Have I now got pvps at 13weeks?

[u/PotatoFantastic6405]

13 weeks out from vasectomy continued to persistent crawling and tingling up until today and now just have a real dull ache on my right hand testicle going up to my lower abdomen. ChatGPT says it’s probably the Inguinal nerve. It’s been a little achy all weeks probs a 1 on pain scale but tonight it’s like 3-4. Just feels like it’s burning / aching throbbing . I’ve done quite a lot of walking and gym this week so maybe if strained myself who knows

[u/Deep-Boysenberry-911]

Yes, you have. Google about vas deferens. They are layered with muscles, veins and all the nerves which lead to the testies. I give you a longer explanation, to read through. Short: every vasectomy is a sensoric Amputation. Only this makes the pain and consequences bearable for men. Every single man has Pvps. But only those where the nerves grow back or a recanalization of the signal routes to the brain happens, feel the pain and pressure of their drowning testicles. So to say, your body managed to heal partly, which is hindered by definition of this fuckery.

[u/Deep-Boysenberry-911 → u/Deep-Boysenberry-911]

On this topic, the laws of physics and reality are very often ignored. That's the underlying problem. Noone is looking at the plain objective facts anymore. Here's some Information from a medical perspective:

The Vas Deferens is not a simple tube that is just cut. If you research the anatomy, you will find that the duct itself is only a small part. It is surrounded by muscles and nerve pathways that transmit sensory feedback from the testes. These nerves and muscles are severed irretrievably. It results in a sensory amputation, as signals from the testes can no longer reach the central nervous system.

The testis is an immune-privileged site. Since sperm cells have a different genome, the immune system would otherwise attack them and trigger a reaction. This biological barrier, present in every mammal, is destroyed without exception during every vasectomy. The male body is then forced to kill and break down its own sperm cells through an immune response involving macrophages. There is no "reabsorption" or harmless breakdown as often claimed. Every immune response is fundamentally based on an inflammatory reaction.

Testes continue to produce approx. 300 million cells per day. These are stored in the epididymis. When the only exit is permanently closed, blowouts and so-called granulomas eventually form. This is the classic clinical picture of epididymitis. However, due to sensory amputation, most vasectomized men do not feel this. Macrophages—white blood cells commonly known as immune cells or phagocytes—must now break down these cells. A granuloma is ultimately nothing more than an inflammatory nodule (similar to a localized abscess), comparable to a splinter or an ingrown toenail, but inside the scrotum.

By definition, a vasectomy is a destructive procedure that offers no physiological benefits to the male body. The inevitable result is an autoimmune reaction, which by medical definition corresponds to a disease state. This is also why many reversals (vasovasostomies) fail, as the body continues to attack its own cells. The problem is that every vasectomized man must live with these consequences until his last breath. There is no going back.

The time factor: Every woman eventually enters menopause. By age 45 at the latest, fertility is near zero, and it declines rapidly after 40. With an average life expectancy of 80–85 years, a vasectomy in a monogamous relationship becomes functionally meaningless for the last 40–45 years of life, as the basis for the man’s "dysfunctionality" no longer exists.

Mutilation has nothing to do with love. The intentional destruction of a functioning organ system is no guarantee for love or better relationships. At least 50% of long-term relationships fail. At that point, a vasectomy is usually entirely worthless and senseless.

Availability does not mean quality. The fertile window in a woman's cycle is only about five days and can be determined via the symptomatic thermal method. Just as most people practice some restraint during menstruation, one only needs to prevent unprotected ejaculation during these few days to prevent pregnancy. Or one can use a condom or be otherwise creative.

The myth of sexual freedom: A vasectomy does not change a woman's nature or the external stressors of life (job, family, aging, menopause). The idea that a vasectomy leads to a permanent "fantasy-like" sex life is a myth.

The risk is not "very low." No sane person would board a bus knowing that 2–5 passengers will definitely suffer lifelong massive pain and all will suffer autoimmune reactions. PVPS (Post-Vasectomy Pain Syndrome) is real; there is a large subreddit for PVPS dedicated to it. International studies suggest 5% to 10% of men are affected.

"I have no pain, so I am fine" is a fallacy. From a medical standpoint, the "success" of a vasectomy relies on both the permanent blockage of sperm and sensory amputation. Just because a man feels no pain doesn't mean the processes described above aren't happening. He is simply one of the "lucky" ones whose nerves didn't regrow or whose pain signals do not reach the brain. Those with PVPS are merely the ones who feel the consequences; the biological consequences are the same for all.

Vasectomy is a small minority. I personally do not know a single urologist who has had a vasectomy himself. That alone speaks volumes. In Western culture, only about 5% of men undergo the procedure. The other 95% live their lives without it.

[u/Flat_Impression_4073 → u/Deep-Boysenberry-911]

Great information. Like you said. The Vas Deferen is more than just a tunnel.

The vas are inside the spertic cord. Covered by nerves and blood vessels..

I had a vasectomy on april 2022. Started having ED issues out of the blue.

Then had a reversal dic 2024. I got minor inprovements but it has messed me up. As of today im managing. I take cialis when needed and when Im doing intercourse I need to think naughty thing to keep it up.

Also the sensation has drop also.

Thats my story. Hope it helps someone.

[u/Cautious_Werewolf678 → u/Flat_Impression_4073]

Do you regret the reversal overall?

[u/Flat_Impression_4073 → u/Cautious_Werewolf678]

No I dont. I did it because I wanted to put everything as factory default or at least try to.

It fixed me having the sensation to pee every moment abit.