vasectomy intracranial hypertension

Post Vasectomy Intracranial Hypertension with Vision and Balance Disturbances

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January 15th, 2015 was one of the happiest days of my life. I was the new father to my fourth child, a healthy baby girl. For my wife and I, it was the end of a chapter. Our family was complete and we were excited to move past the baby years and enjoy raising our kids. We knew this baby was our last and it was now up to me to fix our fertility conundrum. Admittedly, my wife was anticipating the vasectomy more than I was, but the thought of guilt-free spontaneous sex anywhere at any time without the fear of pregnancy was too enticing to pass up. The appointment was made and I was excited the throw the box of unused condoms in the trash.

The Vasectomy

My appointment was set for a Friday at 8:00am (04/24/2015). I had spent time researching local clinics and decided on a urologist across town. The procedure itself was no big deal. I have had dental cleanings that took longer and were more painful than my vasectomy. Aside from the awkward moment of being alone on a surgical table with my pants around my ankles, it went smoothly. He started with a single incision on the left for the left vas deferens, then crossed through the scrotal septum and did the right side through original incision. I remember him cauterizing quite a bit towards the end. I asked if everything was alright and he mumbled something about bleeding and hemostasis. Pinch of the needle, slice, cut, tie, burn, stitch and I was driving home a sterilized man. Overall, I felt pretty good. (This question always comes up – no, I was not sedated for the procedure).

I spent the next 24 hours following post op instructions. “Stay off your feet, ice, rest, don’t exercise, and don’t lift anything over 20lbs.” I watched some movies, cracked a few frozen vegetable jokes and chatted with friends who were anxiously waiting to hear about my experience. The next day was more of the same — ice, sleep, chuckle. Aside from a little tenderness down low, I was on my way to healing. That night, about 36 hours after the vasectomy, was my first hiccup. I was enjoying my 11lb newborn when my wife decided to snap a picture. As I brought my baby close to my face I felt a lightning bolt go through my right testicle to my navel. It wasn’t the worst pain I had ever felt but it certainly got my attention.

The area grew sore but it was bearable. I slept through the night but woke up feeling jittery. It was Sunday morning and I had to see an emergency patient at the office (I am a dentist). I remember struggling to maintain mental focus through the visit. I figured it was just pain induced anxiety. Healing takes time and I was determined to be patient. Monday and Tuesday were fine. I had some aches and pains but I was able to work through it. When I went to bed Tuesday night, I had no idea my life was about to change forever.

The Beginning of Things to Come: Vertigo and Loss of Sight

3:00am Wednesday morning (5 days post vasectomy), I awoke with severe vertigo. I spun for 5 minutes before falling back to sleep. When my alarm went off three hours later, I was no longer spinning but my balance was severely compromised. I remember getting to the bathroom by dragging my shoulder against the wall so I wouldn’t fall. I made it to the shower and began my morning routine. By this time, the dizziness was really bothering me. Together with the pain in my scrotum, I struggled with what was transpiring. Was it an illness? Was it the vasectomy? Surely my testicles couldn’t make my head spin. I stood in the shower palpating the area where the pain had started 5 days earlier when I felt my vision go out for the very first time. Being a dentist that has fixed many syncope incidents, I immediately laid down on the shower floor for the sake of my enamel. “One thousand one, one thousand two…” Not only had I not passed out, my vision wasn’t returning. When I realized I was alert but blind, I panicked. My wife woke up to me crawling back into bed screaming her name. After two minutes in bed, shampoo and all, the gray faded away and my vision returned. I remember an intense tingling in the back of my head, like pins and needles. This new sensation was accompanied by a sharp headache. It was very localized and extended up behind my right eye. I understood I had just had surgery, perhaps it just needed time to heal.

Vasectomy Side Effects No One Talks About

Headaches, Dizziness, and Nerve Pain

More than anything, I just wanted it to go away. I tried to be patient but my life and my health were crumbling in front of me. I was in pain, I was dizzy, and my urologist was in denial. Some days I could function and other days my pain and headache were so intense I could barely keep my eyes open. My pelvic pains were increasing in intensity and spreading to adjacent areas. By the time the pudendal neuralgia set in, I was checking in and out of emergency rooms on a weekly basis. For the first time in my life I was suicidal and had come to the realization that no amount of rest was going to bail me out of this mess. That is when I turned to doctors for help.

Up to this point in my life, I rarely saw doctors. Aside from the occasional school vaccine or wart removal, my health was boring. I’ve never had any major illnesses, surgeries, or concussions. I played a lot of sports as a kid but gave those up when I saw my friends getting injured. I have never had allergies besides the occasional seasonal sneeze. Since my vasectomy, I have seen an impressive number of specialists. Probably too many, but I was desperate.

Tinnitus and Vision Changes

My first appointment was with an ENT. I mention this one because looking back I think an opportunity for a diagnosis was missed early on. Symptoms were tinnitus that occasionally made a pulsatile whooshing sound, constant dizziness, chronic headache of 2 months, foggy vision, and neck pain. She did the Valsalva maneuver, watched my eyes, and concluded I was fine. I was also given a hearing test and the audiologist found a lack of acoustic reflex on one side. She suspected a neuroma of some sort but the ENT wasn’t convinced. Clearly, there needs to be more awareness about intracranial hypertension. Instead, I was on my way to the doctor referral merry go round.

Headaches with Vestibular Damage, Neck, Knee, and Pelvic Pain, Prostatitis and Pudendal Neuralgia

From ENT, I went to a neck specialist for the neck pain. He didn’t find anything and sent me back to urology for the scrotal pain. There were a couple of visits to an orthopedist when the knees, hips, and back began to hurt at the six month mark. Urology to neurology, with a few more stops at the ER with pelvic pain, prostatitis and pudendal neuralgia. Even though my crotch hurt, it was my headache that has gotten the most attention over the last three years. I have had 4 MRI’s on my brain including an upright MRI and MRA/MRV, all of which were negative. I spent a month on heavy doses of migraine medication but to no avail. I was diagnosed with a vestibular migraine until an oto-neurologist found 27% damage to my right middle ear. He concluded that it wasn’t a migraine but rather damage to my vestibular system. He couldn’t explain the headaches or post-surgical onset but it did explain the balance problems.

Finally, the Culprit: Intracranial Hypertension

I continued to see neurologists. On suspicion of multiple sclerosis and without plaques showing on an MRI, they ordered a lumbar puncture. I’ll never forget the radiologist’s reaction when he measured my opening pressure. The conversation was something about golf when he yelled with excitement, “twenty-six!” It had been 18 months of 24/7 headaches when he explained to me that I had intracranial hypertension. My first puncture showed an opening pressure of 26mmHg with elevated proteins in the cerebrospinal fluid. I was ecstatic! Not because I was miraculously cured but because there was finally an objective measurement of how I was feeling inside. Anyone who has navigated the medical system with mysterious symptoms and years of dead ends knows exactly what I am talking about. I had a glimmer of hope that I was on the road to answers and recovery.

Wait a Minute – Males Don’t Get Intracranial Hypertension

Next stop, Mayo Clinic. My first application with pelvic pain, testicular pain, pudendal neuralgia and chronic headache wasn’t enough to get an appointment. I was much more popular with elevated intracranial pressure. Unfortunately, my optimism was short lived. After one week in Minnesota, I left with a diagnosis of Chronic Pain and New Onset Daily Headache. I was given a prescription for Tramadol, Lyrica and a referral to their chronic pain clinic. Regarding the pressure, it was explained to me that males can’t get intracranial pressure. Therefore, the neurologist refused to diagnose me with pseudotumor cerebri (another name for intracranial hypertension). Both the intake physician and I were dumbfounded. So much so that she actually apologized to me when I left.

Next was their chronic pain clinic and self management pain program. I met with their pain specialist and received even more diagnoses; Central Sensitization Disorder, Fibromyalgia, and Chronic Multifactorial Fatigue Syndrome. The pain doc did acknowledge the abnormal pressure and requested a follow up spinal tap to confirm the validity of the first puncture. He also didn’t like that my glucose was erratic and my adrenals were abnormally low, so I had some follow up to do when I got back home.

My second spinal tap was similar to the first except I was much more nervous. My original spinal tap ended with an emergency epidural blood patch after 9 days of leaking CSF. I knew for certain I didn’t want to go through that again. My second pressure was just over 22mmHg and it was enough for Mayo Clinic to confirm that I did in fact have some kind of pressure disorder. From there I wore a blood glucose monitor for two weeks and endocrinology concluded that I wasn’t diabetic. My cortisol stimulation test showed secondary adrenal insufficiency until an AM cortisol test months later came back at 11, so I am now considered low normal. The only blood test that has been consistently abnormal from the beginning is hormones. My testosterone levels oscillate between 280-400 and I have heard every diagnosis from secondary hypogonadism to “low normal.” For the record, I am 36 years old and relatively skinny.

Additional Medical History

There is really not much more to the story. It has been three years of searching, doctor visits, pubmed, aches, pains, and frustration. My symptoms haven’t changed, I have simply tried to live around them. A short summary of the rest of my medical journey is below.

  • Rheumatology – ANA, CRPs, and other tests normal
  • Immunology – immune system healthy, negative for mast cell disorder
  • Neurology – pseudotumor cerebri (26 and 22), MRI’s negative, early signs of papilledema that resolved, MRA/MRV normal
  • Optometry – uveitis at 6 months post vasectomy that has since cleared up, negative for HLAB27
  • Orthopedics – hip, back, knee pain. MRI’s of joints were insignificant except chondromalacia in the right knee and anterolisthesis at L5-S1 which may explain leg weakness and pain
  • Ophthalmology – no more signs of uveitis, or papilledema, or optic nerve damage at 1.5 years post vasectomy
  • Oto-neurology – right middle ear hypofunction (27%)
  • Physical therapy – ilioinguinal neuropraxia creating weakness in hip flexors, core muscles, psoas, and abdominals. Abnormal gait and posture from neuromuscular dysfunction
  • Radiology – full body CT with contrast at 3 months post vasectomy was insignificant
  • Endocrinology – low testosterone and low cortisol
  • Sleep apnea – Blood oxgyen level is normal until REM when it drops. Physician called it mild sleep apnea while Mayo considers it a sleep disorder consistent with Central Sensitization Disorder.
  • Lyme testing – Negative twice. The first time was Elisa/Western Blot. The second test was Panel #B through IGenex.
  • Urology – At month 3, I had blood in my urine and it was suspected I had a kidney stone. No stone found on film. I also had severe ketonuria. The original urologist saw that I was sterile. He deemed the vasectomy a success and dismissed me from his practice. Other urologists have diagnosed vasitis, chronic pelvic pain and post vasectomy pain syndrome. Ejaculate culture tested positive for Group B streptococcus at the 2-year mark. Ironically, my wife tested positive for Group B strep during her second pregnancy in 2009.

Three Years Post Vasectomy

Since my vasectomy, my body hasn’t been the same. I tend to split my symptoms into two groups, my head and my pelvis. I feel they are related but doctors have failed to make the connection, so I investigate them separately. I continue to struggle with my balance and my eyes seem to be part of that. Something as simple as looking at my phone while walking exacerbates the dizziness. I am in a better place mentally but I am not without my struggles. I have learned to endure the pain with deep breathing and distraction. I still have pain in my scrotum, more specifically my spermatic cord on the right side adjacent to my penis near my pubic bone. The pain radiates through my inguinal canal into my abdominals and over to my flank. Occasionally, I will have a flare up in the area of my gallbladder. For weeks after my vasectomy my stomach would gargle. Now, after a particularly fatty meal, I will get a sharp pain in my gallbladder that lasts for hours. Just last week I awoke to pain in my perineum. By early morning the nerve pain triggered a low back spasm that left me vomiting. Miraculously, I was able to drive home and passed out in a tub of hot water. I awoke to my wife crying at the floor of the bathtub.

The pudendal neuralgia comes and goes without warning. It is bad enough to put me on the floor. At one point, I had burning down my inner thigh that spontaneously migrated to my left forearm. This was the FIRST symptom on the left side of my body. There was suspicion of CRPS/RSD until one day when it spontaneously resolved. My knee, hip, and low back hurt constantly. The knee was first at three months, then the hip at six months, and eventually, my low back. I have developed muscle weakness on the right side in my pelvic region and it shows in my posture (torso leans to the left). It has affected my gait and my right arm no longer swings naturally when I walk. I have knots in the muscles of my back extending from my hip to my shoulder blade, shoulder, neck, masseter, and temporalis muscles on the right side. I am losing strength in my arms, often having to pause while washing my hair or brushing my teeth.

Professionally, I have been forced to limit myself to procedures that don’t require a sustained posture. It is my understanding that the majority of my pelvic pains are likely the result of nerve damage. According to multiple physical therapists, many of my troubles are from damage to the ilioinguinal nerve. Post Vasectomy Pain Syndrome (PVPS) is a common but under-reported side effect of vasectomy and affects hundreds of thousands of men worldwide. There have been three books written and several websites dedicated on PVPS. There are also hundreds of research papers detailing the complex management of post vasectomy complications, some literature reporting chronic pain in as many as 15% of patients. I realize I will most likely have to accept and deal with this pain for the rest of my life. However, it is the rest of my symptoms that make life more difficult.

My headache has been nonstop for three years and it feels like it has two parts. The sharp pain in the right sub-occipital area radiates behind my eye and above my eyebrow. It feels more like a tension headache that originates in my neck and shoulder. I have another headache that feels more like pressure in the upper occipital region. This headache seems to be associated with my cognitive symptoms. I have always been a very social person and now have a hard time with simple conversations. There are days when word finding is difficult. Periodically, patients have noticed the aphasia and will finish my sentences for me. There have been times where I forget where I am and where I live. I have even forgotten my birth date and middle name. I remember one instance when I called in a prescription and I couldn’t remember the word for the number “zero.” For three straight years, I have lived in a constant state of brain fog and lightheadedness that feels like a mix between the flu and never ending car sickness.

My symptoms are consistent with Lyme, MS, and fibromyalgia and other Central Sensitization Disorders. Mayo is convinced that it is nothing more than an overstimulated CNS from chronic pain. I find it peculiar that all of my symptoms are unilateral. Right side nerve damage in my scrotum, right side back pain, right side shoulder and neck pain, even my headache/eye pain is on the right side. Early on, I was able to get a full relief of symptoms taking Benadryl before bed. I would feel more rested and the brain fog would disappear just enough for me to get through work. There was a period where the insomnia was so bad that I turned to Tylenol PM for relief and incidentally found the connection. Benadryl no longer has this effect on me. Fortunately, insomnia is no longer an issue but I often find myself falling asleep as early as 3:00pm.

My symptoms are directly related to my sleep quality and stress levels. Hot baths with epsom salt are about the only thing that will help my headache. I learned after my second spinal tap that I could get my post spinal tap headache to disappear by lying flat in hot water for an hour.

I have tried the following prescriptions:

  • Diamox, 125mg/day – no change in headache, tingling in hands affected work, did not try higher therapeutic doses, discontinued after 2 months on recommendation from neurologist
  • Testosterone, IM (5 months), high libido, no change in symptoms
  • Prednisone (2-3 weeks), no change in symptoms
  • Cymbalta (3-4 months), felt worse mentally
  • Verapamil (headache preventive, 4 months), no change in symptoms but did feel slight withdrawal with cessation
  • Naratriptan (high dose for two weeks) no change in symptoms
  • Lyrica (1 month) worsened brain fog, no change in symptoms
  • Xanax, took once for anxiety
  • NSAIDs, no change
  • LDN (naltrexone 4.5mg before bed) currently taking, too early to report

I have had the following tests:

  • MRI’s (brain x 4, hip, knee, low back) – WNL
  • CT scan w/ contrast – WNL
  • Scrotal ultrasounds – WNL
  • Imaging of hips and kidneys – WNL
  • Lumbar puncture – 26 and 22
  • Ejaculation culture tested positive for group B streptococcus
  • Countless blood tests, many of which I don’t understand but I can list if needed
  • MTHFR positive (heterozygote for C677T)
  • Physical therapy for pelvic and joint pain

To say my health issues have consumed me would been an understatement. No matter how hard I try to move on, my headache is a constant reminder of what I am going through. The local vitamin aisle has become my workshop, as I sample any supplement that may have a positive impact on my health. A recent late night google binge landed me on an article showing intracranial pressure in returning astronauts. Alas, men can get it too! It is encouraging to see recent developments and progress towards solving the underlying causes of intracranial pressure. As luck would have it, I have started on a regular dose of allithiamine and have seen improvement in my daily fatigue. At this point, medicine has no solutions outside diuretics and ventricular shunts. My optic nerves are too healthy to justify surgery and high dose diuretics don’t allow me to practice dentistry. Until I can find answers, I am left to speculate and hypothesize what could be at the root of my troubles.

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This article was published originally on April 25, 2018.



  1. Hi
    I finished reading your article and I was amazed at the similarities to my own medical issue. Back in February 2019 I had a vasectomy performed, and since that day I’ve had near daily headaches and related head symptoms. While headaches is my primary complaint, I also get a dizziness and nauseousness that seem to feel related.
    Shortly after my vasectomy, I began to experience months of sleep disturbances. Every night, it would feel like I couldn’t get deep or restful sleep. My sleep would also be broken, with multiple wakings throughout the night. At the same time, I began to experience daily headaches. They would usually start as soon as I woke up and would last all day. The pain was usually on the front behind the eyes. At some point, I also developed a dizziness and a nauseousness that seemed related to the sensations in my head.
    I can’t remember how long it took, but at some point between 6 months to a year, my sleep issues improved. I was able to sleep more soundly and it felt like I was able to get more restful sleep.
    From this point onwards, my headaches improved at an extremely slow pace.
    Here’s an important thing I’ve noticed about my symptoms; sleep seems to be critical in determining the severity of my head pain the next day. If I can’t get a restful uninterrupted sleep, I’ll certainly have a headache.
    It’s also important to realise that my symptoms have been with me, pretty much, every single day. Yes, there are some days when I experience little to no pain, but there is always this sensation that is with me. Kinda hard to describe.
    One more bit of info. Two weeks ago I had my vasectomy reversed. I’ll see if there’s any change in my symptoms.
    I’m not sure why I decided to Google “headaches after vasectomy”. There was always a part of me that wondered if my symptoms were triggered by my surgery.

  2. Its amazing how urologists just dismiss us to get us out of there practice. It is such a easy money maker no one mentions side effects. When I went to the urologist again he said it wasn’t from the big V. I work in a hospital and know that every procedure has some kind of side effect whether its a scare or something that can alter your life. I had a vasectomy and 4 months later I would have thought I was having a stroke my head hurt so bad but I wasn’t showing any other signs. I battled with constant migraines,joint pain for almost a year before I had a reversal.( I never had headaches in my life before). It helped! My migraines stopped hurting everyday. I still get 1 about once a month for 24-36 hours. It quit pounding on both occipitals and only beats on the right side now. Kevin Hauber wrote a great book- “If it aint broke,Dont fix it!” I should have educated myself more. I preach to everyone where I work about “Dont get a Vasectomy!” Some listen now.

  3. I had a vasectomy 6 years ago and am now struggling with low libedo and intermittent ED. Not sure if this is related to my vasectomy but at only 37 I am strongly considering a reversal.

    • It is possible that the vasectomy represented a stressor to your body that it just could not handle, a last straw if you will, that tipped you into an unhealthy state. Reproduction is energy intensive from a cellular/mitochondrial standpoint and so when there is damage or illness, the body pulls back on reproductive capacity/activity as a way to conserve resources to more important activities – maintaining life. I would consider reading up on how to support your mitochondria with diet and micronutrients – vitamins and minerals. We have a number of articles on that on this site. They are not necessarily related to libido or reproduction, so you will have to read between the lines, but the gist is that if your mitochondrial are stressed, inefficient, injured, etc. they will conserve energy by reducing libido. Feed the mitochondria and your libido as well as any health issues you might be dealing with, will resolve.

    • John,

      Sorry to hear it. Dr. Marrs’ recommendation is a great one and is exactly what happened to me in the story above. Without knowing it, I had been bit by a tick in 2013 and lived with lyme and coinfections asymptomatic for two years (with the exception of epididymal cysts and an elevated liver AST/ALT). The vasectomy was the trigger that unraveled everything and sent my body into a tailspin. Another common finding amongst vasectomized men is low hormones. Uro’s will argue all day long that the vas doesn’t cause low T but that simply wasn’t my experience and there are hundreds of men with similar stories. If you dig deep enough you’ll find research showing it can affect hormones. My T was in the low 800’s pre vas and now hovers in the high 200’s. I have so many other things going on that it’s hard to point to the vas as the only factor but low T post vas isn’t unique. Check out and I’d estimate 60-70% of those guys have abnormally low T. Might be worth looking into a supplement if you’d tried everything else and bloodwork shows that you are below normal FOR YOUR AGE GROUP. That’s the important part for hormones. I was told 200 is normal because it’s within range for males. 200 is more consistent with elderly men than someone like me at 38. Someone your age should he closer to 800-900.

      Good luck.

  4. I think you should keep looking into Lyme and co infections, my issues were triggered by vasectomy and after 6 months a diagnosis, lots of antibiotics and other treatments, finally 12 months after vasectomy I’ve nearly recovered, followed my gut and it led me to recovery, most doctors don’t know enough about tick Bourne infections! A couple of things to try will lead you in a direction

    doxycycline if you get any improvement keep looking

    HBOT any improvement will show you to look this direction

    • Thanks Andrew. All in all I’ve been diagnosed with neuroborreliosis, babesiosis, ehrlichiosis, and RMSF. I spent 7 months on doxy and mepron for babesia. I then switched to bactrim, mallarone, and azithromax when the doxy/mepron combo didn’t seem to help. I’m now on disulfiram and considering 28 days of IV next week. I’d like to try IVIg if I can get insurance on board. it’s hit my CNS with hardest. My memory is shot and my speech is fading. I recently tested positive for PANDAS/PANS and I’ve had recent atrophy in my brain. From what I’ve researched this is all consistent with lyme. I’ll look more into HBOT. If you’ve got any other recommendations I’ll take them. I’ve tried almost everything but with limited success. You’re fortunate you caught yours relatively quickly. It took me 4 years. Perhaps that’s part of the problem.

  5. One possibility is that the surgery damaged your testicular blood supply, and has caused you to develop primary hypogonadism (androgen insufficiency due to testicular damage). In addition to the better known testosterone, the testicles also produce a hormone called pregnenolone (and small amounts of several other hormones too). Pregnenolone is quite important because it acts as a raw material from which your body makes numerous other hormones. If you’re no longer producing enough of it, it’s likely to make you deficient in numerous other hormones. It’s also a precursor to the neurosteroid allopregnanolone. It’s possible that your symptoms of tinnitus, vertigo attacks and visual disturbances are the result of your body no longer producing enough pregnenolone, and your neurosteroids becoming depleted as a result.

    Prior to getting my HRT sorted out (I suffer from secondary hypogonadism), I used to experience tinnitus, vertigo attacks and acephalgic migraines (where you get visual disturbances and other symptoms of a migraine, but without the headache). I found that putting a pinch of pregnenolone powder (which you can get by pulling apart pregnenolone capsules) in my mouth and letting it sit there, so it would absorb through the mucous membranes, would normally make those symptoms clear up within a few minutes.

    If you’ve developed primary hypogonadism as a result of the surgery, that brings a whole host of other problems in its wake too, such as loss of sex drive, depression, loss of energy and drive, muscle wasting, neck pain, back pain and joint pain.

    As I saw someone else mentioning, if they gave you an MRI with contrast, that can cause heaps of problems too. It turns out the manufacturers faked the safety testing and the FDA let the faked results through. Everyone who has one of those contrast MRIs ends up with deposits of the highly toxic heavy metal gadolinium scattered throughout their body, and lots of people have been getting sick as a result (with doctors pooh poohing the symptoms, or blaming them on whatever the MRI was originally given for). CT contrast is OK, it doesn’t contain gadolinium.

    • Lots of good feedback on here. I’ve tried pregnenolone in the past, intraorally, sublingual, and more recently topically. I’ve suffered from secondary hypogonadism since the procedure and that’s a common complaint after vasectomy.

      A 1976 article in Clinical Endocrinology concluded “vasectomy appeared to be associated with a significant decrease in the plasma levels of pregnenolone, dehydroepiandrosterone and androstenedione.”

      Unfortunately, I haven’t seen much change and different dosages.

      • When you get stuck like this the best thing to do is see a really good complementary energy medicine or consciousness medicine Practitioner I would try Bodytalk it is the most profound healing system I have come across.

    • You’re a dentist correct? Mercury exposure and surgery with an underlying adrenal impairment. If secondary, maybe you had a tiny stroke on pituitary gland. Mercury is known to accumulate in the adrenal/pituitary gland and hypothalamus. The gadolinium from the MRI procedure is causing many, including myself problems with retaining of this heavy metal. It is synergistic in its toxic effect with other metals present in the body. You can search pubmed for this info. It could be you had a reaction to this surgical procedure and then had gadolinium and other toxic substances introduced into your body to cause all of this. A Lyme infection? Maybe it was always there and then the body was assaulted from toxic substances.

  6. Methyl B12 in very large doses can be effective for pain in some people. I have a mutation whereby b12 is not recycled correctly. I found out quite accidentally after a dental procedure that Methyl B12 could alleviate pain. that was untouched by opoids or NSAIDs. I later found pubmed articles confirming this.

    I am also struggling with vertigo that comes and goes sometimes so bad I can’t walk. First time I had to crawl out of the house to go to ER. They couldn’t find anything wrong. My ENT suggested a viral infection and needing time for my nerves to heal. I’m severely hearing impaired to start with.

  7. This makes a lot of sense. I’ve had part of my cervix removed with the LEEP procedure and I had brain changes. I have written a book about my experiences which I called ‘A Cut In the Brain’ because that’s literally how it feels that if you cut sexual organs you are messing with someone’s brain. It’s so neurologically complex and we just don’t understand the human body enough to understand these side effects.
    I’m so sorry to hear that men are suffering from head/ sexual organ issues too. I run a campaign to raise awareness about problems with the LEEP procedure, but if anyone wants to join forces to raise awareness about this brain-pelvis connection then please get in touch.

  8. I read this with great interest, looking for clues and I found two. The first and perhaps the most important is the benefit from a bath with epsom salts. The second is the relief from allithiamine. Epsom salts gives a dose of magnesium and thiamine and magnesium are cofactors to a series of enzymes that preside over energy metabolism. Even their mild deficiency results in pseudohypoxia in the brain. Also, it is essential to be aware that ALL pain is perceived in the brain, irrespective of its source. A relatively minor degree of energy deficiency in the brain excites its metabolic activity and gives rise to increased pain perception. Thiamine deficiency is either precipitated by “stress” as in surgery or increases an existing asymtomatic minor deficiency already existing. I have been interested in the relationship of MTHFR deficiency with thiamine but don’t know why but in my experience it seems to be a relatively common association. Lastly your contact with mercury as a heavy metal might have set up a predisposing factor. I suggest that you increase the dose of allithiamine to pharmacological doses (100 mgs) and increase as symptoms improve. There is no toxicity to big doses. Add an equivalent dose of magnesium taurate ( around 250 mg) and continue your existing vitamins. If you are consuming sugar or alcohol in ANY form discontinue either or both.

    • Derrick, thanks for your comments. I’ll definitely give this a try. A lot has transpired since this article first posted which has given more insight on my health. A little extra background, 6 months prior to the vasectomy I developed mild epididymitis and two epididymal cysts on my right side. I was nervous about the growths being cancer so I saw the urologist. He diagnosed them as benign cysts via ultrasound, told me not to worry and performed the vasectomy 2 weeks later. You know the rest of the story. I didn’t think this info was relevant when I wrote the article but I now feel it’s pertinent.

      Another telling clue was the uveitis. It showed up early on but went away. Only so many conditions cause uveitis, mainly infection or immune related. If it were autoimmune, it should appear more regularly. The middle ear damage was also suspected to be either viral or bacterial infection according to the pro-neurologist.

      Well…unbeknownst to me at the time I had a nasty infection that went undiagnosed until just 6 months ago (about 4 years total). Since this article posted I have tested positive for rickettsia rickettsii, ehrlichia chaffeensis, and babesia microti. All of these bugs can come from a single tick bite and each brings its own baggage. Babesia, for instance, is a common cause of elevated intracranial pressure and headaches.

      The relationship to the vasectomy is a bit more complicated. I didn’t have symptoms prior to the procedure but it’s possible that the infection was hiding quietly. Perhaps the vasectomy was just enough stress to trigger a reaction on a previously latent issue. Research from the late 90’s shows testicular swelling and cysts to be one of the first symptoms in guinea pigs after inoculation with rickettsia. Ehrlichia chaffeensis is a common cause of epydidymitis. 30% of patients with a positive Lyme test have borrelia DNA in their semen. In each of my subsequent tick panels, my urine tests have consistently shown higher bacterial counts than blood draws. I find that very telling. I think the bugs were concentrated in my vas deferens. I’d love to directly aspirate my left and right epididymis for testing but my urologist isn’t a believer (yet!).

      Vasectomy is a very common procedure that has a black cloud of controversy if you really dive deep into the procedure. There have been countless books, papers, websites, lawsuits, clinics, and research dedicated to post vas pain and complications, much of which has been largely ignored by the medical community. More recently there has been focus on sperm antibodies that develop post vas and the impact this might have on the body. I would like to see a study looking at what happens to infections, STD’s, and other bacteria once the immune privileged blood testis barrier is broken. If you’ve got low grade chlamydia, for instance, and it’s isolated to the epididymis and reproductive tract, what happens once the vasectomy is performed and the bug no longer has an exit point?

      Vasectomy has been associated with higher rates of depression, divorce, pain, even dementia (FTD/PPA). There was a guy a few years ago (Alan Frazier) who became deathly sick after a vasectomy. After years of suffering and a lack of help from doctors, he ended up shooting up a Reno, NV hospital. Among other things his biggest complaint was he was so sick he could no longer deer hunt. Deer hunting was his passion and he blamed the vasectomy as the onset of his ailments. It’s largely been suggested that he wasn’t sick and it was 100% psychosomatic. I’ll let you connect the dots and make a guess on that one.

      I’m anxious to try your suggestions. What’s the advantage of Mg taurate over Mg glycinate? I’m just as sick as I’ve ever been but now I have a clearer path towards recovery. Tick issues can be difficult to treat. Perhaps my problems have nothing to do with ticks. Considering how sick I have been and the reputation these bugs have, its hard not to blame anything else.

  9. I had a vasectomy last summer. Since then I have had a number of medical issues very similar to yours, especially the head aches and pain. I was been convinced it was related to the vasectomy, but no doctor gives it a moment of consideration. The idea this could last forever is depressing. How are you doing now?

    • Mike,

      Since this posted I have been able to find some answers. I still struggle everyday but through this website I was able to find some very (very) smart people. In my case, the vasectomy was the trigger for a much larger diagnosis. Whether or not the vasectomy was the main culprit is yet to be determined but had I not had the procedure done, I probably would’ve never had any issues. I sent you an email directly in case I can help in any way.

  10. So sorry for all of your health issues post surgery. Please check out the Wilkings protocol and what is called Nasal specific technique. I and my wife have just started the Wilkings protocol to early to see results and it makes a lot of common sense. I have not done the Nasal specific technique yet. My chiropractor is trained in doing it I just haven’t been in to see him since I learned of this. Hopefully some of this information will be useful to you!

    • I understand that my case is NOT the norm. However, vasectomy is portrayed as a “quick snip” with little to no consequences. Nothing could be further from the truth.

      “Chronic scrotal pain after vasectomy is more common than previously described, affecting almost one in seven patients.” ~British Journal of Urology Int’l 2004

      “At 7 months after vasectomy about 15% of previously asymptomatic men have scrotal discomfort.” ~British Journal of Urology Int’l 2007

      Because of the nature of this surgery, most men are unwilling to admit when they have problems. There have been hundreds of papers written on PVPS, including two books. There was even a mass shooting at a hospital in 2013 from a patient with complications following vasectomy. Urology continues to turn and look the other way.

      Odds are in your favor that things will go smoothly. Personally, if I had known 15% going into the surgery, I wouldn’t have done it. And…this number completely ignores the other health mess this has created.

      Good luck.

  11. Well written. More important is that you have survived against the odds and the doctors. We probably passed in the halls at a Mayo Clinic as they denied my symptoms. My story is just as complicated and follows a similar path. The original link to pseudotumor is puzzling, but some of your increased problems may unfortunately be explained by the gadolinium used in the contrast at your three month MRI . The increase in nerve pain, muscle weakness, worsening occipital headache, tinnitus and hearing damage, etc can be caused by the heavy metal toxicity. See gadolinium deposition disease. This can be diagnosed with a urine test, but there is no cure, and rarely any medical assistance There is hope for improvement once you know the problem of needing to detox the heavy metals , using supplements, diet changes, and knowing everything you already know about your genetics. At least you will not be researching alone and can find others who understand.

    • That’s really interesting. I love the shoot first aim second mentality within medicine. It’ll be interesting to see what common procedures we do today will be outlawed in 20 years. I believe strongly vasectomy simply isn’t healthy for the body. What once was disposed of naturally is now left up to the immune and lymphatic system which already have plenty of other things to worry about.

  12. Unfortunately the medical professionals are not educated on nutrition or recognising vitamin & mineral deficiencies.This chap is a dentist he has been exposed to heavy metals amalgam,Mercury,& most importantly exposed to nitrous oxide which oxides or depletes vitamin b12 in the body resulting in systemic nerve damage & blood disorders.He also is Mthfr a genetic mutation which causes a methylation disorder which depletes vitamin b12 ,folate,vitamin b6.The operation itself may have caused some nerve damage but the fact he is Mthfr the gene has been expressed by stress.All symptoms from gait,neuralgia,loss of sight,memory,vertigo ,joint pain are b12def.View videos on for life saving info.

    • I’ve been taking methylated B vitamins (oral) since the MTHFR was diagnosed two years ago (homocysteine supreme by Designs for Health). Allithiamine was started 3 weeks ago. I have certainly considered the B12 connection. Spectracell reports for intracellular vitamin defiencies show deficiencies consistent w/ MTHFR but not at severe levels.

  13. Hi there. I’m sure you’re probably sick to death of people suggesting alternative approaches. But, in case you aren’t, you should look into a z-health trainer. They’re trained to look for and help fix issues with the vestibular system and neurological systems. A good place to start would be here:

  14. Thank you so much for sharing your story, BH! I’m so sorry for all you have been through. Your story is truly heartbreaking. It’s very well-written and thought-provoking too.

    I’m curious about what medications you were given post-vasectomy. Were you given any antibiotics? Your symptoms are very similar to those of fluoroquinolone toxicity, and a recent study showed that a high percentage of pseudotumor cerebri cases are correlated with fluoroquinolone use –

    I hope that telling your story here is healing. I have found that writing about my experience is empowering, and even healing. I hope for the same for you.

    Best regards,

    • No antibiotics post vasectomy or anytime since. Doxycycline and Ciprofloxacin are usually the first meds given for post vasectomy complications including epididymitis. They were offered but I refused after the urologist admitted I didn’t have any clinical signs of infection. I’m personally strongly against the use of fluoroquinolones and refuse to take or prescribe them. I’ve seen and heard too much about this class of drugs. Thanks for the response!

    • Ann, correlated mostly by timing. I’ve hypothesized about every situation possible. Believe it or not, I’m not the only one out there experiencing these issues after vasectomy. I’ve had several people reach out to me and the internet is littered with similar stories. The only consistency I have found is hormonal which seems to fit given the nature of the surgery. However, it’s hard to rule out autoimmune, lymphatic blockage, arterial damage, sarcoidosis, etc. There is research linking all of these issues to vasectomy but it’s been an uphill battle trying to make progress towards a solution.

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