Vasectomy in Centurion
Permanent Male Contraception
A vasectomy is a permanent form of male contraception designed for men who are certain they do not want any more children. The procedure prevents sperm from being added to the semen, making pregnancy highly unlikely while leaving hormone production, sexual performance, erections, ejaculation, and libido unchanged.
At Reproductive Choices SA, vasectomies are performed under local anaesthetic by Dr Manyane (PR 0184047), a reproductive health specialist from a major local hospital who works exclusively in theatre. The procedure is carried out in a professional clinical environment with counselling, theatre care, and recovery included.
Why Men Choose a Vasectomy
Many men choose permanent contraception when their families are complete and they no longer wish to rely on temporary contraceptive methods. Others prefer a solution that removes the ongoing responsibility of contraception while allowing them to continue enjoying a normal sex life.
A vasectomy is considered a permanent decision and should only be chosen if you are certain you do not want biological children in the future. Counselling is provided before the procedure to ensure you are comfortable with your decision and understand the long-term nature of treatment.
What Happens On The Day?
No prior consultation is required.
When you arrive at the clinic, you will first meet with a healthcare professional for counselling. This allows you to ask questions, discuss the procedure, and ensure that you are fully informed before proceeding.
Following counselling, you will be taken to theatre where the procedure itself takes approximately 10 to 15 minutes. Once completed, you will recover in a comfortable recovery room and enjoy refreshments before being discharged home.
The total time spent at the clinic is approximately 2 hours.
Preparing For Your Appointment
Before attending your appointment:
- Eat breakfast before arriving.
- Shave the scrotal area.
- Wear firm, supportive underwear.
- Arrange transport home if you live far from Centurion or drive a manual vehicle.
Recovery After A Vasectomy
Recovery is one of the most important parts of a successful outcome.
Patients must observe strict bed rest for 7 days following the procedure and use ice packs continuously during this period to reduce swelling and discomfort. Firm supportive underwear should be worn to provide additional comfort and support.
Most men return to normal work after approximately 7 days, although patients performing heavy physical labour should discuss this with clinic staff before returning to work.
To allow proper healing:
- No sexual activity for 14 days.
- No exercise, sport, or strenuous activity for at least 21 days.
- Keep the wound clean and dry.
- Clean the area only with alcohol swabs.
- Do not apply creams, powders, or antiseptic solutions.
Mild swelling, bruising, and tenderness are common and usually settle over time. If you develop excessive swelling, bleeding, fever, increasing pain, redness, or signs of infection, contact the clinic immediately.
When Does The Vasectomy Start Working?
A vasectomy is not effective immediately.
Sperm may remain in the reproductive system for several weeks after the procedure. For this reason, you must continue using reliable contraception until a sperm analysis confirms that no sperm are present.
Approximately three months after the procedure, a sperm test must be performed to confirm success. This test can be done through Lancet Laboratories and currently costs approximately R400. The cost of the laboratory test is not included in the procedure fee.
Until you receive confirmation that your sperm count is clear, you should continue using another form of contraception. Remember, it only takes one sperm to cause a pregnancy.
Does A Vasectomy Affect Sexual Performance?
No.
A vasectomy does not affect testosterone production, erections, ejaculation, sexual desire, masculinity, or sexual performance. The testicles continue to produce hormones normally and most men notice no difference in sexual function after recovery.
Vasectomy Appointments In Centurion
Reproductive Choices SA offers weekly vasectomy appointments in Centurion.
Our doctor-led approach ensures that every patient receives counselling, theatre-based treatment, professional aftercare, and clear follow-up instructions in a confidential and supportive environment.
To book an appointment, contact Reproductive Choices SA today.
Frequently Asked Questions
Is a vasectomy permanent?
Yes. A vasectomy should be considered a permanent form of contraception and is intended for men who are certain they do not want children in the future.
Will a vasectomy affect my sex life?
No. A vasectomy does not affect erections, ejaculation, testosterone levels, libido, masculinity, or sexual performance.
Is the procedure painful?
The procedure is performed under local anaesthetic to keep you comfortable. Most men experience only mild discomfort during recovery.
How long does the procedure take?
The procedure itself takes approximately 10 to 15 minutes. However, you should allow around 2 hours at the clinic for counselling, theatre time, recovery, and refreshments before discharge.
Do I need a consultation before booking?
No. Reproductive Choices SA offers direct bookings for vasectomy procedures. Counselling is provided on the day of the procedure before treatment begins.
How long do I need to rest afterwards?
Strict bed rest is required for 7 days following the procedure. Ice packs and supportive underwear are strongly recommended during recovery.
When can I return to work?
Most men return to normal work after approximately 7 days. If your work involves heavy physical labour, please discuss this with the clinic before returning.
When can I have sex again?
Sexual activity should be avoided for 14 days after the procedure to allow proper healing.
When can I exercise or play sport?
Exercise, gym training, running, cycling, and sporting activities should be avoided for at least 21 days after the procedure.
Does a vasectomy work immediately?
No. Sperm may still be present in the reproductive tract for several weeks after the procedure. Alternative contraception must be used until a sperm test confirms sterility.
Do I need a sperm test afterwards?
Yes. A sperm analysis is required approximately 3 months after the procedure to confirm that no sperm remain. This test can be performed at Lancet Laboratories and is not included in the procedure fee.
Does a vasectomy protect against HIV or sexually transmitted infections?
No. A vasectomy prevents pregnancy but does not protect against HIV, AIDS, or other sexually transmitted infections. Condoms should still be used when protection against infections is required.
Who performs the procedure?
Vasectomies at Reproductive Choices SA are performed by Dr Manyane (PR 0184047), a reproductive health specialist from a major local hospital who works exclusively in theatre.

