You may have thought you never wanted to have kids, or that you were done growing your family. You were sure of your decision—so sure that you got a vasectomy. But what if your situation has changed? What if you and your partner decide that you want to get pregnant, after all? Luckily, a vasectomy does not need to be the end of the line for your family. There are options you can pursue to make your pregnancy dream a reality.
Before your vasectomy, you may have had the opportunity to preserve a sample of your sperm. If you participate in sperm banking, your cryopreserved sperm can be used to impregnate your partner via intrauterine insemination or in vitro fertilization. Even though you’ve had a vasectomy, your genetic material is available for your use, and it can be withdrawn from your sperm bank in a timely manner so that you can begin the process.
A vasectomy reversal is a surgical procedure to repair and reconnect the tubes that carry sperm from the testicles into the semen. While this is a complex procedure, the surgery is usually performed as an out-patient procedure, taking between 2 to 4 hours. Patients can return to desk work within three or four days, but they should wait about a month before engaging in sports or strenuous physical activity.
The success of vasectomy reversals is impacted by the type of procedure performed, as well as the length of time that has elapsed since the original vasectomy. Generally, pregnancy success rates after a vasectomy reversal reach over 75%1. If it’s been many years since your vasectomy, it does decrease the likelihood that a vasectomy reversal will successfully restore fertility. Generally, vasectomy reversals are more successful during the first 10 years after the original vasectomy procedure.
Another option is sperm retrieval. This procedure is the surgical extraction of sperm from the vas deferens, epididymis, or testicular tissue. There are several different methods for sperm retrieval. Sperm extracted through the scrotal skin called percutaneous sperm retrieval, from an open testis biopsy, or microsurgical sperm retrieval from the epididymal tubules or vas deferens. All these methods are used in conjunction with In Vitro fertilization (IVF) and intracytoplasmic sperm injection (ICSI). For patients with very poor sperm production microTESE (microsurgical testicular sperm extraction) is an option. Unfortunately, too little sperm as well as non-moving sperm are obtained by these methods and therefore cannot be used with intrauterine insemination (IUI).
So if you’ve had a vasectomy, but you see kids in your future, you may still have a few opportunities for impregnating your partner. Check out your options. You might be surprised by just how attainable your family goal can be. For additional information please visit http://vasectomyreversalmd.com0