Your husband should go back to the urologist and have a physical evaluation and any appropriate tests can be ordered. For example, an ultrasound, and a serum total and free testosterone level.
Erectile dysfunction after vasectomy is most often anxiety based, but physical issues must be ruled out.
Hi,
How are you? Vasectomy is a simple operation designed to make a man sterile, or unable to biologically father a child. Vasectomy involves blocking the tubes through which sperm pass into the semen.
Vasectomy has no effect on the production or release of testosterone, the male hormone responsible for a man’s sex drive, beard, deep voice, and other masculine
traits.
The operation also has no effect on sexuality. Erections, climaxes, and the amount of ejaculate remain the same. Occasionally, a man may experience sexual difficulties after vasectomy, but these almost always have an emotional basis and can usually be alleviated with counseling.
After a total of 182,000 person-years of follow-up, only one condition, epididymitis/orchitis (defined as painful, swollen, and tender epididymis or testis),
was found to be more common after vasectomy. This local inflammation most often occurs during the first year after surgery. Treated with heat, the condition usually
clears within a week.
I would suggest that you visit your urologist for counseling on this issue.
Best.