When you’re trying to conceive, you’ll learn a lot of information that may feel confusing. One of the most important things to understand during this time, though, is the ovulation cycle. There’s a very small window within this cycle when it’s possible to conceive, so knowing when that window occurs is crucial to your success. While ovulation can seem mysterious, especially to a person who doesn’t menstruate, it’s actually fairly simple science. Here’s what you need to know.
First, let’s talk about the amazing fact that women are born with one to two million eggs in their bodies. Of course, they only release 300 to 400 of those in a lifetime, but it’s still very interesting. Eggs are generally released one at a time, once a month, and each egg is available for fertilization for about 24 hours before it dissolves. That’s a pretty short window! Even when you consider the fact that sperm can hang around for about three to five days in order to meet up with the egg, it’s pretty miraculous that conception ever occurs at all. It’s easy to see, though, why timing is everything.
Ovulation happens somewhere between day 11 and day 21 of a woman’s cycle, but how do you know when it’s happening? If a woman has a very regular, 28 day cycle, you can count 14 days back from when the next period is going to start, and plan to have sex every other day right around that time. It might seem counterintuitive to skip days, but the fact is that a man’s sperm count can be lowered by having daily sex.
What if your partner doesn’t have a regular cycle? Cycles can vary widely, ranging from 23 to 35 days, and even within a cycle, the time of ovulation isn’t always the same. The best way to determine if ovulation is happening is by tracking it through a few different methods.
- Pay attention to bodily clues. Cervical mucus starts resembling egg whites, the senses of smell and taste may be heightened, breasts may become tender, and she may experience mild abdominal pain. In some women, the sex drive may be heightened. Other women may feel nauseous or lightheaded.
- Check temperature. When an egg is released, progesterone levels go up, and this raises the body temperature slightly. A basal thermometer can be used to track the temperature, every morning before your partner gets out of bed.
- Use an ovulation kit. These convenient, highly accurate kits track hormone levels in the urine to determine when it’s the best time to try and start a family.
At the Center for Vasectomy Reversal, we love helping people start families with healthy pregnancies. We pride ourselves on helping men improve their fertility through uncompromising, concierge-level patient care. Under the direction of Dr. Joshua Green, our team provides state-of-the-art treatment for men who need a reversal of their vasectomy or have other fertility concerns. To learn more, contact us through our website or call 941-894-6428.
It’s long been understood that stress has an impact on a person’s health, so it comes as no surprise to learn that men’s reproductive health may be affected by stress. About 12 in every 100 couples in the United States struggles with infertility, and several studies over the past several years have established a link between poor semen quality and stress. Now, a new study is taking a closer look at both subjective and objective measures of stress to try to determine how it’s connected with semen concentration and sperm motility and appearance.
Male infertility is the problem for about 40 percent of couples with fertility issues. The main cause of male infertility is sperm abnormality, including misshapen or immobile sperm or low sperm production. Sometimes, these abnormalities are caused by medical conditions, but they can also be caused by health and lifestyle factors.
The new study, published in the journal Fertility and Sterility was conducted by researchers from the Rutgers School of Public Health in Piscataway, NJ and Columbia University’s Mailman School of Public Health in New York, NY. Between 2005 and 2008, researchers looked at 193 men between the ages of 38 to 49 who were a part of the Study of the Environment and Reproduction at the Kaiser Foundation Health Plan in Oakland, CA. The men completed a series of tests to measure stress levels, including workplace stress, stressful life events, and perceived stress. They also provided sperm samples, which were analyzed for semen concentration, sperm shape, and sperm movement (motility).
According to the researchers, men who felt stressed had lower concentrations of sperm and more sperm that were misshapen or had impaired motility. Even after considering other factors, like a history of reproductive health or other health problems, life stress negatively impacted sperm quality. Interestingly, job stress did not have the same effect. However, men with stressful jobs had lower levels of testosterone, and unemployed men had a lower quality of sperm than even stressed-out men with jobs.
The researchers don’t fully understand how stress affects semen quality, but they have some theories. It could be that stress triggers the release of glucocorticoids, steroid hormones which lower testosterone and dampen sperm production. Oxidative stress could also be a factor because oxidative stress in the body can degrade semen quality.
What is known is that a man can improve his fertility, even under stress, with healthy lifestyle habits. Staying physically active and practicing stress-reducing relaxation techniques can help, as can eating a nutritious diet and maintaining a healthy BMI. Men who are trying to improve their fertility should quit smoking, limit alcohol consumption, and talk to a doctor before beginning any new medication.
At the Center for Vasectomy Reversal, we pride ourselves on helping men improve their fertility through uncompromising, concierge-level patient care. Under the direction of Dr. Joshua Green, our team provides state-of-the-art treatment for men who need a reversal of their vasectomy or have other fertility concerns. To learn more, contact us through our website or call 941-894-6428.
If you and your partner are struggling to conceive a child, you’re not alone. About one in six couples struggles with infertility, and one in three cases is due to a problem with male fertility. There are some natural remedies you can try, though, that may boost your chances of conception.
- Load up your diet with healthy foods. Eat plenty of fruits and vegetables, focus on getting antioxidants and healthy fats. Limit your intake of saturated fats and red or processed meat. And be careful about eating soy, because it contains plant estrogen, which can reduce testosterone bonding and sperm production.
- Take your vitamins and minerals. Though the mechanism behind it is not completely understood, research indicates that vitamin D and calcium can impact sperm health. Vitamin C improves fertility by relieving oxidative stress in the body. Additionally, limited studies suggest folate and zinc can improve sperm concentration, count, and overall health.
- Quit smoking. Smoking is bad for every part of the body, so it should come as no surprise that it’s bad for your fertility. In fact, recent research indicates that smoking consistently reduces sperm count and people who smoked moderate or heavy amounts of tobacco had lower sperm quality than non-smokers or even light smokers.
- Watch the alcohol and drugs. Don’t drink to excess, don’t do any illegal drugs, and be mindful of your prescriptions. Some antibiotics, anti-androgens, anti-inflammatories, antipsychotics, opiates, antidepressants, anabolic steroids, supplementary testosterone, and methadone can all negatively affect your fertility. If you’re concerned about a medication you’re taking, talk to your doctor.
- Keep your cool. High temperatures can damage sperm, so if you’re trying to conceive don’t hold your laptop in your lap, wear tight underwear, or soak in hot tubs. Prolonged sitting and using car seat heaters can also cause overheating.
- Consider a supplement. Certain herbal supplements may be beneficial to fertility, including fenugreek, maca root, tribulus terrestris, and Indian ginseng. D-aspartic acid, a type of amino acid, may also be helpful.
- Reduce your exposure to environmental contaminants. Poor air quality and environmental toxins have been shown to decrease male fertility. Additionally, men in jobs with exposure to chemicals and overheating, like farmers, painters, varnishers, metalworkers, and welders, had higher incidences of infertility than other groups.
- Manage your stress. Stress raises cortisol levels, and cortisol lowers testosterone.
- Get some exercise and some sleep. For each, the key is to get just the right amount- not too little and not too much. Getting enough exercise and enough rest can improve your sperm count. It can also help you lose weight, which can improve your fertility.
If you’re struggling with infertility, call the Center for Vasectomy Reversal, where we love helping people build their families! We pride ourselves on providing optimal surgical results and uncompromising, concierge-level patient care. Under the direction of Dr. Joshua Green, our team provides state-of-the-art treatment for men who need a reversal of their vasectomy or have other fertility concerns. To learn more, call 941-894-6428 or contact us through our website.
Is your libido lacking? Ebb and flow in sexual appetite is normal, but if you notice that your libido remains low for an extended time, it may indicate an underlying health issue. Let’s look at some causes of a low sex drive as well as possible treatments.
- Low testosterone is a common cause of a low sex drive. This makes sense because testosterone is an important male hormone. It’s responsible for building muscles and bone mass, stimulating sperm production, and boosting your libido. Normal testosterone levels vary, but a man is considered to have low testosterone when his level falls below 300 nanograms per deciliter. Talk to your doctor if you think this may be the case, because testosterone replacement therapy can help.
- Certain medications can knock you out of the mood. Blood pressure medications, chemotherapy or radiation, hormones used to treat prostate cancer, antidepressants, opioid pain relievers, corticosteroids, and even some heartburn and gastroesophageal reflux disease (GERD) medications can lower libido. If you think something you’re taking may be causing this issue, talk to your doctor about switching medications.
- Sleep problems can lead to libido problems. Restricted sleep, obstructive sleep apnea, and restless legs syndrome (RLS) can all play a part in lowering testosterone and, by extension, the sex drive. Research indicates that restricted sleep reduces the testosterone levels the next night. As to RLS, it can lead to erectile dysfunction and even impotency.
- Your mind has an impact on your sex drive. Depression can reduce your interest in sex, and this is further complicated by the fact that certain anti-depressants can also lower libido. Low self-esteem can also lead to anxiety about sexual performance, resulting in issues with ED or reduced sex drive.
- Chronic illnesses can make sex low on your list of priorities. Chronic pain, for instance, can drastically lower your libido. Illnesses like cancer can reduce your sperm production, and other conditions, like diabetes, obesity, high blood pressure, high cholesterol, and chronic heart, kidney, or liver failure can all take a toll. If you’re experiencing intimacy issues because of chronic illness, marriage counseling may help.
- Aging decreases testosterone. Testosterone levels are at their peak when men are in their late teens. The levels decrease as men age, but medication may help.
- Lifestyle habits may impact your libido. Heavy drinking can reduce the sex drive, as can illegal drugs. Even exercise can have a negative effect on your sex drive: too little or too much exercise can reduce libido. Stress, too, can decrease your sexual desire. Healthier lifestyle habits and stress management can help.
At the Center for Vasectomy Reversal, we pride ourselves on providing optimal surgical results and uncompromising, concierge-level patient care. Under the direction of Dr. Joshua Green, our team provides state-of-the-art treatment for men who need a reversal of their vasectomy or have other fertility concerns. To learn more, contact us through our website or call 941-894-6428 for a free consultation.
As you contemplate whether a vasectomy reversal is right for you, you may stumble upon common myths about this surgical procedure. Dispel any misunderstandings before you meet with a microsurgeon about reversing your vasectomy.
Myth: A vasectomy reversal is as straightforward as a vasectomy.
Almost any doctor can perform a vasectomy, a short and relatively simple surgery that requires minimal training. However, a correctly performed vasectomy reversal is an advanced, technically challenging microsurgery lasting two to three hours. You should only trust an expert microsurgeon with years of successful reversals to increase the chance of success and lower the risk of complications.
Myth: All vasectomy reversals have the same chance of success.
Talk to your surgeon about what could affect the success of your surgery before deciding to have a vasectomy reversal. Factors may include:
- Sperm count and mobility
- Any development of anti-sperm antibodies
- Scar tissue following surgery
- Fertility of your female partner
- Length of time since your vasectomy
Myth: A vasectomy reversal must be performed within 10 years to have any chance of success.
If you had your vasectomy less than five years ago, there is a greater than 95 percent chance of sperm in the ejaculate. Surgeries performed five to 10 years ago have about a 90 percent chance, and if 10 or more years have elapsed, there’s an 80 to 90 percent chance. Experienced surgeons can perform successful reversals over 20 years after a vasectomy. (Note: pregnancy rates are lower than the percentages given here and depend on numerous factors.)
Myth: Pursuing IVF is better than having a vasectomy reversal.
While in vitro fertilization is a viable infertility treatment, it should not be your first choice. IVF costs three to five times more than vasectomy reversal surgery, and it comes with serious risks to the mother and baby—all with no guarantee of a successful pregnancy. With the costs, risks, and success rates in mind, a reversal with natural conception makes more sense for most couples.
Myth: Some vasectomy methods are not reversible.
It is extremely rare for a vasectomy to be performed in such a way that a microsurgeon cannot reverse it. The only time this can happen is if the original surgeon removes too much of the vas deferens, the tube that transports sperm from the testes to the urethra. In this case, there is nothing to reattach, and the reversal cannot be done. Again, this is very uncommon and can be ruled out prior to surgery via a physical exam.
Dr. Joshua Green of the Center for Vasectomy Reversal is a leader in microscopic infertility procedures. If you have decided to pursue parenthood, we can help. Dr. Green has completed hundreds of vasectomy reversal surgeries and takes great pride in his remarkable success rates. We’ll discuss your surgical options, costs, and the chance of success based on your specific situation. To learn more, please call our Sarasota, FL clinic at 941-894-6428 or schedule a free consultation online.
Fertility difficulties affect nearly one in seven couples who are trying to have a baby. “Infertility” is defined as the inability to conceive despite having frequent, unprotected intercourse for a year or longer. In up to half of all cases, male infertility is at least partially to blame. Consider what male infertility looks like and how you can combat it.
Causes of Male Infertility
Low fertility in men is a complex subject. In short, semen must contain enough healthy, functional sperm to produce a pregnancy. There are many possible reasons why this may not be the case, including:
- Varicocele (swelling of the veins that drain the testicle)
- Infections, including epididymitis, orchitis, gonorrhea, or HIV
- Retrograde ejaculation
- Dysfunctional immune cells that attack sperm
- Cancer and nonmalignant tumors
- Undescended testicles
- Hormone imbalances
- Tubule defects or blockages
- Chromosome defects
- Erectile dysfunction or premature ejaculation
- Celiac disease
- Certain medications
- Vasectomy or other surgeries on the testicles, scrotum, or prostate
- Exposure to industrial chemicals, heavy metals, or radiation
- Overheated testicles
- Drug, tobacco, and alcohol use
Symptoms of Male Infertility
Apart from being unable to conceive a child, there may be no other indications that you are infertile. However, depending on the underlying cause, these additional symptoms may be present:
- Sexual dysfunction, such as difficulty maintaining an erection, limited ejaculation, or low sex drive
- Pain, swelling, or lump in the testicle area
- Abnormal breast growth (gynecomastia)
- Decreased facial or body hair
Treatments for Male Infertility
If you are struggling to get your partner pregnant, consider that simple lifestyle changes can make a difference. Here’s what to try first:
- Quit smoking, limit your alcohol use, and avoid illicit drugs.
- Maintain a healthy weight.
- Reduce your stress level.
- Steer clear of chemicals and other environmental hazards.
- Avoid tightly fitting underwear and jeans.
- Don’t take steroids for bodybuilding or sporting purposes.
More formal treatments for male infertility include:
- Surgery to correct obstructed tubules or reverse a prior vasectomy
- Antibiotic treatment for underlying infections
- Medication or counseling for erectile dysfunction or premature ejaculation
- Hormone treatments and medications
One in eight male infertility cases are treatable, allowing couples to get pregnant naturally after receiving the proper care. If male infertility treatment doesn’t work, you may still be a candidate for assisted reproductive technology (ART). This involves collecting sperm to be inserted into the female reproductive system or used with in vitro fertilization or intracytoplasmic sperm injection. Your doctor might also suggest considering a sperm donor or adopting a child.
Dr. Joshua Green of the Center for Vasectomy Reversal is a leader in helping men overcome infertility problems. All infertility procedures, including vasectomy reversal, are performed with state-of-the-art equipment, including a high-powered operating microscope. Patients can expect concierge-level care and friendly staff interactions every step of the way. To learn more, please call 941-894-6428 or schedule a free consultation online.
The journey into parenthood can be emotionally charged. Once you and your partner are ready to conceive, follow these tips to increase your fertility.
Know Your “Fertile Window”
A man’s sperm is most likely to reach a woman’s fertile egg on ovulation day and the five days leading up to it. Most women ovulate about 12 to 16 days before starting each period, so track your menstrual cycle on a calendar to help you better predict when you might be ovulating. Then, have sex with your partner every other day during this six-day “fertile window.”
Maintain a Healthy Body Weight
Being overweight makes it harder to get pregnant, but so does being underweight. Strive for a body max index (BMI) in the “normal” range of 18.5 to 24.9. At the same time, don’t exercise too much. Strenuous physical activity could interfere with ovulation, so work with your doctor to determine a moderate exercise plan that will work for you.
Eat a Balanced Diet
In addition to helping you achieve a healthy weight, eating a balanced diet provides your body with fertility-promoting nutrients. While trying to get pregnant, eat more:
- Fruits and vegetables
- Lean protein
- Whole grains
- Lentils and beans
Then, eat less:
- High-mercury fish
- Trans fats
Take Prenatal Vitamins
It doesn’t hurt to start taking prenatal vitamins as soon as you start trying to conceive. Finding a prenatal vitamin that agrees with your system now makes it easy to stay on it during pregnancy. Choose a supplement that provides at least 400 micrograms (mcg) of folic acid to promote healthy brain and spine development in your future fetus. Dietary sources of folic acid include leafy greens, broccoli, beans, citrus fruits, orange juice, and fortified cereals.
Stop Smoking and Drinking
Smoking causes fertility issues in men and women alike. Even secondhand smoke can affect the chances of becoming pregnant, so keep away. Also, because alcohol consumption can cause birth defects, a sexually active woman should stop drinking as soon as she goes off birth control. Cannabis and other recreational drugs should be avoided as well while trying to conceive.
Research shows that high stress levels make it more difficult to get pregnant. Of course, relaxing is easier said than done. Try reducing stress in your daily life with these tips:
- Take a walk.
- Learn deep breathing exercises.
- Get plenty of sleep.
- Find activities that make you smile and laugh.
- Try yoga or meditation.
- Go on vacation.
- Catch up with an old friend.
- Avoid overbooking yourself.
At the Center for Vasectomy Reversal, we love helping men and women become parents. If you’re ready to begin your journey into parenthood, consider a vasectomy reversal performed under the direction of Dr. Joshua Green. Our state-of-the-art clinic in Sarasota, FL provides a comfortable setting to receive your fast, effective procedure. To learn more, please call us at 941-894-6428 or schedule your free consultation online.
A low sperm count is one of the most common factors in male infertility. If you’re struggling to conceive, it’s important to see your doctor. However, if your problem is low sperm count, you may be able to improve it naturally through a few simple lifestyle changes.
- Stay active. Regular exercise increases testosterone, which improves the quality of semen. Bear in mind that too much exercise can reduce testosterone levels, so it’s important to strike a healthy balance. Some sources indicate that weightlifting and outdoor exercise may be particularly beneficial.
- Lost weight. One benefit of exercise is that it can help reduce your weight, which can increase your sperm count. A recent study showed that men at a healthy weight have more mobile sperm than those at an unhealthy BMI, and weight loss has been shown to significantly increase semen volume, concentration, mobility, and sperm health. If you have a lot of weight to lose, losing even a little bit can help.
- Relax! When you’re under stress, sex is less satisfying, and fertility is reduced. Additionally, stress can raise cortisol levels, inhibiting testosterone levels. Taking time to unwind every day can help boost your fertility. Make sure to get enough sleep, too, because men who get seven to eight hours of sleep each night have better fertility health.
- Mind your substances. Don’t drink heavily, don’t smoke, or use tobacco, and avoid illegal drug use. If you smoke or have a substance abuse problem, get help from your doctor.
- Eat a healthy diet. Pack your diet with nutrient-dense foods, including citrus fruits, green vegetables, nuts and seeds, plant-based oils, beef, and chicken. Focus on antioxidants, which can boost your sperm count. Consider supplements, because vitamins like D, C, E, and CoQ10 and minerals like zinc can help sperm health. Because plant estrogen, called phytoestrogens, reduce men’s sperm production, it’s best to avoid consuming too much soy.
- Clean up your environment. Environmental toxins may affect your sperm count, and while you can’t control pollution, you can limit your exposure to harmful substances in your environment. Substances like pesticides, painting materials, herbicides, degreasers, and solvents can all negatively impact fertility. Radiation and x-rays are harmful to sperm production, and overheating the testicles by wearing tight clothing, visiting a sauna, or working with a laptop in your lap can also lower your sperm count.
- Herbal supplements may help. If you’re interested in natural food supplements, you might try holistic remedies like fenugreek, Tribulus terrestris, ashwagandha, or maca root.
At the Center for Vasectomy Reversal, we love helping men improve their fertility and build their families. Under the direction of Dr. Joshua Green, our team provides state-of-the-art treatment for men who need a reversal of their vasectomy or have other fertility concerns. To learn more, contact us through our website, or call 941-894-6428 for a free consultation.
The journey to parenthood is straightforward for many, but up to 15 percent of couples fail to conceive after a year of trying to get pregnant. Male infertility plays a role in over one-third of these cases. Consider the factors that affect male fertility and what you can do to improve your chances of conceiving a child with your partner.
Causes of Male Infertility
You could have trouble getting your partner pregnant if you have any of the following:
- Low sperm count
- Abnormal sperm function
- Blockages that prevent the delivery of sperm
- Low testosterone levels
What Affects Male Fertility?
The following factors play a role in your sperm count, function, delivery, and testosterone levels:
- Varicocele: Having enlarged veins within the scrotum is the most common reversible cause of male infertility.
- Infection: Some infections interfere with sperm health or production, including several STDs, such as gonorrhea, Chlamydia, and HIV.
- Substance use: Drugs, alcohol, and tobacco can lower testosterone levels and sperm count.
- Overall health: Being overweight or having high blood pressure may reduce fertility. Other medical causes include undescended testicles, tumors, hormone imbalances, chromosome defects, and untreated celiac disease.
- Ejaculation issues: Various conditions may prevent proper ejaculation, including diabetes, spinal cord injuries, medications, and surgery of the bladder, urethra, or prostate.
- Environmental factors: Overexposure to heat, radiation, heavy metals, and industrial chemicals may reduce sperm count or function. Even prolonged biking, horseback riding, or physically demanding work can affect fertility.
- Emotional factors: High stress may interfere with hormones needed to produce sperm. Depression can also cause sexual dysfunction that can cause male fertility issues.
How to Improve Male Fertility
Being unable to conceive a child can be frustrating and stressful. Fortunately, there are a few things you can do to improve your fertility:
- Receive treatment for underlying medical conditions.
- Talk to your doctor about switching medications if infertility is a side effect of anything you’re currently taking.
- Consider the changes you can make to reduce physical strain at work and in your daily life.
- Wear boxers, not briefs, to avoid elevated temperatures and tightness that could affect sperm count.
- Adopt stress management techniques, such as meditation, aromatherapy, yoga, and breathing exercises.
- Examine your lifestyle. If you use substances or are overweight, improving your health may increase your fertility.
- Schedule a doctor visit to check your fertility, especially if you experience sexual dysfunction, pain or swelling in the testicle area, abnormal breast growth, or hormonal irregularities along with fertility issues.
Did you previously have a vasectomy, but now you’re ready to start or grow your family? Dr. Joshua Green at the Center for Vasectomy Reversal can make your dream of fatherhood a reality. We provide state-of-the-art treatment for men looking to reverse a vasectomy or address other fertility concerns. To learn more, please call our Sarasota, FL clinic at 941-894-6428 or schedule a free consultation through our website.
For nearly 15 percent of American couples, infertility is a real struggle. Many factors have an impact on fertility, and both partners’ health plays a key role. Male infertility is about half the reason that couples fail to conceive, but do you know what factors into male fertility? Knowing the things that can harm male fertility can help you safeguard yours.
Low sperm production, abnormal sperm function, and blockages that prevent sperm delivery are the primary causes of male infertility. These issues may be the result of an underlying health problem, sometimes one over which you have no control. However, lifestyle factors can also have a major impact.
A recent study linked manual labor with low sperm counts. In a study of 456 men around the age of 32, researchers discovered that 13 percent of the men with physically demanding jobs had low sperm count, as opposed to only 6 percent of men without strenuous work. Other things that had a negative impact on fertility included:
- High blood pressure
- Smoking or using tobacco
- Using alcohol and marijuana excessively
- Taking certain illicit drugs including anabolic steroids and cocaine.
- Being overweight
- Suffering emotional stress
- Overheated testicles from frequent use of saunas or hot tubs, prolonged sitting, wearing tight clothing, or working on a laptop for extended periods
- Exposure to toxins like benzenes, pesticides, herbicides, etc. which can lower sperm count
- Current or past STIs including chlamydia and gonorrhea
- Certain prolonged activities like biking or horseback riding, especially on a hard seat or poorly adjusted bicycle
Other medical causes include hormonal imbalances, sperm duct defects, undescended testicles, tumors, and varicocele. A varicocele is a swelling of the veins that drain the testicles, and this swelling can prevent normal cooling. This is the most common cause of male infertility, but it’s also, fortunately, reversible. Varicoceles are often asymptomatic at first, but can enlarge, becoming noticeable or causing pain.
Unless you’re trying to conceive and having difficulty, you may not be aware that you have fertility issues. However, in some cases, there are signs and symptoms. If you experience problems with sexual function, pain, swelling or a lump in the testicle area, frequent respiratory infections, or decreased facial or body hair, schedule a visit with your doctor to check on your fertility.
If you’re struggling with infertility or considering a vasectomy reversal, the Center for Vasectomy Reversal is here to help. Under the direction of Dr. Joshua Green, our team provides state-of-the-art treatment for men who need a reversal of their vasectomy or have other concerns about their fertility. We accept major credit cards as well as cash and checks, and offer a payment plan for those who are unable to pay the entire fee at the time of surgery. Whether you’re ready to schedule a procedure or just want to learn more, you can contact us through our website, or call 941-894-6428 to arrange a free consultation.
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