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Which fertility treatment is best for patients who had a vasectomy?

By Rebeca Jiménez Alfaro.
Last Update: 09/06/2018

Vasectomy is a permanent surgical contraceptive method that consists of blocking the vas deferens (channels that transport the semen) of the male reproductive system so that the passage of sperm from the testicles to the urethra is interrupted. This procedure is considered irreversible.

On some occasions, vasectomized men wish to have children again, for which they can resort to various treatments:

  • Vasovasostomy. Intervention to recanalise the vas deferens and allow sperm to pass back into the urethra. It is a complex procedure and the result will depend on the way the vasectomy was done, as well as the time that has passed since it was performed. Its success rate is much lower than the success rate with an in vitro fertilization treatment. It has the disadvantage that once pregnancy has been achieved, the patient must undergo another vasectomy if she does not wish to have any more offspring.
  • In vitro fertilization (IVF) with sperm obtained from testicular biopsy or epididymis aspiration
  • Sperm donation for artificial insemination (AI) or IVF depending on the characteristics of the woman.

Suggested for you: What Is a Vasectomy & How Is It Performed?.

 Rebeca Jiménez Alfaro
Rebeca Jiménez Alfaro
MD, MSc
Gynecologist
Bachelor's Degree in Medicine from the University of Murcia, with specialty in Obstetrics and Gynecology, and Master's Degree in Human Reproduction by the King Juan Carlos University and the Valencian Infertility Institute (IVI). Currently, she is part of the medical team of the clinic Tahe Fertilidad.
License: 303009153
Gynecologist. Bachelor's Degree in Medicine from the University of Murcia, with specialty in Obstetrics and Gynecology, and Master's Degree in Human Reproduction by the King Juan Carlos University and the Valencian Infertility Institute (IVI). Currently, she is part of the medical team of the clinic Tahe Fertilidad. License: 303009153.