Many men seek vasectomy reversal due to changing life circumstances. Vasovasostomy is one of the most effective ways to restore natural fertility. Bangkok offers high-level microsurgical reversal expertise at significantly lower cost than Western countries.
This guide covers pricing, what affects the cost, success rates, and how to choose a safe and reputable clinic.
Vasovasostomy Costs in Bangkok
Typical Price Range
Microsurgical Vasovasostomy: THB 150,000–300,000
Microsurgical Vasoepididymostomy (complex cases): THB 200,000–350,000
Additional Costs:
Semen analysis
Hormone testing
Ultrasound
Follow-up semen tests
Pricing varies by surgeon, technique, and hospital category.
What Influences the Cost?
1. Time Since Vasectomy Longer interval → higher chance of needing complex surgery.
2. Presence of Sperm in Vas Fluid If absent, vasoepididymostomy may be needed (more expensive).
3. Surgeon Expertise Microsurgeons with fertility specialization cost more but produce higher success.
4. Hospital Level Premium hospitals have higher OR fees.
5. One- or Two-Sided Repair Bilateral surgery increases cost.
Success Rates
Success varies based on time since vasectomy:
<5 years: 90–95% patency
5–10 years: 70–90%
10–20 years: 50–75%
>20 years: 30–60%
Pregnancy rates depend greatly on partner age.
Why Men Choose Vasovasostomy
1. Restores Natural Fertility
Allows spontaneous pregnancy without IVF.
2. High Success with Microsurgery
Accurate suturing improves patency.
3. More Affordable Than IVF
Long-term, cost-effective option.
4. Safe Procedure
Low complication rate.
5. Permanent Solution
One surgery can restore fertility for life.
Red Flags to Avoid in Bangkok
Avoid clinics that:
Do not use an operating microscope
Offer extremely low pricing for reversal
Perform vasectomy reversal without testing vas fluid
Cannot perform vasoepididymostomy if needed
Lack fertility expertise
Do not provide follow-up semen testing
Complex fertility surgery must be done by specialists.
How to Choose a Safe Vasectomy Reversal Clinic
1. Choose a Microsurgeon Specialized in Fertility
Ask:
How many reversals performed per year?
Experience with vasoepididymostomy?
Patency and pregnancy rates?
2. Confirm Use of Microsurgical Tools
High magnification = higher success.
3. Request Full Diagnostic Evaluation
Includes semen analysis, ultrasound, and hormone panel if needed.
4. Understand the Procedure Options
Clinic must be prepared for both vasovasostomy and vasoepididymostomy.
5. Clear Post-Op Plan
Includes:
Semen test at 8–12 weeks
Monitoring sperm count improvement
Fertility guidance
Example Patient Scenarios
1. Man who had vasectomy 5 years ago: High success rate with vasovasostomy.
2. Man 12 years post-vasectomy: May require epididymal bypass.
3. Man wanting natural conception vs IVF: Vasovasostomy is more cost-effective.
Why Choose Menscape Bangkok
Expert microsurgeons specializing in male fertility
Transparent pricing and realistic expectations
Private, discreet men’s health environment
Complete pre- and post-operative support
Long-term fertility monitoring
Frequently Asked Questions (FAQ)
When will sperm return to ejaculate? Usually within 2–3 months.
Will surgery affect erections? No — sexual function remains normal.
Can I try for pregnancy immediately? Best to wait until surgeon clearance.
Will it reverse vasectomy 100% of the time? No, but success rates are high with proper technique.
Key Takeaways
Vasovasostomy reverses vasectomy and restores fertility.
Microsurgery offers the best outcomes.
Bangkok provides advanced reversal expertise at excellent prices.
Choosing the right surgeon ensures success and safety.
Menscape offers discreet fertility support and personalized care.
📩 Interested in vasectomy reversal? Book your confidential consultation at Menscape Bangkok.
