Pregnancy options after a vasectomy

  

Vasectomy Reversal or IVF

Vasectomy reversal vs. IVF—Dr. Dan French talks about your pregnancy options after a vasectomy

If you decide that you would like more children, it’s important to know that there are pregnancy options after a vasectomy. Dr. Dan French, one of our Dallas urologists, says, “I want my patients to know about both vasectomy reversal and IVF, also known as in-vitro fertilization, so they can make the best choice. There is no right or wrong answer when considering conception after vasectomy. Patients need to have all the information so they can make the best decision for their individual situation.”

Vasectomy reversal

A vasectomy reversal is an outpatient microsurgical technique that allows sperm to once again enter the semen. According to Dr. French, when considering your pregnancy options after a vasectomy, vasectomy reversal has some advantages, including:

  • Generally, lower costs than IVF
  • Reinstatement of male fertility, allowing for multiple children to be conceived
  • Eliminating the need for women to go through the IVF process (unless she has fertility issues)

It’s very important to consider the experience of your surgeon with microsurgery and to ask how often he or she performs this specialized surgery. The surgeon’s experience and expertise is an important component of a successful vasectomy reversal.

IVF (in-vitro fertilization)

Another of your pregnancy options after a vasectomy is IVF. During IVF, the woman eggs are combined with sperm in a lab. When the male has had a vasectomy, there is no longer any sperm in his semen so the sperm needed for the IVF procedure must be obtained during an outpatient procedure called sperm retrieval.

The advantages to IVF include:

  • Very successful outcomes, particularly with women under age 35
  • No need for birth control after pregnancy is achieved
  • IVF is less invasive for the male partner

“If the woman in a couple is younger (37 years of age or younger) and/or if the man had his vasectomy less than 10 to 15 years ago, I lean toward vasectomy reversal; on the other hand, if the reverse is true—the woman is older than 37 and/or the man’s vasectomy occurred 10 to 15 years ago, it makes me lean more toward IVF as the best option,” Dr. French adds.

When you are considering your pregnancy options after a vasectomy, talk to an expert who is fellowship trained in microsurgery like Dr. French for the best results. Contact us for an appointment.


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About

Dan French MD

Dr. Dan French was born in Beaumont and grew up in Fort Worth, Texas. After graduating Magna Cum Laude from Texas A&M University he attended medical school at the University of Texas Medical Branch in Galveston.

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