Header One is simply dummy text of the printing and typesetting industry.
Actual Reversal Outcomes Data
As discussed in the “How To Choose a Vasectomy Reversal Doctor” section of this website, the personal success rates that doctors claim cannot be truly validated and on-line reviews have the potential to be manipulated. However, good old-fashioned verifiable data is as close as it gets to the hard facts as possible. It is currently August 2019, and I thought that I would do a look-back at the outcomes of a month’s worth of my recent vasectomy reversal data. I decided to go back 6 months, as these patients should have had 2 semen analyses completed by this time. In the data chart, I have included the clinical activity of all of the working days of February 2019 (6 months ago) and all of the post-reversal semen analysis data that we have on file for the 6 months following the procedure.
In looking at the data, you will notice that some vasectomy reversal men have had only one semen analysis, and some have opted to have no testing at all performed during this time period. Admittedly, semen analysis testing is not something that most men generally look forward to doing! However, we try our best (including reminder phone calls) to have all of our post-reversal men get the initial 6 week semen analysis with repeat testing every 10 weeks until pregnancy. We feel that this post-reversal testing is important for 2 reasons. First of all, we like to have this data so that we can accurately track our reversal outcomes. The second reason is that there are other interventions that we can utilize after a reversal (such as courses of anti-inflammatories) that can potentially increase the chances of fertility success, and we do not know if we should use these interventions unless we are getting the feedback from the semen analysis numbers.
Notes on Semen Analysis Testing Following a Reversal
WHO 5th Edition Criteria: Normal sperm count is >/= 15 million sperm/cc. Normal sperm motility >/= 40%
Sperm counts and motility generally improve over the first 6 to 12 months following a reversal. The most common scenario is for sperm counts and motility to be initially low at 6 weeks post-reversal and then gradually improve with time. This increase in semen parameters is due to the subsiding of post-procedure inflammation following a reversal, which allows the sperm to more efficiently flow through the genital duct system. The rate at which this occurs can vary significantly between men.
The following is my complete schedule of February 2019 Vasectomy Reversals, including the number of years since vasectomy, what type of reversal was performed, and follow-up semen analysis data. All of the Feb 2019 reversal patients who have had testing were contacted, and each has graciously agreed to allow their 6 months of post-reversal semen analysis data to be published on this website anonymously.
Guide to Data Chart Abbreviations
VV = vasovasostomy
VE = vasoepididymostomy
Note: VV/VV is vasovasostomy on both sides, VE/VE is vasoepididymostomy on both sides, and VV/VE is vasovasostomy on one side, and vasoepididymostomy on the other
Normal sperm count is >/= 15 million sperm/cc
Normal sperm motility >/= 40%
Sperm counts and motility generally improve over the first 6 to 12 months following a reversal. The most common scenario is for sperm counts and motility to be initially low at 6 weeks post-reversal and then gradually improve with time. This increase in semen parameters is due to the subsiding of post-procedure inflammation following a reversal, which allows the sperm to more efficiently flow through the genital duct system. The rate at which this occurs can vary significantly between men.
Header One is simply dummy text of the printing and typesetting industry.Header One is simply dummy text of the printing and typesetting industry.
Header One is simply dummy text of the printing and typesetting industry.Header One is simply dummy text of the printing and typesetting industry.
Header One is simply dummy text of the printing and typesetting industry.Header One is simply dummy text of the printing and typesetting industry.Header One is simply dummy text of the printing and typesetting industry.
“Quisque iaculis facilisis lacinia. Mauris euismod pellentesque tellus sit amet mollis.”