Vasectomy Reversal:
Reversing your Vasectomy,
Restoring Your Fertility

Expert microsurgical vasectomy reversal with exceptional success rates—because your family plans matter.

What is a vasectomy reversal?

A vasectomy reversal is a microsurgical procedure that restores the pathway for sperm to travel from the testicles back into the semen. Many men who previously chose vasectomy later decide they would like the option of fathering children again. Reasons can include changes in family plans, remarriage, or simply a shift in personal priorities.

While vasectomy is considered a permanent form of birth control, a skilled microsurgeon can often reconnect the reproductive tract and make natural conception possible again.

During a vasectomy, the vas deferens (the tubes that carry sperm from the testicles) are cut or blocked. A vasectomy reversal reconnects these tubes to allow sperm to mix with the semen once again.

There are two main surgical techniques:

  • Vasovasostomy (VV): Directly reconnects the cut ends of the vas deferens.

  • Vasoepididymostomy (VE): Connects the vas deferens directly to the epididymis (the structure where sperm matures), used when a blockage is found closer to the testicle.

Both procedures are performed using an operating microscope to ensure precision with sutures finer than a human hair.

Why choose vasectomy reversal?

  • Achieve natural conception without relying on IVF or other advanced reproductive techniques.

  • If you are considering multiple conceptions, then vasectomy reversal may be for you.

  • Performed by an experienced microsurgeon with years of expertise in fertility restoration.

  • A safe, effective option for men seeking a second chance at fatherhood.

What is the process?

  1. Consultation: Book an appointment here. We evaluate your health, surgical history, and goals to determine the best approach.

  2. Procedure: The vas deferens is reconnected under high magnification for optimal precision. This is performed at a surgery center.

  3. Recovery: Most patients will return to light activities within a few days.

  4. Results: Your fertility will be monitored through follow-up semen analyses, starting around six weeks post procedure.

Success depends on factors such as the time since your vasectomy and your overall health. Our clinic achieves high success rates, with many patients achieving pregnancy within the first year after reversal.

“Men within 10 years of their vasectomy have a success rate of 95% for restoring sperm flow.”

 FAQs

  • Success rates depend on factors such as the time since your vasectomy, your age, and your partner’s fertility health. Generally, men within 10 years of their vasectomy have a 95% success rate in restoring sperm flow, and pregnancy success rates vary between 30% to 70%.

  • Yes, although success rates decrease as time passes. Men who had their vasectomy over 15 years ago can still achieve excellent results, but individual outcomes depend on factors like scar tissue and overall health.

  • The vasectomy reversal procedure is performed under general anesthesia or sedation. Using advanced microsurgical techniques and high-powered magnification, we reconnect the vas deferens to restore the natural flow of sperm.

  • During the procedure, you will not feel pain due to anesthesia. Postoperative discomfort is usually mild and can be managed with over-the-counter pain medications and ice packs.

  • The procedure typically takes 2 to 4 hours, depending on the complexity of the case. After the surgery, you’ll rest in a recovery area before going home the same day.

  • Most patients return to light activities within 1-2 days and resume normal routines within a week. Avoid heavy lifting, vigorous exercise, and sexual activity for at least 2-3 weeks.

  • In some cases, a secondary procedure called epididymovasostomy may be necessary if a blockage in the epididymis is identified. This technique bypasses the blockage and connects the vas deferens directly to the epididymis. This is done at the time of vasectomy reversal.

  • Most insurance plans do not cover vasectomy reversal since it is considered an elective procedure. We offer flexible payment plans and financing options to make the procedure accessible.

  • Yes, sperm retrieval combined with in-vitro fertilization (IVF) is an alternative for men who choose not to undergo reversal. However, vasectomy reversal allows for natural conception and avoids the ongoing costs associated with IVF.

  • We typically recommend waiting 2-3 weeks before resuming sexual activity to allow for proper healing. Sperm may take weeks to months to appear in the semen, and a follow-up semen analysis will confirm when conception is possible.

  • As with any surgery, risks include infection, bleeding, or scarring. However, complications from vasectomy reversal are rare, especially when performed by an experienced microsurgeon.

  • You will receive detailed pre-operative instructions, which may include stopping certain medications, arranging for transportation home, and fasting before surgery. We’ll ensure you’re fully prepared during your consultation.

  • Most men are good candidates for vasectomy reversal, especially if they are in good overall health. During your consultation, we’ll assess your surgical history, perform an examination, potentially check some hormonal levels, and discuss your goals to determine the best course of action.

  • No, vasectomy reversal does not impact testosterone levels or sexual performance. The procedure restores fertility without interfering with hormone production or sexual function.

  • If sperm is not detected after a reversal, additional options such as sperm retrieval and assisted reproductive technologies like IVF can still enable conception.

  • If the procedure is successful, the restored connection of the vas deferens remains intact indefinitely. However, factors such as scarring or aging can occasionally affect long-term fertility outcomes.

Why choose Dr. Kevin Chu for your Vasectomy Reversal?

  • Board Certified, Fellowship-trained urologist and microsurgeon with years of experience in male fertility.

  • Specializing in modern, minimally invasive procedures.

  • Your privacy is our priority, and our discreet office ensures a comfortable experience.

  • Free parking and easy scheduling at our Redondo Beach location.