There’s been a lot of discussion online about vasectomies being an easy form of "reversible contraception" for men and people with penises. However (unlike The US Office suggests) the reality is more complex.
While I very much understand the immense frustration about contraception often being primarily a woman's or person with a womb's responsibility, it’s important to note that vasectomies are classified as a form of sterilisation, even though they can sometimes be reversed. So, what exactly is a vasectomy, and what are the success rates for reversals?
It's important to note, if you life in the UK, you cannot get a reversal on the NHS.
What is a Vasectomy?
A vasectomy is a quick, minor surgical procedure that usually takes around 30 minutes. It’s a highly effective form of birth control for men and penis-owners, working by cutting or blocking the tubes (vas deferens) that carry sperm. This prevents sperm from mixing with semen and makes pregnancy very unlikely. While it's considered permanent, some people choose to have a vasectomy reversal later in life.
If you're wondering how successful a vasectomy reversal is, you're not alone—it's a question many ask when life circumstances change.
What is a Vasectomy Reversal?
A vasectomy reversal is a surgery that reconnects the vas deferens, allowing sperm to be present in the semen again. In short, it aims to restore fertility, giving the body the ability to make pregnancy possible once more. There are two types of procedures used in vasectomy reversals:
Vasovasostomy – This is the simpler of the two, involving stitching the ends of the vas deferens back together. It’s used when there’s no blockage preventing the sperm from traveling through the tubes.
Vasoepididymostomy – If a blockage has developed, this more complex procedure is needed. It connects the vas deferens directly to the epididymis, the tube at the back of the testicle that holds sperm. This surgery requires more precision and skill than a vasovasostomy.
Success Rates of Vasectomy Reversals
While vasectomy reversals can be successful, the chances of success decrease the longer it's been since the original vasectomy. Factors like the type of vasectomy you had and the surgeon's experience can also impact the outcome. The use of microsurgery, a method that involves using a microscope for enhanced precision, tends to improve success rates.
Here’s a general idea of success rates based on how long it's been since the vasectomy:
- Within 3 years: 75% chance of success
- 3-8 years: 50-55% chance of success
- 9-14 years: 40-45% chance of success
- 15-19 years: 30% chance of success
- 20+ years: Less than 10% chance of success
Factors Affecting Success
Time Since Vasectomy
The most significant factor affecting success is the time between the original vasectomy and the reversal. Generally, the sooner you decide to have a reversal, the better your chances.
Surgeon’s Experience
Choosing a highly experienced surgeon can also boost your chances. Surgeons trained in microsurgical techniques usually have higher success rates because of the precision needed for reconnecting such small tubes.
Health and Age
Your overall health and age, as well as that of your partner, can also play a role in how successful the procedure is when trying to conceive afterward. The vasectomy reversal can restore sperm flow, but fertility is still affected by factors like sperm quality and the reproductive health of both partners.
Is a Vasectomy Reversal Worth Considering?
Whether or not to have a vasectomy reversal is a personal decision, often influenced by changes in relationships or family goals. Success rates can vary, but many men and penis-owners who undergo a reversal can conceive with their partners, especially if the reversal is done within a few years of the vasectomy. If this is something you're considering, it’s best to talk to a urologist who specialises in these procedures. They can help assess your situation and give you a clearer understanding of what to expect.
Fortunately, there are some exciting breakthroughs in male and penis-owner reversible contraceptions. You can learn more about these advancements and their potential from The Lowdown.
