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I had a vasectomy and now we want children. Should I get vasectomy reversal or have IVF using extracted sperm?

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Vasectomy reversal surgery is more successful if the period of time since the vasectomy has been less than 10 years. If you had a vasectomy for more than 10 years, there is a substantial drop in the subsequent pregnancy rates. Therefore, it is generally not recommended that vasectomy reversal be tried when the intervening time has been 10 years or more. The obvious advantage to vasectomy reversal surgery is that if it is successful the couple can conceive further children without medical assistance. Sperm aspiration from the epididymis or testicle – PESA or TESA – and then ICSI and IVF requires surgical procedures for both partners and more expensive. Because multiple eggs are needed to have a good chance for success, the woman must go through ovarian stimulation and then an egg retrieval procedure. And IVF success rates are also dependent on the age of the female partner.
Please note that we no longer perform Vasectomy Reversal at New Hope Fertility Center, but are happy to help refer you to a specialist who we may work with hand in hand, throughout your journey.

 
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