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Vasectomy reversal

Around ten per cent of men that have undergone vasectomy for sterilization subsequently want the procedure reversed, so that they can have more children, often with a new partner. Reversal is carried out surgically and microsurgical techniques appear best. Success will depend on the type of vasectomy performed and the length of time since the operation. The longer the time, the less chance of success. Indeed there is some evidence to suggest that success is most likely if reversal is carried out within five years of the vasectomy and success rates of over 90 per cent are achievable. After more than five to ten years have elapsed, success is less likely, but often still well over 50 per cent.

Obviously, if the tubes have been removed, this will not be possible. A surgical operation is required to rejoin the tubes. This is a specialized field, but microsurgery by an expert tubal surgeon has a reasonable chance of success. There is a small risk of ectopic pregnancy (around four per cent) after tubal surgery to reverse a sterilization. If your tubes have been removed or the damage is too extensive, then IVF is usually the best option.