At the end of each vasectomy consultation and then after the vasectomy has been performed I tell the couple this, “The most important thing I will tell you is that you must not have unprotected sexual activity until we prove there are no sperm. It usually takes about 30 ejaculation to clear the sperm from the tube beyond the vasectomy site. In America approximately 50% of the men who have had a vasectomy will not get checked to be sure they are clear. You don’t have my guarantee until this has been done.”