Reversion of the vasectomy
When a man wishes to regain fertility after having had a Vasectomy, he has the option of a surgical procedure known as Vasovasostomy, which consists in the reconnection of the vas deferens, or In Vitro Fertilization (IVF) techniques that use spermatozoids drawn directly from the testicle. Vasovasostomy must be performed by an expert in microsurgery.
It is done under local anesthesia and has an estimated duration of 1.5 hours. In approximately 90% of cases spermatozoids are found to be once again present in the semen, which allows for a natural pregnancy with no need for the woman to submit herself to all that encompasses the process of In Vitro Fertilization (IVF). Also, it is worth noting that a couple that opts for the latter has the option to conceive only on the occasion of the treatment.
When the seminal fluid duct is successfully reconnected however, there is the opportunity to conceive on each of the naturally recurring cycles of ovulation, which is the case 50% of the time. If, after reconstructive surgery, there are spermatozoids in the semen but they are of inferior quality, there is always the option to use ejaculate spermatozoids with In Vitro Fertilization (IVF) techniques, with no additional need to intervene in the male.
In the Tab marked “Frequently Asked Questions” atop this very web page you will find arguments for either Vasovasostomy or In Vitro Fertilization (IVF) when, after having had a Vasectomy, one wishes to regain fertility.
When to discuss it as an option?
When, after having had a Vasectomy, one wishes to regain fertility in order to father more children with the same or a different partner.