When a man undergoes a Vasectomy, they do so most often as a permanent form of birth control. However, life changes and new circumstances emerge that leave many men feeling as though they would once again like to have children.
When a man reaches this stage in life after having undergone a vasectomy, a vasectomy reversal is often the preferred solution; other options include a TESA/PESA in combination with IVF.
In short, a vasectomy reversal is a surgery that reconnects the vas deferens that was surgically severed during a vasectomy allowing sperm (male gamete cell) to enter the semen (ejaculate).
To understand how a vasectomy reversal works, it is first important to understand the basics of sperm and semen production and how a vasectomy works.
Basics of Sperm and Semen Production
First, we need to cover the difference between sperm and semen. Sperm are the motile, microscopic, male reproductive cell (gamete) that holds the genetic material (DNA) and responsible for the fertilization of the female egg. Sperm is produced in the testes.
Semen, or seminal fluid is the totality of the male ejaculate that under normal circumstances contains sperm, amino acids, sugars, prostaglandins, enzymes, zinc, and a host of other constituents. Semen is made from various parts of the male reproductive system including the seminal vesicles, the prostate, and bulbourethral glands.
After formation in the testes, sperm leaves the testicles and travel to the epididymis, a coiled tube-like structure on the outside of the testes.
Sperm stays in the epididymis until orgasm causes ejaculation.
During orgasm, sperm travel from the epididymis via the vas deferens to be mixed with fluids from the seminal vesicles, the prostate, and the bulbourethral glands to form semen which is then ejaculated from the penis.
How does a Vasectomy Works?
A vasectomy works by cutting each vas deferens, the tubes that brings sperm from the testicles to seminal vesicles allowing sperm to mix with semen and become part of the ejaculate. By severing this tube, sperm is still made, but during orgasm, they can not be transported, mixed with semen, and ejaculated into the vagina.
How does a Vasectomy Reversal Work?
Very Simply, a vasectomy reversal connects the two halves of each vas deference thereby allowing sperm to once again travel freely and mix with the semen upon ejaculation.
A Vasectomy Reversal cost $7,900. In-house financing is available for 6-12 months with a $4,000 down payment prior to scheduling. For every 6 months financed, $250 (roughly $40/month) is added to your payment.
Men who have undergone a vasectomy and now hope to have children have other options besides having a Vasectomy Reversal.
Of course, having a vasectomy reversal will be your only option if you hope to conceive naturally through intercourse.
However, for those who this is not a concern, a Percutaneous Epididymal Sperm Aspiration (PESA) and Testicular Sperm Aspiration (TESA) coupled with In Vitro Fertilization (IVF) is also a suitable option that offers a high chance of success at a more affordable cost.