December 07 / 2025
Hello everyone. This post comes to you from Montreal where I am with my son at a hockey tournament just drinking Tim Hortons. What could be more Canadian? I'm just answering a few emails between games and one thing that came up that I think is very relevant is - when can couples resume sexual activity after a vasectomy reversal? It's a really good question.
We really want to avoid a muscular contraction of the delicate tubes (vas) that were just brought back together during the vasectomy reversal surgery. The vas are tubes primarily composed of muscle tissue that contract with ejaculation (not just sex). That contraction may cause tension and disruptions of connections and possibly lead to separation, inflammation and pain.
I generally recommend avoiding ejaculation (not just sex) for about 2 to 3 weeks after surgery with resumption of sexual activity after that as long as guys are feeling perfectly normal. If still sore, wait another week.
This guideline tends to be a little bit more aggressive than some of my colleagues, but in my experience, I think there's nothing really wrong with that. So, hold off from sex (and ejaculation) for 2 to 3 weeks. That's the best I can do for you guys. Good luck! Please email me directly with any questions: