Choosing to undergo a reverse vasectomy is a very sensitive decision. Men, and especially their partners, are unsure if pregnancy will result even after a successful reversal operation. So, if you are unsure of what will or can happen, here are some answers:
What Are Vasectomy Reversal Success Rates?
Reverse vasectomy success means conceiving after the procedure. Currently, the success rates range between 20% and 75%, but these are expected to improve as medical technology advances.
Also, the success rates depend on the type of operation, which can be a vasovasostomy or a vasoepididymostomy.
Vasovasostomy success rates are between 50% and 70, while the success rates of a vasoepididymostomy range between 20% and 40%, and that’s because a vasoepididymostomy is a very complex procedure.
How does a doctor decide the type of operation?
Well, he will first take a fluid sample from your vas deferens. Then he will examine whether sperm is present, and if it is, he checks its consistency. If he cannot find any sperm in the fluid, he will recommend a vasoepididymostomy because this procedure clears the blocked epididymis and restores sperm flow.
According to medical experts, the chances of success increase if the fluid sample is clear. The chances diminish if the sample contains thick or creamy fluid. However, this is best judged by your doctor.
Can the doctor predict the chances of pregnancy after the operation?
The doctor cannot guarantee success. After the procedure, the doctor will analyze your semen over several months. He will want to check if your sperm is motile and normal.
If the sperm does not get back to normal within 6 months of a vasectomy reversal or 18 months after a vasoepididymostomy, then the doctor will discuss other options such as IVF or adoption. The doctor may also recommend another vasectomy reversal.
If your partner does not get pregnant within a year or so, then the doctor will check for sperm antibodies. Doctors want to eliminate the possibility of antibodies even though recent research has established that sperm antibodies do not impact pregnancy.
How can I measure a vasovasostomy’s success?
If your partner is pregnant within 6 months of the procedure, then the procedure was extremely successful.
However, know that only a few couples become parents after a few months. For all other couples it takes 1-to-a-few-years to conceive.
Finally, know that the success rate increases if the time limit between the vasectomy and its reversal is not too far apart.
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Paul Lubben is a blogger and father of 2 children that are the result of a successful vasectomy reversal he had 5 years ago.