From Sarah:-
My husband’s first semen sample was negative 4 months after the VR. Is there any chance that the sample will ever be positive? His vasectomy was about 4 years ago and he is 29 now.

The return of sperm to the ejaculate is highly dependent on which procedure was done to reverse the vasectomy. Vasovasostomy usually results in the return of sperm to the ejaculate in 2-3 weeks in 95% of patients. In contrast, epididymovasostomy takes 3-6 months to see the return of sperm. The absence of sperm in the ejaculte 4 months after the vasovasostomy procedure would be a bad sign that the procedure is not successful. Whereas, absence of sperm four months after an epididymovasostomy could only mean that the surgery has not yet matured.

Dr. Karpman’s website

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