• Reasons Your Fertility Doctor May Recommend Sperm Retrieval

    If you have been diagnosed as infertile, there may still be hope for you to become a father. Sperm retrieval procedures (testicular sperm extraction, testicular sperm aspiration, microsurgical/percutaneous epididymal sperm aspiration, etc.) in conjunction with in vitro fertilization can help couples achieve reasonable pregnancy rates. If you have reached out to a fertility doctor in Sarasota , sperm retrieval may be one of the recommended procedures to obtain sperm for fertility purposes. There are a few specific reasons why your doctor may recommend sperm retrieval, including:

    Obstructive Azoospermia

    Azoospermia is the absence of sperm in the ejaculate fluid. If sperm are produced by the testicles but are unable to be released into the semen, there may be a blockage in the reproductive tract. Common causes of obstructive azoospermia include a genetically missing vas deferens or injury to the vas deferens from previous surgery, such as a vasectomy or hernia repair. If you are going in for a vasectomy removal, your vasectomy reversal surgeon will inspect the condition of the vas deferens.

    Non-Obstructive Azoospermia

    Non-obstructive azoospermia is a condition in which sperm are either not being produced at all or are being produced in such low level that there is not enough of them to reach the end of the reproductive tract. Your doctor will recommend blood tests and genetic tests to determine the cause of non-obstructive azoospermia before continuing with the recommended sperm retrieval procedure.

    Anejaculation/Retrograde Ejaculation

    If no semen is released from the tip of your penis after having an orgasm, this may be caused by anejaculation or retrograde ejaculation. Anejaculation refers to no seminal fluid being released from the reproductive tract into the urethra, while retrograde ejaculation refers to semen being released into the urethra but being pushed backwards into the bladder. Injuries and certain types of medical conditions are commonly responsible for preventing the body from being able to ejaculate semen out of the reproductive tract.

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  • What Happens During a Vasectomy Reversal?

    Although a vasectomy is not considered a temporary birth-control solution for men, reversal procedures can restore fertility in those who change their mind. There are multiple reasons why you may want to consider having your vasectomy reversed, including remarriage or simply having a change of heart about bringing another child into the world. Vasectomy reversal can also provide pain relief for men who experience post-vasectomy pain. Whatever your reason for undergoing vasectomy reversal in Sarasota, Dr. Joshua Green and the Center for Vasectomy Reversal and Male Infertility can send you home the same day of the procedure. The typical vasectomy reversal procedure involves:

    Scrotal Incisions and Fluid Inspection

    First, your surgeon will create a small incision on either side of the upper scrotum to identify the scarred ends of the vas deferens. Scar tissue is removed and both ends of the vas are dilated. A saline vasogram is performed to determine the patency on the abdominal side, and fluid is inspected on the testicular side. These inspections will help your vasectomy reversal surgeon determine which surgical procedure (vasovastomy or vasoepididymostomy) will yield the highest success rate. In some cases, a combination of the two surgeries may be used.

    Surgical Reconnection

    A vasovastomy is the easiest surgical procedure for vasectomy reversal, in which the severed ends of the vas deferens are sewn back together using a careful microsurgical technique. If there are signs of blockage in the epididymis, a vasoepididymostomy is required to bypass the blockage. Exceptional microsurgical techniques are imperative for vasoepididymostomy success, as the epididymis is 1/300 th of an inch wide with a wall thickness of 1/1000 th of an inch. Dr. Joshua Green and the Center for Vasectomy Reversal and Male Infertility in Sarasota utilize the latest microsurgical technology and techniques to provide the results you want.

  • A Look at Semen Analysis Following Vasectomy Reversal

    sperm check test or donation

    A vasectomy reversal procedure is considered an effective option for restoring male fertility to those who have previously undergone permanent male sterilization. However, it does take a little while to conceive a child following the procedure because the sperm will need some time to be present within the semen again. This is why men are advised to undergo semen analysis periodically following the vasectomy reversal.

    Typically, vasectomy reversal surgeons recommend undergoing semen analysis about two months following the procedure. After the patient provides a semen sample, the lab will test it for volume, sperm count, and motility. Motility refers to the ability of sperm to move properly, which is necessary for egg fertilization. Men are generally considered fertile and able to have children when sperm count reaches a minimum of 20 million and the sperm are properly motile. Men with a lower sperm count may still be able to father a child; however, they may have more trouble doing so.

    Those who are struggling with male infertility are invited to contact the Center for Vasectomy Reversal to discuss whether this procedure might be right for them. Call us today at (941) 343-4020 with any questions you may have.

  • Why Being an Older Dad May Favor a Longer Lifespan in Offspring

    Men who are considering undergoing a vasectomy reversal and becoming a father at an older age may take comfort in a new study that suggests older dads may give birth to healthier children with longer lifespans. The new study points out that with age, a man’s telomeres lengthen. Telomeres are the tips of chromosomes that offer a protective covering. Since the telomeres of an older father are longer, they are passed to the children, giving them health benefits.

    You can hear more about this study by watching this video. You’ll learn how the protective effect can be passed down through multiple generations and you’ll also hear some other considerations for older fathers.

    If you’re curious about a vasectomy reversal to resolve male infertility, contact the Center for Vasectomy Reversal in Sarasota. You can reach our vasectomy reversal clinic by calling (941) 462-4647 or you can visit us online to learn more.

  • The Perspective of an Older Dad on Parenting and Life

    Portrait of mid-aged man

    Men often hesitate to schedule a vasectomy reversal because they are concerned about the challenges of becoming a father at an older age. While older fatherhood certainly does have its challenges, it also offers immeasurable rewards. When considering whether to have a vasectomy reversal, you may wish to speak with some of your friends who are older dads. After your vasectomy reversal, you are likely to find that welcoming a child into the world will change your life for the better.

    Your Schedule Will Revolve Around Your Kids

    When men are in their 20s and 30s, their schedules tend to revolve around work. If you’re a sports fan, your social calendar is likely dominated by Super Bowl parties and season tickets. However, once you become an older dad following your vasectomy reversal, you’re more apt to stay at home to watch cartoons with your youngsters than go out and catch a game. This is one way in which older fathers have an advantage over younger dads. You’ve already spent a couple of decades enjoying your own interests, and now you’ve likely gained the maturity necessary to prioritize your child’s needs.

    You’ll Find Yourself Socializing with Younger Couples

    While having a child at an older age by no means requires giving up your current friendships, you’re likely to find yourself spending more time with the parents of your child’s friends. As the older father of the group, you may find yourself taking on the role of a mentor.

    You’ll Learn to Live in the Present

    It’s natural for men to worry about the future before undergoing a vasectomy reversal. As an older father, you’ll be more likely to have health issues when your child is still relatively young. Aside from taking care of your physical health, there is little that can be done about this. Older dads would be wise to live in the present, rather than to experience anxiety about future problems that may not occur.

    The mission of the Center for Vasectomy Reversal is to help couples achieve their dream of starting a family, regardless of the paternal age. If you’re ready to embrace the rewards and challenges of becoming an older father, we invite you to schedule a consultation for a vasectomy reversal with Dr. Green, our highly experienced vasectomy reversal surgeon. You can reach our male infertility clinic in Sarasota by calling (941) 462-4647.

  • Basic Considerations Before Undergoing Vasectomy Reversal

    Father and Child Holding Hands

    Before undergoing any type of surgery, including a vasectomy reversal, it’s important to speak at length with the surgeon about the procedure itself, the results you can expect, and the post-operative instructions for recovery. However, for a vasectomy reversal, there are a number of other factors to consider. Before you meet with the vasectomy reversal surgeon , you may wish to write a list of questions you have, including questions regarding the following topics.

    Ensuring the Health of the Partner

    A vasectomy reversal is unique among surgical techniques because the health of a man’s partner is an important consideration. Many couples struggle with both male and female infertility. Before having this procedure, it’s a good idea for the female partner to undergo reproductive health tests to establish that she is physically able to conceive a child and sufficiently healthy to bring the child to term.

    Obtaining Medical Clearance

    Most men do not require special medical tests before having a vasectomy reversal. However, those who are taking medications for hypertension should have a basic blood test to ensure safety with the anesthesia. Men with significant medical conditions may need to obtain medical clearance from a primary care physician.

    Having Multiple Vasectomy Reversals

    Some men who have previously had an unsuccessful vasectomy reversal may be candidates for another procedure. The vasectomy reversal surgeon will consider a number of factors when deciding whether to recommend this, such as whether any complications occurred, whether sperm was present, and whether the first surgeon specialized in vasectomy reversals.

    Financing the Procedure

    Obtaining financing for a vasectomy reversal is another important factor to consider. This procedure is not often covered by insurance. However, if it is done out of medical necessity, the vasectomy reversal surgeon may be able to provide documents to the insurance company to obtain coverage. Men may also wish to look for a vasectomy reversal surgeon who offers in-house financing or payment plans.

    Patient education is a priority at the Center for Vasectomy Reversal. Before men undergo this procedure to resolve male infertility, we invite them to schedule a consultation with Dr. Joshua Green to learn about other important factors to consider. Give us a call today at (941) 462-4647 or browse our website for more information about vasectomy reversals.

  • How Common Are Vasectomy Reversals?

    You might think that an elective surgery such as a vasectomy reversal might not be all that common. But in fact, thousands of men undergo this particular procedure every year. According to The Baltimore Sun , vasectomy surgeons perform about half a million vasectomies each year in the U.S. Each year, about 50,000 American men decide to undergo a vasectomy reversal. 

    Happy family portrait

    The reasons for choosing a vasectomy reversal are just as varied and complex as the reasons for undergoing a vasectomy. Each man’s experience is unique, yet many men consult a vasectomy reversal surgeon because of changes in life circumstances. The loss of a spouse or divorce, and a subsequent remarriage can make a man rethink his decision not to have children. Sometimes, the tragic loss of a child can lead a couple to consider having more children. On average, men who undergo the reversal procedure decide to do so within six to 12 years following the original surgery.

    You can learn more about having a vasectomy reversal by scheduling a consultation at the Center for Vasectomy Reversal. Contact our friendly office staff at (941) 961-4581 and let us know how we may assist you.

  • Fathers Share the Benefits of Parenthood

    The sheer joy of becoming a father is difficult to put into words, as you’ll learn by watching this video. If you are considering having a vasectomy reversal to grow your family, the men interviewed in this video can give you some insight into what you can expect. 

    Although every man experiences fatherhood in a unique way, you’ll likely find yourself overwhelmed with pride in your little one’s every accomplishment. And no matter how stressful your day was, you can always look forward to hugging and playing with your youngster. Contrary to popular belief, one man in this video describes how becoming a parent benefited his marriage by improving communication and facilitating compromises.

    When you’re ready to welcome a child into the world , contact the Center for Vasectomy Reversal at (941) 961-4581. We offer hope to those struggling with male infertility via state-of-the-art vasectomy reversal procedures.

  • What to Expect Before, During, and After Vasectomy Reversal

    Portrait of Happy Family In Park

    Men who are planning to undergo a vasectomy reversal can consult their surgeon for specific information about the procedure. Your vasectomy reversal surgeon will also ensure that you understand what is involved with preparing for the procedure and recovering from it. Although your surgeon is your best source of information, you can find some general guidelines below.

    Preparation

    Your preparation for a vasectomy reversal begins with the initial consultation with a surgeon who specializes in this type of procedure. You can expect to undergo a physical exam and to discuss your medical history, including your reproductive history. Your vasectomy reversal surgeon may recommend testing you for male infertility to ensure that you can still produce healthy sperm. It’s also a good idea to check that your partner is medically capable of conceiving and bearing a child. As the date of the surgery approaches, you may be asked to stop taking certain blood-thinning medications and supplements, such as aspirin and St. John’s wort. Arrange for someone else to drive you to and from the vasectomy reversal clinic. Avoid eating or drinking for eight hours prior to your appointment and remember to bring an athletic supporter to the clinic.

    Procedure

    There are a few different approaches your vasectomy reversal surgeon may use . In general, the procedure involves reconnecting the tubes through which sperm can travel. If this approach does not appear feasible, the surgeon may attach the tube to epididymis.

    Recovery

    Once the vasectomy reversal is complete, your surgeon will place bandages over the incisions. You’ll be asked to wear an athletic supporter immediately. Continue wearing it for several weeks, taking it off only to bathe.  However, it’s important to note that you should not get the area wet for two days. Apply ice to the area to reduce swelling and follow your surgeon’s instructions regarding when you may remove the bandages. Most men can return to light activities and non-strenuous work duties in a few days; however, you should refrain from vigorous activities for two to three weeks.

    If you have any further questions about your upcoming vasectomy reversal, contact the Center for Vasectomy Reversal at (941) 961-4581. We emphasize the importance of patient education, which means you’ll receive in-depth information about preparation and recovery, in addition to the procedure itself. Our office in Sarasota is proud to have helped hundreds of couples achieve their dream of starting their family.