Dr. Yaniv Larish specializes in micro-surgery to reverse vasectomies.

Vasectomy Reversal NYC Couple with Baby 10

Dr. Larish performs vasectomy reversal micro-surgery at Gramercy Surgery Center. This state of the art facility utilizes the most modern and advanced high quality surgical microscope, micro-instruments and the most highly trained nurses and support staff.

Dr. Larish has helped many men successfully reverse their vasectomies.

Call Today for a consultation:

(646) 862-5500


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Category Archives: After Vasectomy Reversal Surgery NYC

Recovery after Vasectomy Reversal Surgery

vasectomy-reversal-surgery-recovery-01After thinking for long, you have finally decided to get a vasectomy reversal surgery. You are going to book appointments and do preparations for the surgery. But before you go ahead, you must know what recovery steps are and how long will it take. It will help you plan your days accordingly, and you will know when you will get back to the normal routine after the surgery. Here is everything you need to know about the vasectomy reversal recovery.

How Long Does the Recovery Take?

Vasectomy reversal recovery can take anywhere between five and fourteen days. The recovery time varies from person to person. The recovery time also depends upon whether you have vasovasostomy or Vasoepididymostomy as the reversal procedure. Vasoepididymostomy takes longer to recover.

Your sperm flow will not restore immediately after your recovery. It usually takes four to six months for the sperm to start flowing in your semen. In case of Vasoepididymostomy, it can take between six to twelve months or even longer. Your doctor will examine your semen fluid samples every month. This way, you and your partner will know the correct time to start trying for the pregnancy.

What Happens Right After the Surgery?

male-tubal-reversal-post-op-info-top-nyc-urologist-02Your doctor will cover the incisions with bandages after the surgery. The stitches usually dissolve between seven to ten days. But you must ask your doctor when you can remove the bandages. For the next 24 hours, you should apply an ice pack to relieve yourself from the pain and swelling.

It is normal to feel a bruised and swollen groin for the next three days. Keep applying the ice pack on the groin.  It will take as long as one to two weeks for the swelling to finish.

What to do During the Recovery?

For the next 24 hours after the surgery, lie down as much as you can. Rest well for the next five days. Getting enough sleep will help in quick recovery. You must not lift heavy objects and do any physical activity that requires strain for one or two weeks. This includes lifting a child, heavy grocery bags, milk containers, heavy briefcase or, etc.

rest-after-vas-rev-surgery-tips-03Avoid jogging, biking, or aerobic exercise. Do take a walk for the next seven days after the surgery. Walking helps to boost your blow flow and avoid your chances of getting constipation. Walk a little bit more than the previous day.

You should not have sex at least for three weeks after the surgery or till your doctor gives you a clear call. Wear an athletic support undergarment following the seven days. It will provide support and help keep your bandages at the place.

If you are on medications, then discuss with your doctor. You must avoid taking blood-thinners such as aspirin. Taking blood thinning medication can cause bleeding after the surgery. Take medicines according to your doctor’s instructions. Do not self medicate if the pain is severe. Ask your doctor to give you over the counter medicines for pain.

If your doctor prescribes you antibiotics, then take them as the doctor has directed. Do not stop taking the antibiotics if you feel better. It is important to complete the course, or you have chances of developing infections.

You will be able to get back to work probably within a week depending upon your recovery time and work type. If your work involves heavy lifting or strenuous activities, then wait for two weeks to get back to work.

Book an Appointment Now

Now that you are well aware of the recovery of vasectomy reversal, it is time to book an appointment. Vasectomy Reversal NYC offers you the best services for your vasectomy reversal. We help you get a successful vasectomy reversal and a quick recovery. We are always here to help you on your first free consultation.

Call today for a confidential consultation:

Yaniv Larish, MD
4 East 76th Street

New York, NY 10021
(646) 862-5500

Ways to Improve Your Fertility After a Vasectomy Reversal

vasectomy reversalFor men who decide that they no longer want to have children, a vasectomy is a quick, surgical option which prevents sperm from being carried from the testes to the penis. For most men, this means that they can carry on life as usual without having to worry about birth control. However, it’s not uncommon for men to undergo a vasectomy, only to change their mind about starting or expanding a family later on down the line. If you’re hoping to conceive after having a vasectomy reversal, here’s what you can do to improve your chance of a successful pregnancy.

#1. Don’t Delay:

vasectomy reversalThe longer you wait between having a vasectomy and getting it reversed, the lower your chance will be of a successful pregnancy. In general, men who have the procedure reversed within the first three years have the biggest success rate of 67%. However, don’t be too concerned if it’s been longer than three years – men who wait between 3-8 years have a success rate of over 50%, whilst those who wait between 9-14 years still have a 44% chance of a successful pregnancy. It’s possible to father a child after having your vasectomy reversed over fifteen years later, however, the success rate is much lower at 30%.

#2. Wear Supportive Clothing:

After your procedure, it’s important to take the right steps to a speedy and healthy recovery. Along with closely following any instructions provided to you by your doctor, it’s important to consider what you wear. During the healing period, you may find it useful to wear a scrotum supporter, which you can get from your doctor. This will help to speed up the healing process and can improve your chances of conception in the future. For around six weeks after the procedure, you should wear loose-fitting, breathable boxer shorts to improve air circulation around the testicles. This can help to increase sperm count by regulating temperature.

#3. Change Your Diet:

vasectomy reversalMaking some healthy changes to your diet can help to increase your fertility after a vasectomy reversal. You should avoid eating soy products, since they contain weak estrogens that can be damaging to sperm. Limiting your intake of caffeine and alcohol can also be beneficial when trying to get pregnant. You may also benefit from taking vitamin supplements or zinc with the approval of your doctor.
Get in touch today to book your appointment with the best vasectomy reversal specialist in NYC.


Call our offices today at (646) 862-5500 to discuss your specific case. You’ll work with the best urologist in New York to determine what is best for your needs


Steps to Take During Your Recovery Period

vasectomy reversalAfter having your vasectomy reversed, you should allow yourself a few weeks to recover. Most men can get back to work one week after the procedure and have fully resumed normal life after six weeks, however, everyone is different. So, be sure to ask your doctor for more detailed advice when it comes to how long you should wait before resuming certain activities. To improve your chances of a full recovery and pregnancy success after a vasectomy reversal, it’s vital to take the right steps to look after your body during the healing process. You should:

Follow Medical Instructions:

vasectomy reversalYour doctor will give you detailed instructions on preparation and recovery both before and after your procedure. Following these instructions carefully is vital to ensuring that your procedure runs smoothly and that recovery is hassle-free. Bear in mind that failing to follow preparation instructions, such as ceasing to eat or drink at a certain time, could result in the surgery being cancelled.

Avoid Strenuous Activity:

For the first twenty-four hours after your procedure, you should lie down and rest as much as you can. Once you are discharged from the hospital or clinic, the next few days should be spent avoiding anything that could cause you strain. You should take leave from your job for at least one week; if your work entails heavy manual labor, more time will likely be needed. Avoid playing sports, heavy lifting, or strenuous workouts for at least 1-2 weeks. Gentle walking is advisable to promote healthy blood flow.

Stay Comfortable:

For the first six weeks following your surgery, the clothing that you wear can be hugely influential in your recovery. Underwear is particularly important – you should avoid wearing anything too tight-fitting and opt for loose-fitting boxer shorts which allow air to flow to the testicles. This will improve temperature and blood flow, creating a healthier environment for sperm to thrive.

Get the Right Nutrients:

vasectomy reversalLastly, you can aid the recovery process by ensuring that your body has the necessary nutrients for the healing process. Do this by eating a healthy, balanced diet rich in vitamins and minerals, and drink plenty of fluids unless you have been specifically advised otherwise by your doctor. You may also consider taking certain dietary supplements, such as Vitamin C, to aid with speedy recovery. Speak to your doctor before adding any supplements to your diet.

Contact us today to book your consultation with one of NYC’s most trusted vasectomy reversal specialists.

Call our offices today at (646) 862-5500 to discuss your specific case. You’ll work with the best urologist in New York to determine what is best for your needs

Questions to Ask Your Vasectomy Reversal Doctor

Vasectomy Reversal DoctorIf you had a vasectomy in the past but have since changed your mind about having children, you might want to consider undergoing vasectomy reversal surgery. Around 95% of men who have had a vasectomy will be able to have it reversed successfully, and alternative options are available for the small percentage of men who experience more complex issues such as low sperm count, insufficient vans deferens remaining, or a rupture of the epididymis tube. Before undergoing a vasectomy reversal, you’ll need to have a consultation with your surgeon to determine the best options for you. Here are some important questions to ask:

How Long Will Recovery Take?

Vasectomy Reversal DoctorIn general, it takes a maximum of around six weeks to fully recover from a vasectomy reversal. However, every man is different, so it’s a good idea to speak to your doctor to get a more personalized time-frame. There are several factors which may cause your recovery time to be longer than average, such as age, general health, and even the skill of the surgeon who carried out the vasectomy. Your doctor will be able to provide you with tailored advice on how to speed up your recovery safely.

What are My Chances of Fathering a Child?

It can be difficult to tell how successful you’ll be at becoming a dad before the procedure is carried out; this is usually determined by sperm tests after some weeks have passed. However, certain pre-existing factors can give you a clearer idea of your potential success rate. For example, the amount of time that has passed between the vasectomy and reversal procedures will make a big difference – men who wait just three years have a pregnancy success rate of almost 70%, which drops to just 30% for those with a fifteen-year gap or longer.

How Soon Can I?

Vasectomy Reversal DoctorIt’s important to ask your doctor how long you should wait after the procedure before resuming your day-to-day activities. In most cases, men can return to work after one week, but may need to wait longer if their job involves heavy physical labor. Your doctor will also advise you on how long to wait before you can drive. More importantly, if you’re planning on trying to conceive as quickly as possible after your vasectomy is reversed, be sure that you have the all-clear from your doctor before you engage in sexual activity. Most surgeons recommend waiting at least two weeks.

For more information on vasectomy reversal, get in touch with one of NYC’s best urologists today.

Call our offices today at (646) 862-5500 to discuss your specific case. You’ll work with the best urologist in New York to determine what is best for your needs

Can You Try Vasectomy Reversal More Than Once?

Success of vasectomy reversalFor some men, vasectomy reversal does not work. There are various reasons why this could happen. For example, it may occur because of a mistake during the procedure and a blockage occurring to prevent the flow of sperm through the vas to be added to semen. It could fail to occur because of a lack of sperm, too.

In some situations, it can be worth trying a second time to have a vasectomy reversal. However, whether or not it is wise to do so depends on what happened in the first procedure as well as what your doctor feels is likely to work.

When Should You Consider a Second Vasectomy Reversal?

If vasectomy reversal fails, your doctor likely will take several steps to learn why this occurred. First, it can take months, even up to 15 months, for men to see a steady rise in their sperm count. It may seem as though the procedure did not work during this time, but it just takes that long for your body to begin production again at a high enough level. If your doctor has not said the procedure failed and it is within that timeframe, it may be best to wait a bit longer.
Your doctor will need to determine why the procedure failed. This may not always be easier to determine. However, unless there is a specific reason why you should not try to have a second vasectomy reversal, you should consider it. That’s because the rate of success for a secondary vasectomy reversal are about the same as those of a first procedure. In other words, you may be able to see success in a second opportunity.

Could It Be Right for You?

vasectomy reversalIf you have put off having a vasectomy reversal or a secondary procedure because you are unsure of how it could help you, take the step to do so now. You may find that this could be the ideal opportunity for you. For many men, it is very important to take this step. However, to find out what the potential benefits are, you will need to have a consultation with an urologist. The good news is we can help you.

Call our offices today at 646-862-5500 to schedule a consultation with the best urologist in New York to learn more about your options and the likelihood of your potential success.

How Long Does It Take to Conceive a Child After Vasectomy Reversal?

A vasectomy reversal is one option that allows men who have had a vasectomy to potentially get a partner pregnant. It’s important to know from the start that there are no guarantees for this procedure, even though most men who have it will have a good chance of success. If you are considering a vasectomy reversal, your first step will be to come in to see your urologist. He or she will discuss your specific needs with you, determine what type of potential options are available to you and then determine what likelihood it can be successful in.

What Is the Likelihood of Success?

vasectomy reversalAfter having vasectomy reversal, the next few weeks you will need to take it easy and allow your body to heal. During the first three or so weeks, you should not engage in sexual activity. After that point, you can start trying to conceive a child.

There are only two ways to know for sure that the procedure was a success. The first is that it results in pregnancy. The second is a test of sperm count. Your doctor may advise this to be done in the months after you’ve have the vasectomy reversal as the best way to understand the outcome. Most urologists will test sperm count every two to three months to determine if your sperm count is maintaining the desired level.

Sperm begins to appear in semen within several months after the vasectomy reversal occurs. Once it occurs, and maintains a steady level, the chances of pregnancy rise. Most often, sperm appears in semen two to three months after a vasovasotomy, the most common type of vasectomy. It can take as long as 15 months for it to be found after a vasoepididymostomy.

When Can You Expect Pregnancy?

vasectomy reversalOnce the vasectomy reversal occurs, you can expect to maintain fertility for many years. It is possible to begin pregnant within any period after the sperm count begins to be present and the likelihood of pregnancy increases once sperm count rises.

Vasectomy reversal is a big deal and it should not be overlooked in terms of its success rate. Many men have the success they are looking for from this procedure. To find out if it can be a success for you, schedule a consultation with the best urologist in New York to learn more. Call us at 646-862-5500 to schedule.

Vasectomy Reversal Surgery

What Your Should Know About Fertility After Vasectomy:

Men generally want a vasectomy reversal in order to conceive a child with their partner. It’s important to realize that the sperm count may not return to normal for several months after a vasectomy, because sperm have a 90-day life cycle. It’s also important to realize that it may take a few cycles before the sperm reserve returns to normal, and before the sperm count returns to an ideal level for conception.

Reversal of Vasectomy:

These days, a vasectomy reversal can be performed using microsurgical techniques, with a success rate after reversal of over 90 percent. Dr. Larish is a highly trained urologist, which is a surgeon trained in treatment of genitourinary conditions. Dr. Larish is New York’s best vasectomy reversal doctor, and has performed thousands of vasectomy reversal surgeries, using microsurgical techniques to visualize the cut ends of the tiny vas deferens, which is normally only 0.4 millimeters in diameter.

In order for your vasectomy reversal to be successful, your surgeon should have the experience to join the ends of the vas deferens together without putting undue tension on the tissue. It is also very important that the blood supply remain adequate. When Dr. Larkish performs a vasectomy reversal, he uses an operative microscope to visualize the delicate ends of the vas, suturing them carefully together. Because the entire vas deferens must be visualized, a mini-incision is not the most effective technique. This will allow the surgeon to perform either a vasovasotomy or a epididymovasostomy, depending which is required.

What You Can Expect:

After a vasectomy reversal, it will take several months for your sperm count to return to normal. Dr. Larish typically performs a semen analysis at 3 or 6 months, and if he does not find sperm in the ejaculate after three months, then this reveals an unsuccessful procedure. An epidiymovasostomy is a procedure to reverse a vasectomy that connects the end of the vas deferens directly to the epididymis, and it usually takes six to 12 months to achieve a normal sperm count after this procedure.

A vasectomy reversal will not disrupt your normal sexual performance. You should not experience any new difficulties with either erection or orgasm.

Some Tips After Vasectomy Reversal to Increase Sperm Count:

Stop smoking.
Avoid sexual activity for two weeks.
Stop ibuprofen or similar drugs, which can thin your blood.
Begin taking a multivitamin and vitamin C supplement.
Eat a well-balanced diet.
Rest adequately.
Avoid alcohol.
Avoid sitting in a hot tub.
Avoid placing a warm laptop computer on your upper lap.

If you are considering vasectomy reversal surgery, you should consult Dr. Larish, New York’s top vasectomy reversal doctor. Call us today at 646-862-5500 for your consultation.

Sperm Count After Vasectomy Reversal

One of many questions asked by patients after a vasectomy reversal is how can they increase their sperm count? Dr. YanivLarish , the best vasectomy reversal doctor in New York City, tells patients that it may take from six to twelve months before they achieve their optimal post-procedure sperm count.

Sperm Cycles

Sperm cycles are 90 days in length. This is how long it takes to produce new sperm and to ejaculate old sperm. After your surgery, we will wait six weeks to analyze your postoperative semen. Your sperm motility may still be low, because there will still be old, dead sperm in your ejaculate. After about two sperm cycles, you will have good sperm quality in your semen, although some men may have a good sperm quality and good sperm motility in as little as three or four months after a vasectomy reversal procedures.

Sperm Count

Sperm counts can only achieve the highest possible quality after a vasectomy reversal by an experienced urologist who can offer the best repair of the vasectomy. Dr. Yaniv Larish, the best vasectomy doctor in New York City, offers microsurgical vasectomy reversal to his patients. This allows the best visualization of the surgical site, and can provide the best outcome surgically, leading to maximal sperm production. The skill of the surgeon is a key factor in the post-vasectomy sperm count restoration, and if you are considering a vasectomy reversal, you should consult the best vasectomy doctor in New York City.Vasectomy Reversal

There are a number of steps that can help you optimize your sperm count after you have a vasectomy reversal. You should minimize lifting, pulling, and stretching, or other movements that cause strain, in the first two weeks after surgery. Dr. Larish, the best vasectomy doctor in New York City, routinely advises his patients to even avoid getting in and out of their car, to avoid strain that can result in reduced sperm count after a vasectomy. Dr. Larish will supply complete post-operative instructions to allow you to recover quickly and thoroughly from your vasectomy reversal.

After Vasectomy Reversal

Sexual activity should be postponed for at least three weeks after a vasectomy reversal, and high water temperatures that are found in hot tubs should be avoided. Patients should avoid excess alcohol use, as this will impair sperm production. You should also avoid smoking if you’ve undergone vasectomy reversal, because it results in slower wound healing!

A well-balanced diet will provide your body with the necessary nutrients to produce sperm, and reduction of inflammation is also helpful. Dr. Larish may prescribe anti-inflammatory male-fertility-father-babymedications to his patients who have undergone a vasectomy reversal.

If you are considering a vasectomy reversal for restoration of your fertility, your post-operative sperm count can recover to the optimal status by following your doctor’s directions in the post-op period. Dr. Larish, the best vasectomy reversal doctor in New York City, can advise you of the best ways to increase and optimize post-procedure sperm counts for fertilization. Call us today for your initial consultation!

Post Vasectomy Reversal Semen Check

Will I Be Required to Have a Semen Check?

Yes, in most circumstances your urologist may want to have your semen checked after your vasectomy reversal procedure. Often your urologist will recommend your return within 4-8 weeks after the surgery if a standard vasectomy reversal was done. If a Vasoepididymostomy was performed it is preferable to wait 8-12 weeks after surgery before the semen is checked. Refrain from ejaculation for about 2-3 days prior to any type of post-operative semen testing.

The first thing to do after your procedure is make an appointment to see your vasectomy specialist in his clinic in New York City, for your postoperative semen check. At your appointment you will be asked to collect a semen sample, and you may be able to look at the sample under a microscope with your urologist. . At this appointment we will only check for the existence of sperm; we will not estimate an exact sperm count or its motility.Post Vasectomy Reversal Semen Check

How Long Will It Take For My Sperm to Become Viable?

How long it will take for your sperm to return or increase in numbers depends upon many factors such as your general health, medications you are taking can have an effect on sperm function and fertility. Smoking cigarettes has shown to reduce sperm function which can damage the sperm, so it is wise to stop smoking before you undergo a vasectomy reversal. Great care during your recovery period, following your urologist surgeon’s recommendations plus adequate rest is an important factor to increase your chances of developing viable sperm, for a promising fertile future for you and your family. The estimated length of time for a return of mobile sperm in your ejaculate is estimated to occur within 1 year after the procedure. One study found that pregnancy outcomes are about 76 percent during the first 3 years after the surgery. This is good news!

Please make an appointment today to have your semen check performed after your recovery period is complete. Our staff is here for you to make this experience less embarrassing and more pleasant; for your urology reversal specialist this is just a part of his daily work and is a very important aspect of your post-operative time.

Post Vasectomy Reversal Semen Check

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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Vasectomy reversal surgeon nyc right column 03

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