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Vasectomy Reversal Vs. IVF

Vasectomy Reversal vs. IVF - When is Vasectomy Reversal a Couple's Best Option for Conceiving a Child?

When infertility issues become an obstacle to starting a family, couples need to keep in mind that a vasectomy reversal may be their best option for conceiving a child. If female fertility is not the issue and the male partner has had a vasectomy, couples should consider the choices – vasectomy reversal or In Vitro Fertilization (IVF)?

There are several factors that make vasectomy reversal a better option than IVF for many couples including:

1. Lower cost. A vasectomy reversal costs significantly less than IVF and all of the tests, treatments, drugs and surgery that goes along with IVF. In this day and age, almost everyone is cost conscious.

2. Higher pregnancy rates. In couples where a man has had a vasectomy and no female factor infertility exists, vasectomy reversal typically results in higher pregnancy rates than conception through IVF. In fact, at the Vasectomy Reversal Center of America, our pregnancy rates are about 65% within 12 months following the vasectomy reversal procedure. According to the CDC’s 2010 Assisted Reproductive Technology (ART) report, the percentage of cycles resulting in pregnancies was about 47% for women age 35 or less and about 29% for women between the ages of 38 and 40 years.

3. High success rates. Regardless of the interval of time between a man’s vasectomy and the vasectomy reversal, the success rates at the Vasectomy Reversal Center of America are over 90% for returning sperm to the ejaculate following a vasectomy reversal. We even perform re-dos for men who have had a vasectomy reversal fail, with the similarly high success rates.

4. No invasive treatments and procedures for the woman. Women undergoing IVF know that this is can be difficult path to conception, with daily treatments and injections, blood work and ultrasound, hormonal effects, frequent doctor visits as well as surgical procedures to retrieve the eggs. Microsurgical vasectomy reversal is a relatively straightforward procedure for the man. When performed by a skilled microsurgeon, the procedure has a high success rate and a minimal recovery period.

5. Conceiving a child naturally. A vasectomy reversal allows a couple to conceive a baby naturally, without daily injections or invasive surgical procedures for the female. Often, couples are able to conceive a child within six to 12 months after the reversal, and in some cases, sooner.

With Advanced Maternal Age, Time May Be of the Essence

It is important to take the woman’s age into consideration when comparing vasectomy reversal to IVF. When the female partner is under the age of 37 years and the man has had a vasectomy, it almost always makes sense for the couple to consider vasectomy reversal for the reasons outlined above. However, following a vasectomy reversal, it does typically take six to 12 months for semen quality to optimize, so women over the age of 37 – considered advanced maternal age - should consider that it could take up to 12 months to get pregnant. If advanced maternal age is a factor, couples may want to seek consultation concerning IVF as the potential for pregnancy to occur within a shorter period of time may be possible.

At the Vasectomy Reversal Center of America, we take the time to discuss all options, as well as all factors, that may impact or complicate natural conception at a couple’s initial consultation to determine the best possible course of action for conceiving a child. Regardless of whether a couple decides on IVF or vasectomy reversal, we are committed to providing patients with all of the information to help in making an informed decision.

In the end, our ultimate goal is helping more couples realize their dream of having a baby.


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