Vasectomy » Vasectomy Reversal California
Sperm Production and Quality After Vasectomy Reversal
After vasectomy, the sperm continues to be produced. The movement of the sperm however is restricted and as a consequence, the pressure continues to build up. This pressure build-up eventually leads to blowouts in the epipidymis, leading to blockages at the vasectomy site, and sometimes closer to the testicles as well. Both these blockages have to be carefully treated during vasectomy reversal microsurgery to achieve pregnancy.
A vasectomy reversal surgeon works to suture the two severed ends of vas deferens to ensure a renewed smooth transportation of sperm. This leads to the release of built-up pressure. The suturing procedure must be conducted under a powerful microscope by an experienced and skilful vasectomy reversal expert, to ensure a secure connection. There is no room for errors, as partial obstruction or poor channelization may lead to improper flow or leakage of sperm, greatly marring the chances of accomplishing a pregnancy
The sperm count is expected to be back to normal within a period of six to eight months. If no healthy or motile sperm is noticed even after that period of time, a vasectomy reversal is declared a failure. In that case a couple may decide to undergo a re-do vasectomy reversal or explore alternatives such as in-vitro fertilization or artificial insemination.
Vasectomy reversal is said to be successful only when pregnancy has been achieved. Thus, regular follow-ups are a necessity. Semen analysis is conducted first after one to two months of the surgery and similar follow-ups are continued until the sperm count is found to be absolutely normal, or till the occurrence of pregnancy. If instead of a vasovasostomy, a vasoepididymostomy has been conducted, it may take a longer time for the sperm to appear in the ejaculate. In both cases, the normal sperm count is usually attained within a period of four to six months.
In certain cases, sperm is seen in the ejaculate within a couple of months after vasectomy reversal. However, the sperm count remains low and the sperm quality is degraded. This is a result of imprecise surgery, in which the sperm channel is not properly established, restricting sperm movement, resulting in lesser and infertile sperms. With such poor quantity and quality of sperms, chances of attaining pregnancy are bleak!
Certain studies have also revealed that quite a few men who have had successful vasectomy reversals may face a deterioration in sperm count within a period of two to four years. This happens in approximately 10% of men who’ve undergone vasovasostomy and in 20% of men who have undergone vasoepididymostomy, successfully. The reason behind decline in sperm count may be the formation of scar tissue due to sperm leakage at the reversal site or from a disruption of the blood supply at the site of the surgery. Thus, sperm banking is always a good consideration, especially after vasoepididymostomy!
Source: www.articlecity.com