What Should I Consider Before Having Vasectomy Reversal Surgery?

Vasectomy reversal surgery must be considered by any couple hoping to conceive a child following a man’s vasectomy.

Although there are other methods that can be considered, vasectomy reversal surgery provides a safe, predictable option. That said, it is important that couples consider other factors prior to committing to reversal surgery.

Among the factors and questions to consider before committing to surgery:
• The man’s ability to produce sperm;
• A female’s ability to conceive a child; and
• The choice of which doctor will perform the vasectomy reversal procedure.
Most doctors will want to make sure a man can produce healthy sperm before attempting to reverse a vasectomy and restore the flow of sperm to the semen. If a man has not impregnated a woman in the past he should consider having a FSH laboratory test done. Certainly if he has small or soft testicles, he should have the FSH performed. , he may need a testicular biopsy. That is a simple procedure in which a needle is used to remove fluid from the testicles to check for sperm.

It is also important that a female partner see an OB physicianto be tested if she has not borne children to ensure there are no fertility problems. If she is over 39, eEven if she has gotten pregnant in the past, see should consider seeing her doctor or getting ovulation testing. (There are reliable over the counter kits available.) her doctor will want to know if she has regular menstrual cycles and possibly conduct a pelvic exam. Her doctor may recommend other tests. These might include tests to make sure her fallopian tubes are not blocked and that she is ovulating.

When choosing a doctor who will perform a vasectomy reversal procedure, ask about his personal experience with reversal surgeries and success rates – both his and overall success rates of restoring the flow of sperm, and of impregnation. Be sure to ask about the risks and for your doctor to explain all of your vasectomy reversal options.