Question: I am 38 years old- Healthy with a couple of conditions- BFS- Benign fasiculation syndrome, and I also have what they tell me are Benign PVC's- other than that I am extremely active 38 year old - 6 foot 5 and around 211 pounds. I have four kids and me and my wife are thinking it might be the best option for me to have vasectomy. As I have been looking into this I am concerned about a few things:

a. One is testosterone- I have read several articles on internet suggesting that due to testicular trauma or damage to testicles during vasectomy that levels of testosterone drop by as much as 30%. Some say it will not affect you much in first 15 years, but some say there is some data to suggest that after 15 or 20 years there could be significant drop- this concerns me.

b. Another concern I have is the autoimmune concerns due to anti-sperm bodies. What concerns me here is not only the possibility of having something go wrong in my autoimmune area, but also because I already have what they feel is an autoimmune disorder in my BFS. At this point I am just speculating, because I have no education in medical areas but what concerns me is that due to my autoimmune already acting up that this could potentially open me up to further complications in the area with my BFS (constant calf twitching) leading to ALS or MS or similar conditions. Or because something is not functioning right it could lead to other autoimmune conditions. In your professional opinion is this concern legitimate?

It seems all urologist are for vasectomy but others such as internist and other doctors sometimes frown on it due to the antisperm antibodies, and other concerns-

I dont know if this is fear mongering by anti-birth control people, but it seems there are some legitimate concerned doctors.

Can you give me some guidance to my concerns.

Regards,
XXXXXXX