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Can a woman get pregnant if the man had a vasectomy

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Getting pregnant after vasectomy reversal is possible. With micro-surgical repair, an average of 90 percent will regain sperm after three to six months, and an average of 73 percent will achieve pregnancy after a year. That said, success rates and time frames vary significantly depending on how many years have passed since the vasectomy, whether the couple has had a child together in the past, the skill of the surgeon, and what kind of repair is required. Also important, vasectomy reversal surgery is only one option to having biological children. Sometimes, IVF offers the best chances for success.

SEE VIDEO BY TOPIC: How to Get Pregnant if Your Partner Had Vasectomy-Realistic Possibility Pregnancy After Vasectomy-

SEE VIDEO BY TOPIC: What happens to sperm after a vasectomy? - Jesse Mills, MD - UCLA Urology

My Partner Had a Vasectomy. I Had My Tubes Tied. Can We Get Pregnant?

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Men's Health , Procedures , Urology. UNC urologist and professor Matt Coward, MD , sees patients to restore fertility after vasectomy, either because of a change of heart, or more commonly because of an unexpected life event that has caused a man to want more children. Vasectomy reversal is the most common approach. Coward, a urologic microsurgeon performing vasectomy reversals and surgical sperm retrievals in the Triangle.

Because it is so successful in most cases, vasectomy reversal is often the best option for men who change their mind. Coward answered our questions about vasectomy reversal and other methods for restoring male fertility. Success is measured by both sperm returning to the ejaculate and whether pregnancy is achieved. There are two very important variables for success. The first is the length of time since the original vasectomy. We call this the vasectomy interval. The second is the age of the female partner.

Generally speaking, we see the best results when the vasectomy was performed in the last 10 years. That being said, the likelihood of natural conception is often similar or better than the chance of a successful pregnancy with IVF, even sometimes long after 10 years. When it comes to partner age, women younger than 38 are more likely to conceive and less likely to have risks for infertility. Proven fertility between two people is the most predictive for a great result.

Therefore, if the couple has children who they previously conceived together prior to the vasectomy, that would be the best predictor for a successful vasectomy reversal. Based on these factors, success ranges on average from about 80 to 97 percent.

I can give an individual couple a better idea of what they might expect after a complete evaluation. A vasectomy reversal restores continuity of the male reproductive tract. The vas deferens is the tube that carries sperm from each testicle, and after a vasectomy there is a surgical disconnection and scar in each vas. A reversal is a much longer and more complex procedure than a vasectomy, and it is accomplished in an operating room setting with the patient under general anesthesia and with the assistance of an operating microscope.

The actual reconnection is performed in one of two ways, which is determined during the procedure and depends on where the blockage is located.

The initial blockage is always at the original vasectomy site, but over time sperm can back up into the more delicate epididymis—the coiled tube at the back of the testicle that stores sperm—at which time a secondary obstruction can develop. The most common procedure required during a reversal is called vasovasostomy, or vas-to-vas reconnection, during which the vasectomy clips and scar are removed and the ends are reconnected like simple plumbing.

This is much more common when the vasectomy was performed within the past 10 years, and it only requires a tiny incision. In the second, more complex procedure, called epididymovasostomy, or epididymis-to-vas reconnection, the end of the vas deferens above the vasectomy site is rerouted directly to the epididymis, bypassing the secondary obstruction.

It requires a slightly larger incision. The method of reconstruction on either side is determined during the procedure as an intraoperative decision. The likelihood of needing the more complex epididymovasostomy increases when the vasectomy interval is greater than 10 years. After the vasectomy reversal, either by vasovasostomy on each side, epididymovasostomy on each side, or one of each, sperm returns to the ejaculate just as it was prior to the vasectomy, restoring the possibility for natural conception.

Recovery time for a reversal on average is about a week, so I have patients take a whole week off of work. This is about twice as long as it is for the original vasectomy. Vasectomy reversal is not only highly effective but also very safe. The complication rate is less than 1 percent and primarily includes minor complications such as swelling, bruising and discomfort that improve with time.

Excluding fertility issues that might be present independent of the vasectomy, a typical time to pregnancy can be between six to 12 months after the reversal. The training and experience of the surgeon are the most important factors. A surgeon who did residency training in urologic surgery followed by a fellowship in male reproductive medicine and surgery is ideal.

The fellowship aspect is incredibly important because that is the time when a surgeon learns and develops the skill to operate with a microscope. The use of the operating microscope is of utmost importance with vasectomy reversal surgical success. Additionally, the ability to perform the more complicated epididymovasostomy is almost exclusively performed by surgeons who were fellowship-trained in male reproductive medicine and surgery. A surgeon physically located within a fertility clinic affords a couple the unique flexibility to learn about all of the alternatives, such as IVF, as well as to bank sperm during the procedure.

A no-needle, no-scalpel vasectomy is often still possible. Redoing vasectomies after reversals is actually quite common, and something I have done for a number of my patients who have had successful reversals. That number might seem high or low depending on how you look at it. When I perform a vasectomy, I always hope that decision is permanent.

However, people change their minds about 5 to 10 percent of the time. Lastly, there are a few alternatives to growing a family that should be considered. The other main option would be surgical sperm retrieval combined with IVF.

Aside from vasectomy reversal, this is one of the most common procedures that I perform. The procedure takes less than an hour and has success rates approaching percent. That means that in our experience at UNC Fertility to date, percent of vasectomized men who have had this procedure have had sperm successfully retrieved and banked. But, of course, you can never make a guarantee of percent for an individual patient.

It should also be noted that whenever we do a vasectomy reversal, we also recommend to retrieve sperm and bank it while we are there. We do this just in case the reversal is not successful, which happens about 5 percent of the time. After sperm is surgically extracted, the sperm is frozen until the couple is ready to undergo IVF. This is a process performed by my colleagues at UNC Fertility who treat female infertility, in conjunction with our outstanding IVF laboratory and andrology and embryology staff, with whom I work closely.

Aside from vasectomy reversal or surgical sperm retrieval with IVF, some couples may consider donor sperm or adoption.

Are you interested in learning more about fertility restoration after vasectomy? Call UNC Fertility at to make an appointment. May 28, Men's Health , Procedures , Urology. Coward, what factors predict success for a vasectomy reversal?

How does a vasectomy reversal work? What risks and complications are possible? How long will a couple have to wait to get pregnant after a vasectomy reversal? Pregnancy can be a complicated issue with a lot of factors influencing success.

What are the most important factors in finding a surgeon for a vasectomy reversal? If a man gets a vasectomy reversal, can he then get another vasectomy later in life? Why do only 5 percent of men get their vasectomies reversed? What alternatives should a couple consider?


Vasectomy is a form of birth control for men that is meant to be permanent. During vasectomy, the tubes that carry sperm are closed or blocked. Vasectomy is nearly percent effective at preventing pregnancy.

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Change the Man or Woman , Now Change the Plan Vasectomy, surgical severing of the tubes that carry sperm from the testicles into the semen, is one of the most common forms of contraception in the U. About , men get vasectomies every year, according to a study done at Columbia-Presbyterian Medical Center. An even greater number of women, some ,, undergo tubal ligation every year in the U. This, too, is an effective form of birth control.

Having a Baby after a Vasectomy

Do you want to get pregnant yet your male partner has had a vasectomy? Perhaps he should consider a vasectomy reversal. What is a vasectomy? This blockage will prevent sperm from travelling through the penis during ejaculation. A vasectomy is a permanent form of birth control that leads to male sterilization. Thus, he will be unable to get a woman pregnant. What is a vasectomy reversal? A vasectomy reversal is a surgical procedure and is done under anesthesia. During a vasectomy reversal, the vas deferens is reconnected.

Vasectomy Reversal vs. Sperm Injection

Men's Health , Procedures , Urology. UNC urologist and professor Matt Coward, MD , sees patients to restore fertility after vasectomy, either because of a change of heart, or more commonly because of an unexpected life event that has caused a man to want more children. Vasectomy reversal is the most common approach. Coward, a urologic microsurgeon performing vasectomy reversals and surgical sperm retrievals in the Triangle.

A vasectomy is one of the most effective ways to prevent a pregnancy; it is basically a permanent birth control solution for men.

Will vasectomy make a man lose his sexual ability? Will it make him weak or fat? After vasectomy, a man will look and feel the same as before. He can have sex the same as before.

Family Planning

Vasectomies are a widely used method of contraception today. The failure rate is extremely low such that they are a very dependable way of avoiding unwanted pregnancy. Sometimes a man who thought his family was complete may change his mind and want to have more children after a vasectomy has been performed. There are a couple of ways of resolving this dilemma.

SEE VIDEO BY TOPIC: "Undergoing the Snip: Is Vasectomy Reliable?" with Dr. Melanie Crites-Bachert (

Vasectomy is currently one of the most common methods of sterilization in the United States. After your vasectomy, if you change your mind about having children, there are two procedures that can help you have a child with your partner. The two options are: a vasectomy reversal or sperm aspiration prior to in vitro fertilization IVF. Your doctor can help you choose which procedure is better for you and your partner based on:. The first thing to do is see a urologist. Your urologist will take your medical history and do a physical examination to make sure you have no other health issues that would affect your fertility.

Pregnancy After a Vasectomy – Is it Possible?

WHEN a family is complete, many dads have a vasectomy to make sure their days of changing nappies are well and truly over. But are they? This week, mum-of-three Julie Garrett hit the headlines. They are not alone. Here, Julie and three other mums reveal how they coped when the impossible happened Susan says:. The house was full to the brim and we were adamant that we didn't want any more children - especially because of the financial burden. After Shaun had the vasectomy in October it was such a relief not worrying about contraception.

Sometimes a man who thought his family was complete may change his mind and want more children after a vasectomy has been performed. The procedure can be technically successful in % of cases if the vas deferens was not Also because IVF is being done, female fertility problems such as tubal issues.


Fertility Options After Vasectomy


A Vasectomy Is Permanent, but Restoration of Fertility Is Possible






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