I casted a partially vote, but I have a complicated situation and on more then one level. Some of it is so bizarre and contraversial that I simply will not post my entire story onto the internet anywhere.
I had my first reversal 4 months post vasectomy and that was almost 11 years ago. It was a failure out the gates patency wise. I had my second reversal nearly 10 years ago. ~2 years later, my second reversal failed patency wise.
Not long after my redo reversal, I would’ve still voted partially because I certainly wasn’t remotely close to pain free ~6 months post redo reversal. Knowing what I know now - I was doing well enough, and I should’ve left well enough alone, but I hastily choose to roll the dice one more time (ugh).
Some are aware that I had that 3rd procedure (left side varicocele embolized) ~6 months post redo reversal. If you were not aware of that - you are now. I regret having that procedure because it did absolutely nothing positive for me. Instead, it caused vascular congestion and made me considerably worse for quite some time. I’m talking about years of worse and I still have some hiccups to this day.
When I first joined this site over 5 years ago, I was doing considerably better than the majority of men I would exchange notes with on this site, but I still had intermittent issues - the majority of which were triggered by ejaculating in the morning, ejaculating to frequently, etc. Most of my pains seemed more congestive in nature, but I was never certain what kind of congestion I was experiencing as I also had a left side varicocele that apparently hated everything up to that point too. Perhaps I was experiencing both spermatic and vascular congestion - IDK.
To this day, I don’t think my left side varicocele appreciated anything that it experienced - including the vasectomy itself. The typical mid-evil complications, etc.
5 years ago I was also experiencing occasional pinching type pains on the same side. Sometimes related to ejaculating. Sometimes no rhyme no reason. Sometimes it seemed more related to stress. Overall I was doing pretty good for the majority of my days, but there would be times where I was just as bad as many other men that post on this site.
I also have what seems to be some sort of unconfirmed epididymal cyst on my left side that became noticable sometime ~4 years ago. That thing can become painful too. It’s BB sized and gets rather hard and painful sometimes. I try to not pay it any mind. If it isn’t bothering me, I’m not touchy feely with it and don’t allow myself to think about it. Out if sight out of mind.
All that said, I have managed to make very slow progress (and a bit of digress) since I joined this site 5 years ago. We all have our own stories, but I can remember @gwhitman once saying something like he thought he might be making ~2-3% progress every year once he seemingly plateaued. That was posted quite some time ago, but whatever the case, I can relate to some of what he said myself.
Bottom line, never give up on time ~alone as an option. I used to consider various further treatment options, but I am glad that I banked on time and ~occasional meds to get me through work and/or rough patches when I needed it the most and/or to survive.
After I had my 3rd corrective procedure in 2011 that went completely haywire on me, some of the best advice I received was this… A very educated someone told me that they had a hunch that I would make some progress over time, and they were talking about years (ugh). There were no promises, it was just a hunch. That person also suggested that my body probably would not tolerate further intervention.
All and all, nowadays I do pretty damn well considering everything. It is extremely rare that I would feel the need to take anything for testicular pain. Over the last ~9 months, I have been doing well enough to free ball it in the evenings which has been a big no no for nearly a decade. Generally speaking, I don’t take anything for pvp/s anymore.
I do suffer from lower back pain that is the result of an injury/s that pre dates my vasectomy (as did my left varicocele). Whatever the case, I know what I have been through and where I have been, but those physical and mental scars don’t slow me down much anymore. But, my lower back does on ~occasion…
I definitely keep my fingers crossed that I never have a significant relapse like some others here have.