The first step would be to have a vasovasectomy to return fertility. If this intervention is successful, fertilisation can take place naturally or by insemination. If the reversal can not be performed, we can proceed with collecting sperm directly from the epidydimis or testicle with an aspiration technique. (PESA - TESA). However, the quantity recovered in this manner in not sufficient for intrauterine insemination, and only IVF is possible.

The core of this method consists of facilitating the way of a sperm to the egg by injecting sperm, after special laboratory preparation, by means of a thin tube into the uterine cavity during the period of ovulation. The basic prerequisite for the application of this method is the preserved permeability of the Fallopian tubes. IUI can have a therapeutic effect in cases of disorders in male fertility, immunologically conditioned infertility and also in other indications. See similar questions...

Generally, an intrauterine insemination cycle starts with taking a medication to stimulate the ovaries. There are also ultrasounds to follow the development of the treatment and plan the date of insemination. Ovulation is initiated by medication and the insemination takes place 36 hours later. The day of the insemination, we perform an injection of the sperm, which has been washed to obtain the best quality sperm, into the uterus of the patient. See similar questions...

IUI is the use of husband or donor sperm to inseminate the uterus. The semen sample is washed, prepared and then placed into the uterus by passing a small plastic catheter through the cervix. This is an office procedure and is usually associated with no discomfort. The procedure places a large concentration of sperm into the upper uterus so the sperm are closer to the fallopian tubes where they can travel to fertilize an egg. See similar questions...

An intrauterine insemination consists of collecting a sample of sperm (or using the sperm of a donor) in order to inject the sperm directly into the uterus of the patient at the moment of ovulation. The fertilisation takes place in vivo, that’s to say in the body of the woman and not in the laboratory. See similar questions...

You will need to firstly undergo a reanastomosis, a surgery which can be performed in some cases, depending on which method was used to tie your tubes. This procedure is carried out in the hospital setting and is performed in certain hospitals only. Once this step is completed, pregnancy may be possible with natural methods or by insemination, depending on the results obtained. See similar questions...

IUI helps deliver much more motile sperm to the fallopian tubes at the critical times around ovulation, and is recommended to improve pregnancy rates in many instances, including: unexplained infertility; sperm issues (such as count, motility or morphology); when fertility medications (including Clomid or injectable medications) are being used; or when a cervical mucous abnormality blocks the ability of the sperm to swim in to the uterus. See similar questions...

Artificial insemination is now more commonly referred to as,IUI, Intrauterine insemination. It is a procedure used for couples with unexplained infertility, minimal male factor infertility, and women with cervical mucus problems. It is a procedure of using the husband's or donor sperm, washing and treating the sperm and injecting it into the woman during the time of ovulation. IUI See similar questions...

That is a difficult question - there are some physicians who will not perform a vasectomy on a young single male or on a man without children. My feeling is that the patient should be adequately counseled regarding the risks and benefits as well as the possibility of sperm banking. There are no absolutes in terms of who should not get a vasectomy. The only other important point is that the patient's wife, or partner, is in complete agreement. See similar questions...

Artificial Insemination is allowed to be used as a breeding tool for animals that will be included in the Randall herdbook. The Registry encourages the use of live bulls to the extent possible as a means of increasing the number of sires used and thereby protecting the diversity of the gene pool. However AI can accomplish specific breeding objectives and may be the only option for breeders who are unable to keep a bull. See similar questions...

The number of straws required per insemination is determined by thawing a straw and rating its post thaw motility. For a frozen semen breeding you want to have a minimum of 100 million motile sperm per insemination. Each straw holds 50 million sperm but not all of them will survive the freezing process, hence the evaluation of "post thaw motility". The higher the percent post thaw motility the fewer straws are required. See similar questions...

Vasectomy reversal is not only possible but is highly successful when performed by an experienced infertility micro-surgeon. Unfortunately other doctors without these special skills will perform the surgery themselves rather then referring the patient to an infertility specialist. Once again it is incumbent upon the patient to make sure that his doctor performs the procedure regularly and successfully. See similar questions...

Many of our patients have questions about different aspects of vasectomy and microsurgical vasectomy reversal. While many of these are answered elsewhere on this site, we have compiled some of the more commonly asked questions which may not be covered, and these are discussed below. See similar questions...