What are the success rates of vasectomy reversals?

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My husband is 40 years old and has had a vasectomy for ten years. Obviously, he was married before then divorced. I am 29 years old and of course want a child. He would like to have a reversal done, but I am so fearful it will not be successful. What would our chances be of a reversal being successful?




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Posted by RandomCritic   @   27 April 2010 2 comments
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2 Comments

  • Still Green after 20 years

    Actually it is not obvious that he was married before than divorced. Lots of men who are single, and/or never had children have vasectomies. I have no children at all, and I had a vasectomy myself. Usually only men that get married to much younger women seek reversals.

    The published success rates vary from doctor’s office to doctor’s office. The reason is simple; there are as many definitions of “success” as there are doctors in this highly profitable business. Many consider live sperm in his semen within two years of the surgery a “success”. Your definition of a success is pregnancy.

    In other words what many a “success” still does not mean your hubby’s sperm are strong enough for you to get pregnant. Keep in mind that the surgeon makes a hefty profit no matter what. He or she is in the business to make money. He or she has pleny of money for lawyers. There are plenty of people like yourself that are willing to buy “false hope” at a high price.

    From what I understand, the following is true:

    1.Vasectomy reversal is long and painful.
    2.Your chances are 20-25% at best.
    3.IVF using his sperm will up your chances by about 80% (that costs about $20,000).
    4.Average time from reversal surgery to baby is about three years.
    5.The surgery is more about paying off the surgeon’s boat than you.
    6.T.E.S.E is less painful for him, and accomplishes the same thing.

    Good luck

  • SpiceyLady

    Some people wish to fill you with fear and discouragement so that you won’t even attempt to try to concieve a child. If you want to get the truth, check an unbiased source like my first one. It states for a reversal of a 10 year old vasectomy, there is a 77% chance of a return of sperm and a 44% chance of pg. Yes, this isn’t a good as the 97% return of sperm and 76% chance of pg when reversing a vasectomy that is 3 years or less old, but it is a heck of a lot better than just waiting for a vasectomy failure (which happens about 0.00025% chance you have of getting pregnant without a reversal). The idea of a reversal being long and painful is not factual. Most men say reversal’s no different than the original vasectomy, pain wise at least. It does take a longer time to complete because it’s precisely reconnecting two small ends back together, so it takes about 3 hours. Often the doctor sedates the man, but he can use just a local. It does have a much longer recovery time because it’s putting together something delicate that frankly is a whole lot easier to break and scar up with a vasectomy than to keep good with a reversal. IVF is expensive, that I agree with. TESE works, but I wouldn’t want to harvest sperm for IVF that way…if I were a man, I’d like to be put back together than get my gonads dissected or a needle in them to suck the sperm out. Course, I’m not a guy, so maybe I don’t know about that. I do know I’d rather conceive a baby the old fashioned way than do egg harvesting followed by IVF. I think if you want to and have the funds, try reversal with sperm harvesting (they use a needle and collect what sperm they can at the reconnection point) at the time of reversal. Pick a good microsurgeon. Yes, they are in it for the money, at least most of them. It’s a job for most; (for some, it’s a ministry). Is that any different than a gp that does a vasectomy in 15 minutes in his office, yet charges $450? I think not. So research doctors and the questions you might ask them (see my second source). BTW I’m a reversal wife and I have a reversal son. Most of the time, a woman becomes pregnant within the first year after reversal, sometimes it takes longer, and in the few lucky cases, the woman will conceive on the first cycle of trying. Find a good support group. (There are many on the world wide web, just search engine vasectomy reversal message boards. Pick one from a parenting site rather than a particular doctor so that you get a wide range of questions and answers and information on the process as a whole and don’t have to worry about it being biased towards a certain doctor.) GL

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