Are you considering having a vasectomy reversal? Here’s how a vasovasostomy works and your chances of getting your partner pregnant.

Vasectomies are considered as permanent forms of male birth control and every year, 1 in 10 men in the states has the procedure done.1 They are highly effective and less than 1% of men who undergo a vasectomy experience failure.

It is possible to have a vasectomy reversed in a procedure known as a vasovasostomy. Here’s all you need to know about getting your partner pregnant after a vasectomy reversal.

What is a vasovasostomy?

A vasovasostomy is the most common preferred method of a vasectomy reversal. During this procedure, the doctor rejoins the vas deferens tubes that had earlier been cut, thereby rejoining the penis and the testes. 

The alternative procedure is a vasoepididymostomy which is far more complicated and is only recommended if your doctor is certain a vasovasostomy will not work.

Why do men get a vasectomy reversal?

In every 20 men that get a vasectomy, one will want a reversal.2 There are various reasons why one may decide to have a vasovasostomy including:

  • The desire to have more children
  • As a solution to chronic post-vasectomy pain
  • Losing a child
  • Divorce and remarriage
  • Lack of success in other fertility methods like IVF

There are times when the reversal is caused by vasectomy regret, which may have nothing to do with wanting more children.

How quickly can you get your partner pregnant after a vasectomy reversal?

The time it takes to get your partner pregnant after a vasovasostomy varies and is dependent on a couple of factors. If the reversal is a success and there are no arising complications, it could take you an average of 3 to 6 months for you to conceive.

After the procedure, your doctor will have to test your semen at least 12 weeks after the procedure to make sure it contains sperm. You will either be asked to ejaculate in a cup or be given a condom without spermicides to collect the semen after you have intercourse with your partner.

Even if the semen contains sperm, your doctor will have to conduct a sperm analysis to ascertain that it is of good quality. On average, it takes 90 days for sperm replenishment.

What factors affect your chances of pregnancy after a vasectomy reversal?

  1. The fertility of your partner – before having the reversal done, ensure that your partner doesn’t have any fertility issues as it will take you longer to conceive. If they do, you should consider other alternatives like IVF.
  2. How long you’ve had the vasectomy – it will take you longer to conceive if you’ve had the procedure for a long time. The success rate is higher for men who have the reversal done within 3 years.
  3. Lifestyle choices – it will take you longer to get your partner pregnant if you smoke and drink alcohol.

How experienced your doctor is will also affect the success of the reversal. Make sure that the urologist has done similar procedures successfully.

Links to sources used

  1. Trends in Contraceptive Use Worldwide 2015-  https://www.un.org/en/development/desa/population/publications/pdf/family/trendsContraceptiveUse2015Report.pdf
  2. Vasectomy Reversal: Decision Making and Technical Innovations- https://pubmed.ncbi.nlm.nih.gov/28904908/