Vasectomy Reversal and In Vitro Fertilization (IVF): Considering the Options
If you’ve had a vasectomy and decide you want to have more children, you have a couple of options to consider. You can get a vasectomy reversal or opt for a fertility treatment like in vitro fertilization (IVF). Let’s break down each choice so you can make the best decision for your unique needs and family-building goals.
The Pros and Cons of Vasectomy Reversal
Vasectomy reversal success rates are relatively high when performed by an experienced physician. However, there is a small chance that sperm will take longer to return (up to 12 months), or it won’t return at all. Another potential problem is damaged sperm. The more recent the vasectomy, the more likely a patient is to have a successful reversal. Therefore, it’s recommended to look into a vasectomy reversal as soon as you decide you want to have more children. Vasectomy reversal costs range from $5,000 to $10,00, depending on the quality of the previous vasectomy, and most reversals aren’t covered by health insurance.
IVF Considerations
IVF is a successful fertility treatment that can help men with vasectomies conceive. A urologist can retrieve sperm and utilize it for IVF without performing a vasectomy reversal. After retrieval, the sperm is fertilized with eggs in a laboratory, and the resulting embryo is subsequently implanted into the uterus of the intended carrier.
With fertility medications and genetic testing, you could pay $8,000 to $18,000 or more per IVF cycle. Your charges will depend on the services and prescriptions you need. Insurance may cover some of your IVF treatment, but it depends on your specific plan.
The Role of Female Fertility
Before deciding between IVF and a vasectomy reversal, it's important for the female partner to undergo a comprehensive fertility evaluation. For a vasectomy reversal to result in a successful pregnancy, both partners need to be fertile. If the female partner is 35 or older and has diminished ovarian reserve, tubal disease, severe endometriosis, or significant pelvic adhesions, she may need fertility treatment to conceive, making IVF the better option.
Making a Decision
Deciding between a vasectomy reversal and IVF can be challenging, as each option has its unique pros and cons. Therefore, it’s important to speak with a urologist to determine the best path for you and your partner. At Male Fertility & Sexual Medicine Specialists in San Diego and La Jolla, California, renowned male fertility and sexual health expert Dr. Bastuba can evaluate your situation and help you make the right decision. Contact us today for more information or to schedule an appointment.
