Vasectomy & Reversal

A vasectomy is a safe, effective form of birth control. This surgical procedure seals off the tubes — known as the vas deferens — that carry sperm, so sperm is not released during ejaculation. Instead, sperm reaches the closed end of the tube, disintegrates and is reabsorbed by the body.

This low-risk procedure is intended for those who wish to permanently prevent pregnancy, but it is possible to reverse a vasectomy later on, should your circumstances change. A vasectomy does not affect your ability to produce testosterone, have an erection, ejaculate or urinate.

Vasectomy procedure and recovery

There are two equally effective methods for performing a vasectomy. Both take approximately 20 minutes, are typically performed in an outpatient setting (such as a doctor’s office or clinic) and have similar recovery times.

The traditional approach involves a small incision to the scrotum. The second method, known as a no-scalpel vasectomy, uses forceps to puncture the skin instead of making an incision. Regardless of the method used, a vasectomy is typically covered by insurance, but we recommend confirming coverage with your insurance plan.

After a vasectomy, there may be some mild swelling, bruising and soreness in the groin area for a few days. Most people resume full activities, including sexual intercourse, within one to two weeks.

It’s important to use an additional birth control method for about three months after the procedure because it’s normal for some sperm to remain in the vas deferens. Approximately three months after the vasectomy, your urologist will check your sperm count to ensure it’s at zero.

Vasectomy reversal

A vasectomy reversal is a surgical procedure to undo a vasectomy by reconnecting the vas deferens. People who choose to undergo a vasectomy reversal usually do so because they would like to have more children. In rare cases, a reversal is done to alleviate pain after a vasectomy.

A vasectomy reversal does not guarantee that fertilization and pregnancy will follow. Sperm production tends to decline eight to 10 years after a vasectomy. Other factors, such as a partner’s age and fertility, may also influence your ability to conceive. On average, the pregnancy rate after vasectomy reversal is about 50 percent.

Vasectomy reversal procedure and recovery

A vasectomy reversal is conducted under general anesthesia in an operating room. It takes approximately two to three weeks to recover and return to normal activities. The procedure is not typically covered by insurance.