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Ask your questions before reversing vasectomy

Ask your questions before reversing vasectomy

Vasectomy is a surgical contraceptive method for men, made by ligation of the vas deferens, which carry the sperm from the testicles to the external medium during ejaculation. More than 30 million couples in the world use vasectomy as a method of birth control, accounting for 8% of all contraceptive methods. In these cases, when the man starts a new relationship, usually with a woman who has not had children, many questions arise and some of them seek specialized medical help to talk about the possibilities of pregnancy, either spontaneous or with the support of assisted reproduction.

Thus, 6 to 8% of vasectomies sought a urologist to reverse the condition caused by vasectomy. What many do not know is that the time between vasectomy and the time of decision by a reversal is a critical point for success, because the shorter the time the greater the chance of return to fertility.

At the right time

The ideal is that the reversion be performed by a urologist experienced in microsurgery, since the results of surgery using the microscope are much superior when compared with the use of a surgical lens or the naked eye.

In reversals of up to three years after vasectomy, the chance of getting sperm in ejaculation is 97% and pregnancy 76%. Between three and eight days after vasectomy the chances of pregnancy are 53%; between eight and fourteen years is 44%; in vasectomies of more than 14 years the chance decreases to 31%. This percentage of vasectomy reversals is higher in developed countries. In the United States, the number of people undergoing surgery has remained constant (500,000 / year), but the interest in reversal has been growing, probably due to increased disclosure.

Surgery

Ideally, the reversal is performed by a urologist experienced in microsurgery, since the results of the surgery with the use of the microscope are much superior when compared with the use of surgical loupe or the naked eye. In some cases the surgery requires a more complex reconstruction, not in the place where the tubules were cut during the vasectomy.

Consideration

Another very important factor is the age of the new wife, because in cases where women are already close to 40 years old, the difficulties to spontaneously gravitate are greater. Many couples end up opting for assisted reproduction, where a puncture in the testicular pocket captures the spermatozoa needed for in vitro fertilization. Couples need to be aware that reversal is always possible, but the time of the vasectomy and the age of the new spouse should always be taken into account.


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