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Case Title:  After 2 weeks, vasectomy have caused his bloody ejaculation, ejaculation pain, moodiness/depression, testicular tenderness and weak erection for no sexual orgasm.
Reader:  1/27/2005>
hello doctor, and thank you for reading this.

i am 26 yrs old and i had a vasectomy performed two weeks ago. at first pain was very low, then i developed tenderness in the area where the vas was cut (on the penis end, not testicle end). that pain alternated from left to right testicle, but has begun to subside with time and warm baths.

my girlfriend and i tried oral sex five days after the procedure (very carefully) and it was very intense and felt great. i had a tingling sensation, but no pain at the time. since then i had a lot of mood swings and severe depression, which have since subsided (mostly.)

yesterday - a week and a half later - i tried masturbating for the first time, with a condom on. the ejaculation itself was very painful in the pelvis area above the penis and at the penis end of the vas with pressure and spasm of each contraction. and hurt for a while after. i took a warm bath, which seemed to be soothing. today i was hesitant but tried masturbating again to see if the same thing happened. today the pain wasn't as intense (somewhat though) but i did notice that the ejaculate in the condom had clouded blood in it. after reading some of your website i understand it can be from prostate capillaries bursting. how long can i expect this to last? and how long should i wait inbetween ejaculations? do you recommend something to do/eat/take to help?

i've noticed my semen is clear and slick. i don't mind this, actually.

my erectile function is about normal, though somewhat soft. ideally would like to be able to have multiple orgasms (3 maximum) within a night, perhaps one night per week, without pain or soft erection, as i did before.

can you help? advice/suggestions?

- blood in semen
- painful pressure when ejaculating
- moodiness/depression
- testicular tenderness
- soft erection
Dr. Lin: 1/27/2005> What you are experiencing is a destructive transition of the hypothalamus-pituitary-testicular function due to vasectomy.
Like tubaligation which brings women into a long-term peri-menopause and PMS state, vasectomy does the same thing for men - male peri-menopause. The duration of this transition depends on whether your hypothalamus-pituitary function wants to give up your testicles or not. If your dopamine nervous function (Yang Chi) continues to stimulate your hypothalamus-pituitary function, you will continue experiencing the peri-menopause symptoms.
It is expected that your testosterone level may drop about 30%.
It may take a few months to reach this testosterone reduction for young men like you. Once you reach this state, your androgen hormone production will solely relies on your adrenal function. When your testosterone level drops to blow 500 ng/dl, your erection becomes weak and the seminal production may stop. Your ejaculation fluid contains no semen, like urethral female ejaculation.
It seems your semen production and prostate start experiencing the problems associated a a drop of testosterone and androstenedione since the seminal vesicle seminal production function and prostate tissue and blood vessel integrity requires a minimum level of androgen hormones. 
I have collected the vasectomy induced male peri-menopause symptoms in this link -
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