Vasectomy and Vasectomy Reversal: What Men Need to Know

A permanent contraception decision

For men who feel their family is complete — or who are certain that they do not want children — a vasectomy can provide highly effective permanent contraception.

It is a relatively small procedure, but the decision itself deserves careful consideration.

And while vasectomy reversal is possible, having the option of reversal does not mean that a vasectomy should be considered temporary.

What actually happens during a vasectomy?

Sperm are produced in the testicles and travel through tubes called the vas deferens. During a vasectomy, these tubes are divided or sealed so sperm can no longer enter the semen.

Your testicles continue to produce testosterone. You still ejaculate, and the procedure should not alter your sex drive simply because the sperm pathway has been interrupted.

Vasectomy is more than 99% effective as contraception once the procedure has been confirmed as successful.

Does it work immediately?

No. Sperm can remain within the reproductive tract following the procedure, so another form of contraception needs to be used until follow-up semen testing confirms that the vasectomy has been successful.

Your surgical team will explain when your sample should be provided and when it is safe to stop using alternative contraception.

Can a vasectomy be reversed?

Sometimes. Vasectomy reversal involves microsurgery to reconnect the previously divided vas deferens.

However, it is a considerably more complex operation than the original vasectomy and successful reconnection does not guarantee a future pregnancy. Vasectomy should therefore be regarded as permanent contraception.

What determines whether reversal works?

Several factors can influence the outcome, including how long ago the vasectomy was performed, the surgical findings at reversal and fertility factors affecting both partners.

Depending on individual circumstances, fertility treatment may sometimes represent an alternative pathway.

What if I am not completely sure?

If there is a meaningful possibility that you may want biological children in the future, it is worth discussing this before proceeding.

A consultation gives you an opportunity to consider both permanent and reversible alternatives without pressure.

A decision worth making carefully

At Family Doctor Group, our men’s health service can provide an initial assessment and discussion around vasectomy, fertility and men's reproductive health, with referral to an appropriate specialist when a surgical procedure or reversal is required.

Enquire about an appropriate consultation at Family Doctor Group in Epsom or Esher.