Getting Pregnant After a Vasectomy Reversal

While vasectomies have long been considered a permanent form of birth control, today’s advances in microsurgical techniques have made it possible to successfully reverse a vasectomy. Typically, you will be able to conceive a child after vasectomy reversal: studies indicate that about 75 percent of men who have undergone vasectomy reversal can conceive naturally. However, the process can take time. Here are some factors that come into play when you are trying to get pregnant after having a vasectomy reversed.

  • The type of vasectomy reversal impacts the length of time it takes to conceive. The simpler form of reversal is called a vasovasostomy, and men who have this kind of procedure should have sperm present in the ejaculate after about three months. The more complicated type of procedure, a vasoepididymostomy, is done when there is a blockage in the epididymis, close to the testicle. After this kind of procedure, it can take six to 12 months for the ejaculate to contain sperm.
  • It takes some time for sperm count to build back up to the right levels for conception. Just because sperm is present in the ejaculate, it does not necessarily mean there is a normal sperm count. It takes time for sperm to normalize, and it can be several months before the sperm count is high enough for conception. Once it is, it can still take several months for a couple to conceive.
  • The amount of time since the vasectomy affects the success of the reversal. Typically, the longer it has been, the more difficult it will be to conceive. The highest rates of success are usually seen within five years of the procedure, and after 10 years, pressure can cause a blockage that will mean the surgeon must perform a difficult procedure, known as a vas-to-epididymis reconstruction, which can reduce the success rate for conception.
  • Both paternal and maternal age come into play when trying to conceive after a vasectomy reversal. In women over thirty-five years of age, hormone and ovulation cycles are more difficult to predict, and this increases the difficulty of conception. For men over fifty, sperm quality or concentration can decrease, increasing the amount of time needed to conceive. In some cases, an alternative method of conception, such as in vitro fertilization, may be recommended to help increase the chances of conception.

At the Center for Vasectomy Reversal, we are well-versed in providing effective vasectomy reversal. We pride ourselves on helping men improve their fertility through uncompromising, concierge-level patient care. Under the direction of Dr. Joshua Green, our team provides state-of-the-art treatment for men who need a reversal of their vasectomy or have other fertility concerns. To learn more, contact us through our website or call 941-894-6428.