Men considering vasectomy reversal or direct sperm retrieval (without vas reversal) should consult with an experienced fertility specialist who will discuss the advantages of BOTH approaches. This consultation will help select the best option for a couple’s unique circumstances. The length of time since vasectomy is an important factor. Beyond 5 years, the chances of a successful conception and delivery decrease with vasectomy reversal. This becomes particularly important when the female is over 30 years of age.