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Many men have had a vasectomy for contraception and then later have gotten remarried and regretted the decision to become surgically sterilized. There are 3 general options for attempts at further child bearing in such a situation. Sperm can be aspirated with a needle from the testicle or from the vas deferens a structure right next to the testicle that also contains sperm. The man is given some drugs to sedate him and some local anesthesia is also used to numb the area. Then a small needle is inserted and sperm is aspirated from either the epididymis or the testicle. There should be no severe pain.
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Vasectomy Reversal vs. Sperm Injection

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Vasectomy Reversal vs. Sperm Injection | WINFertility

Vasectomy is a form of birth control for men that is meant to be permanent. During vasectomy, the tubes that carry sperm are closed or blocked. Vasectomy is nearly percent effective at preventing pregnancy. But what if your partner has had a vasectomy, and now you want to have children? One is vasectomy reversal. The other is to withdraw sperm from the testicle, inject it into an egg in the lab, and fertilize the egg, a procedure called sperm aspiration with ICSI and IVF.
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Fertility options after vasectomy: a cost-effectiveness analysis

Learn more. Sperm harvesting is entirely different from a diagnostic testicular biopsy because, in this setting, the goal is not to identify what is happening in the testis but instead it is to find sperm. Only men with no sperm in their ejaculate azoospermia need to have sperm retrieved directly from the testis or epididymis. This may involve a simple aspiration for men who have a blockage or require much more extensive sampling of the testis for men who have a sperm production problem.
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There are many ways to get sperm. The method used depends on why sperm aren't in the semen, what the patient wants, and the surgeon's skill. At the base of the penis, sperm and testosterone male hormone are made in the scrotum's 2 testicles. The sperm leave the testicles through a coiled tube called the epididymis.
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