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Although all men undergoing a vasectomy are counseled that the procedure must be considered a permanent form of sterilization, a variety of factors (e.g., remarriage, loss of a child, etc.) may cause a couple to consider having a vasectomy reversed.

The ultimate measure of success of such a reconstructive procedure is return of sperm and dependent on several factors: the age and fertility of the female partner, the age and previous fertility of the male, the method of vasectomy, the surgeon’s experience, the technique of vasectomy reversal (the use of optical magnification/microscope), the quality of the fluid seen coming from the vas at the time of the operation, and most importantly, the length of time since the vasectomy was performed.