• How Does the Age of the Female Partner Affect Post-Reversal Pregnancy Rates?

    There are dozens of issues that can potentially affect fertility. For men who have had a vasectomy, that procedure is the overriding factor. But there are also issues that may affect female fertility. It’s a smart idea to explore all the possible factors before making a medical decision, including the potential effects of the age of the female partner. 

    What Science Says About Age and Fertility 

    According to the American College of Obstetricians and Gynecologists (ACOG), a woman’s fertility “decreases gradually but significantly” when she reaches her 32nd birthday. The rate of fertility decline accelerates after 37 years. By age 40, it’s quite common for women to have trouble conceiving naturally. ACOG notes that females are born with one to two million oocytes, or eggs. By puberty, women will have between 300,000 and 500,000 eggs. That number declines sharply at age 37, at which point women will only have 25,000 eggs. As ovarian reserve declines, so too does fertility. 

    How Age Affects Post-Reversal Pregnancy Rates 

    Research indicates that female age has no special effect on pregnancy rates after the male partner has had a vasectomy reversal. In other words, the chances of pregnancy are comparable. If Jane, age 40, and Jose, post-vasectomy reversal, try to have a baby, their chances of getting pregnant would be roughly the same as if Jose had never had a vasectomy, assuming that all other factors remain consistent. 

    What This Means for You  

    When a couple is considering a vasectomy reversal, it’s wise for the female partner to discuss potential fertility issues with her physician. Even if female infertility may be a problem, there are other options to consider. The vasectomy reversal surgeon could perform a sperm retrieval procedure if the couple wants to consider in vitro fertilization (IVF), for example. 

    Dr. Green at the Center for Vasectomy Reversal strongly encourages couples to be proactive patients. It’s always a good idea for the female partner to explore possible fertility issues with her doctor before making decisions about the vasectomy reversal. When you’re ready to move forward, call Dr. Joshua Green in Sarasota at (941) 894-6428 to request a consult. 

  • What’s Assisted Hatching?

    Medical technology is getting better with each passing year. One of the more recent developments in assisted reproduction is assisted hatching. This technique may be used during some in vitro fertilization (IVF) procedures. If you or your partner has recently had a vasectomy reversal with sperm aspiration, consider talking to the fertility doctor about whether you could benefit from assisted hatching. 

    The Basics of Assisted Hatching 

    As an embryo develops during its initial stages, it’s surrounded by a layer of proteins. This layer is called the zona pellicuda. An embryo can only successfully implant onto the uterine wall if it’s able to “hatch” out of the zona pellicuda. Assisted hatching is a technique that helps the embryo succeed in doing this. 

    An In-Depth Look at Assisted Hatching 

    This technique was developed when fertility specialists noticed that embryos with a thin zona pellicuda were more likely to implant to the uterine wall during an IVF cycle. If a couple is a good candidate for assisted hatching, the technique will be performed on the fourth day of development. At this time, the embryo contains about six to eight cells. Here’s a look at the step-by-step procedure for assisted hatching: 

    • The embryo is placed under a microscope, stabilized by a pipette.  
    • Another small pipette is used to introduce an acidified solution to the zona pellicuda to puncture a very small hole in the layer.  
    • The embryo is rinsed to remove any lingering acidified solution and then returned to the incubator.  
    • A few hours later, the embryo is ready for the transfer into the uterus. 

    The Typical Candidates for Assisted Hatching 

    Assisted hatching isn’t recommended for all couples. It’s generally recommended when a woman has failed to get pregnant after going through one or more IVF cycles, or when she has a poor prognosis of conceiving. Women who are of advanced maternal age, for instance, may be good candidates for assisted hatching 

    Over the years, Dr. Joshua Green has performed hundreds of vasectomy reversal surgeries and other male infertility procedures, including sperm aspiration. Bring your questions to your consult, as we pride ourselves on exceptional patient education and guidance. Call the Center for Vasectomy Reversal in Sarasota at (941) 894-6428. 

  • Exploring the Link Between Weight and Fertility

    One issue that affects both female and male infertility is obesity. If you undergo a vasectomy reversal in the hopes of conceiving, maintaining a healthy weight can make the process easier. Here is a closer look at how weight could impact fertility for both partners.

    Hormonal Changes

    For both men and women, being overweight can lead to hormonal imbalances. These changes in hormonal levels can impact both ovulation and sperm production. If you are overweight after your vasectomy reversal, you could face a lower sperm count and issues with sperm motility and morphology. One study indicated that men experience a 10% increase in their odds of infertility for every 20 pounds they are overweight. For women, being overweight increases testosterone levels and may make ovulation decrease or stop.

    Sexual Dysfunction

    Men who are overweight are more likely to experience sexual dysfunction, including problems maintaining an erection. In addition to biological issues caused by obesity that interfere with healthy sexual functioning, men who are overweight may experience self-esteem issues that lead to dysfunction. Often, weight loss can reverse these issues for men who experience sexual dysfunction after a vasectomy reversal.

    Increased Miscarriage Risk

    When a pregnancy is achieved, being overweight is associated with a higher risk of miscarriage. Women who are overweight have miscarriages at higher rates than women who are a normal weight when they become pregnant, even if the pregnancy was achieved using IVF. Men who are overweight are also more likely to have a partner experience a miscarriage, as excess weight may affect sperm health. The odds of a miscarriage increase even more when both partners are overweight at the time of conception.

    The Center for Vasectomy Reversal helps men and their partners overcome male infertility vasectomy reversals and sperm retrieval procedures. Maintaining a healthy weight before and after procedure can increase your chances of successful conception. To learn more about infertility procedures in Sarasota, please call (941) 894-6428.

  • 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.