It is true that about 3% to 6% of men opt for vasectomy reversal, in which a surgeon rewires the pathway for the sperm to get into the semen again. When microsurgery is used, a vasectomy reversal works in about 85% of men. It can take four months to a year for a woman to get pregnant after vasectomy reversal, and pregnancy will be successful in a little more than 50% of partners.
But nobody should go into a vasectomy thinking he’s going to reverse it later. The procedure to undo it is pretty complicated and delicate compared to a vasectomy: A vasectomy takes about 15 to 20 minutes, while a reversal can take up to six hours. There are fewer doctors who do the reversal and no guarantees that it will lead to pregnancy.
And it doesn’t come cheap. While health insurance usually pays for a vasectomy, it rarely covers the reversal, which can cost up to $15,000.
It took a lot of soul-searching before my wife and I agreed that it was time for me to have the procedure. After our second child, we were done with the diapers and ready to say no more kids.