Getting Pregnant After a Vasectomy Reversal

Many couples become frustrated when many months have gone by after vasectomy reversal and their female partners are still not pregnant. Months of negative pregnancy tests can certainly take its toll on any couple’s spirit. This blog is going to talk about getting pregnant after a vasectomy reversal; it’s important for couples to know what a realistic expectation should be and to understand the process of conceiving.

Getting pregnant after a vasectomy reversal can be a long and frustrating process. Here is what you can expect after getting a vasectomy reversal.

First, it takes a few months for sperms to return to a normal count following a vasectomy reversal. After vasovasostomy, semen analysis will be done to confirm whether or not the procedure is successful. The initial test can be done in four to six weeks. If the initial semen analysis is negative, the test should be repeated in a few months (within six months following the reversal procedure). If there is no sperm in the ejaculate after six months, then the reversal has not been successful.

It takes time for sperm count to be normalized. Generally speaking, a man turns over his sperm reserve every three to four months. Getting pregnant after a vasectomy reversal is usually a six to twelve month process although some get pregnant within six months. It can take a couple of turnovers of sperm reserve, or more than six months, before sperm count returns to a level where getting pregnant is optimal. At this point, it can still take another six months or so for a couple to conceive. Some couple may get pregnant within a few months after the reversal, but it is not the norm.

We recommend the initial semen analysis at the four to six week period, and then every two months for two more times. Once the semen analysis shows optimal sperm count and motility (although some men may never have normal sperm counts and motility), a couple should monitor ovulation, having timed intercourse every other day in 4 days before and after ovulation. Semen analysis should be repeated if a couple has not conceived within six months to make sure the sperm counts are still normal and then female partner should be evaluated for their fertility issues.
Getting pregnant after a vasectomy reversal sometimes can be a long process. There are many factors that come into play for couples trying to conceive, from sperm count and quality to women’s fertility. Don’t become discouraged if you’re not pregnant after only a few months following the reversal.

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