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Vasectomy and Low Testosterone — A Connection You Wouldn’t Expect

vasectomy and low testosterone

A vasectomy is a surgical procedure for male sterilization and permanent contraception that you might be considering once you’ve made up your mind you want no more children (or no children in the first place).

While surgical reversal is possible in some cases, it’s not a guaranteed result—if you’re thinking about getting a vasectomy, you should be very, very sure you are done “making babies.”

It’s a life altering procedure in terms of reproduction, but does it also alter testosterone production? Does having a vasectomy mean you should look into testosterone replacement therapy? Is there a connection between vasectomy and low testosterone?


Vasectomy and Low Testosterone — An Unlikely Connection

While a vasectomy is indeed a life altering procedure in the reproductive sense, it shouldn’t be a life altering procedure in the day to day sense. After recovery, you shouldn’t feel any different or notice any overwhelming changes in your body.

While there are reports of chronic testicular pain by a very small percentage of men, the overwhelming majority of men who have a vasectomy notice no difference at all, including during sexual activities.

Interestingly, it seems that vasectomy and low testosterone are linked in a way you wouldn’t expect—testosterone replacement therapy can actually help alleviate the chronic testicular pain we mentioned above (click here to read the study).

Testosterone production should likewise be unaffected by a vasectomy—the medical literature has mostly shown that vasectomy and low testosterone are unrelated. The large bulk of the research done to link vasectomy and low testosterone production has shown that, in fact, a very small increase in testosterone following a vasectomy is not uncommon (you can read more about of few of the studies into vasectomy and low testosterone here and here .)

Unfortunately, much of this research was done 20 or more years ago—recent research has mostly been in animal production of testosterone following vasectomy. While there is nothing wrong per se with the testosterone findings of the research, these studies were done at a time when prostate cancer and testosterone were still erroneously “linked”, and some of these studies suggest this. We know now that very little evidence links testosterone replacement therapy and prostate cancer. Click here to read more about testosterone replacement therapy and prostate cancer.

Still, our clinical experience has shown that vasectomy and low testosterone may be linked—vasectomy, or it’s subsequent complication, could possibly cause low testosterone. We have seen multiple patients who have noticed some of the symptoms of low testosterone after a vasectomy.

Vasectomy and Low Testosterone — Symptoms to Watch For

Most research has shown that vasectomies have little to no impact on long-term (up to twenty five years) hormone production.

So, with that in mind, testosterone replacement therapy is not directly tied to vasectomy, in a general sense. However, this does not mean that your testosterone levels can’t drop for other reasons.

Although it is quite unlikely that your testosterone levels will drop because of a vasectomy, based on our clinical experience, we would say it is a possibility.

We recommend that you pay close attention to your body after a vasectomy. Here are just some of the symptoms of low testosterone you should keep an eye out for:

  • fatigue
  • decreased sex drive
  • difficulty concentrating
  • less effective results from diet and exercise

These and other noticeable differences can be symptomatic of low testosterone, or hypogonadism, a very treatable condition. While vasectomy and low testosterone symptoms are most likely not linked, if their presence arises after having the surgical procedure done, you have options available—that’s where testosterone replacement therapy comes into play.

Low Testosterone Doesn’t Have To Hold You Back

If you feel like you’re lagging behind your normal pace in life, like you’re not up to your own previous standards in the bedroom, or you simply are not feeling the way you want to, it may be low testosterone.

While it probably has not been brought on directly by a vasectomy, and could be purely coincidental in terms of timing, it’s possible.

Click here to contact us for a free consultation. Don’t let your symptoms go untreated any longer than they have to be.



T Steele


  1. Bruce on 09/16/2016 at 11:11 am

    Thank you for you information! My testosterone level was 380 11 years ago. I had a vasectomy 1 year ago my testosterone level was 350 When I had the procedure. My testosterone level is now 213. I believe there is a big link with low testosterone and vasectomy’s.

    • Ubaldo on 04/25/2017 at 3:26 pm

      Yes me to in the last four years been in replacement therapy, after surgery is been lower and lowered

    • M Todd on 10/09/2017 at 10:00 am

      Hi have suffered with partial hypogonadism, and since my vasectomy in July this year I am suffereing with fatigue difficulty concentrating less effective results from exercise, in fact a huge decline in performance something s very odd.

  2. Tom on 09/29/2016 at 3:51 pm

    I’m aged 45 and had a vasectomy six years ago after our fourth child. I have gone from running 5 miles 3-4 days a week plus biking to no exercise and low energy. Additionally, my sex drive fell off and now have issues with ED and low mood. Two months ago I had my T tested and it came back as 160. So for me, there has been a change following my vasectomy.

    • CDog on 01/23/2017 at 12:49 pm

      eh…i had a vasectomy over 16 years ago. i am aged 50, and up until the last few years, i really have had indications of low t. i have not been tested, but now just recently, i am feeling the crunch. i would suspect that that your symptoms are age related versus the effects of the surgical procedure. between ages 30 and 50 a man’s t levels drop 50%. that’s significant. i would be suspicious of any suggested ‘links’ to the two.

      i have lacked the ability to motivate myself to run the ‘extra’ mile, and have even skipped days for no other reason than just didn’t feel like going. on the other hand, i still have no prob with being physically able to perform physically in intimate moments.

  3. michael on 02/01/2017 at 8:26 am

    I am a 51 year old MD. I had a vasectomy at 43, and within 6 weeks noticed a marked decline in libido. I attributed it to very mild pain in one testicle. My sex drive never returned, though I have never found any evidence that it could be attributed to the vasectomy. I just got my testosterone levels drawn for the first time. 116. I wouldn’t rule out coincidence, but I would caution a friend about vasectomy. (To be fair, other friends have said vasectomy really improved their sex life.)

    • Augie Galindo on 02/06/2017 at 6:59 pm


      Excellent point, sir. Unfortunately, I have little to no expectation that a legitimate study into this relationship will ever be done. Call me a cynic, but unless there is substantial money to be made off of the results of any given study, no one seems to be willing to fund them.

      Best regards,
      Augie Galindo MPAS, PA-C
      Testosterone Centers of Texas | Founding Partner

  4. J on 02/23/2017 at 8:05 am

    I had a vasectomy at 45. Within a few months I had ED, and noticeable fatigue.
    I did have pain in the testicles for awhile during intercourse but of course I have none now.
    My wife is pretty depressed our seclude has gone to zero.
    I’m hoping for a big improvement when I get the testosterone shots.
    I feel like suing the doctor or having him do a reversal to try to restart testosterone production.

    • Augie Galindo on 02/24/2017 at 2:10 pm


      I understand how frustrating that must me. Unfortunately, however, a reversal is extremely unlikely to improve things either. Best of luck with TRT.

      Best regards,
      Augie Galindo MPAS, PA-C
      Testosterone Centers of Texas | Founding Partner

  5. Tyrell on 03/03/2017 at 9:30 pm

    I am 6 hours out from having a vasectomy. I am 32 and a father of 4. I questioned recently if my T levels have dropped because of recent decreased interest in sex and also increased fatigue. Once i heal up i may ask the doctor to check my levels.

  6. Mike on 03/05/2017 at 10:49 pm

    I had a vasectomy at age 30 within six months I had all the symptoms of low testosterone. Then got it checked and was diagnosed low testosterone. Doctor started me on replacement hormone. Being so young I didn’t want to be on this for the rest of my life and was already starting to experience side effects.

    So I had a vasectomy reversal after many years of battling low testosterone and its effects. Two weeks after my reversal I have my testosterone levels checked and they were up 200%. I do believe that the vasectomy had an impact on my testosterone levels.

    • Manuel on 07/29/2017 at 12:09 pm

      Mike thanks for your comment.

      I had the vesectomy 6 months ago. I was already diagnosed with low testosterone now I do not know whether to initiate hormone replacement therapy or make me the reversion.

      What do you advise me? Im 29 yeras old

      • Augie Galindo on 08/03/2017 at 4:46 pm


        Reversion is highly unlikely to increase testosterone production.

        Best regards,
        Augie Galindo MPAS, PA-C
        Testosterone Centers of Texas | Founding Partner

  7. R.C. on 03/20/2017 at 6:09 pm

    I just turned 50 years old, and have 5 children. Two years ago I had a vasectomy done and ask the doctor if this was going to have a negative effect on my T levels; of course, he said no. Seeing things retrospectively and reading all the comments in this page, since my vasectomy, I have suffered a decrease desire of having sex, low energy, doesn’t matter how much I work out my body doesn’t show it, and now I’m really suffering from ED. All these things have had a toll in my self esteem and manhood. I’m not a doctor but, if you ask me, Low T is a side effect of having a vasectomy done to you.

  8. dar on 06/06/2017 at 6:46 pm

    I am 31, I had a vasectomy when I was about 20, and am only recently feeling like I may be experiencing low T. I’m uncertain if my previous lifestyle of heavy exercise upwards of 6 days a week and some 2 a days, up till a few years ago (took some natural test-boosters aswell) has any affect, age, or vasectomy is a likely cause. but a great deal of these symptoms are prominent, the idea of sex or intimacy feels like so much work with no pay off, when my wife gets close I feel more agitated and stressed than anything. i try to get into exercise but spend all my energy just trying to get going and most of my day to day living just feels frustrating.

    I am planning on seeing a dr soon about it but this was a great article to think about

  9. Anonymous on 09/29/2017 at 11:34 am

    I had a vasectomy 16 years ago at age 22. Within the last 3 years I have had trouble maintaining an erection. I haven’t been tested for low T, but in the last 6 months I have been constantly tired and always feeling drained. After reading this article I may need to go get my T tested.

  10. Danny on 10/09/2017 at 12:23 pm

    I am 66, had a vasectomy at 50 when my last child was born. I noticed a precipitously decline in all facets related to T. I now have hypogonadism, ED, no libido. After 6 yrs of T therapy at $500/mo, I am much better. I regret ever having surgery!!!

  11. Nils on 10/28/2017 at 7:38 am

    Hi, agree with all the articles, had a vasectomy at 39 and have suffered from when 47 with low T. Now I have T pellets inserted every 6 month if not the cialis will make no difference. Do not thank a chance with a vasectomy that would be my advise. Balls shrinks

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