 |
|
|
|
|
Alternatives
|
 |
|
|
|
|
Although we routinely perform both first time and repeat vasectomy
reversals, we are often approached regarding the possibility of
combining sperm retrieval procedures with in-vitro fertilization
(IVF) as an alternative to vasectomy reversal or in cases where
there is no chance to correct the duct obstruction such as
congenital absence of the vas deferens. Since we and others have
documented that pregnancies can be achieved from frozen-thawed vas
deferens, epididymis or testicle sperm used in a special type of IVF
called ICSI (intra cytoplasmic sperm injection), it is not necessary
to retrieve the man's sperm at the time of the wife's egg retrieval
for IVF.
We currently recommend that couples who desire this alternative to
vasectomy reversal or for those who have non-correctable duct
obstruction, that the man have his sperm retrieval and freezing
before the wife starts her IVF cycle. In this way, both partners do
not need to have medical procedures performed on the same day, and
the entire situation becomes less stressful while maintaining high
success rates.
However, since sperm retrieval combined with IVF-ICSI costs much
more than vasectomy reversal on a cost-per-pregnancy basis, we
encourage our clients to consider vasectomy reversal with sperm
freezing at the time of reversal, as your most cost-effective
option. As of February 1, 2004 our package price for vasectomy
reversal is $8,300 (this includes surgeon's fee, hospital and
anesthesia fees). Sperm freezing adds $500 to this cost. Please note
that there is an additional $400 charge for redo reversals and call
ahead to verify current costs.
A sperm retrieval procedure with in-vitro fertilization (IVF) is an alternative to vasectomy reversal. |
|
|
