🩺 Clinical / Exam Application
A man who had a vasectomy years ago still ejaculates a normal-seeming volume of semen and has no change in testosterone-related characteristics, but is infertile. Because the vas deferens is cut specifically at a point AFTER sperm production but BEFORE the accessory glands (seminal vesicles, prostate) add their fluid contributions, semen volume remains largely unchanged — the seminal vesicles and prostate continue contributing their fluid regardless of whether sperm can get through. The vasectomy blocks only the sperm themselves from reaching the ejaculate, not the fluid volume they would have traveled through.
⚠️ Exam Alert
A frequently tested clinical fact: a vasectomy specifically targets the vas deferens, blocking sperm transport while leaving testosterone production (from Leydig cells in the testes) and the accessory gland fluid contributions completely intact — this is why vasectomy doesn't affect libido, secondary sex characteristics, or significantly change ejaculate volume.