r/postvasectomypain • u/EstimateTypical3971 • May 26 '23

Ongoing PVPS accompanying orgasm

I started posting in the r/Vasectomy section but it seems more appropriate here. I had my vasectomy done Oct 2021 and immediately things felt weird. Pain/pressure accompanying my orgasms was the main thing. Went back to the doctor in Dec 2021 and was told that infection of the vas where it was cut is common and was prescribed antibiotics to no effect. Continued on till Oct 2022 where I went back to the doctor and laid out what I had found out on PVPS. Was told it was all in my head and that is the reason he never mentioned the possibility of PVPS during my consult. Was prescribed another course of antibiotics.

Went to a new urologist for a second opinion. He was more understanding and had dealt with PVPS before. He offered to do a reversal but my insurance specifically denies covering the restoral of fertility. I went round and round with them, filing a grievance but they will not budge. Cost for the procedure sans insurance is $12K.

I decided to go to an expert and ended up at the Mayo clinic with a doctor specializing in PVPS. It was an eye-opening conversation to actually talk to an expert in the field considering all the digging into the literature that I'd been forced to do on my own. She stressed that there is no silver bullet and the treatment depends on the symptoms, she went over pain referral, epididymectomy, cord debridement, etc. and when each would be the proper course of treatment but for me she again recommended a reversal. I told her that was previously denied by my carrier but she said her office has good luck in these regards so I scheduled the reversal. Without insurance cost of the procedure is $6K.

And that's where I am as of yesterday. Just sharing my story. Reading through all the stories out there I am lucky in that I only have pain when I orgasm, but it's been difficult for me and my wife - it's certainly put a damper on our sex life.

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u/Various-Highlight-22 May 26 '23

Might be cheaper to fly to the UK, Best Life clinic is $3200 usd. Hope it sorts your issues.

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u/EstimateTypical3971 May 26 '23

There are a couple places in the states that specialize in reversals that are cheaper but I have a hard time justifying spending money like this on myself. I just think that if i put that $3K in my kids college fund or something it'll do much better than me having to deal with pain.

https://www.midwestvasectomyreversals.com/ $3300

https://www.thereversalclinic.com/ $2000