![]() If on the other hand time is running out it is 12 years since the reversal, he is 51 (and convinced that he is as fertile as he was!) and she is 39 (and hopes she hasn’t left it too late!), then it may be wise to take a slightly different approach. For example if this prediction tells us that the chance of a baby naturally conceived within 1 year of a reversal operation is equal to or higher than a cycle of IVF / ICSI with surgically retrieved sperm, then it is reasonable to undertake the reversal operation (usually with a sperm retrieval at the same time as an ‘ insurance’). This prediction depends upon the length of time since the vasectomy (ideally less than 8 years), the partners age (ideally less than 37) and significantly the skill and experience of the surgeon. When a couple come to see us for a ‘Microsurgical Vasectomy Reversal’ we first need to assess the chances of a successful pregnancy and delivery. Most couples however would prefer a reversal if at all possible, so how do we work out whether a vasectomy reversal or a sperm retrieval would be better? ![]() ![]() Sometimes this advice is quite correct, particularly when time is pressing either because of age or reduced female fertility (often referred to as diminished ovarian reserve). However we as doctors and surgeons should not confuse ‘technical’ success because the reversal operation has resulted in sperm being present in the ejaculate, with real success meaning that the man’s partner has a successful pregnancy.įertility units are often rather sceptical about the value of vasectomy reversal operations many have a tendency to advise ‘a straightforward approach’ consisting of a sperm retrieval for the man and IVF/ ICSI for his partner. Vasectomies can usually be reversed successfully, particularly when the interval between the vasectomy and the proposed reversal is less than 8-10 yrs.
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