In women over 35, we recommend some assessment of female reproductive potential, for example a day three follicle stimulating hormone and estradiol and/or antral follicle count. These can be initiated by the female making an appointment with one of SRM's fertility specialist. For more information on such testing, please click here for our download section and download the patient information sheet, entitled "ovarian reserve testing." Whether you see Dr.

Because of the extremely small size of the sperm duct, even a perfect repair using microsurgical techniques can sometimes fail to remain open. In uncomplicated reversals where sperm is present at the time of surgery, this occurs at most about 3-4% of the time (about 1 in 25 men). In complex repairs involving the epididymis […] Read more ...

The major alternative to vasectomy reversal is a technique called sperm aspiration. Sperm aspiration is generally performed by one of two means: percutaneous aspiration or open surgical aspiration. In percutaneous aspiration, a fine needle is inserted into the testes or the epididymis under local anesthesia. Since only a tiny amount of sperm can be retrieved, […] Read more ...

Most men will recover from a vasectomy in a couple of days. We typically recommend taking it easy for 2 days, using ice packs and scrotal support, and then going back to work 2 or 3 days later. However, vasectomy reversals tend to take longer, depending on the type of work that the patient does. While some men can return to a desk job in 3 or 4 days, we recommend that heavy construction and lifting should be avoided for 4 weeks after a vasectomy reversal.

Often it is necessary to see a microsurgeon with experience in vasectomy reversals. By contacting the Royal College of Surgeons, they may be able to provide details of surgeons with experience in this area. Alternatively, your local doctor may be able to refer you to someone appropriate. Some public hospitals perform vasectomy reversals; you would need to speak with your local public hospital directly to see if they can help.

Although pregnancies have occurred as early as three weeks after surgery, it generally takes from six to nine months to conceive a child, and may take up to twenty-four months

There are certainly some patients who are better candidates than others; time from the vasectomy is not necessarily a reason not to have a reversal. However, in the case of a couple where the woman has, for instance, had a tubal ligation, sperm aspiration combined with in-vitro fertilization is probably a better choice than performing vasectomy reversal followed by tubal ligation reversal.

Prior to a vasectomy, the patient and his partner should be absolutely sure that they are done having children. There are no special preparations in terms of abstaining from ejaculation prior to either the vasectomy or the reversal. The patient should be aware that a vasectomy reversal is a more expensive procedure than the original vasectomy and likely will take longer to recover.

A male fertility specialist has been specially trained to perform microsurgical vasectomy reversals. The specialist is also trained in male infertility and can provide proper consultation about your options. General urologists typically have not had any specialized training outside of the urology residency and tend to perform less vasectomy reversals on an annual basis than specialists.

It is Body Mass Index. It is calculated by the formula Weight in kilograms divided by Height in Meter square.

your first visit after the vasectomy reversal, we may check for sperm. After the six-week visit, a semen analysis should be performed every 3 months or until a pregnancy is established. While it is rare (<5%), some men can scar down even after good initial results and some men’s bodies have a reaction to the sperm (they produce antibodies against the sperm) that can interfere with fertility.

Both vasectomy reversal and ICSI/sperm aspiration are good alternatives to father a child after vasectomy. They each have advantages and drawbacks. In most situations vasectomy reversal offers the most desirable option for pregnancy. It requires one procedure be performed only on the man and couples can then try to get pregnant every month the old fashioned way in bed at home.

It is impossible to perform a good vasectomy reversal without extensive training and special experience in microsurgery, especially reconstructive procedures such as vasoepididymostomy (VE). A physician should perform 20 to 100 vasectomy reversals a year to maintain expert proficiency. Most general urologists perform 0 to 2 vasectomy reversals a year.

In most cases, failed reversals are due to technical mistakes by the surgeon. A second attempt for a vasectomy reversal is still less expensive and the most effective choice for a couple to have a child. Since each case is different, specialists like Dr. Bastuba can evaluate your situation and offer you a solution. (Read our information about failed vasectomy reversals)

Of the last 700 patients, 97% if the vasectomy was less than 13 years ago, 93% overall including redo vasectomy reversals and patients out to 33 year. My success rates are based on a postoperative semen analysis showing more than one million motile sperm in the sample. The overall success rate for just redo vasectomy reversals is 85% however the rates tend to be better than 85% if less time has passed since the original vasectomy and the reversal.

Yes, "transient patency" can occur with delayed blockage of the anastomosis at 6 months or later. This occurs about 3% of the time in successful reversals.

Go straight home; put your feet up or lie down; place an icepack/cold pack on the upper scrotum. Do not apply ice or the cold pack directly against the skin. Engage in minimal activity for the remainder of the day; engage in light activity for the first two days following your procedure. Wear a supportive undergarment (athletic supporter, snug jockey briefs, bike shorts or training shorts) for the first week after your vasectomy, especially when you are up and around.

mentioned above, the sperm behind the vasectomy (i.e. in the testicle or epididymis) are unable to fertilize eggs on their own. They can be used in IVF-ICSI to achieve reliable pregnancy rates of approximately 50 % per try at a cost of $12,000 (relative average success rates and costs in Dallas/Ft. Worth). A sperm retrieval procedure the day of the IVF-ICSI has an average cost of $3,000.

If we see whole motile sperm in the fluid coming from your testicle at the time of your vasectomy reversal, we can easily cryopreserve it as a safety backup. This can be used just in case inadequate numbers of sperm are seen after surgery in your ejaculate. Very rarely, vasectomy reversals can scar down even with good initial results. As a result, cryopreservation can be performed on ejaculated specimens early on during your recovery when the sperm quality is still excellent.

The vas deferens is very small and can only be properly reconnected if using an operating microscope to allow for adequate visualization of the vas deferens.

The longer the time interval from the vasectomy the higher the chance of epididymal blockage occurring requiring a Vasoepididymostomy to reconnect, this lowers the success rates. Success rates for a bilateral (both sides) Vasoepididymostomies are about 85% at MMHC's National Vasectomy Reversal Center.

Typically not unless there is some female issues that would necessitate the use of IVF. IVF is more expensive, leads to more risk for the female because of fertility drugs, multiple births and extraction of eggs.

In Dr. McClure’s hands, the sperm flow can be reestablished in an average of 95 percent of patients, and the vasectomy reversal leads to natural pregnancy in approximately two-thirds of these couples.

Depending on a number of factors, the patient could consider having another surgical procedure, such as bypass surgery, called a vasoepididymostomy. Success rates for this surgery are in the 70 percent range with generally a 40-45 percent chance of pregnancy.

Your microsurgeon should commit to perform only one reversal per day. This way, they can take the time to do their very best, and focus all of their energy and concentration on your vasectomy reversal without being preoccupied about finishing up and getting on to the next surgery, nor are they fatigued from earlier cases.

Performing an egg retrieval and a sperm aspiration is the only way that you will possibly conceive after your partner has a vasectomy. You will need to consult with a urologist to have your options outlined as well as consult with us about you starting a cycle. We will provide you with the name of a local urologist who we will schedule with to be here for the day of your egg retrieval.

Dr. Buch was one of the first microsurgical vasectomy reversal specialists in the world to offer the option of freezing sperm at the time of the reversal. His early results were published in the medical journal Fertility and Sterility in 1994. Sperm cryopreservation offers another option for conception to our few couples who fail to return sperm to the ejaculate after what appears to be a technically successful vasectomy reversal at the time of surgery.

The success rate of vasectomy reversal is dependent upon several factors. Although the time from vasectomy is important, the experience of the surgeon performing the procedure is probably just as important. A surgeon should be able to perform both a vasovasostomy as well as vasoepididymostomy. It is also important that the surgeon uses an operating microscope and performs reversals on a regular basis.