Frequently Asked Questions About Vasectomy Reversal

Posted on December 21, 2025 by root

Many men who previously chose vasectomy later decide to restore their fertility, often due to life changes such as remarriage or a renewed desire to have children. If you’re considering this path, understanding your options and what to expect is essential. At Justin Houman, MD Men’s Health, we specialize in microsurgical vasectomy reversals with high success rates and personalized care for every patient.

Below, we’ve answered some of the most frequently asked questions about vasectomy reversal to help you make an informed decision.

What Is a Vasectomy Reversal?

A vasectomy reversal is a surgical procedure that reconnects the vas deferens, the tubes that carry sperm, allowing sperm to once again be present in the semen. The goal is to restore fertility so you and your partner can conceive naturally.

There are two primary types of vasectomy reversal procedures:

Vasovasostomy (VV): This is the more common reversal technique, where the two ends of the vas deferens are reconnected. It’s used when sperm is found in the fluid from the vas deferens during surgery, indicating no blockage.
Vasoepididymostomy (VE): This is a more complex procedure used when there is a blockage closer to the testicle, usually due to scarring or pressure buildup over time. In this case, the vas deferens is connected directly to the epididymis to bypass the blockage.

During your consultation, Dr. Justin Houman will determine the best approach based on factors such as the time since your vasectomy, sperm presence, and any signs of blockage.

Am I a Good Candidate for Vasectomy Reversal?

Most men who have had a vasectomy are candidates for reversal. Success rates are highest for those who:

Had their vasectomy within the past 10 years
Have no history of fertility issues prior to the vasectomy
Are in good general health
Have a partner with no known fertility issues

Dr. Houman will conduct a thorough evaluation to ensure the procedure is appropriate for your specific situation.

What Are the Success Rates?

Success depends on several factors, including the type of procedure performed and how long it has been since the original vasectomy. Those who had their vasectomy less than five years ago have success rates as high as 99% while over five years has a 70-95% success rate. Dr. Houman uses high-powered microsurgical techniques to maximize your chances of a successful outcome.

Is the Procedure Painful?

Vasectomy reversal is performed under general anesthesia. Most patients experience mild discomfort, swelling, or soreness for a few days, which is manageable with medication and rest. Full recovery typically occurs within 2–3 weeks.

How Long Does It Take to See Results?

Sperm may reappear in the semen as soon as a few weeks to a few months after surgery, depending on healing and the type of procedure performed. Dr. Houman will schedule follow-up testing to monitor sperm return and fertility status.

Why Choose Dr. Justin Houman for Your Vasectomy Reversal?

When it comes to male fertility, precision and experience matter. Dr. Houman is a board-certified urologist and a recognized expert in men’s reproductive health, offering:

Specialized training in microsurgical vasectomy reversals
Use of high-powered surgical microscopes for maximum accuracy
Personalized treatment plans tailored to your goals
Convenient Beverly Hills location, serving all of Los Angeles
Proven success in restoring fertility for a wide range of patients

Patients trust Dr. Houman for his compassionate care, advanced techniques, and commitment to helping men achieve their family-building goals.

Schedule Your Consultation in Los Angeles

If you’re considering a vasectomy reversal, the first step is a consultation. Dr. Justin Houman will review your medical history, discuss your options, and explain the surgical plan that offers the best chance of success.

Posted on behalf of Justin Houman MD