Hello,

I write this post to share information on these two subjects. What you are about to read is purely informational/educational. I don't ever try to convince anyone to do anything, still, I believe people should know things like this. Especially nowadays, when disinformation reigns and people have an opinion on everything.

Let's begin with a vasectomy. It's a medical procedure resulting in permanent inability to father children after seminal ducts are cleared of any remaining spermatozoa (which can take up to 3 months in some cases). It's the only contraception method with a 100% success rate and is, by all means, irreversible (except for rare cases in which reversal procedure somehow does the trick).

This 100% success rate comes from the fact that after performing the procedure properly (more later) there's no way for spermatozoa to get from epididymitis (testicle) to ejaculate. So after any remaining cells get ejaculated or simply die from the passage of time, no new cells will find their way to exit given man's body.

Irreversibility comes down to benign autoimmune response which is the only way to get rid of spermatozoa once their normal way out is closed. Just like in the case of testicular torsion, once such immune response occurs it never stops (unless someone has any kind of immune system dysfunction). So, after the response starts, even performing reconnection of vas deferens has very low chances of bringing the fertility back.

How does it look like?

  1. You schedule an appointment with a doctor.

  2. You go to the doctor's office.

  3. You go through the procedure.

  4. Typically you can go home right after it's finished. Pain is bearable, bruising sometimes looks scary but is completely normal.

  5. The recommendation is to take a one-week break from any unnecessary physical activity. Which includes sex.

  6. After about 6-12 weeks you have to take semen analysis to confirm sterility. And possibly repeat it after another 6-12 weeks if the first one shows presence of spermatozoa.

REMEMBER! Sterility comes only after your semen analysis confirms it and still, it's a good idea to wait for another 10 ejaculations before getting confident.

After that, there's no going back. The immune response usually kicks in after about 10-15 weeks. That's right after the first full cycle of spermatogenesis.

The properly done procedure should include cutting a portion of vas deferens out, cauterization of endings and putting ties on them. At least I was told so by a couple of doctors who perform vasectomies on a regular basis.

Anyone considering getting it done should talk with his doctor about possible complications. I won't get into a lot of detail in that matter. Most importantly:

!!! Vasectomy does not affect your libido, erection quality or testosterone levels. If anything it can actually help with all of these things due to increased confidence and lack of any worries.

Practical tips:

  1. If you are not sure about having children - freeze semen and keep it as insurance. Vasectomy reversal will not work in most cases, and for that reason, it is rarely performed - it simply makes no sense.

  2. Don't stop using condoms unless you are sure of both: your sterility, your partner's health. Vasectomies don't prevent you from getting STD and shit like that. Stay safe because that's why you should be doing the procedure in the first place. $500 is better than 18 years of child support and the hell of family court, custody, etc. (at least that's how much I had to pay)

  3. Some doctors (mine did) advise you to perform annual semen analyses for the first 2-3 years after getting a vasectomy done. By all means, do it, and keep the results in case some thot wants to trap you. It's much easier to get yourself out of shithole if you have a long record of sterility on paper along with some notes from a doctor about the performed procedure.

  4. Get it done as early as possible - the risk of complications increases with age. It's better to get cut at a younger age when you heal faster and better. That's something not many people talk about, yet most doctors I talked to recommend getting it done as early as possible.

That's it for a vasectomy.

Now, testosterone. First of all, natural ways of "boosting testosterone" don't work. At all. Any testosterone boost from training will be consumed during recovery from that training. Any overcompensation will be insignificant and hardly ever subjectively perceivable. When it comes to diet, any improvements are usually insignificant and benefits many contribute to testosterone come simply from eating fucking properly. Not from increased levels of T.

Now, depending on testosterone levels you have and how you subjectively feel you have two options: 1. keep doing whatever you're doing if you feel well

  1. get tested and start TRT if you don't feel well

Life's too short to live it feeling like shit. Needles aren't that bad. Especially that benefits of TRT outweigh any risks in most cases.

I am a relatively young man and I'm on TRT for years already. Mostly due to permanent injury of testes from an accident I had at the age of 12. I am personally grateful for the accident. Without I would never learn how great one feels on TRT.

TRT is, in most cases, well-tolerated and combined with a healthy lifestyle, will keep you young forever. (at least until you die, like everyone)

Practical tips:

  1. Always do it under a doctor's supervision. Never do it on your own. There's a lot of misinformation out there concerning TRT (more later)

  2. Injections are the only safe and reliable way (more in next point)

  3. The best way to avoid side effects and keep your T levels in check is to take it in the form of daily or every other day subcutaneous injections for a total weekly dose of 140-160mg of pure T. That way you don't get huge spikes which in turn cause increase in aromatase and in consequence estrogen. Most of the problems with estrogen come down to injections being done with too big of doses, too far apart.

  4. Use insulin or tuberculin syringes - they allow for accurate dosing and have small needles that don't damage lots of tissues surrounding the injection site. To avoid problems in drawing the oil it's good to use bigger needles for that purpose. (personal recommendation would be 0,6x30mm for drawing, 0,3x13 for injecting) With a little practice, it becomes very easy, takes little time and can usually be done during morning or evening routine.

  5. Opt for long esters like enanthate or cypionate to keep the levels stable in case you forgot a dose. If you forget a dose get a corrective double one with the next injection. Side effects of TRT usually come from fluctuations in T levels, keep them regular.

Now the dosing. Anything more than 160mg a week of pure T is basically a cycle. Performance enhancement so to say. Bumping a dose up to 200mg a week during for example stressful time of the year will never hurt, but staying on low-dose cycle forever isn't recommended.

Lastly, being on TRT doesn't mean you can eat like shit, sleep 4 hours a day and be good. You'll feel great, but the body will pay the price. Inevitably.

Being on testosterone replacement therapy should be an additional motivation to have a healthy lifestyle and stay on a proper diet.

That's it. As aware men, you should know all that. Do with it as you please. I kindly remind anyone who might want to criticize the post: this is purely informational/educational. Any over-simplifications or little inaccuracies are completely normal. We're not on an andrology conference. It's simply about sharing information so that everybody interested can broaden their horizons.

If any questions arise I will do my best to answer them in free time.

Best wishes