Vasectomy reversals are performed to reconnect the vas deferens and make pregnancy possible after men have had vasectomies. Vasectomy reversals have a high rate of success, as defined by the presence of sperm in the semen within 12 months of the procedure. However, some men do experience failed vasectomy reversals, which may lead them to consider getting a re-do procedure. You may be a good candidate for a re-do operation, but only a vasectomy reversal surgeon can determine this.
What Causes Failed Vasectomy Reversals
There are a number of possible causes for a failed reversal. One potential reason is that scar tissue has built up at the surgical site. The body naturally produces scar tissue as part of the healing response. When there is too much scar tissue around the vas deferens, it can block the sperm from passing through this narrow tube. During a re-do procedure, the surgeon can remove the scar tissue. Other possibilities to consider include:
- Surgical site infection
- Post-surgical trauma in the scrotal area
- Presence of anti-sperm antibodies
- Improper use of the vasovasostomy instead of another surgical technique
What Other Factors Contribute to Infertility
A failed vasectomy reversal can be defined in two main ways: The failure of the sperm to travel through the vas deferens, or the failure to conceive a child naturally. In other words, even if the original procedure did result in the presence of sperm in the semen, there may be other underlying issues causing male or female infertility. Before considering a re-do reversal, it’s advisable for you and your partner to undergo a medical evaluation to assess fertility.
Why You Might Consider Sperm Aspiration
Even if the vasectomy reversal surgeon determines that a re-do procedure isn’t likely to succeed, you do have another option for having biological children. The surgeon can aspirate sperm from the epididymis. This is known as the MESA procedure. You and your partner may then decide to use the sperm for an in vitro fertilization (IVF) cycle.
Dr. Joshua Green has considerable expertise in re-do vasectomy reversals and has performed many of them successfully. Every patient has unique circumstances to consider, and so you should consult Dr. Green in Sarasota directly to find out if a repeat reversal might be right for you. Call the Center for Vasectomy Reversal at (941) 894-6428 to request a consult.
There are many factors that can influence the success of vasectomy reversals, from overall health to the length of the time between the original vasectomy and the reversal procedure. One factor that many prospective vasectomy reversal patients have questions about is age. Does age affect the success of vasectomy reversals? Here is what you need to know.
Age is less of a factor than time since the procedure.
Many men who are interested in vasectomy reversals are older, having changed their minds after having a vasectomy when they were young. Age is less of a determinant of how successful a vasectomy reversal will be than the time between the original procedure and the reversal surgery. An older man whose vasectomy is more recent is likely to have fewer concerns about the success of his reversal than a younger man whose vasectomy was many years before.
Age-related health concerns can be a factor.
Although age itself is not a significant factor in vasectomy reversal success rates, some age-related health complications can impact how successful the procedure is. Some of the health issues that occur in older men can make it unsafe to have surgery or can interfere with healing and the overall success of the procedure. Your vasectomy reversal surgeon will review your health history with you before your procedure to make sure it is safe for you to have anesthesia and that you are a good candidate for surgery.
Age can affect the quality of sperm.
A vasectomy reversal can be successful while other infertility issues still persist. Although age is a much bigger factor in fertility in women than men, age can still impact the quality of sperm, which in turn can make it harder to successfully achieve a pregnancy. Additional infertility treatments may be necessary.
Before your surgery at the Center for Vasectomy Reversal, Dr. Green will review the procedure with you and help you understand all of the factors that can influence the success of the reversal. Schedule an appointment for a vasectomy reversal consultation in Sarasota by calling (941) 894-6428.
A vasectomy is a surgical procedure that involves the severing of the vas deferens, which is the structure that transports sperm along the male reproductive tract. With the vas deferens severed, sperm will no longer be present in the man’s semen. Men who are thinking about getting a vasectomy should always consider it to be a permanent form of birth control.
However, as you’ll learn when you watch this video, vasectomies can be reversed. And in fact, the success rate of vasectomy reversals is quite high, especially when there is a relatively short period of time between the two surgeries. The infertility specialist featured in this video also discusses some other factors that can affect a successful pregnancy.
Dr. Green of the Center for Vasectomy Reversal invites couples to explore the possibilities with infertility procedures in our Sarasota clinic. Call (941) 894-6428 to request a confidential consultation.
Though vasectomy reversal is possible for many men who have undergone vasectomy procedures, it is not always the right option for conception. IVF may be more appropriate if there are other factors influencing male fertility or if your partner is also facing fertility issues.
As this video explains, IVF, or in-vitro fertilization, does carry the risk of multiple pregnancies with twins or triplets. Multiple pregnancies are often higher-risk pregnancies, and they can be much more stressful for couples. Therefore, it is important to mitigate these risks with the right practices in IVF, which will include selecting the appropriate number of embryos for transfer based on the age and reproductive health of the mother.
For more information about IVF and other options for conception following a vasectomy, contact the Center for Vasectomy Reversal in Sarasota, FL. You can schedule an appointment with our skilled surgeon, Dr. Joshua Green , by calling (941) 894-6428.
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