Orgasm represents the zenith of human pleasurable experiences. ‘Orgasm’ is derived from the Greek word ‘orgaos’ which means ‘to swell, with lust. This literal translation very appropriately encompasses the true essence of orgasm.

Orgasm is defined as, ‘an explosive cerebrally encoded neuromuscular response, at the peak of ‘sexual arousal by psycho biological stimuli, the pleasurable sensations of which are experienced in association with dispensable pelvic physiological concomitants’.

Sex is not merely the means to an end (procreation). It is both, the means to an end, as well as an end in itself (pleasure). Nature, with its natural masterstroke, of providing an inherently sensual pleasure oriented side to our personality, has ingeniously accomplished this dual objective (pleasure + procreation). An attempt to rationalize the philosophy of sex undisputedly establishes the fact that humans indulge in sex to gratify their inherent pleasure instinct. One indulges in sexual activity for what one ‘gets’ out of it, and not for what one ‘may beget’ out of it. One indulges, not to ‘lose’ fluids but to ‘gain’ an orgasm.

The pleasure principle has, is and always will be ‘principal’.

Are there any complications after Vasectomy?

Yes, occasionally. They may be surgical, immunological or psychological. Surgical complications are the least serious. They consist of bleeding (scrotal haematoma) or infection. This usually occurs a week later.

Immunological complications are extremely rare and no cause and effect relationship is known. Psychological complications occur chiefly because of inadequate counselling prior to the operation.

What preparations should one take after Vasectomy to prevent Surgical Complications?

An athletic supporter or a tight fitting jockey type underwear should be worn for a week t help relieve swelling and to support the scrotum to relieve the discomfort. The small gauze bandages protecting the incisions should be changed every two days.

What happens to the residual sperms?

The residual spermatozoa are phagocytosed (swallowed and destroyed) by the lymphatics of the testicle and epididymis and are rapidly disposed off.

Does the male hormone (Testosterone) level go down after Vasectomy?

No. Vasectomy has no effect on testosterone levels. A study was carried out by my colleagues and myself at the Institute of Research in Reproduction (ICMR), Bombay, on 45 vasectomised males with sexual dysfunctions. The duration of vasectomy was from fourteen days to fourteen years and revealed no significant change in the testosterone levels.

Is sexual desire and potency affected by Vasectomy?

No. The testes have two varieties of cells. One variety secretes testosterone that goes directly into the blood stream and is responsible for sexual desire and potency. The sperms are produced by the other variety of cells and they pass through a tube known as the vas. Thus, tying or ligation of the vas will have no effect on desire or potency. Sex life will remain unchanged. Erections, ejaculations and pleasure at orgasm will be as before.