At our center, we understand the concerns that people have when it comes to infertility; we treat all of our patients with the confidentiality, compassion, and professionalism they deserve.

What to Expect When You Seek Out-of-Town Medical Care

Distance from one’s home is often a key consideration when it’s time to choose a primary care physician. But as skillful as primary care doctors are, you’ll need to go to a specialist when undergoing a procedure as complex as a vasectomy reversal. It’s crucial to choose a vasectomy reversal surgeon who is highly skilled and has extensive experience with vasectomy reversals. This may mean traveling out of town for medical care.

Pre-Operative Consultations

When distance is not an issue, patients will typically meet vasectomy reversal surgeons at their offices for pre-operative consultations. However, it is possible to take care of these necessities over the phone or via email. You may be asked to mail medical forms. If you must obtain medical clearance before having a vasectomy reversal, you can see your primary care physician for the exam. You can also have your primary care physician handle any pre-operative medical tests or lab work. He or she can send the results to the vasectomy reversal surgeon.

Travel Arrangements

Depending on the distance you must travel, you may need to get to your destination the day before your procedure. When making your travel arrangements, bear in mind that you will not be able to drive for 48 hours after the surgery. If you plan to travel by airplane, you should ask the vasectomy reversal surgeon when it will be safe for you to fly after the procedure.


Book your accommodations well in advance, particularly if you’re traveling to a resort community. You’ll probably want to ensure that you’ll have a comfortable hotel room in which to relax before and after your surgery. You should plan to stay in the area for at least night one after your surgery, since you’ll have a follow-up exam the next day.

The Center for Vasectomy Reversal and Male Infertility makes every effort to accommodate our many out-of-town patients. Dr. Joshua Green provides flexible, long-distance pre-operative arrangements and personally sees patients for a follow-up appointment the day after the surgery. If you plan on traveling for your vasectomy reversal in Sarasota, you can become a patient of Dr. Green’s by calling (941) 961-4581.

What You Need to Know About Low Sperm Count

Male infertility is a problem that affects millions of people. Most often, male infertility is caused by problems with sperm, such as poor sperm quality and low sperm count. If you’ve been diagnosed with low sperm count, it means that there are fewer than 15 million sperm for every milliliter of sperm. If you have a low sperm count, it can lower the chances for fertilization of an egg.

There are many possible causes of low sperm count. For example, some men have blockages of the tubules that are responsible for carrying sperm. The sperm may be blocked in the vas deferens, at the epididymis, or at other areas. Men who decide to have vasectomy reversals may resolve this problem with a vasoepididymostomy, which can be performed at the same time as the vasectomy reversal. This technique connects the vas deferens to the epididymis.

At the Center for Vasectomy Reversal and Male Infertility, Dr. Joshua Green can perform a vasoepididymostomy at the same time as a vasectomy reversal in Sarasota—at no extra charge. Call (941) 961-4581 for information about becoming a patient at Dr. Green’s clinic

Reasons You Might Consider Vasectomy Reversal

Sterilization is a safe, effective option for men who are sure that they do not wish to father children or who do not wish to add to the children they already have. In fact, having a vasectomy may even promote the health of the female partner, given that many methods of birth control such as hormonal options can lead to serious side effects. However, it’s not uncommon for men to experience life changes that prompt them to re-evaluate their choices. The decision to have a vasectomy reversal is a personal one. However, most men choose vasectomy reversals for similar reasons.

Change of Heart

Many people are quite sure that they do not wish to become parents. Yet later, these individuals often change their minds. A vasectomy reversal may be appropriate for you if you or your partner has had a change of heart regarding parenthood.

Change in Family Circumstances

Changes in family circumstances are common reasons why men undergo a vasectomy reversal. You may have gone through a divorce, met a new partner, and perhaps remarried. Now, you might be considering a vasectomy reversal because you wish to have more children with your current partner. Or, you may want to become a first-time father now that you’ve found the right person with whom to raise children. Divorce and remarriage aren’t the only reasons why men might undergo vasectomy reversals, however. Sometimes, men think that they’re done having children until tragedy strikes and an illness or accident causes the death of a child. Some couples who have had to bury a child may long to hold a baby again.

Relief of Post-Vasectomy Pain

It may surprise you to learn that some men undergo vasectomy reversals for reasons other than to embrace fatherhood. Although uncommon, it is possible for a vasectomy to lead to chronic pain. When this occurs, some men may find relief of their symptoms with a vasectomy reversal.

If you would like to learn more about vasectomy reversals, contact Dr. Joshua Green in Sarasota. You can reach his staff at the Center for Vasectomy Reversal and Male Infertility by calling (941) 961-4581. Dr. Green is dedicated to upholding the highest standards of patient care and safety.

Exploring the Success of Vasectomy Reversal

Did you know that a significant percentage of men who undergo vasectomies later divorce and remarry? It’s not uncommon for men to undergo vasectomy reversal to allow them to start a family with their new partner. Vasectomy reversals have a high success rate, particularly if they are performed not long after the original surgery. However, even if it has been over 10 years since the original surgery, vasectomy reversals have a success rate of about 80 to 90 percent.

You can hear more about vasectomy reversals by watching this video. It answers some common questions men have, such as whether vasectomy reversals are painful and what men should look for in a surgeon.

To find out whether vasectomy reversal might be right for you, you can consult Dr. Joshua Green at the Center for Vasectomy Reversal and Male Infertility. Call (941) 961-4581 and schedule your appointment to discuss infertility procedures in Sarasota.

Taking a Closer Look at the Process of IVF

In vitro fertilization (IVF) is a common medical procedure. IVF can help couples achieve pregnancy when they are struggling with female or male infertility. Although IVF has helped many couples experience the joy of parenthood, it does have its drawbacks. IVF is a complicated, multistep process and it can be prohibitively expensive. Additionally, many couples must go through multiple IVF cycles before achieving pregnancy, if pregnancy occurs at all. The disadvantages of IVF are why many men explore vasectomy reversals instead.

Fertility Medications

First, the female partner must take fertility medications to stimulate the development of multiple eggs. These medications must be injected by the woman or her partner. Additionally, the female partner must undergo frequent ultrasound and blood testing to monitor the development of the follicles.

Egg Retrieval

Then, women undergo a minor surgical procedure to retrieve the mature eggs. With ultrasound guidance, the physician inserts a hollow needle through the vagina to suction out the eggs.

Sperm Retrieval

Men who have undergone vasectomies still produce sperm, although the sperm does not mix with the ejaculate. Typically, the male partner would simply provide a sample of semen at this stage of IVF. However, after a vasectomy, surgical retrieval of sperm is necessary.


After the sperm sample has been processed, it is mixed with the eggs in a laboratory. Sometimes, sperm is injected directly into the eggs to promote fertilization. Then, the embryos are monitored for three to five days.

Embryo Transfer

Once the embryos are ready, the female partner must undergo another procedure to transfer the embryos directly into the uterus. The physician inserts a catheter into the uterus to accomplish this.

Having a vasectomy reversal in Sarasota is quite often a more cost-effective and successful option than IVF. When you’re ready to grow your family, you can contact Dr. Joshua Green of the Center for Vasectomy Reversal and Male Infertility at (941) 961-4581. Dr. Green is a highly skilled vasectomy reversal surgeon who is proud to have helped countless men become fathers through vasectomy reversals.

Meet Dr. Green

Although modern vasectomy reversal procedures have a much higher success rate than ever before, the success is also dependent on the surgeon handling the procedure. That’s why you are urged to consult with Dr. Joshua Green at the Center for Vasectomy Reversal and Male Infertility. Dr. Green has performed hundreds of vasectomy reversals in Sarasota, finely tuning his skills over years of clinical practice. The former chairman of the Department of Surgery at Sarasota Memorial Hospital, Dr. Green is one of the most capable vasectomy reversal surgeons on Florida’s west coast.

Call the Center for Vasectomy Reversal and Male Infertility at (941) 961-4581 to schedule your consultation with Dr. Green. If you live out of state, Dr. Green can take care of the pre-operative necessities online, via mail, email, or over the telephone.

Preparing for a Vasectomy Reversal Procedure

Every year, millions of men undergo vasectomies as a form of permanent birth control. However, it’s not quite accurate to call a vasectomy permanent since there are procedures that can restore a man’s reproductive capabilities. According to some studies, as many as 10 percent of men who undergo vasectomies later seek vasectomy reversal. If you are one of these men, consult with a vasectomy reversal surgeon in Sarasota to discuss your options and determine if you are a good candidate for the procedure. If you are, here are some things to remember as you prepare for vasectomy reversal surgery.

Stop Taking Certain Medications

Two weeks before your scheduled vasectomy reversal, your doctor may have you stop taking certain medications to minimize complications during surgery. For example, pain relievers such as aspirin and ibuprofen can increase your risk of bleeding. During the initial consultation, your surgeon will go over the medications you are taking and advise you on which ones specifically to stop taking prior to surgery.

Don’t Eat or Drink Before Surgery

It is crucial that you have a completely empty stomach at the time of the procedure, which is why you are not advised to eat or drink for at least 12 hours before the scheduled time of your procedure. You can eat something and hydrate as soon as the procedure is finished.

Arrange for Transportation

Although vasectomy reversal is an outpatient procedure, the anesthesia may take a few hours to wear off after surgery. You may also experience some minor discomfort and aching as the effects of the aesthesia dissipate. For your comfort and safety, we recommend arranging for someone to drive you home or to your hotel after surgery.

If you are thinking about reversing your vasectomy, Dr. Joshua Green at the Center for Vasectomy Reversal and Male Infertility in Sarasota can help. Dr. Green is one of the leading vasectomy reversal surgeons in the region, and is happy to answer any of your questions regarding the procedure. Call (941) 961-4581 to talk to an expert today.

What are Some Common Causes of Male Infertility?

In the United States, approximately one in five couples seek infertility care. Although infertility evaluations and treatments are traditionally focused on women, male infertility accounts for about half of all infertility cases in this country. The good news is that there are infertility clinics in Sarasota that specifically address male fertility problems. Before you schedule a consultation to discuss sperm retrieval procedures, read this short blog to learn more about some of the more common causes of male infertility.

  • Smoking – Tobacco use significantly decreases both sperm count and sperm cell motility. Smoking can increase a male’s chance of infertility by up to 30 percent, and even smoking as few as five cigarettes per day can significantly lower fertility rates.
  • Environmental Hazards – Men who regularly exposed to environmental hazards such as pesticides, lead, radiation/radioactive substances, and heavy metals typically have a much higher rate of experiencing fertility issues.
  • Intense Exercise – Although regular exercise is important for good overall health, prolonged overly-intense exercise can produce high levels of adrenal steroid hormones which can result in infertility. Check with your doctor to find out if your exercise routine is responsible for your fertility issues.
  • Hormonal Problems – A small percentage of male infertility cases is causes by hormonal disorders such as hyperprolactinemia, hypothyroidism, congenital adrenal hyperplasia, and hypogonadotropic hypopituitarism. A fertility doctor can diagnose these disorders and recommend treatment.

If you have been trying unsuccessfully to have children, schedule a consultation with Dr. Joshua Green at the Center for Vasectomy Reversal and Male Infertility. In addition to vasectomy reversal surgeries, Dr. Green performs sperm retrieval and in-vitro fertilization to help couples realize their dream of having a family. Call the Center for Vasectomy Reversal and Male Infertility in Sarasota at (941) 961-4581 to schedule an infertility consultation today.

A Look at Male Fertility Testing

All couples considering pregnancy should undergo pre-conception testing to identify any issues that may interfere with the ability to get pregnant. In men, fertility testing involves blood work, semen analysis, and an examination of his medical history and sexual function. Watch this video to learn more about the male fertility testing process.

If a doctor confirms your infertility, Dr. Joshua Green at the Center for Vasectomy Reversal and Male Infertility may be able to help you realize your dreams of starting of family. In addition to being one of the premier vasectomy reversal surgeons in Sarasota, Dr. Green also specializes in sperm retrieval and in-vitro fertilization to help male’s overcome their fertility issues. Contact us online or call us at (941) 961-4581 to schedule your initial consultation today.

Deciding Whether Vasectomy Reversal is Right for You

There was a time when it made sense for you to get a vasectomy, but things have changed and now you’re thinking about reversing the procedure. But how do you know if a vasectomy reversal is the right decision? The first step is to consider your needs. Regardless of your situation—whether you’re exiting an old relationship, entering a new one, or in a better position to have children—if you’ve changed your mind about your vasectomy it’s time to talk to a vasectomy reversal surgeon in Sarasota about your options. In the meantime, here are some things to think about that will help you feel more comfortable about the decision you make.

Consider the Risks

As with any surgical procedure, you should first consider the risks. Thankfully, complications resulting from a vasectomy reversal are uncommon. Infection is arguably the most serious risk, but Dr. Green takes every precaution before, during, and after the procedure to minimize the risk.

Consider the Success Rates

You should also consider the chances of success. Although it’s difficult for any surgeon to provide you with an estimate of success until a preliminary inspection or consultation has been performed, success rates for vasectomy reversal procedures are generally high. If you are seeking vasectomy reversal less than five years after the initial procedure was performed, there is better than a 95% chance of sperm in the ejaculate. Rates go down slightly the longer its been, but even vasectomies that were performed over 10 years ago have between an 80-90% success rate.

Consider the Alternatives

Finally, you should consider all of the alternatives available to you. For example, te MESA procedure can remove sperm from the epididymis, which can then be used for in vitro fertilization (IVF). However, vasectomy reversal offers the most natural and cost effective option for achieving pregnancy.

If you would like to take the next step, contact Dr. Joshua Green by calling (941) 961-4581. Dr. Green heads the staff at the Center for Vasectomy Reversal and Male Infertility in Sarasota, FL. You can schedule a consultation with Dr. Green online. Everyone here at the Center for Vasectomy Reversal looks forward to helping you.

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