I have a low sperm count 3 months after vasectomy reversal. What are the chances of it improving?

The semen analysis found 0.2 million sperm count per ml - zero motility. This is a reversal done 10 years after the initial procedure. I was looking to start IVF but the doctor (who has a good reputation) says to have another test after 3-4 months. What are the chances of becoming fertile again?

Answers from doctors (3)


More About Doctor Robert D. Oates, MD, FACS

Published on Apr 08, 2019

Excellent question. Yes, indeed, the semen analysis may improve depending upon the findings at the time of surgery. Occasionally, if certain conditions are met at surgery, it may take longer to have good numbers of good quality sperm coming out. I would check a second semen analysis 2 months after the first as this should give a good indication of whether things are improving or not.

Answered by Robert D. Oates, MD, FACS (View Profile)

Excellent question. Yes, indeed, the semen analysis may improve depending upon the findings at the time of surgery. Occasionally, if certain conditions are met at surgery, it may take longer to have good numbers of good quality sperm coming out. I would check a second semen analysis 2 months after the first as this should give a good indication of whether things are improving or not.

Published on Jul 11, 2012


Binod K. Sinha, MD, FACS

Published on Aug 01, 2018

Chances are very small that sperm count or quality will improve, but waiting 3 months and repeating two or three sperm analyses will not hurt.

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Answered by Binod K. Sinha, MD, FACS

Chances are very small that sperm count or quality will improve, but waiting 3 months and repeating two or three sperm analyses will not hurt.

Published on Jul 11, 2012


Naresh Parajuli, MBBS, FRACGP

Published on Aug 01, 2018

There is good news and bad news here. The good news is that the reversal is successful and you do have sperm in your semen. The bad news is that they are non-motile, which makes it very hard for you to impregnate your partner.
As your doctor says, please repeat the test after 3-4 months and see how it goes.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/8665_1532029450.jpg
Answered by Naresh Parajuli, MBBS, FRACGP

There is good news and bad news here. The good news is that the reversal is successful and you do have sperm in your semen. The bad news is that they are non-motile, which makes it very hard for you to impregnate your partner.
As your doctor says, please repeat the test after 3-4 months and see how it goes.

Published on Jul 11, 2012


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