We would generally expect the success rates to be about the same as or somewhat higher the rates for other couples with a female partner of the same age going through IVF. Vasectomy reversal surgery is more successful if the period of time since the vasectomy has been less than 10 years. At about 10 years out there is a substantial drop in the subsequent pregnancy rates.
Therefore, it is generally not recommended that vasectomy reversal be tried when the intervening time has been 10 years or more. Vasectomy reversal surgery is usually very expensive and is not covered by insurance. This procedure is done by a urologist. Sometimes couples have a concern regarding future birth control after vasectomy reversal surgery. For example, if they want only 1 more child, and then they are successful, there will be a need for birth control or further surgical sterilization after the pregnancy.
This issues applies to both vasectomy reversal and tubal reversal surgery for women. This is a fairly simple process in which the couple chooses a donor from a major sperm bank, of which there are several, and the frozen donor sperm is thawed and placed into the uterus at the time of ovulation.
For many couples with a relatively young female partner and a relatively short time since the vasectomy has been performed, vasectomy reversal surgery may be the best initial option. However, some young couples will choose sperm aspiration and ICSI over reversal surgery as their preferred option.
If the female partner is over 35 years of age, there should always be some evaluation of the fertility status of the female before proceeding with either reversal surgery or sperm aspiration. If a vasectomy reversal has been performed and it has not been successful, a second surgery is of low yield and should be avoided.
Couples should be fully informed of the pros and cons of these approaches prior to making their decision. In many cases it is advisable to consult with both a Reproductive Endocrinologist and an urologist before making the final decision.
General urologists are not well versed in discussing the options of IVF with ICSI since that is not part of their training or professional skills. Likewise, the reproductive endocrinologist does not perform vasectomy reversals and is not the best source for details about that. Ovarian hyperstimulation syndrome, or OHSS, is a condition with enlarged ovaries and fluid build up. Ovarian hyperstimulation syndrome, OHSS, is a complication that can occur with in vitro fertilization The.
Infertility article review and discussion Title of article: Relationship of follicle numbers and estradiol levels. Patient Resource Center. Patient Portal. Request a Consult. Vasectomy Reversal Surgery. Back Understanding infertility Female infertility Male infertility. Back Getting help to fall pregnant When to seek fertility help Preparation for your first appt Your first appt. How to get pregnant after a vasectomy without reversal. Under local anesthesia, it is quite realistic to pass a needle directly through the scrotum into the testicle itself or the epididymis the network of tubules adjacent to the testicle where sperm finish their maturation process and are stored prior to ejaculation and aspirate sperm.
The limiting factor has always been that we can only retrieve thousands of sperm in this fashion and we need tens of millions for intercourse to establish pregnancy or millions for inseminations to do so. Since we may typically get eggs during an IVF cycle, we'd only need sperm for success. Therefore the sperm aspirated in this fashion are more than enough for multiple attempts. Success rates do not depend On how much damage was caused by the original vasectomy.
Also because IVF is being done, female fertility problems such as tubal issues, endometriosis, ovulation problems and so on are all automatically being bypassed. Lastly this approach is far more efficient in that the whole process from beginning of testing to starting obstetrical care could certainly be carried out in a month time frame whereas the surgery itself may be carried out a month or so after testing, it may require months to see normal sperm in the ejaculate and the couple may then have to try for several months before conceiving.
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