 [ Symptoms ] where do i start if i have never exercised [ Disease ] with advances in technique the microsutures the instruments that we use the magnification and scopes pre and post operative care we can achieve fertility in 90 to 95 percent of the men after they have had a vasectomy and as far out as 42 years after they have had a vasectomy does it matter how old or archaic your vasectomy was not at all it is not the technique of the vasectomy that is important it is not even the number of years since your vasectomy it really is dependent on two factors one is the skill and expertise of the microsurgeon does he or she know what they are doing and can do it well as well as female factors if you fall in love with a 25 year old who is demonstrated prior fertility things are probably going to be great you do not need that much on the other hand if you fall in love with a 54 year old woman who is going through menopause then you are going to have a real hard time with conception no matter how good the surgeon is so it is female factor and skill and expertise of the microsurgeon are the major factors in determining the success of the reversal