No sperm found 5 months post reversal, should we give up hope?

My husband had his reversal done 5 months ago and no sperm was found in the fluid at the time of the surgery. Both sides vasovasostomy and surgery went "well." We just got the results of our semen analysis and it still shows no sperm. 1) Should we consider this a failed reversal or is there still a chance the sperm could return later? If so, how often do you see this? 2) Would anti-inflammatory meds help? 3) If this is a truly failed reversal, what are our options moving forward?

Answers from doctors (2)


More About Doctor Robert D. Oates, MD, FACS

Published on Jul 03, 2019

Hi, unfortunately, it sounds as if the vasectomy reversal did not work. The "no sperm" at the time of the reversal often indicates that a connection to the epididymis needs to be made instead of a connection to the vas (vasovasostomy) but there are a lot of little particulars that might alter that. Redo-reversal or direct sperm aspiration coupled with IVF are possibilities for you.

Hope this helps,
Dr. Robert Oates
www.robertoatesmd.com

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

Hi, unfortunately, it sounds as if the vasectomy reversal did not work. The "no sperm" at the time of the reversal often indicates that a connection to the epididymis needs to be made instead of a connection to the vas (vasovasostomy) but there are a lot of little particulars that might alter that. Redo-reversal or direct sperm aspiration coupled with IVF are possibilities for you.

Hope this helps,
Dr. Robert Oates
www.robertoatesmd.com

Published on Jul 11, 2012


More About Doctor John C. McHugh, MD

Published on May 04, 2018

No, in fact you should never give up hope on anything. After a reversal, it takes the testicles about four to six months to begin producing sperm again. So you are in that window of them beginning to produce sperm. I have seen it take up to a year. Having said that, it is always more encouraging to see them sooner, then you know the re connection is open and the testicles are producing, but five months is too early to say it didn't work.

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

No, in fact you should never give up hope on anything. After a reversal, it takes the testicles about four to six months to begin producing sperm again. So you are in that window of them beginning to produce sperm. I have seen it take up to a year. Having said that, it is always more encouraging to see them sooner, then you know the re connection is open and the testicles are producing, but five months is too early to say it didn't work.

Published on Jul 11, 2012


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