How effective is a reversal vasectomy?

Answer 1

Vasectomy reversals can be very effective, but it depends on the patient's health and the skill and experience of the surgeon performing the procedure . In simple cases of young vasectomies (<8 years old), up to 99% rates of return of motile sperm to the ejaculate can be achieved. Even in older, more complicated vasectomy reversal cases (<16 years), 65% rates of return of motile sperm to the ejaculate can be obtained Pregnancy rates after reversals are not quite the same as those achieved with male partners that have not had prior reversals but are very close.

In most cases, vasectomy reversals are cheaper and more effective than the alternative, which is IVF-ICSI. Typically, IVF-ICSI is twice the cost of a reversal, is a single attempt at pregnancy and has an associated "multiple" (twins or higher) rate of 30-40% compared to 1% with reversal.