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Question
Posted by: BABY BLUES | 2009-01-18

ARTIFICIAL INSEMINATION

PLEASE ADVISE WHETHER IT IS POSSIBLE TO HAVE ARTIFICIAL INSEMINATION AFTER A VASECTOMY. THIS IS THE CHEAPEST OPTION AND THERE IS A GOOD CHANCE OF SUCCESS, WELL THAT IS WHAT I HAVE HEARD AND WE WOULD LIKE TO HAVE THIS PROCEDURE DONE. KINDLY ADVISE.

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Our expert says:
Expert ImageFertility expert

Dear Baby Blues

The cost of reversal of vasectomy together with the cost of artificial insemination should be weighed against the more favourable option of testicular aspiration and in-vitro fertilization. There is a clear distinction to be made between artificial insemination, which involves the collection of sperm in the normal manner and sperm preparation in the lab together with reinsertion of that specimen into the womb by means of a fine catheter. The problem with vasectomy is that there are no sperm in the ejaculate and any sperm obtained directly from the testicle is insufficient to be used in an insemination procedure. Therefore a vasectomy reversal would have to be done if you are considering artificial insemination as an option and the success of this is extremely limited. The better alternative is to avoid vasectomy reversal and simply extract sperm from the testicles directly which is then frozen and utilized in an in-vitro fertilization process. This involves harvesting eggs and fertilizing the eggs in a laboratory and transferring the embryos back into the womb.

Answered by: Dr. M.I. Cassim

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