What is the chance of getting pregnant after a vasectomy?

My husband got a vasectomy when he was 26, now he is 45 and I'm 33. We want to have a baby. He has two children from a previous marriage and I have none.

Answers from doctors (4)


More About Doctor Theodore V. Benderev, MD

Published on Jul 27, 2017

Without doing any effort to reverse the vasectomy, the general chance of a pregnancy after a vasectomy is done and a negative semen sample is submitted is 1 in 2000.

Answered by Theodore V. Benderev, MD (View Profile)

Without doing any effort to reverse the vasectomy, the general chance of a pregnancy after a vasectomy is done and a negative semen sample is submitted is 1 in 2000.

Published on Jul 11, 2012


You have the choice between a vasectomy reversal which can still be effective in your situation or a sperm retrieval with in vitro fertilization. There are benefits of either procedure that you should discuss with a qualified local urologist

Answered by Mark J. Saslawsky, MD - Memphis Office (View Profile)

You have the choice between a vasectomy reversal which can still be effective in your situation or a sperm retrieval with in vitro fertilization. There are benefits of either procedure that you should discuss with a qualified local urologist

Published on Jul 11, 2012


More About Doctor John C. McHugh, MD

Published on Jul 26, 2017

If you have an experienced vasectomy reversal urologist then the chances of achieving pregnancy is dependent upon the number of years since the vasectomy was done. In your case that is about 20 years. There are studies that have looked at this and for your scenario the chance of seeing sperm after a reversal (patency) is approximately 70% and achieving pregnancy is 30%. The reason there is a difference in the numbers is because the longer the vas tube is blocked the harder it is for the testicle begin producing the quality and numbers of sperm necessary to achieve pregnancy. The specifics of this study can be found here:
https://gavasectomyreversal.com/reversal-success-rates/

Answered by John C. McHugh, MD (View Profile)

If you have an experienced vasectomy reversal urologist then the chances of achieving pregnancy is dependent upon the number of years since the vasectomy was done. In your case that is about 20 years. There are studies that have looked at this and for your scenario the chance of seeing sperm after a reversal (patency) is approximately 70% and achieving pregnancy is 30%. The reason there is a difference in the numbers is because the longer the vas tube is blocked the harder it is for the testicle begin producing the quality and numbers of sperm necessary to achieve pregnancy. The specifics of this study can be found here:
https://gavasectomyreversal.com/reversal-success-rates/

Published on Jul 11, 2012


Robert D. Oates, MD, FACS

Published on Jul 26, 2017

A vasectomy reversal (maybe with the addiotion of a simultaneous sperm aspiration and freezing) is absolutely a possibility for you to help you achieve a pregnancy. Make sure to have a Urologist who specializes in vasectomy reversal like myself and many of my colleaugues advise you and perform the surgery.

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Answered by Robert D. Oates, MD, FACS

A vasectomy reversal (maybe with the addiotion of a simultaneous sperm aspiration and freezing) is absolutely a possibility for you to help you achieve a pregnancy. Make sure to have a Urologist who specializes in vasectomy reversal like myself and many of my colleaugues advise you and perform the surgery.

Published on Jul 11, 2012


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