Vasectomy Reversal Success Rates & Fertility

• Vasectomy reversal success rates: What the numbers Really Mean: Vasectomy Reversal Statistics on the internet are largely derived from old publications with little relevance to vasectomy reversal today. A retrospcetive study from the Cleveland Clinic from the early 90's that took place over about 17 years with many different surgeons in training and only about 200 cases is most widely quoted, but in our opinion not truely factual or relevant.

• Vasectomy Reversal after 10, 15, 20, or 25 years: There is no magic time where a reversal is no longer an option. Blockage to the outflow of semen can compromise the function of the testis but the impact of this differs from individual to individual. There are many more things to consider beyond just how long it has been since the vasectomy.

• How Age Affects Vasectomy Reversal Success: Fertility can decline with age as well as with many other factors. Women are more on a clock than men truely are, but with so many couples today, having all the children desired by an early age just was not an option, so now it is quite common for women over 40 to want to try to have a baby before it becomes too late.

• When does Sperm Return After Vasectomy Reversal? It generally takes about 2 months to make a new sperm, and another 2 - 4 weeks for them to appear in the ejaculate. We have had hundreds of babies conceived well within that time period so that generalization does not apply to everyone. Return of sperm usually takes longer following bypass procedures, as the volume and output of the testis potentially entering the ejaculate can be reduced.

• How to Improve Sperm Health After Vasectomy Reversal: Your body is a reproductive genius. It is doing everything it can 24/7 to maximize your fertility. Hot tubs, testosterone injections, and other activities that might increase the temperature of the testes should be avoided. Also, too frequent ejaculation can deplete the sperm and lead to lower concentrations of sperm with each ejaculation.