Pregnancy rates can depend on the amount of time between the vasectomy and reversal. Sperm return to the semen faster and pregnancy rates are highest when the reversal is done sooner after the vasectomy. Next to pregnancy, testing the sperm count is the only way to tell if the surgery worked. Your urologist will test your semen every 2 to 3 months until your sperm count holds steady or your partner gets pregnant. Sperm often appear in the semen within a few months after a vasovasostomy.
It may take from 3 to 15 months after a vasoepididymostomy. In either case, if the reversal works, you should stay fertile for many years. Only about 5 out of men later get scars in the reconnected part.
The scars could block the outflow of sperm all over again. Vasectomy reversals are most often done by urologists, but not all urologists do this type of surgery often. This technique calls for extra training and expertise. Almost all vasectomies can be reversed. But if the vasectomy was done while fixing a hernia in the groin it may not be as easy to join the ends of the vas.
The ends also may not be able to be joined if a very long piece was removed during the vasectomy, but this is rare. You can't tell before the reversal which method is best for you. Your urologist can only find this out during the surgery. If sperm are found in the vasal fluid, then a vasovasostomy is done. If there are no sperm in the fluid, your urologist will decide what to do based on other factors.
If there's a block in the epididymal tube, then a vasoepididymostomy will be needed. If no block is found, then the way the vasal fluid looks may help your urologist decide which method is best. Fluid that looks creamy without sperm suggests that vasoepididymostomy is needed. Some patients may need a vasovasostomy on one side and a vasoepididymostomy on the other. Your age shouldn't affect the results of your vasectomy reversal.
Most men keep making sperm for many years after their partners stop making eggs. Women become less fertile starting in their mids, with a major drop around age Your partner should check with her gynecologist to see if she is still ovulating before you agree to a reversal. There are other ways to get your partner pregnant without a reversal.
Your urologist can take sperm from your testis or epididymis using a needle or by surgery "sperm retrieval". But sperm taken this way can't be used in basic, low-cost office artificial inseminations.
The pregnancy rates are much lower if she is older. Your choice may be influenced by which methods your health plan covers. You might also weigh cost, years since vasectomy and the chance of needing an epididymovasostomy , and your partner's age. When done by skilled microsurgeons, success rates for repeat reversals are often the same as for first reversals. Your urologist will review the record of your prior surgery to help you decide.
Most health plans don't pay for reversals. You should talk with your health plan early in the planning to find out what they will cover. Or in three or four days if you have a more strenuous job. This is a surprise to many men, Dr.
But after a vasectomy, your testicles continue to produce sperm. It just no longer has a way out of the body. Because of this, your normal fertility is restored by a reversal.
They start to decline when a man has had his vasectomy 15 years ago. There are several factors that will contribute to pregnancy chances even after a successful reversal. People who are thinking about undergoing vasectomy reversal may need to pay out of pocket, Dr. The health of your partner and her fertility also must be taken into consideration, Dr. Especially when time is a factor, these methods are a more efficient way to achieve pregnancy than natural methods.
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