Thought I'd share my latest SA at 10 months post reversal along with my previous results so you can have an idea of how your numbers would look like and/or to compare. Overall I'm happy that my numbers are not declining abruptly and my motility and dead sperm values actually improved. Hoping to see similar values close to 1 year.
Vasectomy date: September 2024
Reversal date: October 2025
I feel like I have unblocked a whole new world.
Currently ruling out other contributors but curious to know about other experiences.
I always suffered from anxiety but last year after an unfortunate chronic pain experience, I was prescribed with vortioxetine 10 mg because I was under tremendous grief and low libido (near depression). I managed to fix the chronic pain and it's gone, but anxiety spiked and I was feeling that vortioxetine was doing nothing to help. My psychiatrist raised the dosage to 20 mg 6 months ago, and 2 months later the nausea and vomiting started and only got worse. I was still feeling anxious and worried with no reason, and now my doc raised the dosage again to 25 mg. Is this normal? The vomiting is getting out of control even if I take it before sleeping.
I'm 34M and wanted to share how I live with my anxiety disorder, progress and setbacks and the things I learned during my journey.
First of all, I started to have ectopic beats (extrasystole, palpitations, etc) 14 years ago and that was the first anxiety manifestation in my life. It was because of it that I started therapy with a psychologist (psychoanalysis) since medics ran studies on me and couldn't find any physical condition that could explain the palpitations. Therapy didn't work and I just learned how to cope with it. Of course, there were times when I didn't have palpitations at all, or too little, so it was tolerable. It's also worth noting that I was already suffering from some mild dyspepsia, or very slow digestion, bloating and feeling overly full after eating, as if food was staying in my stomach too long. Also acid reflux. I changed my diet habits because of all of that.
Fast forward to 2021 during the pandemic, I had a major anxiety crisis (near panic attack) that lasted many days. Fortunately, it was resolved without psychiatric intervention. There wasn't an increase in palpitations. But then in 2023 I had a new major crisis triggered by weed. There was a clear cardiophobic component in this crisis since I thought I was having a heart attack. I had a huge palpitation flare up as a result. My heart was so erratic and the extrasystole felt more deep and uncomfortable than ever. This lasted several months to subside. Note aside: I've been a regular weed user for about 10 years with periods of abstinence, but had to drop it at this point for obvious reasons.
By late 2024 I didn't have palpitations at all, or maybe a few, but I got a new problem. I had a vasectomy that went smoothly at first but later I started to develop chronic pain in my testicles and groin throughout most of 2025. I don't want to elaborate too much about this here, but the procedure gave me nerve irritation in my pelvic area and even neuralgia. I was devastated and scared that I messed up my life, but I didn't let the anxiety and negative thoughts take control over me. My intimacy and sex life was heavily disrupted due to post ejaculation pain. I went from a high sex drive with pain, to low libido and a lower sex drive. I changed to CBT therapy and a first consult with a psychiatrist. She put me under anti depressants (vortioxetine 20 mg) as I was hopeless about the future and grieving. With time and a new surgical intervention down the line, I was able to overcome the chronic pain and fixed the underlying physical issue (at least by now). But I knew I'll have to deal with all the traumas that were raised from that dark chapter.
Fast forward to the present, I'm more healthier and self confident again, the chronic pain experience reshaped my relationship with my body (less obsessive vigilance and more trusting), I don't have palpitations or ectopic beats at all, but the functional dyspepsia or indigestion is back stronger than before. I don't only have slow digestion, bloating and acid reflux now, but also nausea and vomit sometimes. I'm currently ruling out physical conditions but I'm pretty sure it's all part of the same anxiety disorder and it's clearer to me now than ever. I also feel more anxious frequently. The strange part is that, during my chronic pain phase I didn't feel this level of anxiety, maybe some depression, but now that I'm mostly pain free and happier is when I feel the anxiety skyrocketing.
Anyway, that's my journey so far. I managed to reduce my palpitations significantly, I overcame a very unfortunate health issue, but currently failing at decreasing anxiety levels and minimizing impacts on my digestive system.