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Find doctors who perform vasectomy and vasectomy reversal in your area and let walk you through the decision-making process.

Vasectomy Reversal or Sperm Banking:

Is Sperm Retrieval / Sperm Banking is Right for You?

As a couple IVF has to be something you are willing to go through. Sperm retrieval, sperm banking and IVF treatments can be much more expensive than vasectomy reversal and involve a lot of intervention. So this is the first question that has to be addressed.

From the male's perspective, sperm banking offers a back-up plan. When considering a vasectomy or a vasectomy reversal, there is always merit to considering all possibilities. There is also merit in alleviating concerns about being permanently sterile. While vasectomy reversal success rates are good, reversals don't always result in sperm returning to the semen. The cost of sperm banking, relative to the "peace of mind" that comes from knowing that it is there, may not be a high price to pay.

On the other hand, the great majority of men undergoing vasectomy reversal do not end up relying on sperm that has been sperm banked. The men who are most likely to benefit from sperm banking are those with a lower likelihood of a successful vasectomy reversal. Such cases include those who are attempting a vasectomy reversal for a second time. See:

FAQ: Can a vasectomy be performed again after a vasectomy reversal?
FAQ: What happens if the vasectomy reversal is not successful?

Another consideration (if IVF is being considered as an option), is to allow the vasectomy reversal doctor to decide at the time of the vasectomy reversal. In complicated cases (when the epididymovasostomy method is necessary) and where the vasectomy reversal is being repeated, sperm retrieval and sperm banking are likely good choices.

When Sperm Banking is a Preferable Alternative to Vasectomy Reversal

Before undergoing a vasectomy reversal, the female partner should have a gynaecological evaluation to assure that she has adequate fertility potential. Sometimes vasectomy reversal is not the best course of action for achieving pregnancy. It can depend upon the woman's circumstance. In some situations the woman will require IVF (in-vitro fertilization) to achieve pregnancy. Examples may include if she is older than 40, or if her tubes are completely blocked. In such cases, the best course of action is for the vasectomised man to undergo sperm aspiration so that the women can undergo an IVF. See:

Alternatives to Vasectomy Reversal
FAQ: When can the couple attempt to become pregnant?
FAQ: Should the female partner be evaluated?

Sperm retrieval and IVF are typically a more expensive option than undergoing a vasectomy reversal. However, these procedures are safe, effective and there is no lag time to achieve pregnancy. Typical IVF cycle treatment costs range from $8,000 to $18,000.

In conclusion, if the woman's fertility potential is a major concern or when expediency is demanded, sperm retrieval combined with in-vitro fertilization is a viable alternative.

When Vasectomy Reversal is a Preferable Alternative to Sperm Banking / IVF

If the woman does not require IVF to become pregnant, doctors do not recommend the first course of action be utilization of banked sperm followed by IVF treatments. Sperm banking and IVF involve a lot of intervention and high cost. In addition, only small quantities of sperm can be harvested for sperm banking. That is, aspirated semen tends to have low numbers of motile sperm. To best assure pregnancy, the woman needs to commit to a full cycle of IVF for every attempt at pregnancy. This involves a series of injections, ultrasounds and a procedure to remove the eggs, which takes an emotional toll. However, the pregnancy rate for IVF is high.

After a successful vasectomy reversal the man's sperm will generally be of better quality and quantity. A vasectomy reversal is the most natural, least invasive and most cost effective method of producing a pregnancy. So, for the woman who does not require IVF, a vasectomy reversal is a better first option than sperm retrieval and sperm banking.

Best Vasectomy Reversal Doctor