Considering the right time to undergo a vasectomy reversal can significantly impact your chances of restoring fertility and achieving pregnancy. For men in NYC and the Tri-State area considering this life-changing decision, understanding timing-related factors can help maximize success.

Why Timing Matters in Vasectomy Reversal
The success of vasectomy reversal is closely tied to how long it’s been since the original vasectomy. While the procedure can be effective years or even decades later, outcomes are generally more favorable when reversal is pursued sooner.
- Under 10 Years: Men who undergo reversal within 10 years of their vasectomy often have success rates of 70–90% for the return of sperm and 50–75% for pregnancy.
- Over 10 Years: After 10–15 years, success rates gradually decline, with factors like scar tissue or epididymal blockage becoming more common.
- Over 20 Years: Reversals are still possible after 20 years, but they typically require more complex techniques and may involve lower sperm counts post-surgery.
Signs It Might Be the Right Time for You
Every man’s circumstances are different, but here are some common reasons patients in NYC choose vasectomy reversal:
- New Marriage or Partnership: Many men seek reversal after entering a new relationship where the desire to start a family is shared.
- Change of Heart: Personal growth or a shift in life goals can lead to renewed interest in fatherhood.
- Loss of a Child: In tragic cases, men pursue reversal to rebuild their families after loss.
- Financial and Career Stability: Some men who had a vasectomy early in life later find themselves in a better position to support a family.
Partner’s Age and Fertility Considerations
While vasectomy reversal restores sperm flow, achieving pregnancy also depends on a partner’s reproductive health. Female fertility generally declines after age 35, making earlier intervention ideal for couples trying to conceive naturally.
- Women Under 35: Higher fertility rates make natural conception more likely after reversal.
- Women Over 35: Additional reproductive support, like ovulation tracking or IVF, may be considered in conjunction with reversal.
Other Timing Considerations in NYC
Men in the New York City area should also consider local access to highly qualified microsurgeons and surgical centers. NYC offers exceptional urological care, with specialists experienced in complex reversals and state-of-the-art facilities, making it easier to undergo the procedure with confidence and convenience.
Ready to Explore Your Options?
The best time to consider a vasectomy reversal is when you feel ready to grow your family and are in a position to support the journey medically, emotionally, and financially. Scheduling a consultation with a skilled urologist will help you determine if now is the right time—and what steps to take next.
Contact Dr. Yaniv Larish for Expert Vasectomy Reversal Care
Dr. Larish specializes in microsurgical vasectomy reversal and provides personalized care for men across NYC and the Tri-State area. With years of experience and a patient-centered approach, he offers trusted guidance on timing, technique, and expectations.
Yaniv Larish, MD
4 East 76th Street
New York, NY 10021
(646) 862-5500
