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Pregnancy after Vasectomy

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Positive Pregnancy Test

a blog by Dr. Andrea Reh, Dominion Fertility, April 22, 2016

Dr. Reh here with a happy success story from a lovely couple known to me since 2012.

N.S. and her fiancé initially saw me for consultation because her fiancé had previously had a vasectomy and they wanted to plan on having children in the near future. We explored all of their options including vasectomy reversal versus proceeding directly to a testicular biopsy. We also did a brief fertility evaluation on N.S. to ensure we had all of the right information before they made any decisions.

Given that N.S. was otherwise fertile, only 26 years old, and the interval of time since his vasectomy was only five years, they decided to proceed with a vasectomy reversal to hopefully avoid IVF (in vitro fertilization).

Unfortunately, even with such a short interval of time since the initial vasectomy, sperm recovery was poor after the reversal. They returned to me a year after the reversal to discuss IVF. It was suspected that scarring was responsible for the poor sperm recovery, so we went ahead and froze sperm just in case it got worse over the coming months so as to avoid a need for a testicular biopsy.

N.S. underwent a stimulated IVF cycle in which we obtained 17 eggs, of which 11 fertilized with ICSI and 8 blastocysts resulted. The couple proceeded to undergo PGS (pre implantation genetic screening) in which 6 of 8 embryos were chromosomally normal, a great result overall.

N.S.conceived on her first single embryo transfer, and they are doing well in the second trimester of their singelton pregnancy.

Best wishes, N.S. and be sure to send us baby pictures!

Comments (2)

Hi Arpitha,

In this case, Dr. Reh explains that the couple did consider Testicular Biopsy (TESE), but decided to move forward with vasectomy reversal in hopes of avoiding IVF. It really depends on the couple and doctor to decide which procedure is best for them.

Good luck!

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