Can a man at age 54 that has had a vasectomy get a woman pregnant?

No, a man who has had a vasectomy cannot father a child through natural means, as the procedure involves cutting and sealing the vas deferens, which prevents sperm from mixing with semen during ejaculation. While there are rare cases of a vasectomy reversing itself or surgical mishaps, these are uncommon. If a couple desires pregnancy, sperm retrieval and assisted reproductive techniques can be considered, but the likelihood of natural conception is not possible after a vasectomy.