Pregnancy After Vasectomy:  Treatment Options for Men in NYC

by Alex Shteynshlyuger MD


If you have any questions, to schedule a consultation, please contact us or call/text: 1-646-663-5922.

We have excellent reviews from patients and their partners.  Information for out-of-state and international patients.

Our vasectomy cost is affordable with or without insurance.


Children after Vasectomy: Is it Possible?

Children after VasectomyWhile vasectomy is considered to be a permanent method of birth control, about 5% of men eventually decide that they want to have children after having had a vasectomy.

While normally, it is nearly impossible to have children after a successful vasectomy through vaginal sex, it is possible to ‘undo’ or overcome the success of a vasectomy procedure.

The good news is that most men can have children after prior vasectomy if they change their minds and want to have children. It is possible to have children after vasectomy but some work is required. Pregnancy after vasectomy requires additional treatment and added expense.

Where to Get No-Scalpel Vasectomy and Vasectomy Reversal in NYC?

At New York Urology Specialists, we offer no-scalpel vasectomy and vasectomy reversal procedure for men

Call/text today: 1-646-663-5922 or make an appointment online.  

We perform a no-scalpel vasectomy, vasectomy reversal, cosmetic circumcision, circumcision revision, penile frenuloplasty, and offer treatment for phimosis, balanitis, penile irritation, and redness. We treat sexual and erection problems and offer comprehensive STD testing for infections. We offer confidential appointments. Our prices are affordable with or without insurance. 

What are the Options for Having Children After Vasectomy?

A number of options are available to men who decide to have children after a vasectomy.  The choice of approach to getting the female partner pregnant depends on numerous factors, including how long ago vasectomy was performed, the age and fertility potential of the female partner.  In general, three options are available

  1. Vasectomy Reversal
  2. Vasectomy reversal + IUI (intrauterine insemination)
  3. IVF (In-vitro fertilization) / ICSI (intra-cytoplasmic sperm injection) plus testicular sperm extraction or vasectomy reversal.

Vasectomy Reversal

The simplest way, at least theoretically, to achieve pregnancy after vasectomy is by performing vasectomy reversal.

Vasectomy reversal is exactly what it is.  During a vasectomy reversal, the surgeon reconnects the 2 parts of vas that were initially cut during the vasectomy.  Eventually, the sperm flows through the vas again and can be found in the ejaculate and Voila! – you can get your partner pregnant through vaginal sex.

Vasectomy Reversal Has High Success in Getting Sperm to Flow but Does Not Always Lead to Pregnancy.

While vasectomy reversal is often very successful with success rates as high as 90% of having sperm in the ejaculate, that does not always lead to pregnancy.  The question is why?  It may be that the concentration and the quality of sperm are not as good.  More often than not, the issue may be related to the female partner who may also have decreased fertility potential.

While vasectomy reversal usually leads to the presence of sperm in the ejaculate  (semen) in close to 90% of men, only 40-60% of men after vasectomy reversal achieve pregnancy spontaneously through vaginal intercourse.

 It usually takes an average of 6 months after vasectomy reversal to regain adequate quality and sperm counts.

Vasectomy reversal is certainly considered to be the most cost-effective way to achieve pregnancy for many, but not all men.  This is especially true if more than 1 pregnancy is planned.

Vasectomy reversal is performed using a microsurgical technique using an operative microscope.  The procedure usually takes a few hours and the patient goes home the same day. Recovery is similar after vasectomy.

IVF (In Vitro Fertilization)

In vitro fertilization is another option for having children after vasectomy.  Sperm can be obtained directly from the testicle by micro-aspiration, testicular biopsy, or microscopic testicular extraction (micro-TESE).  This sperm is then used for in vitro fertilization of the egg before the embryo is implanted in the uterus.

In vitro fertilization may be a preferred option for couples with a known sub-fertility issue in the female partner such as PCOS (polycystic ovarian syndrome), difficulty with pregnancy in the past, age close to or over 35 years old, when the fertility potential in women decreases significantly.  In situations where the need for IVF may be significant, even in the absence of vasectomy, a vasectomy reversal may not be cost-effective.

In vitro fertilization may also be a preferred option for men who had subfertility and problems with fertility prior to the vasectomy, such as poor sperm motility and morphology, low sperm numbers, and poor sperm quality.

Read Real Stories of Men who Underwent Vasectomy at New York Urology Specialists.

Read RealStories: Vasectomy for a 47-year-old man with 1 child; newly single.

Read RealStoriesVasectomy and Circumcision revision in a 27-year-old

Read RealStoriesVasectomy for a 64-year-old; newly married.

What You Need to Know:

Why Choose New York Urology Specialists for your Vasectomy?

  • All vasectomies are performed by a board-certified urologist experienced in performing vasectomies, not an assistant.  Our vasectomy dr is one of the most experienced specialists who perform no-scalpel, no-needle vasectomy in NYC.
  • We are one of the few practices in the region to offer no-needle, no-scalpel vasectomy.
  • We offer vasectomy under local anesthesia which avoids the risks, costs, and recovery from general anesthesia. Most men are able to return to office work and other normal activities the next day.
  • Extensive Experience: Hundreds of successful no-scalpel vasectomies performed under local anesthesia at the Vasectomy Center at New York Urology Specialists.
  • We are one of the few practices in the region to offer a full range of options for the treatment of sexual and erection problems in men.
  • We are conveniently located within 30-60 minute commute to men who are seeking vasectomy in Manhattan, Brooklyn, Queens, Staten Island, Westchester, Long Island, Bronx, and New Jersey.

What does Vasectomy Scar Look Like?

You can find pictures of circumcision as well as before and after treatment images in our image gallery.

Scheduling Appointments for Vasectomy at New York Urology Specialists


If you have any questions, to schedule a consultation, please contact us or call/text: 1-646-663-5922.

We have excellent reviews from patients and their partners.  Information for out-of-state and international patients.

Our vasectomy cost is affordable with or without insurance.


Vasectomy With Fast Recovery at New York Urology Specialists

Excellence-Urology_Care-banner2At New York Urology Specialists, our urologists are specially-trained in no-scalpel, no-needle vasectomy procedure. 

We also address common sexual and genital concerns in men. We understand the challenges that sexual and penile problems such as pain in the penis, cuts on the foreskin, irritation, and curvature create for our patients, their relationships, and their self-esteem.  We help you find a treatment for penile problems including appearance concerns, foreskin problems, premature ejaculation, erectile dysfunction that fit your needs, lifestyle, and your preferences.

We Treat Some of the Most Complex Penis, Scrotal, and Foreskin Problems Including:

Schedule an Appointment with Dr. Shteynshlyuger:

Call/text today: 1-646-663-5922 or make an appointment online

Dr. Alex Shteynshlyuger is a fellowship-trained board-certified urologist with expertise in no-scalpel vasectomy. 

He also specializes in the evaluation and treatment of sexual and erection problems in men using modern effective and proven treatment methods.  We offer circumcision, circumcision revision, penile frenuloplasty, penoscrotal web repair, testicular implants, inflatable penile implant, shockwave therapy for ED, and treatment for Peyronie’s disease.

He is highly recommended by top primary care physicians in the New York area. If you or someone you know has been experiencing urological symptoms, make an appointment to take advantage of Dr. Shteynshlyuger’s expert advice. Please feel free to contact us with any questions.


If you have any questions, to schedule a consultation, please contact us or call/text: 1-646-663-5922.

We have excellent reviews from patients and their partners.  Information for out-of-state and international patients.

Our vasectomy cost is affordable with or without insurance.

 

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