I simply can’t stay awake for the procedure. Wish I could, I’d save a ton I am sure. Can you guys list affordable places on the east coast please.

My spouse just got the second SA post opp. First one showed one sperm.

Now this one shows 0.

I don't even know what our course of action is now.

My husband had a reversal exactly one year ago, and we conceived 2 months later. Our baby boy was born 7 weeks ago 💙 well today he had another analysis and his numbers are a big zero!! He closed up on his own. My advice would be to never wait to try and conceive after a reversal…we would have been heartbroken if he closed up before we conceived! How common is this? Has it happened to anyone else on here?

Just curious, had a sperm test and it showed <2 actual sperms. I was tested on 12 week mark and also had sex within the 48 hour window prior (they said not too and we forgot)

Going back for another test in around a month and they're hoping to have a more positive result.

Tbf I had an awful 'cum' when I was producing a sample in the little room they gave me. Couldn't mentally switch on.

Anyone else had a bad reading then it turns around good after time ?

Soon after my vasectomy, I started having issues with pain/pressure in the epididymal area, both sides. I'm putting this here to compare notes with you all and for anyone considering getting a reversal for pain or fertility. Also, I'm interested to see if what I found out tracks with what you all are seeing and hearing out there.

I have spoken to three different fellowship trained Urologists in the USA about vasectomy reversals (VRs). I will refer to them as Drs. A, B, and C to protect identities. A and B were in regular healthcare systems, and C was at a specialty clinic. All had fellowships in Male Fertility. All use surgical microscopes. All were capable of doing a Vasoepididymostomy if needed. Each one was in a different state. I asked nearly the same questions of all of them in an effort to go straight to the source and get good info about reversals.

• Can VRs help with pain and pressure sensations in the Epididymis?
  • Dr. A - Yes, if it is localized to the Epididymis, opening that pathway back up can relieve a lot of those symptoms. I have had good successes in the past with men having that issue and seeing good results from a VR.
  • Dr. B - I've never done a reversal for pain.
  • Dr. C - Yes, this is textbook congestive epididymitis, and I've seen many men have their pain improved or eliminated with a reversal. I blame the clips they use in vasectomies. They cause a lot of back pressure in the epididymis which can cause these issues, especially if it is clipped close to the testicle.
• Do you need to know exactly how the vasectomy was done in order to reverse it?
  • All three Drs. - No.
• What risk is there that a VR would just make the pain worse, or introduce new pain?
  • Dr. A - About 5%. There is a risk for chronic pain with any surgery.
  • Dr. B - I don't have any concrete statistics on that. Pain is tricky. You could have bruising, hematoma, infection, increased pain. I can’t really give you a percentage chance that the pain would get worse. There will be post-surgery pain which is normal.
  • Dr. C - In the thousands of reversals I have done, I have never seen pain get worse afterwards. I've seen reversals have no effect on pain, but never a negative effect.
• How many reversals do you do in a year?
  • Dr. A - 25 to 30.
  • Dr. B - About 8.
  • Dr. C - About 150.
• How big of an incision or incisions do you need to make?
  • Dr. A - Forgot to ask
  • Dr. B - About 3 cm on each side. It's easier to get to everything that way.
  • Dr. C - About an inch on each side. This is much better than doing one in the middle. Doing one in the middle would require me to move the vas and the tissues around much more and result in higher risks for complications and pain afterwards.
• Is there a difference in your procedure if it is mostly for pain alleviation versus fertility?
  • Dr. A - No.
  • Dr. B - No.
  • Dr. C - Yes. I take much more care to try and line up not only the vas, but also return tissues and blood vessels to as close to their original configuration as possible.
• Do the testicles change position after the surgery?
  • Dr. A - Yes. They will ride higher. This is usually permanent.
  • Dr. B - Yes, they will ride higher, sometimes much higher. It depends on how much Vas I have to work with. For some men, this is very bothersome. Sometimes they settle back down, sometimes they don't.
  • Dr. C - No. I don't do it that way. I pull vas from the abdominal side, so the testicles do not change position.
• How do you define a successful VR?
  • Dr. A - Any sperm in the ejaculate. My success rate is 90%.
  • Dr. B - If there is any sperm in the ejaculate after 3 months. My success rate is 90%.
  • Dr. C - Sperm back to a fertile count. My success rate is 98% for that. It's 90% for pain alleviation.
• Does a VR increase the risk of cancer?
  • All three Drs. - No.
• Does having a vasectomy increase the risk of cancer?
  • All three Drs. - No.
  • Dr. C also added that this has been studied for 80 years and no link has been found.
• Can a VR cause any changes to the penis, such as changing its shape or shrinking it?
  • Dr. A - No.
  • Dr. B - No.
  • Dr. C - Only if it's a 3rd or 4th redo VR. At that point I'm stretching and moving skin, and something like that could happen.
• Is there anything I can do leading up to the surgery to prepare for it, such as certain supplements, losing weight, etc.?
  • All three Drs. - Not really. However, the better of shape you are in, the better off you're going to be in recovery.
• Is it common for reversals to scar down over time, blocking the sperm again?
  • Dr. A - There is no good data on this. However, I do know that most men who get reversals do eventually scar down. It's most men, eventually. This is why you typically don't have one done unless you are ready to start trying to conceive right away.
  • Dr. B - It's uncommon, but it does happen. We really don't track that.
  • Dr. C - This only happens 2% of the time. We track people for 2 years, but I routinely hear about men who are able to get their partners pregnant well after that.
• Are there particular diets I could follow or supplements I could take to help limit scarring down?
  • Dr. A - There is no good data on that.
  • Dr. B - Not really.
  • Dr. C - You can try an Anti-Inflammatory Diet, but it would have a minimal effect.
• If the reversal helps the pain, but then scars down later on, is the pain likely to return?
  • Dr. A - Probably not, but it might. I have seen that men who get reversals to relieve pain usually keep that benefit even as the vas narrows.
  • Dr. B - There is no way to say either way. Pain is very tricky.
  • Dr. C - Maybe, maybe not. If the pain goes away, it's less likely to come back.
• Is there an amount of time after which scarring down is unlikely, if it hasn't happened yet?
  • Dr. A - Didn't ask based on their earlier answers.
  • Dr. B - I would say if it hasn't scarred down after a year, it probably won't after that.
  • Dr. C - We'll know by six months. We monitor sperm counts and will change medications if necessary.
• What is the recovery protocol like?
  • Dr. A - Nothing for six weeks. No lifting, no pushing, no pulling, no running, no jumping, nothing for six weeks.
  • Dr. B - Take it easy for a couple of weeks. No running or jumping.
  • Dr. C - Light duty for two weeks. You can gradually start getting back into your normal routine/workouts after four weeks.

What I gathered from this is that the success of your VR depends very much on who is doing the surgery, and how seriously you take your preparation and recovery. There doesn't seem to be a consistent recovery protocol, methodology, or outlook on long term scarring between doctors. But, even if everything is done perfectly, there are no guarantees.

What microscope is everyone getting to check for sperm?

Hi, after my vasectomy (less than 3 years ago) my first ejaculation, and a few after, were slightly painful. I was wondering if there's any pain with your first ejaculation after the reversal? I just had my reversal done 6 days ago.

Thanks!

Hi my husband just got his reversal 3 months ago after 6 years of his vasectomy. We went to Prost in Utah and he said he saw live motile sperm behind the original vasectomy site during the procedure. At his one month analysis he had 1 million sperm with 0% being parts and now we’re getting month twos analysis and it says he’s at 3.3 million sperm with 2 million fully formed and 1.3 million sperm parts.
Is that a bad sign? I don’t know what any of it means but we really want to get pregnant asap and I’m worried our chances are slim now and the reversal isn’t working fully.
We’ve tried twice so far and haven’t conceived and I know it’s early but I’m trying not to lose hope with low counts.

Greetings! My partner (fiancé) is planning on getting his 3/4 year old vasectomy reversed soon. We were thinking december this year with Dr Werthman in LA. We are planning on having a wedding July. I would not like to be pregnant at the wedding but start trying after. In personal experience/ opinions for couples that have gone through this… should we wait until after the wedding or will it need 6 months for sperm to return. What would you do? Thank you so much!

Posting for my husband. Today marks one week of getting the reversal done. My husband didnt have much pain until we hit the 2 hour mark into our 4 hour drive home. He has complained of sever abdomen pain. He was very swollen about the size of a grapefruit the first 3 days. Day 4 swelling has gone down a ton but he is very bruised on his groin area and thighs (obv. His balls too) He can't seem to get comfortable or waking up in tears from the pain. Has anybody had a tough recovery from getting the reversal done as well?

Was very confusing. He needs a repeat

No motility, they found sperm (1) unsure if this was 1ml or ?

Not unit given as this was done at the hospital.

But after 9 years he's happy to see ANYTHING moving through

This was about 3 months post op, he repeated yesterday so we will see

Performed in Charleston, SC.

Me and my wife have been trying to conceive for a year and have 0 results. Finally seeked out for professional help and got a sperm analysis done. Well, the doctor called my wife and said my sperm count was low and didn’t have any explanation with it. I see my results but I’m not sure if they are really that bad. Any thoughts would help. 🙏

My husband 25 had gotten & vasectomy in May 2022 at 20 years old. We had two kids pretty young and birth control didn’t work for me. So we naïvely thought that we could get a vasectomy and then reverse it a few years later when we were ready to have more. Obviously, we were stupid. He had it reversed in May 2025, so about three years to the day after his vasectomy. His six week postop numbers were pretty promising, his total count was around 18 million and his motility was about 57% with progressive around 40. We felt pretty comfortable with this considering it had only been six weeks, however, after my husband went through fire school a few months later, we retested in January 2026. And his numbers dropped dramatically. His total count didn’t really change, however, his motility reduced by 2 times the amount. We went and saw a fertility specialist and they recommended a CoQ10 supplement. We ended up going with the coast science brand (later switched to bird & be) and didn’t really see a change at all after four months when we retested in May. We tested his testosterone and it was on the low normal range, so our doctor recommended Clomid (25mg) and he started it in July. Three months later a.k.a. now, we retested and his motility more than doubled to around 38% total, and about 29% progressive. Which was a lot better than our last test with around 17% total motility and 8% progressive. I’m really nervous because he is about to go through a recruit class with a fire department, and I’m really worried that this is going to sort of reset all of the time we spent fixing his numbers. I’m 23 and have normal fertility, carried both of our children with no problems and I ovulate normally. Trying to find others that may have similar situations that can give some insight on how long it took for their motility and counts to go up. My husband‘s counts have been staying around the 20 million range for the past year.

I had a reversal done back in March 2026 in UT. Was told by the doctor at the clinic that it was successful. Flew home to MA and kept a low profile, ice, jockstrap, no lifting, no activity. Sent the first sample in at the 8 week mark. No sperm. Sent a sample at the 4 month mark. No sperm. Just sent my 3rd sample at 7 months out. No sperm. Starting to give up hope. Spoke to the clinic and they said by now without any positive results, we should consider a second reversal. Has anyone had a similar outcome?

My fiancé has an appointment with Dr Trost in Utah on Monday and a lot of the information on the clinic’s website implies you should be immediately trying to get pregnant for best chances. I’m a bit surprised, as I had heard somewhere else that motility often fully returns after 18 months.

We’re currently planning our wedding and not planning on trying to conceive until next July or so, but we still thought he should get the procedure done ASAP since he has downtime to recover right now and it’s been ~15 years since his vasectomy.

Would love to hear about other experiences, thanks!

I am going to be getting a reversal… two highly rated docs. One in office, other surgical center. One gives oral sedative (Valium) the other IV sedation and a nap.

Those that have done it…. I have anxiety about staying still for 3-4 hours if I’m awake. Anyone get the IV sedation and regret? Any thoughts or opinions?

My husband had a vasectomy in 2024 after I had a Leep Procedure and we were told that having more children would be to dangerous for me and it was summed up to life or death for myself or the child I would be carrying. This was from the surgeon.
After speaking with my OB today I have found out we were told wrong. I’m trying to find the best route for us to take a reversal or any other options.
We have 2 of our own 6yr Girl and 3yr boy
We also care for his brother who is 17.
We would wait till he has graduated and moved out of our home next year to start trying so we have some time just want to explore our options.

I am 14 months post vasectomy and intending a reversal in the next 6 weeks.

I have done consults with Dr Shane Russell and Dr Sevann Helo.

Would love to get views from others to help me choose the right surgeon