Posted by: Arch | 2009-01-28

After vasectomy Chances of conc.whattodo

After vasectomy 4years ago.What to do to have opportunity to try again?Age 39 healthy white male female 37 and healthy...

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Our expert says:
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Dear Arch

The success of a vasectomy reversal is limited in terms of natural conception and is best to be avoided. This is due to the fact the despite a positive sperm result in the ejaculate after reversal, the quality of the sperm is not often sufficiently good to allow natural conception. Furthermore the likelihood of anti-sperm antibodies being produced due to the operative procedure is high and will further interfere with sperm function in the natural conception method. A more efficient and successful option is to proceed with obtaining sperm directly from the testicles by means of either a needle aspiration procedure or the more favourable testicular biopsy option. This procedure is relatively simple and once sperm as been obtained they can be frozen for a prolonged period of time, up to 10 years. These sperm may be utilized in an in-vitro fertilization program and individual sperm are selected for injection directly into the eggs to obtain embryos which are then transferred back into the females uterus for implantation and subsequent pregnancy.

Answered by: Dr M.I. Cassim

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