first off forgive me I’m a horrible speller can I get a vasectomy while on warfarin or how’s that work
Warfarin is a "blood thinner" usually prescribed for people at a risk for stroke. When you need surgery you would have to stop taking it for a short time so your incision would heal. Otherwise you could bleed out. The doctor performing your vasectomy would know how to manage this. Go for your vasectomy consultation and find out how that would be handled.
Depending on your clotting risk, your cardiologist or EP has a number of management choices for the urologist. Warfarin is minutely controllable using vitamin-K, so they may wait until you're ready for surgery to lower your INR. Another alternative, if your clotting risk is low, they may just have you stop taking it for a day before. Or, if you have a very high clotting risk (an isolated Left Atrial Appendage, for instance) they can temporarily replace warfarin with heparin, until the surgery is done. A vasectomy is very minor surgery, so it's unlikely to get that far. The bottom line is that your cardiologist/EP should instruct your urologist how to proceed. He knows your medical history.
Of course you could have a vasectomy anticoagulated, but would you want to?
About 3-5% of vasectomy patients get blood clots. If you are anti-coagulated this is 2-3 times more likely.
You could accept some risk and stop your warfarin for a short while - you will need to get a medical opinion as to the risk in so doing.
Vasectomy does not suit everyone. I am author of a medical paper on the long term problems associated with vasectomy.
( https://www.researchgate.net/publication/291959186_Vasectomy_-_Patient_satisfaction_in_general_practice_A_follow_up_study )
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