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 You Need to Know About Semen Analysis

If you’ve undergone a vasectomy, you’re probably already familiar with the basic procedure of semen analysis. Physicians commonly request a semen analysis after a vasectomy to ensure that there is no sperm present in the semen. However, this series of tests is also helpful for men who have undergone vasectomy reversals. In these cases, semen analysis after the procedure can evaluate its success.

You can hear more about semen analysis by watching this animation. It explains that men may provide a semen sample in a sterile medical cup or a special condom. If men collect the semen sample at home, they must keep it at body temperature and take it to the lab or doctor’s office within two hours. This video also discusses the various aspects of semen and sperm that the tests will evaluate.

Dr. Joshua Green in Sarasota has helped countless men achieve their dreams of becoming fathers through vasectomy reversals. Call the Center for Vasectomy Reversal at (941) 961-4581 to schedule a consultation with Dr. Green.

Comparing Vasectomy Reversal and Sperm Retrieval

If you have previously had a vasectomy, you should know that it’s not uncommon for men to change their minds about wanting to become fathers or to expand their existing families. Regardless of what your circumstances are, there are multiple options you can consider when you’re ready to have a child. Talk to a vasectomy reversal surgeon about infertility procedures that may be appropriate for you.

Evaluating the Possibility of Vasectomy Reversal

Vasectomy reversals boast a high rate of success, especially when men undergo the reversal within five years of having the original vasectomy. A vasectomy reversal is an outpatient procedure that is best performed by an experienced specialist in the field. There are a couple of approaches the surgeon may use, depending on the patient’s particular needs. In general, however, a vasectomy reversal involves the restoration of function of the vas deferens to allow for the passage of sperm. Even if you have previously undergone a vasectomy reversal without success, a skilled surgeon may be able to perform another reversal to help you have a child. However, couples may also wish to consider the possibility of surgical sperm retrieval, especially if a second vasectomy reversal fails to result in pregnancy.

Understanding Surgical Sperm Retrieval

Surgical sperm retrieval can only result in pregnancy if the couple plans on having in vitro fertilization (IVF). Couples will need to decide if they are willing and capable of taking on the cost and emotional investment of IVF. If so, the vasectomy reversal surgeon may perform microscopic epididymal sperm aspiration (MESA). This technique involves collecting sperm directly from the epididymis. Since the surgeon uses visual guidance to locate the sperm, this technique tends to be more successful than other methods of sperm retrieval. Once the sperm has been collected, it can be combined with the female partner’s eggs or injected directly into the eggs for fertilization.

At the Center for Vasectomy Reversal, Dr. Joshua Green specializes in giving couples new hope of having a child through vasectomy reversal in Sarasota. For couples who are planning to undergo in vitro fertilization, Dr. Green also offers the option of microscopic epididymal sperm aspiration. To learn how you can become a patient of our vasectomy reversal surgeon, call our office at (941) 961-4581.

What Are the Benefits of Outpatient Surgical Care?

The idea of undergoing surgery can sometimes sound intimidating, particularly when it’s an elective procedure such as a vasectomy reversal. However, patients who are considering vasectomy reversals should be aware that this straightforward procedure is most often performed on an outpatient basis. This means that there is no lengthy hospitalization required. In fact, patients can leave the clinic as soon as they are fully alert and there is an adult companion available to escort them home or to the hotel.

In addition to avoiding hospitalization, there are other benefits of outpatient surgical care for men undergoing a vasectomy reversal. Patients typically find that they are more comfortable when they recover in their own homes or in a hotel suite. It’s also less stressful to recover in comfortable surroundings. Although vasectomy reversal procedures have an excellent safety record, outpatients can rest assured that the doctor is never more than a phone call away in the event that complications do develop.

Dr. Green offers unparalleled outpatient surgical care for both locals and visitors to the area. If you’re interested in scheduling a consultation with Dr. Green in Sarasota, call the Center for Vasectomy Reversal and Male Infertility at (941) 961-4581.

How Does Your Diet Affect Your Sperm Count?

When you’re dealing with male infertility, seeking the counsel of a doctor is the most effective choice to overcome the problem. Men who have had a vasectomy must also undergo vasectomy reversals. However, it can be helpful to make lifestyle changes to complement medical intervention. When you watch this video, you’ll hear about some foods you can include in your diet to support your sperm count.

For instance, the high levels of amino acids in oysters can boost testosterone production in men. The amino acids in dark chocolate can double your sperm count and semen volume. This video also covers the benefits of asparagus, bananas, walnuts, pumpkin seeds, and other foods for overcoming male infertility.

If you’ve changed your mind about your family planning decisions, you can turn to Dr. Joshua Green of the Center for Vasectomy Reversal and Male Infertility. Call (941) 961-4581 to schedule a consultation to discuss our infertility procedures in Sarasota.

Ways Men Can Boost Their Fertility

After having a vasectomy reversal, men and their partners may be impatient to start growing their families. Following vasectomy reversals, it can take a while for sperm to be present once again in the ejaculate. However, there are some steps men can take to boost their chances of successfully overcoming male infertility.

Avoid Excessive Heat Exposure

One of these strategies involves avoiding certain heat sources. An excessive increase in testicular temperature can adversely affect the health of a man’s sperm. Although the research is not yet definitive, some medical experts do recommend that men avoid sitting in hot tubs or placing laptops on their laps. Some researchers also suggest that cellphone radiation can be harmful to sperm; they recommend avoiding placing cellphones into trouser pockets.

Quit Smoking

Although more research is needed on the relationship between heat exposure and male infertility, medical studies strongly substantiate the risks of smoking while trying to conceive. You probably already know that women must avoid smoking and drinking alcohol while pregnant to prevent miscarriage and health problems of the baby. However, both men and women should avoid smoking and secondhand smoke exposure while trying to conceive. In men, smoking damages DNA and diminishes sperm production.

Avoid Environmental Toxins

It’s advisable for both men and women to avoid excessive exposure to certain environmental toxins when trying to conceive. Agricultural pesticides and household pesticides can influence male infertility. Men who must work with environmental toxins should carefully follow all safety guidelines to reduce their exposure.

Scrutinize Labels on Lubricants

Many vaginal lubricants contain spermicidal agents. Soap can also kill sperm and lead to male infertility. Water-based, commercially available lubricants may not kill sperm, but they can interfere with sperm motility. Men can ask a fertility specialist for help choosing an appropriate product. Many experts recommend canola oil or peanut oil.

The Center for Vasectomy Reversal and Male Infertility was founded with the mission of combining sophisticated surgical techniques with unsurpassed patient care. Schedule a consultation with Dr. Green by calling (941) 961-4581 and see for yourself why he is so highly recommended by his patients. Men and their partners are also invited to browse our website for more information about having a vasectomy reversal in Sarasota.

Financing Your Vasectomy Reversal Procedure

Vasectomy reversals and other procedures for male infertility are not typically covered by health insurance. However, if you are unable to pay the full amount for a vasectomy reversal at the time of your appointment, you may not necessarily need to wait to schedule the procedure. The Center for Vasectomy Reversal and Male Infertility offers flexible payment options. You will need to pay a non-refundable fee of $1,000 to reserve the operating suite. Then, you can arrange a payment plan to take care of the balance.

After paying the scheduling fee, you’ll owe $3,500 at the time of your procedure. Thereafter, the balance is broken down into six monthly payments of $500 each. The total amount covers all expenses, including consultations, office visits, and anesthesia. Dr. Joshua Green does not charge an extra fee for a vasoepididymostomy if it is required. The Center for Vasectomy Reversal and Male Infertility accepts all major credit cards and is proud to offer a discount for active military service members.

The Center for Vasectomy Reversal and Male Infertility strives to make infertility procedures in Sarasota as accessible as possible to help our patients achieve their dream of starting or growing a family. Learn more about male infertility on our website or call (941) 961-4581 to schedule an appointment.

Getting to Know the Details of Vasectomy Reversal Surgery

Before making the decision to undergo a vasectomy reversal to treat male infertility, you should know the steps involved in performing the procedure. A vasectomy reversal is more complicated than the original vasectomy surgery. However, it is still typically performed on an outpatient basis, which means that you will not need to stay in a hospital overnight. The procedure itself may take about two to four hours, plus some time to recover from the anesthetic. If you go forward with the surgery, you should arrange to have someone drive you home afterward.


During your consultation with the vasectomy reversal surgeon, you’ll discuss your anesthesia options. The surgery is often performed under general anesthesia, which means you’ll be asleep. However, some patients may prefer spinal anesthesia, or regional anesthesia. Both options eliminate pain during the procedure.


The surgeon makes small incisions on either side of the scrotum. He or she trims the ends of the vas deferens to remove scar tissue. Then, the surgeon removes vasal fluid and checks it for the presence of sperm.


If the vasal fluid contains sperm, the surgeon will perform a vasovasostomy. This involves connecting the ends of the vas deferens with micro-sutures to allow sperm to travel through it. Then, the vas is placed in its normal position and the surgeon inserts a small drain to either side of it. These are removable the day after the surgery.


If sperm is not present in the vasal fluid, the surgeon performs a vasoepididymostomy. This bypasses the blockage in the epididymal tube by connecting the upper end of the vas deferens to the epididymis.

Dr. Joshua Green can answer all of your questions about vasectomy reversals during your consultation at the Center for Vasectomy Reversal and Male Infertility. Dr. Green is a highly skilled male infertility specialist who has helped countless patients, even if they have previously had an unsuccessful vasectomy reversal performed by another physician. Call us at (941) 961-4581 today to arrange your appointment for Sarasota infertility procedures.

Get to Know What Happens During Sperm Retrieval IVF

One of the possible causes of male infertility is a problem with the sperm. Sperm is produced in the testicles and stored in the epididymis. Once sperm has fully developed, they can travel through the vas deferens and be ejected out of the body through the penis. However, if a man does not have sperm present in his semen, he may undergo a sperm retrieval procedure.

You can hear about sperm retrieval procedures by watching this video. You’ll learn the differences between percutaneous epididymis sperm aspiration (PESA) and percutaneous testicular sperm aspiration (TESA). Both of these are minimally invasive procedures that do not require an incision. However, if these procedures fail to retrieve sperm, men may undergo an open procedure, which involves making an incision in the scrotum to aspirate sperm directly from the epididymis.

Dr. Joshua Green is a leader in the field of vasectomy reversals and male infertility. To schedule an appointment with Dr. Green in Sarasota, you can call the Center for Vasectomy Reversal and Male Infertility at (941) 961-4581.

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

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