The procedure consists of a surgical procedure reconstructing your male partner’s reproductive tract. This is usually a one day outpatient procedure and is one of the more difficult procedures performed by urologists. Pregnancy most likely will not occur for 12 to 24 months after the procedure, but this also depends on discomfort and recovery time.
Usually, more recovery time will be needed than the time needed to recover from the first vasectomy procedure. In some cases, the reconstruction fails and then sperm retrieval for IVF is needed.
When a reversal is performed, a sample of sperm can be obtained and frozen which can be used for IVF in case the reversal is unsuccessful. It is easy to do and adds little cost to the procedure. Make sure to discuss this with your surgeon since a repeat testicular surgery would be needed if the reversal does not work. Results are not immediate and may take 12 to 24 months to see the benefit of surgery.
The procedure consists of a minimal surgical procedure where sperm is extracted from the male partner’s testes. In vitro fertilization or IVF is a procedure involving both you and your partner, where you undergo ovarian stimulation with medication to produce several eggs. The egg retrieval is done with a small needle to remove the eggs from the ovary. The sperm are obtained from the testes with a surgical procedure. It is less invasive then the reversal, faster recovery and greater success.
This surgery can be done ahead of time and the sperm or tissue could be frozen or it can be done fresh on the same day as the egg retrieval. The sperm is injected into the egg, called intracytoplasmic sperm injection, or ICSI, and the fertilized eggs are placed back into your uterus. A pregnancy test can be taken two weeks later to determine pregnancy.