So, you or your partner had a vasectomy. No more kids. You are sure of it.
This page will introduces you to your options and chances of success. Men who have no sperm in their semen and who want to have children may be able to have treatment to collect the sperm surgically. There are five different kinds of treatment:.
Vasectomy is currently one of the most common methods of sterilization in the United States. After your vasectomy, if you change your mind about having children, there are two procedures that can help you have a child with your partner. The two options are: a vasectomy reversal or sperm aspiration prior to in vitro fertilization IVF.
Do you want to get pregnant yet your male partner has had a vasectomy? Perhaps he should consider a vasectomy reversal. What is a vasectomy?
Sperm harvesting is entirely different from a diagnostic testicular biopsy because, in this setting, the goal is not to identify what is happening in the testis but instead it is to find sperm. Only men with no sperm in their ejaculate azoospermia need to have sperm retrieved directly from the testis or epididymis. This may involve a simple aspiration for men who have a blockage or require much more extensive sampling of the testis for men who have a sperm production problem.
The choice between surgical vasectomy reversal or ICSI remains difficult for patients and their fertility specialist. This included 99 males who underwent reanastomosis and 64 couples who immediately underwent ICSI treatment. The mean range obstructive interval was 9.
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In the first three conditions, sperm are produced by the testes, but are unable to be ejaculated because of the blockage or absence of the vas. The man can still ejaculate seminal fluid but this fluid will not contain any sperm. It is possible to collect sperm directly from the epididymis.
For many couples, both vasectomy reversal and IVF with sperm harvesting and intracytoplasmic sperm injection yield good results. In fact, the overall delivery rates for IVF and reversal. Which one is right for you is an individual decision that you and your partner will need to make, after you completely review the details of each option, and discuss them with your doctors.