Legacy Male Health Blog » vasectomy reversal doctor http://www.vasectomyreversal.com/blog Legacy Male Health Blog Fri, 03 Feb 2012 22:05:06 +0000 en hourly 1 http://wordpress.org/?v=3.2.1 Why Vasectomy Reversal? http://www.vasectomyreversal.com/blog/2011/12/13/vasectomy-reversal/ http://www.vasectomyreversal.com/blog/2011/12/13/vasectomy-reversal/#comments Wed, 14 Dec 2011 02:08:10 +0000 Contributing Staff http://www.vasectomyreversal.com/blog/?p=169 Why, if a man has had a vasectomy, would he want to reverse it?  Surprisingly, according to the Center for Male Reproductive Medicine, approximately 500,000 men have vasectomies each year. It also acknowledges the fact that, at least 5% of those men will change their minds for reasons such as, remarriage, death of a child, or an improved lifestyle that sometimes create a want for more children.  Under these circumstances, men would be required to undergo a Vasovasostomy also known as vasectomy reversal.  The surgery has a 99 percent success rate, in the hands of a skilled and Fellowship-trained Vasectomy Reversal Micro Surgeon, like Dr. Buch.  Although vasectomy reversal is seldom covered by insurance companies, it is more affordable than you may think.  There are several payment options available to you through medical financing.  For instance, you could have a vasectomy reversal for as little as $500 down and $217.62 a month (OAC).  If you have any further questions or concerns regarding vasectomy reversal, consult your physician.

]]> http://www.vasectomyreversal.com/blog/2011/12/13/vasectomy-reversal/feed/ 0 Low Testosterone and Vasectomy Reversal http://www.vasectomyreversal.com/blog/2011/07/29/testosterone-vasectomy-reversal/ http://www.vasectomyreversal.com/blog/2011/07/29/testosterone-vasectomy-reversal/#comments Sat, 30 Jul 2011 00:53:47 +0000 Contributing Staff http://www.vasectomyreversal.com/blog/?p=117 By Dr. Jeffrey Buch, Director of Legacy Male Health Institute

Many men in their thirties, forties and fifties develop a progressive decrease in their energy level or their sex drive. Contrary to popular belief, this is not a “natural” part of the aging process.  Often this is the result of a low serum testosterone level.

While it is the major male sex hormone, testosterone also plays important roles in male health beyond simply providing for one’s sex drive or libido.  Men with low testosterone (“T”)  complain most often of low energy and a feeling of melancholy, some even complaining of significant depression.  We, here at Legacy Male Health Institute, see this in many of our vasectomy reversal clients as well.

However, for men who experience low-T but wish to maintain their fertility, simply supplying extra testosterone is not good. Testosterone therapy is known to shut down the brain’s chemical stimulation of the testicles, resulting in severely decreased sperm count.  In these cases, we recommend treating the condition with either Clomiphene or Tamoxifen, which stimulates the pituitary gland to release gonadotropins. This, in turn, stimulates the testicles to produce more testosterone in a “sperm-friendly” way.  Often, the sperm counts will increase.

Side effects are minimal, but our experience has shown that the weak estrogenic effects of these pills at the brain level result in reduced sex drive in 10 percent of such cases.  This reverses when the patient stops taking the pills.  In approximately 80 percent of such cases, this treatment results in improved T levels and the symptoms of low Testosterone subside.  It is also necessary to monitor estrogen levels, and in some cases administer an anti-estrogen pill, Anastrazole, in addition to either Clomiphene or Tamoxifen.

If a side effect such as reduced libido occurs or if the patient’s condition fails to respond to the pills, then weekly injections of HCG (Human Chorionic Gonadotropin) may work.  In fact, we have successfully used HCG to restore fertility in many men who used anabolic steroids in their younger years.

The quality of life improves dramatically for men who are treated for low Testosterone, regardless of whether a vasectomy reversal is involved.  However, when fertility needs to be preserved, it is crucial for men to consult an expert in male fertility who understands reproductive hormones in detail.  Please visit us at www.vasectomyreversal.com for more information.

]]> http://www.vasectomyreversal.com/blog/2011/07/29/testosterone-vasectomy-reversal/feed/ 0 Myths vs. Facts – Vasectomy Reversal Success Rates http://www.vasectomyreversal.com/blog/2011/06/10/myths-vs-facts-%e2%80%93-vasectomy-reversal-success-rates/ http://www.vasectomyreversal.com/blog/2011/06/10/myths-vs-facts-%e2%80%93-vasectomy-reversal-success-rates/#comments Sat, 11 Jun 2011 00:41:12 +0000 Contributing Staff http://www.vasectomyreversal.com/blog/?p=74 It is important to separate the myths from the facts when determining whether a vasectomy reversal is the right option.  Choosing the right vasectomy reversal doctor is one of the most important things to do as it increases the chances of a successful reversal greatly.  In most cases, the doctor who performed your vasectomy may not be the one to ask about the success rate of reversals, unless they have significant experience in performing them.  In addition, knowing which are myths and which are facts regarding vasectomy reversals can also aid in making the proper decision.

Men Stop Making Sperm After Vasectomy

This is a commonly believed myth but the truth is that men continue making sperm even after vasectomy.  Injury, chemical or toxin exposures or other medical factors are the only things that will cause a man to stop making sperm.  Some urologists still perform sperm production tests before agreeing to do a vasectomy reversal, yet protocol used by vasectomy reversal specialists indicates that such additional testing is not necessary.

Vasectomy Reversals Do Not Work After 10 Years

It is true that success rates do decline the longer after a vasectomy that the reversal is performed.  However, that does not mean reversals will not work after a certain period of time. Recent studies showthat areversal performed less than 3 years after the vasectomy results in a 97% success rate, while reversals performed more than 15 years after the vasectomy results in a 71% success rate. With refinement of the vasoepididymostomy surgery, there has been a dramatic increase in the success rate of vasectomy reversals performed more than 15 years after the vasectomy, and true experts have success rates of 85 percent or more in such cases.

Sperm Antibodies Will Prevent Pregnancy

Before vasectomy, sperm is protected by the testicles against the immune system so that the body does not even know they exist.  After vasectomy, some sperm may leak from the vasectomy site, and the sperm appears as a foreign substance, so the body creates antibodies to fight off what it perceives as a threat.  Although these antibodies will appear in the bloodstream, they cause no harm and typically disappear after a successful vasectomy reversal. In some cases, sperm antibodies persist after successful reversal but they are treatable with medication. Rarely do sperm antibodies prevent pregnancy.

My Urologist Can Perform My Reversal

Before using the same doctor who performed your vasectomy to perform your vasectomy reversal, it is important to know how much experience the doctor has had in successfully reversing vasectomies. A vasectomy is a very simple procedure that takes only a short period of time to perform. A reversal is a lengthy procedure, requiring significant microsurgery techniques and microsuturing. Therefore, it is important to choose a surgeon with extensive experience in performing vasectomy reversals.

By separating myth from fact, couples can make better informed choices in order to regain fertility after vasectomy.  By choosing a highly-qualified doctor with experience in the delicate reversal surgery, their success rate will be significantly higher than choosing a doctor with less experience.  For more information regarding microsurgical vasectomy reversal, visit www.vasectomyreversal.com.

]]> http://www.vasectomyreversal.com/blog/2011/06/10/myths-vs-facts-%e2%80%93-vasectomy-reversal-success-rates/feed/ 0 Male Infertility http://www.vasectomyreversal.com/blog/2009/08/06/male-infertility/ http://www.vasectomyreversal.com/blog/2009/08/06/male-infertility/#comments Thu, 06 Aug 2009 20:10:00 +0000 admin /blog/post/Male-Infertility.aspx Our practice is not only limited to vasectomy reversals. We also offer services for male infertility. About 1/3 of male infertility cases are caused by male factors alone. Causes of male infertility can be:

 

·         Reproductive blockage

·         Varicocele

·         Low sperm count or sperm that don’t move properly

·         Underlying medical problems

 

If a couple has been trying to get pregnant for about a year, without success, we suggest visiting Legacy Male Health Institute where our vasectomy reversal doctor can review your medical history, perform a complete examination and test your semen. A semen analysis will show us your sperm count and sperm quality which play an important role in fertility. Additional testing may be needed, depending on the results of our first evaluation.

 

Usually more than half of the male infertility cases are treatable. There are many choices and treatments that our vasectomy reversal doctor can discuss with you to help make an informed decision on which male infertility treatment is best for you.

]]> http://www.vasectomyreversal.com/blog/2009/08/06/male-infertility/feed/ 83 Legacy Male Health Institute’s vasectomy reversal doctor in ASRM http://www.vasectomyreversal.com/blog/2009/07/27/legacy-male-health-institutes-vasectomy-reversal-doctor-asrm/ http://www.vasectomyreversal.com/blog/2009/07/27/legacy-male-health-institutes-vasectomy-reversal-doctor-asrm/#comments Mon, 27 Jul 2009 20:02:00 +0000 admin /blog/post/Legacy-Male-Health-Institutes-vasectomy-reversal-doctor-in-ASRM.aspx Dr. Buch, a vasectomy reversal specialist is a member of the American Society for Reproductive Medicine (ASRM). This non-profit organization is a nationally and internationally known leader for their education, advocacy and standards in the field of reproductive medicine such as male infertility, cryopreservation, vasectomy reversal, and reproductive health. As a member, our vasectomy reversal doctor demonstrates the high ethical principles, shows focus and interest in infertility, male reproductive medicine and biology, and follows the guidelines and objectives of ASRM.

]]> http://www.vasectomyreversal.com/blog/2009/07/27/legacy-male-health-institutes-vasectomy-reversal-doctor-asrm/feed/ 30 Select the Right Vasectomy Reversal Surgeon http://www.vasectomyreversal.com/blog/2009/02/12/select-vasectomy-reversal-surgeon/ http://www.vasectomyreversal.com/blog/2009/02/12/select-vasectomy-reversal-surgeon/#comments Thu, 12 Feb 2009 16:03:00 +0000 admin /blog/post/Select-the-Right-Vasectomy-Reversal-Surgeon.aspx Selecting the right vasectomy reversal surgeon:  A successful vasectomy reversal does not necessarily lead to pregnancy.  You need a highly skilled microsurgeon who is fellowship trained in Male Infertility to have the best chance for pregnancy after vasectomy reversal.  Follow-up care is equally as important as the vasectomy reversal surgery itself.  Many prospective reverse vasectomy clients don’t realize that scar tissue can close off an initially successful reversal in an estimated 5-15 % of cases as reported in the medical literature, and this delayed closure can develop without any warning signs.  This process occurs in an estimated 6 % of Dr. Buch’s cases.  Your best bet is to select a vasectomy reversal surgeon such as Dr. Jeffrey Buch, who is a recognized leader in the broader field of Male Infertility in addition to his recognized skill as a microsurgeon.  Male Infertility specialists realize the need for careful regular follow up semen exams that allow early recognition of microscopic healing issues that can be corrected with medication to achieve your maximal potential fertility.  The lowest cost surgeons who perform vasectomy reversal surgery do not have this level of training and a career long commitment to the field of male infertility.  As a potential vasectomy reversal client, you owe it to yourself to call today for a free phone consult with Dr. Buch at 972-612-7131 to discuss your individual goals and expectations. During your consult, Dr. Buch will assess your chances for success and answer all questions needed to confirm that he is the right doctor for you. 

Learn about the full range of male infertility services Dr. Buch offers at the Legacy Male Health Institute by visiting our website at www.vasectomyreversal.com. Here, you will find valuable information about our Money Back Guarantee and Cryopreservation (sperm freezing) services for “back-up insurance” during your vasectomy reversal.

]]> http://www.vasectomyreversal.com/blog/2009/02/12/select-vasectomy-reversal-surgeon/feed/ 2