Vasectomy Reversal Questions and Answers Archive

Feb
2002

Q&A: If we want one more child and want genetic predetermination for a boy, should we reverse my husbands vasectomy or have in vitro fertilization?

Question:

My husband had a vasectomy six years ago and we are now discussing having another child. Please don't think terrible of us, but we've been discussing sperm aspiration and genetic predetermination so we may have a boy. We have 2 daughters and he would like just one more child. Is this feasible or would it make more sense to reverse the vasectomy.

- Melody

Answer:

 Daniel Potter, MD, FACOG - LocateADoc.com

If you want one more child, in vitro fertilization and intracytoplasmic sperm injection with sperm recovered via precutaneous epididymal sperm aspirationi (PESA) would be my recommendation if everything is still normal with you. Sex selection with pre-implantation genetic diagnosis (embryo biopsy) for family balancing is controversial but many centers, inclding mine, offer this service to patients. Reversing the vasectomy would be better if you wanted more than one child and did not care what the gender was. I hope that this helps. Daniel A. Potter, MD, FACOG Huntington Reproductive Center infertility.org

-- Daniel Potter, MD, FACOG
Fullerton, California



Dec
2001

Q&A: Can I get GIFT and AL done instead of IVF w/ICSI because insurance will not cover IVF?

Question:

Me and my husband have been trying to concieve for 4 yrs and getting very frustrated. I've had artificial done 3x's with no luck. Husband had a vasectomy reversed in 1997. The doc recommended IVF w/ ICSI. His sperm count was 9million w/4.8million per ml. WE donot have the resources or finances for IVF but do want OUR child. Do you know of any charity groups that will help us financially for IVF? My health insurance will pay for GIFT and AI. What is GIFT and do you think it will be successful or should we try it given our situation? Please let me know. thanks

- Motti

Answer:

Fady I Sharara, M.D - LocateADoc.com

None unfortunately. What u need is IVF w ICSI. GIFT is not even an option. Sorry Fady I. Sharara, M.D VA Ctr for Reprod Med

--Fady I Sharara, M.D
Annandale, Virginia



Dec
2001

Q&A: What is the cheapest way for me to get pregnant if my husband had a vasectomy?

Question:

My husband had a vasectomy and now we want another baby. He is willing for me to have artificial insimination done. What will be the cheapest way for me to get pregnant?

- April

Answer:

Fady I Sharara, M.D - LocateADoc.com

Dear April Your husband needs to see a urologist first to see if he is even a candidate to have the procedure reversed. Artificial insemination will obviously not work since he has a vasectomy done.

--Fady I Sharara, M.D
Annandale, Virginia



Aug
2001

Q&A: What can I do if I have tried to have a baby for 5 years and my husband's sperm count is low and artifiical insemination has not worked?

Question:

Hi, my name is Jackie. I am a 27 y/o female who is married and have been trying to have a baby for "5" years. I've had articial insemination twice and no luck. My periods are regular approx. every 24-28 days. My husband had a vasectomy reversal in 1997 and his sperm count hasn't gone up @ all. He does drink alcohol and i think that may have something to do w/ it. It is very frustrating for us both. We spent over $4000 to have that procedure. Please give us some suggestions as to what to do...I'm @ my wits END.

- Jacqueline

Answer:

Fady I Sharara, M.D - LocateADoc.com

Dear Jackie You need to have IVF with ICSI. You need to speak to your doc about this. Do not waste any more money on inseminations. Good luck

--Fady I Sharara, M.D
Annandale, Virginia



Aug
2001

Q&A: Am I a candidate for IVF?

Question:

Hi, I have heard that artificial insemination does not work. My husband had a vasectomy reversal 2 years ago and it did not work. We visited a urologist who said he could either try the reversal again and/or aspirate sperm and freeze it if we would like to try in-vitro. I cannot afford in-vitro and I do not have any infertility problems. The doctor told us that he would not recommend artificial insemination because "it doesn't work anyway". Is this true? Help! Molly

Answer:

Fady I Sharara, M.D - LocateADoc.com

Dear Molly Artificial insemination works all right, but it does not sound like u r a candidate for it. IVF sounds like the only answer here, but u need to consult with a board certified Reproductive Endocrinologist before u make any further decisions. Good luck

--Fady I Sharara, M.D
Annandale, Virginia



Aug
2001

Q&A: My husband had a vasectomy reversal and sperm is normal and yet we cannot conceive. What should we do?

Question:

I am 33yo and my husband 38. He had vasectomy reversal in May 2000 and we have been trying to conceive since. 4 months ago we had a sperm analysis and it came back normal. My cycle is a little irregular, but I never miss a period and am usually 30-33 day cycle. I have used ovulation test kits that show I am ovulating but still have not conceived. Should I pursue some infertility testing or just give it a little more time? I'm trying to relax and not obsess about having a baby but I don't want to wait too long either. My husband has fathered 2 children in a previous marriage. Any advice you can give me will be greatly appreciated as I am contemplating the next step to take.

- Sharon

Answer:

Fady I Sharara, M.D - LocateADoc.com

Dear Sharon Definitely go see a fertility specialist. You husband most likely have antisperm antibodies even after a successful reversal. Inseminations may be an option if antibodies are not present, otherwise u may need IVF. Good luck Fady I. Sharara, M.D VCRM

--Fady I Sharara, M.D
Annandale, Virginia



Mar
2001

Q&A: Besides a vasectomy reversal, what other options do we have for having a baby together?

Question:

My husband has had a vasectomy (18 months ago) and now we are wanting to have a baby--I am 29, he is 43. We know we could try to have the vasectomy reversed, but what are our other options for having a child that is conceived by both of us? Is there such a thing as aspiration of sperm that can be implanted into me or into one of my eggs, and is there as much of a chance of that being successful as our chances of having the vasectomy reversed? I don't think there is any problem that would prevent me from carrying a child. Thanks.

- Renee

Answer 1:

Dear Renee: There is a sperm aspiration process you may use to retrieve sperm from testicular tissue, then inject the sperm into the cytoplasm of your eggs. This would require doing an IVF cycle. You would need to check with your husband's urologist for statistics regarding vas reversal. Pregnacy rates for you doing IVF with testicular biopsy would be close to fifty percent, but again check with an IVF center in your area for more detailed pregnancy rates and prices. Good Luck. Sincerely, Eric Silverstein, M.D.

--ERIC H. SILVERSTEIN, MD
Colorado Springs, Colorado

Answer 2:

Fady I Sharara, M.D - LocateADoc.com

Dear Renee The other option would be to undergo an IVF/ICSI cycle, and have sperm aspirated from the testicles (an area called the epididemis). That obviously involves during an IVF cycle with the costs involved. I would recommend freezing the extra embryos if you go that route. If your husband has a successful vasectomy reversal and you get pregnant on your own, the issue of birth control will need to be discussed (not an issue if you go with IVF). Good luck

--Fady I Sharara, M.D
Annandale, Virginia



Nov
2000

Q&A: What are my options and the success / risk of having a baby if my husband had a vasectomy?

Question:

I am 24 yrs old. I married someone that is older than me. He had a vasectomy 12yrs ago after he had 2 girls with his previous wife. We have been married for almost 2 years and have decided that we want a baby. I have had ovarian cysts and had a laproscopy about 1 yr ago and the doctor cauterized what he thought could be the first stages of endometriosis, but didn't see a problem with me conceiving. We are looking into artificial insemenation. What are the statistics of this being successul? How safe is this procedure? How do they choose donors? Approximate costs? How long does the whole process take? Any information that you could give us will be greatly appreciated.

- Shawn

Answer:

Daniel Potter, MD, FACOG - LocateADoc.com

Donors are screened for infectious diseases. You could also have in vitro using sprem aspirated from your husbands testicles or have a vasectomy reversal. If he is interested inhaving one of these procedures, he should contact Larry Lipshultz, MD in Houston.

--Daniel Potter, MD, FACOG
Fullerton, California