Vasectomy Referral Request

If you would like to request a vasectomy referral, please fill out this form.

Vasectomy Referral Request

Section

Are you under 30 years old? *
You will need to make an appointment with a GP before we will make a referral on your behalf
Do you have any children? *
You will need to make an appointment with a GP before we will make a referral on your behalf
Have you had any operations or diseases that have affected the testicles including STDs? *

Please read the NHS Vasectomy (male sterilisation) information.

It is important that you understand the following facts:

  • A vasectomy is more than 99% effective.
  • It's considered permanent, so once it's done you don't have to think about contraception again.
  • It doesn't affect your sex drive or ability to enjoy sex. You'll still have erections and ejaculate, but your semen won't contain sperm.
  • You'll need to use contraception for at least 8 to 12 weeks after the operation, because sperm will still be in the tubes leading to the penis.
  • Up to 2 semen tests are done after the operation to make sure that all the sperm have gone.
  • Your ball sack (scrotum) may become bruised, swollen or painful - some men have ongoing pain in their testicles.
  • As with any surgery, there's a small risk of infection.
  • It's very difficult to reverse and reversal is not available on the NHS so be sure it's right for you. It's worth considering if you would want more children if you had a new partner or something tragic happened to one of your children.
  • A vasectomy doesn't protect against sexually transmitted infections (STIs), so you may need to use condoms as well.
I have read and understood the above: *