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Are the vas deferens reversible? – The New York Times


Q: Is a vasectomy reversible?

Within about a week after the Supreme Court’s decision to overturn the Roe v. Wade case was leaked in May, the average daily online searches for the term “vasectomy” increased. almost double, according to Inner research, a company that provides evidence-based guidance for purchasing home health care products and services. They also noticed that searches for “How much is a vasectomy?” and “Is a vasectomy reversible?” has increased by about 250 percent.

A vasectomy, which involves cutting and fusing the tubes that carry sperm from the testicles to the urethra, has only one Failure rate 0.15 percent when it comes to birth control, according to the Centers for Disease Control and Prevention. This makes them a highly effective method of birth control.

Sheldon Marks, clinical associate professor of urology at the University of Arizona School of Medicine – Tucson, said: “If both partners think they’ve had their baby, a vasectomy is a form of birth control. easiest permanent property”. perform reverse surgery. “But couples change their minds.”

About 3 to 6 percent Of the 300,000 vasectomy patients each year will want to undo the procedure, the study found. Dr Marks said: “Sometimes a partner who raises the issue of childlessness reverses their position, or the couple is in a changing financial situation and can now afford another child. He also performs reversals for people who are in a new marriage or relationship and who want to have children with their new partner.

And usually, vasectomy is reversible. In 2021 analysis Published in the journal Comprehensive Clinical Medicine, researchers reviewed 25 studies of vasectomy reversals among more than 8,300 patients. The authors found that of the 2,933 men who had microscopic inversion (using a powerful surgical microscope), about 91% restored their fertility; and of the 671 men who had the test performed (with the naked eye or with a small magnifying lens), about 81% recovered their fertility. The researchers also calculated that of the nearly 3,000 women included in studies of microscopy inversion, about 73% later became pregnant; and of the 535 women included in studies of macroscopic procedures, about 48% became pregnant.

In addition to the surgeon’s skill and type of surgery, individual partner characteristics are associated with pregnancy success, says Dr. Mary Samplaski, a urologist at Keck Medicine at USC in Los Angeles. . She took the lead a study published in 2020 in the journal Urology sought to determine if a man’s age makes any difference in pregnancy outcomes. The team analyzed 3,130 vasectomy – all performed by the same surgeon – and found that having a female partner under the age of 35, simultaneously performing the procedure within 10 years after a vasectomy, increasing the chances of a successful pregnancy. If the male partner smokes, the rate goes down.

When it comes to the age of the sperm donor, “most of the data show pretty similar results,” says Dr. Samplaski. She said the female partner’s age is also important to consider because egg quality often begins to decline more rapidly in women in their mid to late 30s. If she’s older, “there may not be any benefit to doing the reversal,” she added.

A vasectomy can be expensive, often running from $5,000 to $15,000, and often includes other fees, according to the Urology Care Foundation. They are rarely covered by health insurance. Harvesting and using a couple’s sperm can make more financial sense through In Vitro FertilisationDr. Samplaski said.

If you’re sure you don’t want – or more – children, but fear the permanence of a vasectomy, or worry that you might regret the decision, preserve your sperm. in a sperm bank before the procedure is another option, Dr. Marks said.

It’s non-invasive “and will cost you a fraction of what a reversal would pay later,” he said. “I encourage everyone to do it, but if you don’t want to, just have a vasectomy, maybe later when you grow up, there will be a doctor who does the opposite, the chances of success are very high. . “

Jen A. Miller has been writing about health, fitness, real estate, and New Jersey for The New York Times since 2006.



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