Disscussion points

What To Think About

Before a vasectomy reversal is done, your doctor will want to confirm that you were fertile before your vasectomy.

You can have tests to see whether you have sperm antibodies in your semen before and after vasectomy reversal. If there are sperm antibodies in your semen after surgery, your partner is unlikely to become pregnant. In such a case, you may wish to try in vitro fertilization with intracytoplasmic sperm injection.

Every patient who is considering vasectomy reversal should undergo a screening visit before the procedure to learn as much as possible about his current fertility potential. At this visit, the patient can decide whether he is a good candidate for vasectomy reversal and assess if it is right for him. Issues to be discussed at this visit include:

• Female partner’s history of past pregnancies
• Male’s medical and surgical history
• Complications during or after the vasectomy
• Female partner’s age, menstrual cycle and fertility
• Brief physical examination to assess male reproductive tract anatomy
• A review of the vasectomy reversal procedure, its nature, benefits and risks, and complications
• Alternatives to vasectomy reversal
• Freezing of sperm at the time of vasectomy reversal
• Questions about the surgery, the success rates, and recovery
• Analysis of hormones such as testosterone or FSH in selected cases to better determine whether sperm production is normal

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