Deciding for a vasectomy requires consideration of multiple factors. Certainly, due to the permanent nature of the procedure, one of the most important things is if your fertility has been fully satisfied. Whether you have had the children you wanted to have, o you just don’t want to have any children at all, is the most important factor at the time of your permanent sterilization procedure.
Other factors to consider are definitely the cost, invasiveness, and simplicity of the technique selected. In some cases, some men actually take into consideration the reversibility of the procedure as well. Let’s have a quick discussion about that.
A vasectomy is, simply put, the interruption of the communication between the testicles and the rest of the genital tubing system to render the semen void of sperm. This will lead to male sterility. Given the nature of the procedure, the intended effect of sterility has to be reliable for it to accomplish its effect otherwise an unintended pregnancy can occur.
Vasectomy clinics aim to provide an effective and reliable procedure that allows the individual to continue with his sexual life without the concern of potential unplanned pregnancies. Therefore, making a vasectomy procedure reversible is not necessarily the main purpose of the surgeon performing it.
Technically a vasectomy procedure can be reversed. It can be done by means of a couple of procedures called Vasovasostomy (VV) or a Vasoepididymostomy (VE). These 2 procedures require a microsurgical approach (that is using surgical microscopes or highly magnifying surgical lenses). Their costs are variable but can start at around $5-7k.
The success rate of a reversal depends upon the condition of the vas. As more time goes by from the time of the vasectomy, reversing it is less likely to be successful. Also, you must consider that having sperm back into the semen, which is the main purpose of a reversal, does not necessarily mean that you will successfully achieve a pregnancy. The rates of success after a vasectomy, also dependent upon the technique and the surgeon, can vary from 30-75%.
Vasectomies are reversible indeed but, given the permanent purpose of their initial intention, they should be assumed to be irreversible. The best course of action is to give very thoughtful consideration to the reasons for seeking a vasectomy. Are you satisfied with your fertility? Have you considered alternatives like sperm banking, and even the possibility of adoption in the future if you change your mind?. Those are valid alternatives that could help you make that decision. Consider that over the course of a decade we can change our minds or goals in life. Being responsible also means considering your options before such an important decision.