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Doctor insights on: Zero Sperm Count After Vasectomy

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I recently lost my virginity. He had a vasectomy 1 year ago and his sperm count was zero at the 6-month test?

I recently lost my virginity. He had a vasectomy 1 year ago and his sperm count was zero at the 6-month test?

????: No question was asked but I assume you are concerned about pregnancy. If the information he gave you is true, you won't get pregnant. However, unless you use condoms you are at some risk of STD's. ...Read more

Dr. James Lin
343 doctors shared insights

Vasectomy (Definition)

Tubes on both sides from testicle to prostate that carry sperm made by testicles are brought out through a small skin puncture in the scrotum and either cut, tied, burned or clamped. Simple procedure, cost effective and usually with minimal side effects. Low failure rate. Clinic procedure, done in office with local anesthetic to skin. Minimal down time. A very ...Read more


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My partner had a successful vasectomy a year ago. His sperm count is currently zero. I'm on the pill and never have missed a dose. What is the likelih?

My partner had a successful vasectomy a year ago. His sperm count is currently zero. I'm on the pill and never have missed a dose. What is the likelih?

What?: What is "likelih"? Vasectomy is a definite means of sterilization on males. And knowing no sperm one year later is the sure way to declare the success of vasectomy for sterilization, but will not affect manhood. For your couple, you should have no odd to conceive as long as being in one-to-one relations, In fact, you would not need contraceptive pills or any other means of contraceptives. Best... ...Read more

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If my sperm count 3 months after my vasectomy is 110 million, what could have happened?

If my sperm count 3 months after my vasectomy is 110 million, what could have happened?

Failed procedure: Three months after vasectomy, there should be zero sperm in your ejaculate. If there were 1-2 sperm per high-powered field, it would be reasonable to sit tight and recheck in a month, but you have a normal fertile sperm count. See a doc that does a lot of vasectomies. You can have the procedure repeated. ...Read more

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My partner had a vasectomy and has no sperm count. Could he be the father of my baby?

My partner had a vasectomy and has no sperm count. Could he be the father of my baby?

Vasectomy: Vascetomy is usually quite good and sperm count is usually zero. If he has a zero spem count then it is not possible that he is the father ...Read more

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How can you increase sperm count in a 48 yr old man with a vasectomy reversal 4 months ago? Only had vasectomy for 15 months before reversing it.

How can you increase sperm count in a 48 yr old man with a vasectomy reversal 4 months ago? Only had vasectomy for 15 months before reversing it.

It depends...: It depends on if ; why it’s low. In the healing phase(approx 6mos) counts can be low, sometimes because the channel that was reconnected is not fully open. Some drs have patients wait 6mos to see what the sperm count looks like at that time while others put patients on anti-inflammatory meds. Sperm counts can also be low due to a production problem. A physical exam/hormone profile can dertermine this. ...Read more

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Urologist wants me to get sperm count checked before scheduling reverse vasectomy. How does that process work?

Urologist wants me to get sperm count checked before scheduling reverse vasectomy. How does that process work?

Collect: You will collect sperm by masturbation (privately) in a cup provided to you; either at the lab you will use or sometimes at home and it can be dropped off. It's examined under a microscope to get your results. ...Read more

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Can you get pregnant by someone who has had a vasectomy and has a zero sperm count?

Can you get pregnant by someone who has had a vasectomy and has a zero sperm count?

No: Zero sperm = zero baby. However, life can surprise you sometimes. There are very rare cases of vasectomies failing later, and the zero sperm count no longer being zero sperm. Of course, one cannot live life worrying about very rare events. ...Read more

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What is the chance of getting pregnant 1.5 yrs after a successful vasectomy? Sperm count analysis at zero six months ago.

What is the chance of getting pregnant 1.5 yrs after a successful vasectomy? Sperm count analysis at zero six months ago.

See below: If the sperm count checked at a year after the procedure was at zero, pregnancy is not feasible.
For good health — Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk prodFor good health — Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Drink enough water daily, so that your urine is mostly colorless. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form.
Practice safe sex, if you have sex. ...Read more

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If someone had a vasectomy and has a zero sperm count checked by a doctor...could they get you pregnant?

If someone had a vasectomy and has a zero sperm count checked by a doctor...could they get you pregnant?

No, you can not...: After finding no sperm in post-vasectomy semen, clinically, men after vasectomy are declared to be infertile or sterile. Generally, some 85% of post-vasectomy men will be so in 2 months or after 15 ejaculation. Yet, delayed reconalization (reconnection) of vas still may occur, but extremely rare. So, impregnating fertiel women may take place. Occasionally, DNA testing may be needed for paternity. ...Read more

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One of my partners had a vasectomy 5 yrs ago and got a sperm count and it came back zero. I'm pregnant. Any possible way he is the father?

One of my partners had a vasectomy 5 yrs ago and got a sperm count and it came back zero. I'm pregnant. Any possible way he is the father?

Not very likely: Since Vasectomy is a highly effective method at preventing pregnancies (more than 99%) particularly after a confirmatory sperm count of zero and because the incidence or "recanalization" and of post-vasectomy pregnancy is so low, it seems very unlikely that this "one of your partners" would be responsible for your pregnancy. ...Read more

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If you got pregnant and one of your partners had a vasectomy and got checked by a doc with a zero sperm count any possible way he could be the father?

If you got pregnant and one of your partners had a vasectomy and got checked by a doc with a zero sperm count any possible way he could be the father?

Wishful thinking: If the vasectomy partner has a documented lab report showing zero sperm, it is unlikely but not completely impossible. There are rare known instances of the vas deferens(sperm pathway that was cut or clipped) blockage to put itself together again. However, if you have had multiple partners, and did not use contraception, you are more likely pregnant by a "connected pathway guy." ...Read more

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My period is one day late. I'm on BCP with no missed pills. My partner had a successful vasectomy and zero sperm count. Could I be pregnant?

My period is one day late. I'm on BCP with no missed pills. My partner had a successful vasectomy and zero sperm count. Could I be pregnant?

Pregnancy unlikely: Irregular menses are not unusual on birth control pills. Pregnancy unlikely as you are compliant with BC pills without any missed days. Also, partner has zero sperm count. No ovulation, no sperm, no pregnancy. ...Read more

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Partner had successful vasectomy. Sperm count at zero. I'm on birth control. We use condoms and withdrawal method. Chances of pregnancy?

Partner had successful vasectomy. Sperm count at zero. I'm on birth control. We use condoms and withdrawal method. Chances of pregnancy?

No sperm: No sperm, no pregnancy possible. The main reason to continue using condoms is to protect against STDs. Birth control pills are 99% protective against pregnancy. Withdrawal method unnecessary given partner has had a vasectomy, you are on birth control pills and you are using condoms. ...Read more

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Is it true that when you get a vasectomy you stop producing sperm eventually?

Is it true that when you get a vasectomy you stop producing sperm eventually?

Shut down: Eventually sperm production slows down and subsides. That is why reversals are difficult after 15 years. ...Read more

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What is the sperm life possibility after a vasectomy that happen 25 years ago?

What is the sperm life possibility after a vasectomy that happen 25 years ago?

Incomprehensible: I am sorry. I have read this question a dozen times and I still cannot figure out what you are asking. Sperm live for days inside of the prostate gland and are frequently replenished with new sperm from active testicles. Sperm live for up to five days post ejaculation or leakage inside of the female body. Sperm do not survive on dry skin, or on inanimate objects. ...Read more

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Is it possible to have a sperm granuloma a week after vasectomy?

Is it possible to have a sperm granuloma a week after vasectomy?

Anything possible : Don't know what sperm granuloma is? Might be a rare complication but have never heard of this reaction. ...Read more

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Does a vasectomy have to be reversed in order to extract the sperm for fertilization?

No: A tese (testicular sperm extraction) is a procedure that involves removing a small part of the testicle and extracting the viable sperm that can be used in icsi (intracytoplasmic sperm injection). ...Read more

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Can you elaborate on what the process is called, when you extract sperm from a man who has had a vasectomy? Is it a common procedure?

Can you elaborate on what the process is called, when you extract sperm from a man who has had a vasectomy?  Is it a common procedure?

MESA: Procedure for sperm extraction from a man with a previous vasectomy is usally microsurgical epididymal sperm extraction (mesa). It is a common procedure (in our infertility practice) in cases where a man who has had a vasectomy is interested in conceiving with his partner via ivf and opts not to have a vasectomy reversal. ...Read more

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Can you elaborate on what the process is called, when you extract sperm from a man who has had a vasectomy? Is it a common procedure?

Can you elaborate on what the process is called, when you extract sperm from a man who has had a vasectomy?  Is it a common procedure?

TESE: Testicular sperm extraction.
Done on the day of ivf retrieval.
Under local anesthesia I take a small piece of tissue from the testicle.
It is processed by the embryologist at the ivf facility where the egg harvesting is done for the female partner.
It takes 5-10 minutes to do.
I work in close collaboration with the ivf facilities as timing is very crucial. Not all urologists do it. ...Read more

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After a man has a vasectomy, is it possible that he may still have children if the docs went in & extracted his sperm from the inside?

After a man has a vasectomy, is it possible that he may still have children if the docs went in & extracted his sperm from the inside?

Yes: Techniques such as percutaneous epididymal sperm aspiration can be performed following vasectomy to retrieve sperm for in vitro fertilization in most cases. It is very expensive and does not always work. Is also sometimes possible to reverse the vasa ectomy. This also is very expensive and none of this is covered by insurance. ...Read more

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How useful is post-vasectomy sperm retrieval?

How useful is post-vasectomy sperm retrieval?

Why?: Sperm retrieval is a special procedure to micro-surgically procure sperms from testis in men with no sperm in semen from congenital blockage of vas deferens for artificial insemination. But for post-vasectomy infertility, microscopic vasectomy reversal would be more effective and of less cost. So, there is no practical reason to bother with microsurgical sperm retrieval. More? Talk with doc timely. ...Read more

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If trace amounts of sperm are present, will i still need reverse vasectomy to get impregnate someone?

Seems odd: By your question, I assume you had a vasectomy, and still have trace amonts of sperm in your ejaculate, which would mean your vasectomy is not working. Sperm is microscopic and a drop of semen may have millions of sperm in it. I do not think a reverse procedure would be needed if truly you have sperm in your ejaculate. Discuss with your urologic surgeon. ...Read more

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Can a vasectomy be reversed? Is it possible to still extract sperm from a man after the vasectomy has been done?

Yes and yes: Vasectomy reversal is possible but success rate is not high. Semen extraction is also possible even if one has had a vasectomy. ...Read more

Sperm (Definition)

This sperm is a reproductive cell from the male that either carries a x or an y chromosome that will fertilize the egg cell from the female in order ...Read more


Dr. Michael Opsahl
550 doctors shared insights

Sperm Count (Definition)

Sperm count is evaluating the density of sperm per million per ...Read more