The Truth About Getting Pregnant After a Vasectomy Reversal
Many women become dismayed when almost 12 months have gone by since their partner's vasectomy reversal and they are still not pregnant. Month after month of negative pregnancy tests can certainly take its toll on any woman's spirit, but when it comes to getting pregnant after a vasectomy reversal, it's important to know what's realistic and understand the facts.
What to Expect
First and foremost, following a vasectomy reversal, it takes several months, if not longer, to return to a normal sperm count. When a man has had a vasovasostomy, you can expect to see sperm back in the ejaculate by three months. If we do not see sperm in the ejaculate after three months, then the reversal has not been successful. With an epididymovasostomy, a more complex procedure that is performed at the Vasectomy Reversal Center of America when a blockage in the epididymis is found, it can take six to 12 months to see the presence of sperm in the ejaculate. However, presence of sperm doesn't necessarily mean a normal count. Yes, you want to see sperm present in the ejaculate, but then it has to normalize.
Conceiving is a Process
Getting pregnant after a vasectomy reversal is usually a six to 12 month process. It's important to understand that a man turns over his sperm reserve every three to four months. After a vasectomy reversal, it can take a couple of turnovers of sperm reserve, or approximately six to nine 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.
So while getting pregnant within a few months after the reversal is certainly not unheard of, it's also not the norm.
The most important thing following a vasectomy reversal is to monitor the semen analysis and the sperm for motility. We take a semen analysis at the six to eight week mark and then every one to two months thereafter to ensure the counts have stabilized.
Once the semen analysis shows optimal sperm count and motility, we typically give couples six months to get pregnant with timed intercourse; that is, monitoring ovulation, having intercourse every other day, four to five days before through about four to five days after ovulation. If a man has a normal sperm count and the couple is having timed intercourse for six months, pregnancy should occur. If a couple has not conceived within this time, we make sure the sperm counts are still normal and then we will evaluate the female partner for fertility issues.
Getting pregnant after a vasectomy reversal is a process, and it sometimes can be a long process. There are many factors that come into play for couples trying to conceive, from semen quality to a woman's age. Don't become discouraged if you're not pregnant after only a few months following the reversal.
Conception takes time, and good things often come to those who can wait.
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