If I had a vasectomy roughly 25 years ago, is there a need to do the procedure a second time?

I'm 78 years old but still have a strong sex drive. Twenty-five years ago I had a vasectomy. Is there a need to do the procedure a second time?

Answers from doctors (3)


More About Doctor Tulsa Vasectomy Clinic

Published on May 12, 2022

No there is not. If you have any concerns you could have your ejaculate looked at under the microscope to see if any sperm are present. That might give you peace of mind but no doubt if you have not had children since the vasectomy over that period of time your vasectomy has done its job and will continue to do so

Answered by Tulsa Vasectomy Clinic (View Profile)

No there is not. If you have any concerns you could have your ejaculate looked at under the microscope to see if any sperm are present. That might give you peace of mind but no doubt if you have not had children since the vasectomy over that period of time your vasectomy has done its job and will continue to do so

Published on Jul 11, 2012


Steven K. Sterzer, MD

Published on May 18, 2016

A second vasectomy would be necessary only if the first one fails. The likelihood of that happening 25 years later would be extremely rare.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/5068_1500497969.jpg
Answered by Steven K. Sterzer, MD

A second vasectomy would be necessary only if the first one fails. The likelihood of that happening 25 years later would be extremely rare.

Published on Jul 11, 2012


Once a man has had a successful vasectomy, this should be good for a lifetime. There is a very, very low recurrence rate of sperm, which is less than 1 in 1000. Thus, there is no reason to consider an additional vasectomy, unless an unintentional pregnancy is achieved. There would also not be any indication for checking to see if there is sperm in the ejaculate even 25 years out from a vasectomy again, unless an unintended pregnancy is achieved.

Answered by Michael A. Werner, MD, FACS (View Profile)

Once a man has had a successful vasectomy, this should be good for a lifetime. There is a very, very low recurrence rate of sperm, which is less than 1 in 1000. Thus, there is no reason to consider an additional vasectomy, unless an unintentional pregnancy is achieved. There would also not be any indication for checking to see if there is sperm in the ejaculate even 25 years out from a vasectomy again, unless an unintended pregnancy is achieved.

Published on Jul 11, 2012


Related Questions for No Needle Vasectomy

No Needle Vasectomy -2 answers
If I don't have insurance and want to pay out of pocket for the vasectomy, how much would it cost?
See More
No Needle Vasectomy -1 answer
My doctor gave me the choice of using the traditional needle anesthesia or the no needle delivery with a MadaJet. He said he usually advises patients to use the needle delivery because he can assure them there will be no discomfort during the procedure but cannot make the same promise with the no needle approach. He seemed to imply that I can either feel the pain upfront or later - you decide. I'm not sure what type of anesthesia to choose. What do you recommend?
See More
No Needle Vasectomy -4 answers
On an advertisement I've seen for a vasectomy doctor, it states they use a no-needle anesthesia technique where they spray lidocaine or something. Does that mean I will be awake and coherent for this procedure? If so, I do not think I will be able to do that?
See More
No Needle Vasectomy -1 answer
I have a pea size lump on my vas at the base of my penis on the left side and then the vas feels hard and lumpy below for an inch. It isn’t painful. I am two and a half months post no needle no scalpel vasectomy.
See More
No Needle Vasectomy -1 answer
I have done tons of research and watched videos on vasectomies. Why doesn’t the AMA and AUA recommend laughing gas or general anasthesia? This looks extremely painful even when given something for anxiety! It turned me off to the whole procedure. Men feel pain too, especially in the most sensitive part of their body. In one video the doctor quipped “that’s my secret, the left side tells the right side what is about to happen.” He screamed out!
See More
Get answers from our experienced doctors.
How it works
No Needle Vasectomy -1 answer
Just had a vasectomy and woke up the next day and found out I ejaculated in my sleep. Is there something I should be worried about?
See More

Related Articles

Have specific questions?
ASK A DOCTOR