ArticleAndrology2025
Associations of vasectomy with sexual dysfunctions and the sex life of middle-aged men.
Article in Andrology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- History of Vasectomy Is not Associated With Prostate Cancer Progression in Men on Active Surveillance.The Prostate · 2025Article
- Associations of vasectomy with sexual dysfunctions and the sex life of middle-aged men.Andrology · 2025Article
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundVasectomy is a safe and effective form of contraception. However, fear of altered sexual function is still associated with vasectomy in many men.
objectivesTo assess the prevalence of vasectomy among middle-aged men in Germany and to investigate possible associations between a previous vasectomy and sexual dysfunctions.
methodsData on lifestyle, sexual activity, satisfaction, and dysfunction from 5425 middle-aged, heterosexual men were collected. Differences between vasectomized (VM) and non-vasectomized men (NVM) were assessed. Multiple logistic regression analyses were calculated to determine variables associated with erectile dysfunction (ED), premature ejaculation (PE), and low libido.
results5425 men with a mean age of 50.6 ± 0.8 years were included in this analysis. Vasectomy was performed in 12.5% (679/5425) on average 8.6 ± 5.8 years ago. 84.4% were sexually active in the last 3 months (93.0% in vasectomized men vs. 83.2% in non-vasectomized men; p < 0.001), and 45.4% were satisfied with their sexual life (55.2% in vasectomized men vs. 44.0% in non-vasectomized men; p < 0.001). The prevalence of erectile dysfunction was significantly lower in vasectomized men (12.1% vs. 20.1%; p < 0.001), and a previous vasectomy was associated with a decreased risk for erectile dysfunction in multivariable regression analysis (OR: 0.65 [0.40-0.83]). The prevalence of low libido (4.7% in vasectomized men vs. 7.1% in non-vasectomized men; p = 0.02) was marginally higher among non-vasectomized men. The prevalence of premature ejaculation (7.1% in vasectomized men vs. 6.1% in non-vasectomized men, p = 0.5) did not differ significantly between vasectomized and non-vasectomized men. DISCUSSION: A previous vasectomy is not associated with an increased risk for sexual dysfunction, and vasectomized middle-aged men are more sexually active and satisfied compared to their non-vasectomized counterparts. The main limitations are the retrospective design and missing pre-vasectomy data.
conclusionsMen can be reassured that the fear of sexual dysfunctions and diminished sex life after a vasectomy is unwarranted.
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