Maybe you're here because you have already exerienced seeing a zero result on a semen analysis, or maybe you're just curious how you would handle it if you did. Whatever brings you here our hope is that you be encouraged!
Many doctors consider the reversal to be a failure when you have had a couple consecutive zero count semen analysis and are about 12 months out from the vasectomy reversal. The dilemma comes when you've had a good count for a while and then a very low count, or a very low count all along. Do you redo the reversal in hopes of a better connection? Do you invest the money and try again?
There's a lot to consider. How was your surgery done? Was it done to the best of a surgeon's technique and ability with the latest of technology? Have you done a round of antiinflammatories, steroids and/or a good vitamin regime capable of increasing sperm count and motility? Is your overall health good? Are you taking other medications that may inhibit sperm count? Is the count good enough to try IUI (Intra uterine insemination)? Have you been ill, had a high fever or been in a hot tub recently? All these things truly affect sperm count.
There are many reasons for zero count semen analysis. Whatever the reasons the keyword here is patience.
Babies have been conceived after a semen analysis revealed a zero count one month. Some men heal more slowly than others. The rule of thumb though is a couple of zero counts in a row near or about the 12 month mark. If you have done all you can: the antiinflammatories, the vitamins, etc., then you may need to begin to make decisions about a 2nd reversal or other options for bringing a new child into your home.
To the side are some links that might assist you should you decide to pursue some other option other than another reversal.
Our prayers are with you, for your peace and for grace to face the coming days.
International Council on Fertility Information Dissemination
At INCIID you'll find message boards, chat, more infertility information then any other source. Real physicians frequent the boards to answer those difficult questions.