How often after a vasectomy should i do a sperm count test?

I want to make sure the ends do not reconnect and my count remains at 0.

Answers from doctors (7)


More About Doctor John C. McHugh, MD

Published on Feb 17, 2019

In general, after the urologist tells you that you are sterile after a vasectomy, there is no practical reason to do repeated, unwarranted semen checks. As the chances of recanalization are 1 in 2000, doing ongoing semen tests may be an exercise in futility. However, if you feel it will comfort concerns you have, then you'd request a post-vasectomy semen analysis by your urologist or community hospital lab.

Answered by John C. McHugh, MD (View Profile)

In general, after the urologist tells you that you are sterile after a vasectomy, there is no practical reason to do repeated, unwarranted semen checks. As the chances of recanalization are 1 in 2000, doing ongoing semen tests may be an exercise in futility. However, if you feel it will comfort concerns you have, then you'd request a post-vasectomy semen analysis by your urologist or community hospital lab.

Published on Jul 11, 2012


Larry I. Lipshultz, MD

Published on Aug 06, 2015

We recommend twice for verification.

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Answered by Larry I. Lipshultz, MD

We recommend twice for verification.

Published on Jul 11, 2012


Michael J. Karasis, MD

Published on Aug 06, 2015

After the sperm count is 0 , it is indeed a rare event that the vasa should "grow back together"

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Answered by Michael J. Karasis, MD

After the sperm count is 0 , it is indeed a rare event that the vasa should "grow back together"

Published on Jul 11, 2012


Stephen F. Shaban, MD

Published on Aug 06, 2015

The first semen analysis check after a vasectomy is typically done at 12 weeks post operatively and that is generally it.

if you are worried then it would be your choice to continue to recheck your semen analysis and at your expense

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Answered by Stephen F. Shaban, MD

The first semen analysis check after a vasectomy is typically done at 12 weeks post operatively and that is generally it.

if you are worried then it would be your choice to continue to recheck your semen analysis and at your expense

Published on Jul 11, 2012


Neil H. Baum, MD

Published on Aug 06, 2015

The most common recommendation is to ejaculate 15 times using contraception. Bring the 16 and 17 ejaculations to the urologist for a semen examination under the microscope. If there is no sperm seen on BOTH of these examinations, you would be considered sterile.

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Answered by Neil H. Baum, MD

The most common recommendation is to ejaculate 15 times using contraception. Bring the 16 and 17 ejaculations to the urologist for a semen examination under the microscope. If there is no sperm seen on BOTH of these examinations, you would be considered sterile.

Published on Jul 11, 2012


More About Doctor Keith Levinson, MD

Published on Aug 06, 2015

I usually check at 6 and 12 weeks.

Answered by Keith Levinson, MD (View Profile)

I usually check at 6 and 12 weeks.

Published on Jul 11, 2012


Anand M. Dhanda, MD, FACS

Published on Aug 06, 2015

Semen analysis after 16 ejaculaions is sufficient but it is a good practice to repeat it after 1 yr

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Answered by Anand M. Dhanda, MD, FACS

Semen analysis after 16 ejaculaions is sufficient but it is a good practice to repeat it after 1 yr

Published on Jul 11, 2012


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