A 42-Year-Old Man Comes to the Office Seeking Advice on Male

A 42-year-old man comes to the office seeking advice on male contraception.  He and his wife have 6 children and do not want any more, and his wife wants to stop taking oral contraceptive pills.  The patient's medical history is notable for an appendectomy, during which he had no complications from the procedure or the associated anesthesia.  He does not smoke.  On examination, the patient has a normal circumcised penis with no visible genital lesions and no palpable abnormalities in the scrotum.  After appropriate discussion regarding contraceptive options, the patient elects to undergo a vasectomy.  The patient should be advised to expect which of the following side effects during the first few months following the procedure?

A) Decreased interest in sexual activity
B) Difficulty in maintaining an erection
C) Large reduction in the volume of ejaculate
D) Reduced testosterone production
E) Viable sperm in the ejaculate

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