frequently do not inform their patients about is what's called congestive epididymitis. Basically, after a vasectomy, the sperm is trapped in the epididymitis where it is reabsorbed into the body. If sperm becomes "backed up", especially in (very lucky) men who have a lot of sex or produce a lot of sperm, scientists call this "congestive epididymitis" and it can cause some pain and discomfort to be sure. In fact, it can even rupture in some cases.
Here's my final shocker: some guys actually regrow the tube back together - yes, like a lizard's tail - and start pushing out sperm again. It is very unlikely, but is almost impossible to detect since it could happen in six months or in twenty years. Urologists call this "recanalization" or "spontaneous connection of the vasa defentia", which is medical name for the thing that your doctor took a big slice out of.
However, if those concerns all seem low risk and minor to you, especially compared to the benefits, you may want to go ahead. The procedure itself is relatively simple. Probably the most painful thing is the initial anasthetic, which is like a bee sting into the testicle area and usually repeated in the middle of the procedure. The post-operative pain is relatively minor, assuming you don't have to drive yourself home or have one of the kids welcome you home with a diving hug.
What might seem the worst part of it all for some guys is to go without sex for seven to ten days. However, that's just about the time that you feel like having sex, so that works out perfectly. (This is to avoid the "congestive epididymitis" mentioned above.) Most guys can even return to work after two to three days.
The decision is yours.
1) J of Urology, Dec 1995, 154(6):2065-2069
2) Intl J Andrology, 1987, 10:471-479
4) Br J Cancer, 1988 March, 57(3): 326–331, "Vasectomy, cigarette smoking, and age at first sexual intercourse as risk factors for prostate cancer in middle-aged men"
5) Fertil Steril, 1988 Feb, 49(2):309-15, "Annual variation in semen characteristics and plasma hormone levels in men undergoing vasectomy"
6) Fertil Steril, 1976 Feb, 27(2):144-51, "An investigation of plasma hormone levels before and after vasectomy"
7) Fertil Steril, 1975 Apr, 26(4):329-30, "Plasma testosterone, luteinizing hormone, and follicle-stimulating hormone after vasectomy"
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