Understanding the alternatives to a vasectomy reversal helps in accentuating the advantages of undergoing the process.

Many men who want to reverse their vasectomy procedure opt to do so since they wish to get more children.

Other men result in this option as a treatment plan for Post Vasectomy Pain Syndrome or religious purposes.

If you have undergone a vasectomy and want to have more kids, there are two options:

  • Vasectomy reversal
  • Assisted reproductive technology

There are two other options to have more kids following a vasectomy: sperm donation or adoption. Men wish to father their children most times, and consequently, these latter options are less desirable (1).

Assisted Reproductive Technology (ART)

The technology can enable couples to have more kids despite tubal blockage. Through assisted reproduction technology, the blocked tubes are bypassed.

ART can be utilized by couples to deal with infertility after a man or woman has undergone a sterilization procedure.

A man who has gone through a vasectomy procedure, then assisted reproductive techniques used are percutaneous epididymal sperm aspiration (PESA). On the other hand, women are administered the in-vitro fertilization (IVF) treatment.

Percutaneous epididymal sperm aspiration refers to the process of retrieving sperm from your epididymis. The epididymis will most times have live sperms even after a vasectomy procedure (2).

PESA can be done in an office where the patient is under local anesthesia or deep IV sedation. The process can only generate sufficient sperm, which is then used for in-vitro fertilization. The traumatic nature of PESA could result in many secondary blockages in your epididymis.

It could reduce the chances of success for any vasectomy reversal in the future.


In a vasectomy reversal, the vas deferens are surgically rejoined, where the patient goes under for three hours. The outpatient surgery would require you to be off work for two to four days.

The vasectomy reversal procedure, also known as a vasovasostomy, can restore sperm presence during ejaculation. It could enhance the likelihood of having a natural pregnancy.

The main factor determining the success of vasovasostomy is the amount of time from when the procedure was conducted. Men who undergo vasovasostomy in under three years after a vasectomy procedure have a higher success rate than those who wait longer.

Vasectomy reversal has an average success rate of 85% when it comes to restoring live sperm in the ejaculation process (3)

The Upside of a Vasovasostomy

The primary advantage of vasovasostomy is that it enables couples to become pregnant naturally.

Other benefits of vasectomy reversal include providing couples with a chance to have a natural pregnancy without the expensive medical treatments and the countless visits to the doctor.

Although a vasectomy reversal procedure leads to low sperm count, the monthly intrauterine insemination (IUI) is another viable option. 

It serves as an alternative to in-vitro fertilization in case the woman has no tubal blockage or any other infertility problem. The fertility restoration process facilitates the likelihood of pregnancy each month.

With time, these changes add up and offer a higher probability than one cycle of in-vitro fertilization. The major benefit of vasovasostomy is that the process enables you to steer clear of the more expensive alternative options of reversing vasectomy (4).

Benefits of Vasectomy Reversal

The most notable advantage is that you restore your fertility and, as such, the potential to father a child. Your chances of success are much higher when the reversal is done soon after the vasectomy. 

Links to Sources Used: 

  1. Successful pregnancy following vasectomy reversal more effective in men who remain with the same female partner https://news.cornell.edu/stories/2004/09/successful-pregnancy-following-vasectomy-reversal-more-effective-men-who-remain-same
  2. Assisted Reproductive Technology (ART) https://www.cdc.gov/art/index.html
  3. Vasectomy reversal: a clinical update https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4854082/
  4. Vasovasostomy and vasoepididymostomy: Review of the procedures, outcomes, and predictors of patency and pregnancy over the last decade https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6194271/