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Thinking Through the Vasectomy Reversal Decision – What to Consider Before Taking the Leap

For most couples, starting a family, or adding to a growing family, isn't a decision that is taken lightly. But when the male partner has had a vasectomy, the decision on how to proceed with having a child becomes even more complex.  At the Vasectomy Reversal Center of America, we see couples in all stages of life and of all ages that come to us with the same desire - to conceive a child naturally through a vasectomy reversal.

When contemplating a vasectomy reversal, it's important to consider the following: 

The experience of the vasectomy reversal specialist. When deciding on a vasectomy reversal specialist who is right for you, it's incredibly important to find a surgeon who is fellowship trained in microsurgery and male reproductive medicine. This specialized training, which all of the surgeons at VRCA have, is vital to the highest possible outcomes and when more complex surgery such as an epididymovasostomy is required during the procedure. In fact, because all of VRCA's surgeons are fellowship-trained in microsurgery and male infertility, our outcomes are over 90%, far above the average success rates of general urologists. Along with such positive outcomes, our surgeons perform many vasectomy reversals every year. This frequency of performing such a delicate procedure is also significant and should factor into your decision when choosing a surgeon who is right for you.

It's important to meet the surgeon you are considering for the vasectomy reversal, ask him or her questions, and get a good sense for their personality as well as their experience before making this important decision. At VRCA, we sit down with our patients for a one-on-one consultation. This provides us with the opportunity to get to know you, your history and your hopes, and gives you the greatest understanding of the procedure and how we can best help you achieve your dream- conceiving a baby.

The age of the female partner. Women of advanced maternal age (typically over the age of 38) need to consider the fact that it can take six to 12 months for the man's sperm count to reach an optimal stage for natural conception following a vasectomy reversal. Advanced maternal age plays a part in decreased female fertility. In cases where women are over the age of 40, sperm retrieval with IVF may be a consideration. When discussing all of the options, we feel it's important to weigh our patients' desire to conceive naturally versus having to start on hormones for IVF.  We'll discuss maternal age and the effects on female fertility and natural conception in next week's blog entry in more detail.

When considering a vasectomy reversal, the surgeons at VRCA are here to guide you toward your ultimate goal of conceiving a child naturally. Please don't hesitate to contact us with any questions.

Watch for the next blog post on how advanced maternal age affects a couple's ability to conceive…

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