Many couples are concerned about the attainability of pregnancy after a successful vasectomy reversal- after a year of negative pregnancy tests, any couple may naturally feel discouraged. It is important to stay positive during this time, as pregnancy will not happen immediately. Here are some things couples should know:
First, it takes time for the sperm count to return to normal. For the first couple months, the absence of sperm is not unusual. After a vasovasostomy, sperm should be present in the ejaculate after three months, otherwise the vasovasostomy probably was unsuccessful, although we usually call it failure if no sperm is seen after six months. For an epididymovasostomy, this could take even longer. Keep in mind however, the mere presence of sperm does not guarantee conception. Sperm count must reach an adequate level in order for conception to be possible.
Second, a man renews his sperm reserve every 3-4 months, and it can take a couple turnovers, or about 6-8 months, for sperm count to reach optimal levels. Even after that, it could be up to six months to reach the proper conditions for conception. For some couples, conception could take just a few months, while others may take longer. Everyone’s body is unique- it is important not to lose hope.
The best way to ensure conception is to monitor sperm content and mobility over time. The first lab test is done six weeks after the procedure, and is repeated as required. Once it has been determined that sperm count has reached adequate levels and that the sperm is mobile, conception should occur within six months assuming the couple is having intercourse often and regulaarly and at the most fertile points of the woman’s cycle (a few days before and after ovulation). If there are still issues, and the sperm is fine, the issue may lie with the female partner’s fertility.
Conception can be a long and trying process for many couples. Again, it is important to stay positive and not be discouraged, as it can take quite a long time to meet the conditions required for conception, and there are many factors that affect pregnancy. Patience is often rewarded.