Particular grave insults in their element such as endometriosis whether they might have had a history of children’s ease and you should be sorting out whether there could be a problem with tubal blockage any one of these factors might adversely affect chance of natural conception but on the other hand they might still have a good chance alternatively.
Using IVF with cytoplasmic sperm injection to achieve pregnancy and obviously the pacific me reversal is you know something worth considering but there is that alternative of perhaps considering you know IVF nee I’m just wondering if you might be able to just explain to us if someone’s not suitable or doesn’t want to do a vasectomy reversal what actually is entailed with an exposure but before you even get to the point of XE IVF involves routinely administration.
About ten days of medications which allow us to get a multiplier effect the normal human processes of ovulation lead to just one it being released but if we use controlled ovarian hyper stimulation we can usually get nine or ten x which gives a multiplier effect to the whole chances of success and IVF routinely involves just mixing eggs and sperm.
About sperm in a tiny reverse vasectomy little petrify dish and unfortunately if there is a problem with with low numbers of sperm on their sperm antibodies you then have difficulty in achieving a pregnancy with that approach and years ago there was some guys in Brussels developed a unique process of injecting with an extremely fine needle a single sperm into being that radically changed the whole processes of treating factors of fertilization and we would typically use this in many companies.
Twelve months most of my couples plan out their vasectomy reversal based on when they actually want to achieve pregnancy but if a couple comes to me and they say that they really really need to be pregnant in the next two or three months we’re gonna Vasectomy reversal Price have a very different different conversation than if they are a little more patient with with when they want to achieve pregnancy.
And again that circles back to the age of the female because if a female is approaching the end of her childbearing potential years then perhaps a vasectomy reversal is not the right procedure and we’ll talk about that in our alternative section coming up so how do I counsel on success rates and that’s going to be the first question I’ll guarantee probably because I wrote it but I’m sure it’ll come through on the web as well through our Twitter feed what is that what are your success.
Rates and and how do I know if this is going to be successful so one of the things that I say is time from vasectomy as we discussed earlier very important but I will tell you that the reason that’s important is because when I do the reversal the first thing I do once I make my incision and I find where the vs was cut at the time of the vasectomy and I open up that tube I look at the fluid coming out and that fluid is going to teach me and tell me what operation I need to do and where.
I need to put that man’s vs defer ens back together because we grade our fluid based on the presence of sperm and the consistency of the fluid and that’s critical because what can happen and a man’s sperm fluid over time is it can develop what we call inspirations which is essentially where the fluid gets very very thick up to sometimes the consistency of and I don’t gross people out but we do use the word toothpaste and it looks just like you’re squeezing a tube of toothpaste when that fluid comes out that’s not even fluid anymore and the reason that’s important is that if I saw that and I put that man.