Options for Pregnancy After Vasectomy

Our New York fertility doctor outlines options after vasectomy reversal

Vasectomy is the most common urologic procedure in this country; it helps ensure that men who do not wish to become fathers have a permanent means of birth control. More than half a million men opt for vasectomy each year, but a percentage of those will change their minds about having children. Dr. Joel Batzofin provides his clients with information about vasectomy reversal options.

While our New York fertility doctor does not perform the fertility-restoring procedure, he will coordinate care after surgery to expedite a pregnancy.

A vasectomy effectively prevents sperm from reaching the ejaculate, and is considered one of the most effective forms of birth control. A man’s sperm is produced in the testes and travels through tubes, vas deferens, to the seminal vesicles to form semen. A urologist will sever and tie the ends of these vas tubes during a vasectomy.

Your vasectomy reversal options depend on two main factors, according to our New York fertility doctor

How much time has passed since your vasectomy? One of the most predictive factors is the date of your procedure. Our New York fertility doctor, Joel Batzofin, MD, will help assess your potential for success based on when you had your vasectomy.

What technique did the surgeon use? You may have had your tubes lasered, clipped, cut or burned.

To restore the flow of sperm into the semen, a microsurgeon may be able to reconnect the vas deferens or reconnect the vas deferens directly to the “storage tank” — the epididymis. This outpatient surgery is typically performed using a high-powered microscope and stitches that are smaller than a human hair. During the procedure, the hope is to find live sperm in the segment of the severed tube that opens to the epididymis.

You have three vasectomy reversal options based on the results of a fluid sample obtained during surgery:

Vasovasostomy VV If there is sperm present in the vas tube closest to the epididymis, the surgeon will reconnect the two severed ends. According to the Urology Care Foundation, the surgery is effective for 85 out of 100 men.

Vasoepididymostomy VE If no sperm is present in the vas tube segment removed for inspection during surgery, the success rates will be nearly as high, but the tube will need to be connected to the epididymis.

A combination of both VV and VE A surgeon may take two approaches, one on each side of the left and right testicle.

After surgery, your urologist and/or fertility specialist will order semen analysis to ascertain the sperm count in a series of samples. Ideally, you will have no trouble getting pregnant after vasectomy, but if other factors exist, including female infertility and sperm disorders, our New York fertility doctor can circumvent these with IVF and ancillary services, including ICSI (injecting a single sperm directly into the egg).

Vasectomy need not be permanent. Contact our New York fertility doctor to make a plan for becoming a father after vasectomy reversal or sperm retrieval surgery.