I Want to Hvae Another Baby but My Husband Has a Vesectomy, What Are Our Options
Having a Baby later a Vasectomy
Vasectomies are a widely used method of contraception today. The failure rate is extremely low such that they are a very dependable style of fugitive unwanted pregnancy. Sometimes a man who thought his family was complete may change his heed and want to have more children after a vasectomy has been performed. There are a couple of ways of resolving this dilemma.
How to get pregnant later a Vasectomy
To be able to have children after a vasectomy yous can undergo a vasectomy reversal or try In vitro fertilization (IVF) and intra-cytoplasmic sperm injection (ICSI) using aspirated sperm.
Vasectomy Reversal
The traditional approach has been to carry out a second surgical procedure wherein the severed vas deferens (the tubes within the scrotal sac which carries sperm from the testicles to the exterior world) is sewn back together. This is a microsurgical process which is actually far more than technically involved and complicated than the original vasectomy where a piece of the vas was burned, removed or clipped. The procedure will typically accept a couple of hours to perform and is done by urologists with who accept undergone specialized microsurgical training. The process tin can be technically successful in 60-seventy% of cases if the vas deferens was not excessively destroyed in the original vasectomy procedure. Unfortunately, these results are not e'er the instance and the actual patency rate (i.east. sperm are found in the ejaculate later on the procedure) is lower.
The other complicating gene with surgical repair is the prevalence of anti-sperm antibodies. These antibodies will prevent normal sperm function if they are present. They are plant increasingly often the longer it has been since the original vasectomy was performed. Almost researchers concur that they are rarely constitute within five years from the original vasectomy and are almost ever present more than than 10 years from the original procedure. In these latter cases, even if the vasectomy reversal process is technically successful, the sperm volition not be normally functional therefore the surgery probably volition non lead to successful conception.
It may take a few months to come across sperm inside the ejaculate following a reversal process and unfortunately in some cases despite sperm beingness present initially post-operatively, at that place is progressive scarring which leads to re-closure of the vas.
In Vitro Fertilization (IVF) and Intra-Cytoplasmic Sperm Injection (ICSI)
The other approach bachelor today is to behave out In vitro fertilization (IVF) and intra-cytoplasmic sperm injection (ICSI) using aspirated sperm. We've ever been able to aspirate sperm using a fine gauge needle directly from the testicles. Under local anesthesia, it is quite realistic to pass a needle directly through the scrotum into the testicle itself or the epididymis (the network of tubules side by side to the testicle where sperm finish their maturation procedure and are stored prior to ejaculation) and aspirate sperm. The limiting factor has e'er been that we can merely recall thousands of sperm in this fashion and we need tens of millions for intercourse to establish pregnancy or millions for inseminations to do so. Using the technology of IVF/ICSI notwithstanding, we only demand one sperm for each egg bachelor. Since we may typically get 10-xv eggs during an IVF bike, nosotros'd only need 10-fifteen sperm for success. Therefore the sperm aspirated in this fashion are more than enough for multiple attempts.
The advantages of IVF/ICSI versus vasectomy reversal are multiple. Success rates do not depend On how much damage was caused by the original vasectomy. The presence or absence of anti-sperm antibodies is irrelevant because the sperm do not need to be able to swim on their own during IVF/ICSI. Also because IVF is beingness done, female fertility bug such equally tubal issues, endometriosis, ovulation problems and so on are all automatically being bypassed.
Success rates for IVF/ICSI using aspirated sperm following vasectomy are amid the highest in couples doing IVF and the alive nativity rates are certainly equal if not better than those seen following vasectomy reversal. Lastly this arroyo is far more efficient in that the whole process from beginning of testing to starting obstetrical care could certainly be carried out in a 2-3 month time frame whereas the surgery itself may be carried out a calendar month or so later on testing, it may crave months to see normal sperm in the ejaculate and the couple may so accept to endeavor for several months earlier conceiving.
For more information about conception after a vasectomy, and to schedule an appointment with Dr. André L. Denis or whatsoever other of ACRM'due south fertility experts, call 678-841-1089 or click here.
Source: https://www.atlantainfertility.com/news/2017/september/having-a-baby-after-a-vasectomy/
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