Before Vasectomy Reversal Surgery

Some Things to Consider Before Surgery:

The decision to reverse a vasectomy is not a decision to take lightly, but couples often decide to attempt vasectomy reversal when they make the decision to add a child to their family. There are several things that you should consider when you decide to have a vasectomy reversal.

Surgeon Experience and Skill

When you decide to have a vasectomy reversal, you should consult a urologist who is trained in male reproductive medicine and in microsurgery, which will improve your possible outcome for your vasectomy reversal. Although a vasovasotomy may be successful, you may require epididymovasostomy for reversal of your vasectomy. Your surgeon should make that determination during your surgery. Dr. Yaniv Larish is trained in microsurgical procedures, and has years of experience treating patients successfully for vasectomy reversal.

It is important to select a urological surgeon with a busy practice, who performs many of the same procedure you require. Dr. Dr. Larish is New York’s best vasectomy doctor, and he can assist you in the successful reversal of your vasectomy.

Consider Your Partner’s Age

It is important to realize that women who are over the age of 38 or older may have diminished fertility. Because it can take six to twelve months after reversal of your vasectomy to restore the optimal sperm count for fertilization, if your partner is over the age of 40 years, you may want to consider in vitro fertilization after sperm retrieval. We can assist you with this decision, and Dr. Larish can advise you and your partner about the necessity of beginning hormones for in vitro fertilization, if that’s what you decide.

Conception May Take Time

It typically takes six to twelve months for a couple to achieve pregnancy after the male partner has a vasectomy reversal. This is primarily because the sperm count may take several “turn-overs” to return to normal. Even after the sperm count is normal, it is not unusual for conception to take six months. If your sperm count and sperm motility are back to normal and you continue to have unprotected sexual intercourse with your partner without achieving conception, we can assist your with an investigation into your partner’s fertility issues.

If you are considering reversal of your vasectomy to achieve conception, call us today at 646-862-5500 to make an appointment for your consultation with Dr. Larish , the best vasectomy reversal doctor in New York.

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Yaniv Larish, MD

4 East 76th Street
New York, NY 10021


(646) 862-5500


What is Vasectomy Reversal?

Vasectomy surgery entails cutting the vas deferens to prevent sperm from entering the ejaculate in order to produce long term sterility. (click to enlarge)

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Vasectomy reversal micro-surgery entails reconnecting the two ends of the vas deferens utilizing a surgical microscope, micro-instruments and micro-sutures in order to allow the sperm to enter the ejaculate and regain fertility after vasectomy surgery.

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