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Both In Vitro Fertilization (IVF) and Vasectomy Reversal offer a good solution to couples who desire another child after a man has had a vasectomy.

For many couples, both vasectomy reversal and IVF with sperm harvesting and intracytoplasmic sperm injection yield good results. In fact, the overall delivery rates for IVF and reversal

(taking into account all patients and female ages) are almost identical at 40% for IVF and 43% for reversal.

Which one is right for you is an individual decision that you and your partner will need to make, after you completely review the details of each option, and discuss them with your doctors.

Comparison Of Vasectomy Reversal and IVF

Cost Vasectomy ReversalVasectomy Reversal is about one-half the cost of a single cycle of IVF. It is typically a single procedure (Vasovasostomy or vasoepididymostomy), performed in our Surgery Center on an outpatient basis. In Vitro FertilizationIn Vitro Fertilization requires multiple procedures, and is much more expensive. A study published several years ago showed that total costs were three times as expensive to deliver a child conceived with IVF versus a vasectomy reversal.
Method of Conception Vasectomy Reversal Conception proceeds naturally after a vasectomy reversal, which for most couples is very desirable, cost-effective and fun! For IVF, egg and sperm are harvested, and conception occurs in the laboratory.
Procedures Vasectomy Reversal is a single surgery for the man, which can be performed in 1.5 to 2 hours under a general anesthetic. Healing is rapid, and normal sexual activity thereafter can lead to pregnancy. In Vitro Fertilization is a multi-step procedure. After two weeks of hormone injections, eggs are harvested from the woman’s ovaries under a local anesthetic. Sperm are harvested separately, in an in-office procedure if the man has been vasectomized. The egg and sperm are combined in a laboratory, and the resulting embryos are implanted into the woman’s uterus. Most couples will have to go through more than one IVF cycle to deliver a baby.
Pregnancy Vasectomy Reversal. It may take a fair amount of time to conceive after a reversal. The mean time to pregnancy is about 12 months following a reversal, but this is distributed on a bell shaped curve (Gaussian) so some people will get pregnant sooner and others later than 12 months. In Vitro Fertilization offers the quickest way to get pregnant in a given month. It may be necessary if there is a female infertility factor as well as a vasectomy.
In Vitro Fertilization vs. Vasectomy Reversal

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