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FEATURE ARTICLE

What If We Have a Change of Heart?

Things can change. Is a vasectomy permanent?

Permanent means permanent?

Even the most carefully considered decisions are sometimes revisited in the future. Although it’s best to consider a vasectomy to be permanent, the circumstances of life may later cause people to wonder just how permanent is a "permanent" vasectomy.

Certainly, things can change. Men who have remarried may wonder about a reversal if the new couple wants to add children to their family, but the vasectomy is an obstacle. Perhaps the vasectomy was done at a relatively early age, or that the family or financial situation has changed significantly.

For whatever the reasons, as many as 30,000 to 50,000 men have a vasectomy reversal each year. (And it’s likely that many others consider a reversal, but do not have the procedure.)

The best and the worst.

In addition to being nearly 100 percent effective, perhaps the best thing about a vasectomy is that it is permanent. On the other hand, maybe the worse thing about a vasectomy is… that it is permanent. Although significant advances in microsurgery have made the vasectomy reversal far more common in recent decades, it is still best for someone who is thinking about having a vasectomy to regard "permanent" as completely permanent.

Vasectomy reversals have a high likelihood of success for many men, especially if the time between the vasectomy and the reversal is only a few years. While success factors for restoring fertility are good in many situations, it is never a "sure bet," especially if a number of years have passed.

The "success" of a reversal is measured in two categories; the ability to re-open a vas channel for sperm to return to the ejaculatory fluid; and secondly, the chance of pregnancy. If it has been less than three years since the vasectomy, the likelihood of rebuilding the vas channel is 97 percent; and the chance of pregnancy is 76 percent.

However, these rates of success are lower as more time passes from the date of the original vasectomy. For those individuals who had a vasectomy over 15 years previously, these chances fall to 71 percent likelihood of restoring the vas channel, and 30 percent likelihood of a subsequent pregnancy.

Informed and confident decision.

It is best not to have a vasectomy with the expectation that fertility can be easily restored later. In fact, if you think you might have a change of heart, it may be better to consider less permanent contraception methods until you are clear and confident about your decision.
[See VASECTOMY REVERSAL main page]

It’s always a good idea to consider important decisions carefully and to fully research your options. If you have medical questions, talk to your doctor.

In Summary:

  • Remarriage and other significant reasons cause people to consider a vasectomy reversal.
  • As many as 50,000 men have a vasectomy reversal each year.
  • A reversal can be successful, especially if the vasectomy was recently.
  • If you think you might have a change of heart, it may be better to use less permanent contraception methods until you are confident in your decision.


Check out related pages from vasectomy.com


[Last Modified: 03/03]


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