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Male Fertility

Vasectomy Reversal – Things to Consider

Men get vasectomies for a variety of reasons.  Many of them want to keep enjoying a healthy sex life without the worry of having “unwanted” children.  But we all know circumstances can change.  Many men will get divorced and re-marry, and may regret having an earlier vasectomy.  For men in this situation, there is hope vacectomy reversal.

Most surgeries for vasectomy reversal are outpatient procedures, and do not require an overnight stay in the hospital.  Most of the time, local anesthesia is used, or is some cases spinal anesthesia is used.  One of the main factors in the success rate in this operation is how much time has passed since the vasectomy.  As more time passes, additional blockages can form.  As strange as it may sound, some men will even develop antibodies to their own sperm.

This procedure normally takes anywhere from 2 to 4 hours.  The patient will also need a few hours to recover from the effects of anesthesia.  But the vast majority of patients will be able to go home that same day.  Pain levels can vary from mild to moderate, and most men are able to resume normal activities, including sexual intercourse, in about 2-3 weeks.

 

Chances of Success and the Risks

The best chance for this surgery to work is within 10 years of the original vasectomy.  The longer the time goes by, the less chance of success in a reversal.  The best odds for success are those who have the reversal within 3 years of the vasectomy.  If a man is looking to father more children, studies have shown that pregnancy of a mate is achieved about 30% of the time for those who had the reversal within 10 years.

There are some risks in a reversal surgery.  It is possible for infection to set in at the site of the surgery, and that is something that all men need to think about.  There can be fluid build-up in the scrotum, and that will require draining.  There can also be injury to the nerves or the arteries in the scrotum area.

 

Other Things to Consider

Before you undergo this procedure, you will want to check with your doctor to ensure that you were fertile before the vasectomy was done.  There are tests that can be carried out to determine if there are antibodies in your sperm both before and after the reversal procedure.  If by chance sperm antibodies are indeed present after a reversal procedure, the odds are very slim that a partner will be able to become pregnant.  In cases such as these, there are a number of remedies that can be undertaken, including in-vitro fertilization.

Do keep in mind that there is an inherent risk with any surgery, even a simple outpatient procedure.  So keep this in mind before you make a decision.  There are a number of skilled surgeons who perform this operation, so shop around before you make a choice.

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