Categories: Reversal & IVF
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My husband had a vasectomy about 5 yrs ago, and now we’ve decided we want one more child. He doesn’t want to go through a vasectomy reversal. I was wondering if we could have sperm retrieval done and then have it artificially inseminated into me without using IVF?? I don’t understand why we would need IVF, as there is nothing wrong with me fertility wise. Cant the sperm be inseminated into me at home. My husband and i were both very fertile people, which is why we had to get the vasectomy done in the first place…nothing else worked!
Please explain to me if it can be done or not and why… I’m very confused!Dr. Edward Karpman
The chances of sperm from the testicle or the epididymis being capable of fertilizing an egg is around 19% in the best scenario using conventional IVF with a pregnancy rate of 4.5%. We can assume that using that same source of sperm would probably result in worse outcomes if it were directly injected into the female (IUI). I am sure that you can find someone who would be willing to try to do intrauterine insemination (IUI) with epididymal sperm. The cost for both procedures would still be around $2,500-$3,500 dollars (U.S.) per cycle. With such low fertility and pregnancy rates you can expect to pay up to $70,000 dollars (if not more) before getting pregnant, regardless of how fertile you might be. You would also have to go through multiple sperm retrieval attempts which can be become uncomfortable for the male. The poor prognostic results coupled with the cumulative cost is why most fertility experts do not recommend this approach of sperm retrieval with IUI. Vasectomy reversal or sperm retrieval with IVF/ICSI are the best alternatives.
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