Vasectomy Reversal

PARENTING AFTER VASECTOMY: PREGNANCY AFTER VASECTOMY REVERSAL OF PREGNANCY AND TECHNIQUES OF ASSISTED REPRODUCTION

Vasectomy is the male sterilization procedure that involves cutting and sealing the vas deferens so that sperm can not join the semen. The operation takes about twenty minutes and is performed under local or general anesthesia. The man continues to produce sperm, but are reabsorbed. Its effectiveness is not immediate, the man has to ejaculate several times to empty the pipes.

The decision to have a vasectomy is not a decision to be taken lightly, because when a man decides that herself, it is because he is convinced that does not want children. However, different life circumstances (change of partner, changing priorities, etc..), Can a man want to be a father after performing this operation.

Vasectomy Reversal ▬ ▬ AND PREGNANCY

Medical advances are important, but even if the reversal procedure is successful, it is not certain that man can conceive a child. There are two surgical techniques for Vasectomy Reversal: the epidimostomía and vasovasostomy. The two techniques are the cornerstone to ensure that the ejaculate contains sperm again.

- The vasovasostomy is the most frequently performed since its success rate is higher, it is cut and join the vas deferens, its duration is approximately two hours. The likelihood of pregnancy after vasovasostomy is approximately 64%.

- The epidimostomía is more complicated when the vasovasostomy is performed has not worked, possibly because the vas deferens are blocked. Lasts longer, five hours, and in this case the probability of achieving pregnancy is somewhat lower, 40%.

After vasectomy

▬ pregnancy through Assisted Reproductive ▬

For those men who do not want a surgical option, there are two options of assisted reproduction:

- Testicular sperm aspiration: This technique is performed in the operating room, which is extracted sperm from the epididymis of the testicles. Later, in the laboratory, looking microinjected sperm and in eggs, one egg, using ICSI to fertilize the eggs. Viable embryos obtained may be transferred to the uterus of the male partner has a vasectomy.

This technique is widely used and the likelihood of a pregnancy is between 33 – 40%. Also, note that with this technique avoids having to perform a new vasectomy once born the son and on the other hand, earns a vital time in the event that the woman is at an advanced age, important in pregnancy rate.

- Sperm Bank: Since before a vasectomy is frozen male sperm, the sperm could be used to make his partner pregnant by artificial insemination (AI) or in vitro fertilization (IVF), depending on the quality of semen.

If the surgical techniques of assisted reproduction and fail, you could also use donor sperm (IAD) as a last resort for couples who wish to have a baby.

As in any operation vasectomy and reversal surgery has its risks. These techniques, as well as assisted reproduction cost money and be employed from time to time, which is why you have to be very safe and informed before deciding to undergo a vasectomy or to reverse it.