• What Are Options for Having a Baby Without Getting a Vasectomy Reversal?

    Vasectomy reversals have a high success rate. Most men who undergo vasectomy reversals will once again have sperm present in the ejaculate, although it can take months before they will test positive. Unfortunately, there can sometimes be complications, such as blockages. If the reconnection of the vas deferens is unlikely to result in the presence of sperm in the ejaculate, the vasectomy reversal surgeon may perform a microepididymal sperm aspiration (MESA) procedure. 

    The MESA technique involves the removal of sperm directly from the epididymis. The sperm can then be used in an in vitro fertilization (IVF) procedure. Depending on factors pertaining to female fertility, the sperm might be used in an intrauterine insemination (IUI) procedure. In this case, it would be injected into the womb while the female partner is ovulating. Or, the sperm can be used in an intracytoplasmic sperm injection (ICSI) procedure, in which the sperm is directly injected into the eggs. 

    Dr. Green specializes in vasectomy reversals and MESA procedures. To discuss your options for starting a family, call Dr. Green in Sarasota at (941) 894-6428 and schedule a consult at the Center for Vasectomy Reversal. 

  • Using the MESA Procedure with IVF

    If you have had a vasectomy and you either don’t want to have a reversal procedure or your vasectomy reversal was not successful, the MESA procedure can be used with IVF to help you and your partner achieve a pregnancy. Dr. Green performs this procedure and works closely with a local IVF specialist to help couples for whom vasectomy reversal is not the answer to their fertility issues.  

    During a MESA procedure, Dr. Green removes sperm directly from the epididymis. The sperm is then provided to the IVF specialist, who will use it to fertilize an egg, that is then implanted in the female partner. This procedure works well if vasectomy reversal was not successful or if the female partner has fertility issues that prevent a natural conception  

    If you are interested in using MESA in conjunction with IVF to start a family, contact Dr. Green at the Center for Vasectomy Reversal in Sarasota. Schedule a consultation by calling (941) 894-6428.

  • Is the MESA Procedure the Right Choice for You?

    If infertility procedures such as IVF are part of your plan to start a family, then your vasectomy reversal surgeon may recommend MESA. During the MESA procedure, sperm is removed from the epididymis to be used during IVF. The procedure has a reliable track record of success and is unlikely to cause damage to adjacent structures in the reproductive system.

    MESA stands for Microscopic Epididymal Sperm Aspiration. During this procedure, Dr. Green using an operating microscope to locate the epididymal tubules and aspirate sperm. The use of the microscope makes the procedure very precise and reduces the risk of contamination from blood and other bodily fluids. This procedure can be performed using a combination of local anesthesia and a sedative, general anesthesia, or a spinal block.

    If IVF has been recommended as an appropriate infertility procedure for you, then MESA as performed by Dr. Green at the Center for Vasectomy Reversal could be the right treatment choice. Make an appointment to discuss vasectomy reversal options in Sarasota by calling (941) 894-6428.

  • Are You a Candidate for MESA?

    Men who do not want to undergo vasectomy reversal or who may not be likely to have success with this procedure for various reasons may opt to plan in-vitro fertilization, or IVF. The IVF procedure involves fertilizing eggs in a laboratory setting and then transferring the most viable embryos in the uterus, where they may implant and develop throughout a healthy pregnancy.

    The MESA procedure, or microscopic epididymal sperm aspiration, may accompany IVF to provide a cleaner, more reliable sperm sample for the insemination process. Sperm aspiration involves surgically operating under a microscope to obtain sperm directly from the epididymis, eliminating the concern of blockages or previous vasectomies that may prevent normal ejaculation. MESA is only appropriate for men considering IVF.

    The Center for Vasectomy Reversal will provide you with several surgical options to fit your unique situation and family planning goals. To learn more about our male fertility services in Sarasota, visit our website or call us at (941) 894-6428.

  • Using the MESA Procedure to Retrieve Sperm for IVF

    Microsurgical epididymal sperm aspiration (MESA) is a surgical procedure that precedes in vitro fertilization (IVF). It may be appropriate for some men for whom a vasectomy reversal alone won’t result in pregnancy. The vas deferens may be absent because of a congenital defect, or it might be significantly damaged by scar tissue from physical trauma or surgery. For these men, the MESA procedure gives them hope of becoming fathers.

    The vasectomy reversal surgeon can perform this operation at around the same time as the female partner’s ovulation. Or, MESA may be done ahead of time. The sperm can be preserved for later use in IVF. During the procedure, the surgeon uses an operating microscope to extract sperm directly from the epididymis. Since extracted sperm are generally not as mature as they otherwise would be, the IVF cycle may need to be performed with intracytoplasmic sperm injection (ICSI).

    Let Dr. Green at the Center for Vasectomy Reversal answer all of your questions about treating male infertility. Call (941) 894-6428 to request a consult with our vasectomy reversal surgeon in Sarasota.

  • Spotlighting the MESA Procedure

    Although male infertility in Sarasota can be incredibly frustrating, there are infertility procedures that can be performed to correct the problem. These procedures often lead to successful conception of a child. Continue reading to learn about one of these treatments—the MESA procedure.

    Microscopic epididymal sperm aspiration, or MESA, is an infertility procedure that provides high success rates while presenting minimal risks of damaging any biological structures. Your male infertility specialist can use a microscope to take a detailed look at your epididymal tubules, which allows for the successful extraction of sperm from the epididymis. This procedure allows your doctor to extract semen that is not contaminated by blood. It is important to note, however, that the MESA procedure is only a treatment option for couples that plan to undergo in vitro fertilization.

    For more information about the MESA procedure, please do not hesitate to call the Center for Vasectomy Reversal and Male Infertility at (941) 981-4341. Dr. Joshua Green is a male infertility specialist who provides vasectomy reversals in the Sarasota area. Feel free to visit our website or stop by and see us to learn more about our services.