Warfarin

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by AgentX86 - 2019-05-20 08:13:16

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.

vasectomy and anticoagulation

by Selwyn - 2019-05-20 09:04:14

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. 

( https://vasectomy-information.com/scrotal-hematoma-after-vasectomy/).

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 )

Look carefully before you leap!