You have many questions, but one foremost in your mind is, “Does it work?” The answer to that question depends on a few factors. First, the good news. If you had your vasectomy less than 10 years ago, success rates in your being able to produce sperm in your ejaculate again are
95% or higher after a vasectomy reversal. If your vasectomy was more than 15 years ago, the success rate is lower. Actual pregnancy rates vary widely — usually from
30 to more than 70%.
A landmark study involving over 1,000 men showed differing results based on how long ago the men had their vasectomies. Of the men who had vasectomy reversals less than three years after their vasectomy, 97% achieved sperm in their semen and 76% achieved pregnancy with their partner. From 3-8 years from the time of the vasectomy before the reversal, 88% achieved sperm in the semen and 53% achieved pregnancy with their significant other. Of those whose reversals occurred between 9-14 years from the vasectomy, 79% had sperm in the semen and 44% achieved pregnancy with their partner. After 15 years between procedures, 71% had sperm in the ejaculate and 30% achieved pregnancy.