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  1. #1
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    Default Vasectomy Reversal after TESA, advice please


    My partner had a vasectomy about 5 years ago and we decided to go down the IVF path as apposed to a reversal to conceive. I very naively thought IVF would be easy because as far as i know there is nothing wrong with me. I am finding the whole IVF process stressful and heartbreaking and now wish we had done the reversal instead. The cost after two full stim cycles with one frosty for each would be on par with the reversal had we had that done. We will see what happens with the 2 frosties we have then may consider revisiting the option of reversal. Im a bit concerned as to how successful that would be after having TESA, and the cost is an issue also being around $8000 with nil rebate. Or do we continue down the IVF road? Any thoughts or experiences on this matter would be greatly appreciated. Thanks

  2. #2
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    Hi Treeny,

    We had a "successful" reversal 14 years ago and are still TTC. It took about 6 years for the doctors to organise the correct tests that showed my DH had developed anti-sperm antibodies so even though his sperm counts and motility were normal, his sperm cannot not enter the eggs unaided because they are coated in antibody.

    So the first thing that you should do is check whether DP has developed anti-sperm antibodies following the vasectomy. I think that they can do this by testing serum and/or seminal fluid. If this has happened, then there is no point in having the reversal as you will still need to use IVF/ICSI.

    Speak with your FS about your options because it will save a lot of money and heartache, as well as a very painful recovery for your DP - maybe don't tell him that bit though

    Stay strong on your IVF journey and I wish you success with your ice-babies.


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    Hi Treeny,

    I hope you dont mind me responding - DH and I have not been down the IVF route, however we have been through a successful vasectomy reversal recently.

    DH had a nasty vasectomy performed at a public hospital 5 years ago, we traveled and had his reversal performed by Dr. Lekich and Dr Earl Owen in Brisbane after doing a lot of research. Dr Earl Owen actually invented the procedures and microscope they use to perform the reversals!

    I highly recommend these surgeons, they did an amazing job and after only 7 months DH and I were able to conceive naturally.

    They perform a high definition ultra sound before the procedure to let you know if they think the surgery will be possible and how likely success will be.

    I also agree with drmummy concerning the test for antibodies - its very important.

    I am not sure if I am allowed to link their website, however if you google "the metro centre" it will show up

    Best of luck, don't tell DH how much the reversal hurts :P its much much worse than the actual vasectomy i hear

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    Hi Treeny, I just thought Id tell you our story. DH had a vasectomy reversal in Nov 08 and we were preg in Dec 08. The whole proceedure cost us around $5000 (no rebate as you said).

    We started trying for No2 in Sept 09 when I got AF back and after 8mths I got DH to go to the doctors and two SA's later he has a zero sperm count. Apparently there is a blockage which we have to assume is scar tissue...So pretty much we are back to square one!

    Anyhow the FS said to us "IVF is your only option, no point getting the reversal done again" but I have been thinking about going back to the guy that did DH's reversal and seeing if there is a possibility of getting it redone (I assume this would depend on where the blockage is). We know we can get preg easily....so I have been thinking this might be our course but I have a dr's appointment (new FS who specialises with Male fetility issues) on Thur and I will see what they say then.

    And Stumbleine my DH said it was 'heaps' better than the vasectomy in terms of recovery....so maybe it just depends...

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    thanks everyone for your replies, it has certainly given me a bit more to think about. Im really starting to get concerned about the time issue also. I heard it can take up to 12 months for you to start trying after reversal. Hopefully we will have success with our frosties. But i will certainly look into costs and specialists for reversal. I suppose there will always be a risk of it not working so have to weigh everything up.

    Stumbleine- Do you mind if i ask how much it cost for the proceedure at the metro centre. I live on the gold coast so is handy. I also heard about a Dr in Newcastle who is supposed to be good and not as expensive.

    Jacklicky- where did you DH have his reversal? Sorry he has zero sperm count now, but how fantastic you fell pg straight away first time. Good luck with dr's on thurs. I did read on another forum about someone who had a reversal redone-which worked 2nd time

    Drmummy- thanks for the advice, if we go ahead with it i will certainly ask for this test. As well as the scan which stumleine mentioned if able

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    Treeny, We are in Melbourne (I used to live on the Gold Coast ) so he had it at a private hospital called John Fawkner in Essendon. i cant remember the dr's name but we are going to have a look for it. I have done a bit of research and in America they tend to 'redo' reversals alot more than in Aust.

    Who gave you the advise about taking up to 12mths to try after the reversal? DH's dr said as soon as he felt up to it we can resume bding...and that for him was only a week. It was still a bit tender but not enough for him to want to stop .....and we got our BFP about six weeks after his Op so it was all working pretty much right away....The surgeon even told us that he saw sperm when he reconnected the tubes so that was a good sign. Just a complete pain that it seems to have scared over.....
    Last edited by jacklicky; 28-05-2010 at 22:02.

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    Hi Treeny,

    It was expensive but in my opinion the support and results were worth it Total cost was $10,500, however Medicare paid for $8500 of these fees.

    Concerning how soon you can start trying, DH was warned very very seriously that we should not DTD for 3 months after his operation. After this it is free reign so to speak :P This is because the sperm released during this 3 month period has been created under pressure (I think this is a liability caution as sperm created under pressure can cause birth defects i think??)

    DH's Sperm results after the first 3 months were amazing, he had over 118 million sperm per ml and the quality and quantity since then has improved significantly. As said earlier, it only took us 7 cycles to conceive and this is including the 3 that we were not allowed to DTD!
    Last edited by Stumbleine; 25-05-2010 at 12:26.

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    Hi Treeny,

    Just thought Id update you on the FS as we saw him Thursday. He is pretty sure DH has a blockage again. Not sure whether it is scar tissue (think it is) or something else. We have a small glimour of hope that its easily fixed as it is very tender at the reversal site so DH is on AB's for a month....he then does another SA and if its still zero we have two choices. Either another reversal (he did say he didnt recommend this about 50% change of success of this working) but he recommended a testicular biopsy and then IVF. Believes we will have more success with that...

    I did ask him about the 12mths thing and he did say they do recommend that you wait (why do all doctors all have different information on the same thing!) but he did also say if we had of waited we probally wouldnt have had our DD at all.....so Im glad we saw the dr we did

    Anyhow Im sure this doesnt help with your decision but I certaintly dont regret going though the reversal....even if we have to still do IVF this time around. If I was younger (and had more time) I would probally go down the path of getting it done again....

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    stumbleine- good luck with the AB's, really hope it works for you. And thanks for the info

  10. #10
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    Hey treeny, Well the AB's didnt work but DH has already had a biopsy and they found 'plenty' of sperm with that. He said the local was painful and that night he was walking like he had been riding a horse for too long but the following day he was back to normal.

    For us this means that we now have some frozen sperm and we are just waiting for the lab results and then a phone call from the FS to see when we can start the next process ICSI/IVF.

    pjmale, so many doctors advise different things. After my DH's vas reversal we were told to start bedding as soon as he felt like it. So one week after the op he wanted to (was a little bit uncomfortable he said). We were incredibly lucky and got preg right away. It was only when we started for no 2 we found out that the reversal site had scarred over. I think if we had of been told to wait we would never have had our daughter. My DH was meant to have a SA at 12wks after the op to check all was OK but because I was already preg he didn't so I think if he had of we probally would have found out then that there was an issue.

    Goodluck for you and your partner. i hope things work out for you both.


 

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