Do vasectomy reversals always work?

I'm considering having a vasectomy and then a reversal 6 years from now.

Answers from doctors (6)


More About Doctor John C. McHugh, MD

Published on Nov 07, 2017

This is a more complicated question than you might think. The presence of sperm shows that the procedure worked and that your testicles are producing sperm. However, if "work" means pregnancy then that number decreases. There is a difference between working and getting pregnant. This link has the specific numbers comparing patentcy to pregnancy based on the time since vasectomy.
https://gavasectomyreversal.com/reversal-success-rates/

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

This is a more complicated question than you might think. The presence of sperm shows that the procedure worked and that your testicles are producing sperm. However, if "work" means pregnancy then that number decreases. There is a difference between working and getting pregnant. This link has the specific numbers comparing patentcy to pregnancy based on the time since vasectomy.
https://gavasectomyreversal.com/reversal-success-rates/

Published on Jul 11, 2012


More About Doctor Ranjith Ramasamy M.D.

Published on Mar 16, 2016

About 7% of men end up getting their vasectomies reversed. If you have planned for a reversal, you should plan to cryopreserve sperm before vasectomy. Also, it is important to realize that a vasectomy is permanent sterilization. Although a reversal is possible, it is not covered by most insurance companies.

Answered by Ranjith Ramasamy M.D. (View Profile)

About 7% of men end up getting their vasectomies reversed. If you have planned for a reversal, you should plan to cryopreserve sperm before vasectomy. Also, it is important to realize that a vasectomy is permanent sterilization. Although a reversal is possible, it is not covered by most insurance companies.

Published on Jul 11, 2012


Stephen F. Shaban, MD

Published on Aug 21, 2015

A vasectomy should not be a temporary or transient form of birth control plus you cannot count on the vas reversal having a good outcome
Plus you must think about the economics as a vasectomy cost less than $1000 and Is covered by insurance where As a bad reversal cost often over $10,000 and not covered by
insurance

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Answered by Stephen F. Shaban, MD

A vasectomy should not be a temporary or transient form of birth control plus you cannot count on the vas reversal having a good outcome
Plus you must think about the economics as a vasectomy cost less than $1000 and Is covered by insurance where As a bad reversal cost often over $10,000 and not covered by
insurance

Published on Jul 11, 2012


No- vasectomy reversals do not always work. The chances of success depend on which type of connection is needed: vas-to-vas connection vs. vas-to-epididymis connection. Being 6 years out, you would have about an 80% chance of needing the more successful vas-to-vas connection.

Answered by Shane T. Russell, MD - Westerville Office (View Profile)

No- vasectomy reversals do not always work. The chances of success depend on which type of connection is needed: vas-to-vas connection vs. vas-to-epididymis connection. Being 6 years out, you would have about an 80% chance of needing the more successful vas-to-vas connection.

Published on Jul 11, 2012


Michael J. Karasis, MD

Published on Aug 19, 2015

Vasectomy reversals do not always work and are very expensive as insurances will not cover it

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Answered by Michael J. Karasis, MD

Vasectomy reversals do not always work and are very expensive as insurances will not cover it

Published on Jul 11, 2012


More About Doctor Steven K. Sterzer, MD

Published on Aug 19, 2015

No. Vasectomies should never be considered if an individual is ambivalent about permanent sterilization. Reversal obviously is another surgical procedure performed at a much greater cost than vasectomy, and is usually paid for "out of pocket." Success rates are around 60 percent though sperm recovery rates in the ejaculate should be in the 90 percent range. These sperm may be used for in vitro fertilization which is less successful and more expensive than a reversal procedure. Sperm banking prior to vasectomy is another option but also carries significant cost and failure rates. The short answer for you is do not get a vasectomy!

Answered by Steven K. Sterzer, MD (View Profile)

No. Vasectomies should never be considered if an individual is ambivalent about permanent sterilization. Reversal obviously is another surgical procedure performed at a much greater cost than vasectomy, and is usually paid for "out of pocket." Success rates are around 60 percent though sperm recovery rates in the ejaculate should be in the 90 percent range. These sperm may be used for in vitro fertilization which is less successful and more expensive than a reversal procedure. Sperm banking prior to vasectomy is another option but also carries significant cost and failure rates. The short answer for you is do not get a vasectomy!

Published on Jul 11, 2012


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