Occasionally, this may need surgical treatment. A vasectomy can fail if the tubes were not completely sealed off during surgery. Sometimes, the cut ends of the vasa join together by themselves, or an opening develops that lets sperm pass through. A pregnancy may also happen if a couple do not use some other kind of family planning until a test of the semen shows that the man is sterile. Costs will include doctor's fees, medication, counseling, clinic fees, and a follow-up checkup and sperm count.
Costs also vary from doctor to doctor and in different parts of the country.
The doctor or clinic should tell you in advance how much the entire procedure will cost. Many insurance companies pay for sterilization, but check with your own company to make sure. You might arrange payment through medical insurance, Medicaid, or a military medical plan. You might also look for a family planning clinic in your area. Clinics usually charge less than private doctors, and they sometimes offer fees based on income.