California Vasectomy
& Reversal Center
California Vasectomy & Reversal Center, 94002 BELMONT SAN MATEO 94005 BRISBANE SAN MATEO 94010 BURLINGAME SAN MATEO 94011 BURLINGAME SAN MATEO 94013 DALY CITY SAN MATEO 94014 DALY CITY SAN MATEO 94015 DALY CITY SAN MATEO 94016 DALY CITY SAN MATEO 94017 DALY CITY SAN MATEO 94018 EL GRANADA SAN MATEO 94019 HALF MOON BAY SAN MATEO 94022 LOS ALTOS SANTA CLARA 94023 LOS ALTOS SANTA CLARA 94024 LOS ALTOS SANTA CLARA 94025 MENLO PARK SAN MATEO 94026 MENLO PARK SAN MATEO 94027 ATHERTON SAN MATEO 94028 PORTOLA VALLEY SAN MATEO 94030 MILLBRAE SAN MATEO 94035 MOUNTAIN VIEW SANTA CLARA 94037 MONTARA SAN MATEO 94038 MOSS BEACH SAN MATEO 94039 MOUNTAIN VIEW SANTA CLARA 94040 MOUNTAIN VIEW SANTA CLARA 94041 MOUNTAIN VIEW SANTA CLARA 94042 MOUNTAIN VIEW SANTA CLARA 94043 MOUNTAIN VIEW SANTA CLARA 94044 PACIFICA SAN MATEO 94061 REDWOOD CITY SAN MATEO 94062 REDWOOD CITY SAN MATEO 94063 REDWOOD CITY SAN MATEO 94064 REDWOOD CITY SAN MATEO 94065 REDWOOD CITY SAN MATEO 94066 SAN BRUNO SAN MATEO 94070 SAN CARLOS SAN MATEO 94080 SOUTH SAN FRANCISCO SAN MATEO 94083 SOUTH SAN FRANCISCO SAN MATEO 94085 SUNNYVALE SANTA CLARA 94086 SUNNYVALE SANTA CLARA 94087 SUNNYVALE SANTA CLARA 94088 SUNNYVALE SANTA CLARA 94089 SUNNYVALE SANTA CLARA 94096 SAN BRUNO SAN MATEO 94098 SAN BRUNO SAN MATEO 94099 SOUTH SAN FRANCISCO SAN MATEO 94101 SAN FRANCISCO SAN FRANCISCO 94102 SAN FRANCISCO SAN FRANCISCO 94103 SAN FRANCISCO SAN FRANCISCO 94104 SAN FRANCISCO SAN FRANCISCO 94105 SAN FRANCISCO SAN FRANCISCO 94106 SAN FRANCISCO SAN FRANCISCO 94107 SAN FRANCISCO SAN FRANCISCO 94108 SAN FRANCISCO SAN FRANCISCO 94109 SAN FRANCISCO SAN FRANCISCO 94110 SAN FRANCISCO SAN FRANCISCO 94111 SAN FRANCISCO SAN FRANCISCO 94112 SAN FRANCISCO SAN FRANCISCO 94114 SAN FRANCISCO SAN FRANCISCO 94115 SAN FRANCISCO SAN FRANCISCO 94116 SAN FRANCISCO SAN FRANCISCO 94117 SAN FRANCISCO SAN FRANCISCO 94118 SAN FRANCISCO SAN FRANCISCO 94119 SAN FRANCISCO SAN FRANCISCO 94120 SAN FRANCISCO SAN FRANCISCO 94121 SAN FRANCISCO SAN FRANCISCO 94122 SAN FRANCISCO SAN FRANCISCO 94123 SAN FRANCISCO SAN FRANCISCO 94124 SAN FRANCISCO SAN FRANCISCO 94125 SAN FRANCISCO SAN FRANCISCO 94126 SAN FRANCISCO SAN FRANCISCO 94127 SAN FRANCISCO SAN FRANCISCO 94128 SAN FRANCISCO SAN MATEO 94129 SAN FRANCISCO SAN FRANCISCO 94130 SAN FRANCISCO SAN FRANCISCO 94131 SAN FRANCISCO SAN FRANCISCO 94132 SAN FRANCISCO SAN FRANCISCO 94133 SAN FRANCISCO SAN FRANCISCO 94134 SAN FRANCISCO SAN FRANCISCO 95148 SAN JOSE SANTA CLARA 95150 SAN JOSE SANTA CLARA 95151 SAN JOSE SANTA CLARA 95152 SAN JOSE SANTA CLARA 95154 SAN JOSE SANTA CLARA 95155 SAN JOSE SANTA CLARA 95156 SAN JOSE SANTA CLARA 95157 SAN JOSE SANTA CLARA 95158 SAN JOSE SANTA CLARA 95159 SAN JOSE SANTA CLARA 95161 SAN JOSE SANTA CLARA 95164 SAN JOSE SANTA CLARA 95170 SAN JOSE SANTA CLARA 95172 SAN JOSE SANTA CLARA 95173 SAN JOSE SANTA CLARA 95190 SAN JOSE SANTA CLARA 95191 SAN JOSE SANTA CLARA 95192 SAN JOSE SANTA CLARA 95194 SAN JOSE SANTA CLARA 95196 SAN JOSE SANTA CLARA 95208 STOCKTON SAN JOAQUIN 95213 STOCKTON SAN JOAQUIN 95234 HOLT SAN JOAQUIN 95304 TRACY SAN JOAQUIN 95376 TRACY SAN JOAQUIN 95377 TRACY SAN JOAQUIN 95378 TRACY SAN JOAQUIN 95391 TRACY SAN JOAQUIN 95641 ISLETON SACRAMENTO 95128 SAN JOSE SANTA CLARA 95129 SAN JOSE SANTA CLARA 95130 SAN JOSE SANTA CLARA 95131 SAN JOSE SANTA CLARA 95132 SAN JOSE SANTA CLARA 95133 SAN JOSE SANTA CLARA 95134 SAN JOSE SANTA CLARA 95135 SAN JOSE SANTA CLARA 95136 SAN JOSE SANTA CLARA 95140 MOUNT HAMILTON SANTA CLARA 	94135 SAN FRANCISCO SAN FRANCISCO 94136 SAN FRANCISCO SAN FRANCISCO 94137 SAN FRANCISCO SAN FRANCISCO 94138 SAN FRANCISCO SAN FRANCISCO 94139 SAN FRANCISCO SAN FRANCISCO 94140 SAN FRANCISCO SAN FRANCISCO 94141 SAN FRANCISCO SAN FRANCISCO 94142 SAN FRANCISCO SAN FRANCISCO 94143 SAN FRANCISCO SAN FRANCISCO 94144 SAN FRANCISCO SAN FRANCISCO 94145 SAN FRANCISCO SAN FRANCISCO 94146 SAN FRANCISCO SAN FRANCISCO 94147 SAN FRANCISCO SAN FRANCISCO 94150 SAN FRANCISCO SAN FRANCISCO 94151 SAN FRANCISCO SAN FRANCISCO 94152 SAN FRANCISCO SAN FRANCISCO 94153 SAN FRANCISCO SAN FRANCISCO 94154 SAN FRANCISCO SAN FRANCISCO 94155 SAN FRANCISCO SAN FRANCISCO 94156 SAN FRANCISCO SAN FRANCISCO 94157 SAN FRANCISCO SAN FRANCISCO 94158 SAN FRANCISCO SAN FRANCISCO 94159 SAN FRANCISCO SAN FRANCISCO 94160 SAN FRANCISCO SAN FRANCISCO 94161 SAN FRANCISCO SAN FRANCISCO 94162 SAN FRANCISCO SAN FRANCISCO 94163 SAN FRANCISCO SAN FRANCISCO 94164 SAN FRANCISCO SAN FRANCISCO 94165 SAN FRANCISCO SAN FRANCISCO 94166 SAN FRANCISCO SAN FRANCISCO 94167 SAN FRANCISCO SAN FRANCISCO 94168 SAN FRANCISCO SAN FRANCISCO 94169 SAN FRANCISCO SAN FRANCISCO 94170 SAN FRANCISCO SAN FRANCISCO 94171 SAN FRANCISCO SAN FRANCISCO 94172 SAN FRANCISCO SAN FRANCISCO 94175 SAN FRANCISCO SAN FRANCISCO 94177 SAN FRANCISCO SAN FRANCISCO 94188 SAN FRANCISCO SAN FRANCISCO 94199 SAN FRANCISCO SAN FRANCISCO 94301 PALO ALTO SANTA CLARA 94302 PALO ALTO SANTA CLARA 94303 PALO ALTO SANTA CLARA 94304 PALO ALTO SANTA CLARA 94305 STANFORD SANTA CLARA 94306 PALO ALTO SANTA CLARA 94309 PALO ALTO SANTA CLARA 94401 SAN MATEO SAN MATEO 94402 SAN MATEO SAN MATEO 94403 SAN MATEO SAN MATEO 94404 SAN MATEO SAN MATEO 94497 SAN MATEO SAN MATEO 94501 ALAMEDA ALAMEDA 94502 ALAMEDA ALAMEDA 94503 AMERICAN CANYON NAPA 94506 DANVILLE CONTRA COSTA 94507 ALAMO CONTRA COSTA 94509 ANTIOCH CONTRA COSTA 94510 BENICIA SOLANO 94511 BETHEL ISLAND CONTRA COSTA 94512 BIRDS LANDING SOLANO 94513 BRENTWOOD CONTRA COSTA 94514 BYRON CONTRA COSTA 94516 CANYON CONTRA COSTA 94517 CLAYTON CONTRA COSTA 94518 CONCORD CONTRA COSTA 94519 CONCORD CONTRA COSTA 94520 CONCORD CONTRA COSTA 94521 CONCORD CONTRA COSTA 94522 CONCORD CONTRA COSTA 94523 PLEASANT HILL CONTRA COSTA 94524 CONCORD CONTRA COSTA 94525 CROCKETT CONTRA COSTA 94526 DANVILLE CONTRA COSTA 94527 CONCORD CONTRA COSTA 94528 DIABLO CONTRA COSTA 94529 CONCORD CONTRA COSTA 94530 EL CERRITO CONTRA COSTA 94531 ANTIOCH CONTRA COSTA 94535 TRAVIS AFB SOLANO 94536 FREMONT ALAMEDA 94537 FREMONT ALAMEDA 94538 FREMONT ALAMEDA 94539 FREMONT ALAMEDA 94540 HAYWARD ALAMEDA 94541 HAYWARD ALAMEDA 94542 HAYWARD ALAMEDA 94543 HAYWARD ALAMEDA 94544 HAYWARD ALAMEDA 94545 HAYWARD ALAMEDA 94546 CASTRO VALLEY ALAMEDA 94547 HERCULES CONTRA COSTA 94548 KNIGHTSEN CONTRA COSTA 94549 LAFAYETTE CONTRA COSTA 95053 SANTA CLARA SANTA CLARA 95054 SANTA CLARA SANTA CLARA 95055 SANTA CLARA SANTA CLARA 95056 SANTA CLARA SANTA CLARA 95070 SARATOGA SANTA CLARA 95071 SARATOGA SANTA CLARA 95101 SAN JOSE SANTA CLARA 95103 SAN JOSE SANTA CLARA 95106 SAN JOSE SANTA CLARA 95108 SAN JOSE SANTA CLARA 95109 SAN JOSE SANTA CLARA 95110 SAN JOSE SANTA CLARA 95111 SAN JOSE SANTA CLARA 95112 SAN JOSE SANTA CLARA 95113 SAN JOSE SANTA CLARA 95115 SAN JOSE SANTA CLARA 95116 SAN JOSE SANTA CLARA 95117 SAN JOSE SANTA CLARA 95118 SAN JOSE SANTA CLARA 95121 SAN JOSE SANTA CLARA 95122 SAN JOSE SANTA CLARA 95124 SAN JOSE SANTA CLARA  	94550 LIVERMORE ALAMEDA 94551 LIVERMORE ALAMEDA 94552 CASTRO VALLEY ALAMEDA 94553 MARTINEZ CONTRA COSTA 94555 FREMONT ALAMEDA 94556 MORAGA CONTRA COSTA 94557 HAYWARD ALAMEDA 94560 NEWARK ALAMEDA 94561 OAKLEY CONTRA COSTA 94563 ORINDA CONTRA COSTA 94564 PINOLE CONTRA COSTA 94565 PITTSBURG CONTRA COSTA 94566 PLEASANTON ALAMEDA 94568 DUBLIN ALAMEDA 94569 PORT COSTA CONTRA COSTA 94570 MORAGA CONTRA COSTA 94571 RIO VISTA SOLANO 94572 RODEO CONTRA COSTA 94575 MORAGA CONTRA COSTA 94577 SAN LEANDRO ALAMEDA 94578 SAN LEANDRO ALAMEDA 94579 SAN LEANDRO ALAMEDA 94580 SAN LORENZO ALAMEDA 94582 SAN RAMON CONTRA COSTA 94585 SUISUN CITY SOLANO 94586 SUNOL ALAMEDA 94587 UNION CITY ALAMEDA 94588 PLEASANTON ALAMEDA 94589 VALLEJO SOLANO 94590 VALLEJO SOLANO 94591 VALLEJO SOLANO 94592 VALLEJO SOLANO 94595 WALNUT CREEK CONTRA COSTA 94596 WALNUT CREEK CONTRA COSTA 94597 WALNUT CREEK CONTRA COSTA 94598 WALNUT CREEK CONTRA COSTA 94601 OAKLAND ALAMEDA 94602 OAKLAND ALAMEDA 94603 OAKLAND ALAMEDA 94604 OAKLAND ALAMEDA 94605 OAKLAND ALAMEDA 94606 OAKLAND ALAMEDA 94607 OAKLAND ALAMEDA 94608 EMERYVILLE ALAMEDA 94609 OAKLAND ALAMEDA 94610 OAKLAND ALAMEDA 94611 OAKLAND ALAMEDA 94612 OAKLAND ALAMEDA 94613 OAKLAND ALAMEDA 94614 OAKLAND ALAMEDA 94615 OAKLAND ALAMEDA 94617 OAKLAND ALAMEDA 94618 OAKLAND ALAMEDA 94619 OAKLAND ALAMEDA 94620 PIEDMONT ALAMEDA 94621 OAKLAND ALAMEDA 94622 OAKLAND ALAMEDA 94623 OAKLAND ALAMEDA 94624 OAKLAND ALAMEDA 94625 OAKLAND ALAMEDA 94649 OAKLAND ALAMEDA 94659 OAKLAND ALAMEDA 94660 OAKLAND ALAMEDA 94661 OAKLAND ALAMEDA 94662 EMERYVILLE ALAMEDA 94666 OAKLAND ALAMEDA 94701 BERKELEY ALAMEDA 94702 BERKELEY ALAMEDA 94703 BERKELEY ALAMEDA 94704 BERKELEY ALAMEDA 94705 BERKELEY ALAMEDA 94706 ALBANY ALAMEDA 94707 BERKELEY ALAMEDA 94708 BERKELEY ALAMEDA 94709 BERKELEY ALAMEDA 94710 BERKELEY ALAMEDA 94712 BERKELEY ALAMEDA 94720 BERKELEY ALAMEDA 94801 RICHMOND CONTRA COSTA 94802 RICHMOND CONTRA COSTA 94803 EL SOBRANTE CONTRA COSTA 94804 RICHMOND CONTRA COSTA 94805 RICHMOND CONTRA COSTA 94806 SAN PABLO CONTRA COSTA 94807 RICHMOND CONTRA COSTA 94808 RICHMOND CONTRA COSTA 94820 EL SOBRANTE CONTRA COSTA 94850 RICHMOND CONTRA COSTA 94901 SAN RAFAEL MARIN 94904 GREENBRAE MARIN 94912 SAN RAFAEL MARIN 94914 KENTFIELD MARIN 94915 SAN RAFAEL MARIN 94920 BELVEDERE TIBURON MARIN 94925 CORTE MADERA MARIN 94939 LARKSPUR MARIN 94941 MILL VALLEY MARIN 94942 MILL VALLEY MARIN 94964 SAN QUENTIN MARIN 94965 SAUSALITO MARIN 94966 SAUSALITO MARIN 94976 CORTE MADERA MARIN 94977 LARKSPUR MARIN 95002 ALVISO SANTA CLARA 95008 CAMPBELL SANTA CLARA 95009 CAMPBELL SANTA CLARA 95011 CAMPBELL SANTA CLARA 95014 CUPERTINO SANTA CLARA 95015 CUPERTINO SANTA CLARA 95035 MILPITAS SANTA CLARA 95050 SANTA CLARA SANTA CLARA 95051 SANTA CLARA SANTA CLARA 95052 SANTA CLARA SANTA CLARA 95125 SAN JOSE SANTA CLARA 95126 SAN JOSE SANTA CLARA 95127 SAN JOSE SANTA CLARA
No-Scalpel
Vasectomy
What is a vasectomy?

Vasectomy is the most common form of surgical sterilization performed in the United
States.  Approximately 600,000 vasectomies are performed annually.  It is a procedure
done to surgically sterilize the male.  Once a vasectomy has been successfully
completed and the semen has been confirmed to be absent of any sperm, then the
couple can enjoy intercourse without the fear of having an unwanted pregnancy.  
Vasectomy is 99.9% successful.  
How is a vasectomy performed?

Vasectomy is usually performed in the doctor's office using a local anesthetic.  Only in
rare instances will the vasectomy have to be performed in the operating room.  
Vasectomy is performed through a small opening in the scrotal skin.  The skin is
anesthetized with a local anesthetic similar to when you have a dental procedure.  The
vas deferens, the tube carrying sperm from the testicle to the penis, is isolated.  The
vas deferens is tied usually in two locations and a small segment of the vas deferens
is cut out.  The small opening in the scrotum is then closed.  The entire procedure
takes less than 20 minutes.
    
What is a no-scalpel vasectomy (NSV)?

No-scalpel vasectomy refers to a special technique of vasectomy where the scrotal
skin is not cut with a scalpel.  Instead, a fine pair of instruments is used to create an
opening in the scrotum.  The remainder of the procedure is similar to a conventional
vasectomy.  The advantages of a no-scalpel vasectomy have been reported to be
decreased pain at the vasectomy site and decreased chances of bleeding.  There is a
big psychological advantage to the patient knowing that a scalpel will not be used.  
Most male reproductive surgeons are well trained to perform this type of procedure.

The following video is a full length unedited video of a NSV procedure performed at the
California Vasectomy & Reversal Center by Dr Edward Karpman.  
What is a no-needle vasectomy (NNV)?

No-needle vasectomy refers to a technique of performing vasectomy where the local
anesthetic is delivered through a jet anesthetic device avoiding the use of a needle.  
This device delivers the same type of anesthetic that a regular vasectomy receives.  
The transient discomfort of placing a needle into the scrotal skin is alleviated.
Vasectomy Procedure and Frequently Asked Questions
How long is the recovery after a vasectomy?

Usually, the recovery after vasectomy is very short.  Oftentimes your physician will
recommend light activity for 1-3 days after the procedure.  Most people are able to
return to work the next day, especially if they have a sedentary job.  Some people prefer
to have the procedure performed on a Friday and rest throughout the weekend.
Will my vasectomy be covered by my insurance?

Most insurance companies will cover the total or partial costs of a vasectomy.  It is
cheaper for the insurance company to pay for the vasectomy than it is to pay for another
pregnancy.  Even if your insurance carrier does not cover the costs of a vasectomy,
most male reproductive surgeons will perform this procedure for under $1000.  
Considering the cost to raise a child per year is approximately $10,000, vasectomy is a
very affordable option.  
What are the alternatives to vasectomy?

There are many different options for male contraception, however, none of them are as
reliable as a vasectomy.  Unfortunately, a reliable male contraceptive pill is not
available.  A couple can choose to use condoms.  These come in various sizes and
sexually transmitted diseases.  Condoms can break and they must be applied every
time prior to intercourse.  Many men report decreased satisfaction during sexual
intercourse when they wear a condom.  Also, care must be taken not to use a latex
condom in couples who have latex allergies.  The "withdrawal" method/coitus
interruptus or the timing method are other techniques used to prevent pregnancy.  
These techniques are not reliable and are associated with unacceptable pregnancy
rates.  

Female contraception includes birth control pills, spermicides, sponges, intra-uterine
devices, implantable hormone pellets, and tubal ligation.  Birth control pills and
implantable hormone pellets are reliable forms of contraception but increase the
woman's risk of multiple medical problems such blood clots and cancer.  Spermicides
and sponges can be irritating to both the male and female partners.  Intra-uterine
devices can migrate out of position and require a small office procedure to place them
by a physician.  Tubal ligation is an operation that must be done under general
anesthesia and requires abdominal surgery.
        
Should I freeze sperm (cryopreserve) prior to my vasectomy?

Most people who wish to have a vasectomy are sure that they do not want to have any
more children in the future.  Any doubts about their decision to have a vasectomy can
be alleviated by knowing that they have two very important options.  The first is to freeze
some sperm prior to the vasectomy.  This can be arranged by your physician.  Sperm
can be frozen for many years.  The latest successful pregnancy after using frozen
sperm is 28 years.  The other option is to have a vasectomy reversal.  This procedure
surgeon.  Vasectomy reversal has been successfully accomplished up to 30 years
after a vasectomy.
 
How soon can I have unprotected intercourse after my vasectomy?

Normally, your physician will require proof that your vasectomy is successful prior to
authorizing unprotected intercourse.  This is usually determined by demonstrating two
semen samples without any sperm.  It can take up to 24 ejaculates to clear all of the
sperm downstream from the vasectomy site.  Your physician will arrange the timing for
your semen analysis.  It is important to remember that vasectomy does not protect you
from sexually transmitted diseases.  Other precautions are required in these situations.
Dr Karpman answers hundreds
of patient's questions about
vasectomy and vasectomy
reversal on:  
www.vasectomy-information.com
Visit this site to see if your
question has been answered.
Vasectomy - Healing picture Day 1
Vasectomy - Healing picture Day 2
Vasectomy - Healing picture Day 3
Vasectomy Picture - Healing Day 4
Vasectomy incision pictures

The following pictures demonstrate the general healing process immediately after the
the vasectomy.  Dr Karpman uses a No-Scalpel Technique with tiny "keyhole"
openings through which the procedure is performed.  Typically, maximal swelling is
seen 48-72 hours after the procedure and maximal bruising is seen 4-5 days after the
procedure.
Vasectomy Picture - Healing Day 5
Day 1

Pictures immediately after vasectomy
procedure.  Two small openings performed
high on the scrotum using a no-scalpel
vasectomy technique.
Day 2

Incisions are clean and dry.  Minimal
swelling, no bruising.
Day 3

Maximal swelling is seen approximately
48 hours after the procedure.  Minimal
swelling is seen in these pictures.  Slight
bruising is seen above the left incision on
the left photo which is normal.
Day 4

The swelling usually begins to subside at
this point.  Incisions have two small
scabs.  Bruising seen over the left incision
is not progressing.
Day 5

Swelling has completely subsided.  
Maximal bruising is usually seen at this
point after the vasectomy.  The bruising
remains small and confined to just above
the left incision.
Immediate post operative pictures after vasectomy, scroll down below
Vasectomy pictures healing bruising scars day 1
Vasectomy pictures healing bruising scars day 2
Vasectomy pictures healing bruising scars day 3
Vasectomy pictures healing bruising scars day 4
Vasectomy pictures healing bruising scars day 5
Video of No Scalpel Vasectomy, unedited