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No, vasectomy reversal surgery does not guarantee a pregnancy. The success rate of vasectomy reversal surgery depends on the length of time since the vasectomy was performed. Further, even if the vasectomy reversal surgery was successful, the chances of a positive pregnancy depend on the fertility of both partners and the age of the female partner. 


To determine the success of the vasectomy reversal, your doctor will meet you within 6 to 8 weeks post-surgery. They will examine your semen sample under a microscope for sperm count, motility, and morphology. It is advisable to collect a semen sample between 48 and 72 hours after your last sexual activity to have the greatest sperm cell level. After that, the doctor may want to keep checking your semen periodically. 


After vasectomy reversal surgery, it can take sperm some time to return to semen. This time depends on the health of the patient, the time elapsed since the vasectomy was done, and the type of vasectomy reversal surgery performed. For some cases, sperm can return to semen in as less as 3 weeks whereas for others, especially those who underwent a vasoepididymostomy, it could take anywhere between 6 to 12 months. Thus, pregnancy may also take between 3 to 12 months for most couples. 


No, there is no such maximum age for vasectomy reversal surgery as most men keep making sperm for many years after their partners stop making eggs. However, the quality and quantity of sperm can decrease as men age. Further, the risks associated with any surgical procedure also increase with age. Importantly, women become less fertile starting in their mid-30s so it is important to consider your partner’s age and fertility levels also before you decide to go for a vasectomy reversal surgery. 

A urologist performs vasectomy reversal surgery. Urologists are doctors who specialize in the diagnosis and treatment of the urinary tract and male reproductive system, including vasectomies and vasectomy reversals. However, vasectomy reversal surgery is a complex procedure and it is important that the urologist you choose has specialized training, expertise, and experience in performing the procedure.


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