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

Laboratory testing & Sperm Banking

Sperm banking at the time of the vasectomy reversal can provide an alternative if the reversal is not successful. This is a convenient time for the vasectomy reversal doctor to aspirate the sperm for banking. In this way, the couple may later consider Assisted Reproductive Technologies (ART) such as artificial insemination, in vitro fertilization and sperm microinjection. It is also possible to sperm bank after the vasectomy reversal, should the vasectomy reversal fail.

Learn more about sperm banking and vasectomy reversal

Here are some tests that your physician may want you to have done before your vasectomy reversal.

FSH

FSH is a serum follicle-stimulating hormone that is produced in the pituitary gland that the testes use to produce sperm. Your vasectomy reversal doctor may ask to have the FSH level tested for men with small and/or soft testes or who have never fathered a child. Men who have a history of fertility prior to vasectomy rarely have an elevated FSH level. Elevated FSH suggests impaired sperm production and indicates a lower possibility of obtaining a good sperm count after the vasectomy reversal.

Anti-Sperm Antibodies

Anti-sperm antibodies can be detected in the blood of most men who have undergone vasectomy. An anti-sperm antibody is the body's immune response that has been activated and targeted against the man's own sperm. This has occurred because during and following the vasectomy sperm have been allowed to exist in places in the body where they weren't normally found before the vasectomy. Although pre-operative antibody levels in the blood or seminal fluid do not project the ultimate outcome of the vasectomy reversal, the presence of sperm bound antibodies post operatively, i.e., antibodies found on sperm in a man's ejaculation after a successful vasectomy reversal does appear to predict a lower pregnancy rate. When present in the semen, antibodies can attach to the sperm and prevent them from moving (decrease motility) or from penetrating an egg. However, very few men actually have antibodies detected on their sperm after a reversal.

Conclusion

There are few things to discuss and consider before vasectomy reversal. Because sperm banking is convenient during a vasectomy reversal, it is an important consideration at this time. Anti-sperm antibodies are something to be aware of and testing FSH levels should be discussed before the vasectomy reversal.

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