Doctor insights on:
How Soon After Vasectomy Reversal Can You Get Pregnant
Depends: You will need at least 3 months and at least two negative semenanalysis. ...Read more
Tubes on both sides from testicle to prostate that carry sperm made by testicles are brought out through a small skin puncture in the scrotum and either cut, tied, burned or clamped. Simple procedure, cost effective and usually with minimal side effects. Low failure rate. Clinic procedure, done in office with local anesthetic to skin. Minimal down time. A very ...Read more
My boyfriend had a vasectomy 12 years ago. What the best option for us to get pregnant? Should we try vasectomy reversal? Are we able to do IUI?
Yes. ..: Vasectomy reversal is the known best possible way to make you boyfriend become fertile again so to impregnate you if all the conditions for conception in you are adequate. Also, it is known that obtaining sperms from ejaculated semen is easier (less hassle) than any others such microscopic retrieval from testes or epididymides. For detail, ask your Doc timely. Best wish. .. ...Read more
My husband had a vasectomy reversal May2013.Scar tissue if blocking sperm. Anything we can do to reduce scar tissue so sperm can get through?
Here are some. ..: The reported scenario after vasectomy reversal is not uncommon. Not seeing no sperm in post-reversal semen exam indicates surgical failure. There has been no known drug or way available to "dissolve and disappear" the scar after surgery. The next option for male infertility is redo-vasectomy reversal by more experienced microscopic surgeon before IVF-ICSI, which is time-/money-consuming. Adoption? ...Read more
Depend...: What to do after failed vasectomy reversal depends on what you plan for your family. If deciding not to conceive, do nothing but still welcome to get semen exam so to confirm he is sperm-free in semen. If wanting more pregnancy, consider redoing vasectomy reversal or. .. by experienced hands. If just wanting more children but not really caring for your own or not, consider adoption. Best wish. .. ...Read more
Urologist: Talk to your urologist. It varies with procedure and region of the country. ...Read more
VERY effective!: We recently reported a study of our "older" vasectomy reversals, defined as vasectomies >15 years old. Impressive results. See the link: http://abclocal. Go.Com/kgo/story? Section=news/health&id=8740026. ...Read more
Vasectomy reversal: While some may say fellowship training is important, my only requirement is the answer to this simple question....How many did you do last month? Even some fellowship trained guys do less than one per month....If a guy is doing this type of procedure weekly that is a good sign and I bet he knows his/her own stats instead of giving you average numbers.... ...Read more
Vasectomy Reversal: A vasectomy reversal is almost always cheaper and gives the couple the opportunity to achieve pregnancy each and every month through sex. When aspiration of sperm and IVF is the route taken, it generally limits the couple because if the cycle is not successful, the only chance to get pregnant is with another expensive IVF cycle. So, almost always better to have a reversal. ...Read more
Wait for NO pain: To be safe, you need to heal. By the time you have no pain, you should be ok. Good luck! ...Read more
Very good: In the hands of an experienced Urologist who does micro surgery, there is about 90 % plus chance of sperm return to semen after a vas reversal. Influencing factors can be: time since vasectomy, and age of patient. Even with sperm return, female factors have to be considered in trying to achieve a pregnancy ...Read more
Urologist is surgeon: All urologists are surgeons. No other speciality should be doing vas reversals. ...Read more
Ask your PCP: Your pcp should be able to recommend a urologist that has expertise with vas reversals. Make sure to ask what their success rates are with pregnancy rates, as opposed to patency rates. Also, pregnancy rates are significantly decreased if the vasectomy has been longer than 8-10 years. At that point, ivf with sperm recovery from the testicle (tesa) may be the better choice. ...Read more
May be & mat not...: Of course, that depends on the specific policy of a health insurance; so, check yours out. Usually, health insurance would not cover vasectomy reversal; that is why I told my patients to consider vasectomy as a permanent procedures with a high cost to reverse with a price tag up to 10-20 thousands US dollars depending where and who the procedure is done. ...Read more
Can you tell me about non scalpel vasectomy vs conventional vasectomy: reversal chances the same?
Same: How the puncture in the skin is made (to access the vas) is irrelevant to the success or complications of vasectomy. No matter how the procedure is marketed to anxious young males, a puncture must be made in the skin with some sort of sharp instrument. If you think you may EVER want the vasectomy reversed, you should not have a vasectomy. The best pregnancy rate of reversal is about 50%. ...Read more
Time since vasectomy: The time since vasectomy is critical. Both tubal patency (open) and fertility decrease with time since the vasectomy. If you have had 10 yrs since vas then success is likely less than 30%. Also remember that the female partner age is also important, perhaps more so. If there is no or poor quality sperm, then ivf/icsi is possible. We virtually always get sperm with aspiration for icsi. Good luck. ...Read more
Had a vasectomy reversal 21 days ago, noticed a pimple like on stitches but it feels like a big pimple underneath, anything to be concern about?
Here are some. ..: It's most reasonable to leave the described spot alone, which most likely represents the expected residual resolving effect of incision + stitches, as long as feeling more comfortable day by day and getting smaller and smaller slowly but surely. More doubt? See the surgeon for timely counseling. ...Read more
How can you increase sperm count in a 48 yr old man with a vasectomy reversal 4 months ago? Only had vasectomy for 15 months before reversing it.
It depends...: It depends if ; why it’s low. In the healing phase (approx 6mos) counts can be low, sometimes because the channel that was reconnected is not fully open. Some drs have patients wait 6mos to see what the sperm count looks like at that time while others put patients on anti-inflammatory meds. Sperm counts can also be low due to a production problem. A physical exam/hormone profile can dertermine this. ...Read more
Vasovasostomy: Reversal of vasectomy is seldom covered by insurance. It has variable success rates depending on length of time since vasectomy, technique of vasectomy and most importantly the experience of the urologist with the procedure. The best success rate (as measured by successful conception) under ideal circumstances is generally 50%. ...Read more
Excellent: Excellent in the right hands. The expertise of the surgeon is a very important determinant of the ultimate success. Time out from the vasectomy is also important but there is no strict cut-off - the "10 year mark" is a fallacy - just not true. So, find a Urological Surgeon like my self who specializes in Vasectomy Reversal (microsurgical). My practice at Boston Medical Center keeps costs low. ...Read more
Vasectomy revearsals: The success rate for vasectomy revearsals decreases as the time from the original vasectomy increases. Generally, the success rate is 90% one year after a vasectomy, but it declines by 10% per year thereafter. ...Read more
Here are. ..: If fertility to conceive is intended and welcome, do semen analysis as needed. If not an option to conceive, also check semen once to make sure of if any sperm is present in semen so to determine if his vasectomy reversal was a success. Then, you have choices to your family planning. ...Read more
Allow Sperm Passage: A vasectomy can be performed to block the passage of sperm so that during evaluation fluid is released but no sperm. Thus it prevents pregnancy from occurring. It is surgically performed and fairly common and successful. If a man later decides he wants to have children, he has 2 choice. Surgically remove sperm or try to surgically open the passageway again. ...Read more
Depends: The length of time elapsed after the vasectomy plays a large role in return to sperm after vas reversal. If >10yrs, there is a low chance of sperm presence in reversed tubes. Also, skill of the practitioner plays a large role in the success of the tubes staying open after the procedure ...Read more
When your due date arrives, you will be more than ready to have your baby! Most women deliver the baby somewhere between 37 and 42 weeks. According to the American College of Obstetricians and Gynecologists, only 5% of babies arrive on the exact due date. Approximately 7% of babies are not delivered by 42 weeks, and when that happens, it is referred to ...Read more
A vasectomy can be performed to block the passage of sperm so that during evaluation fluid is released but no sperm. Thus it prevents pregnancy from occurring. It is surgically performed and fairly common and successful. If a man later decides he wants to have children, he has 2 choice. Surgically remove sperm or try to surgically ...Read more
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