Abstract
Objective: To provide pregnancy and live birth rates from a contemporary series of vasectomy reversals in men with female partners aged ≥35 years and to correlate the results with IVF. Setting: Tertiary academic referral center. Design: Retrospective comparative study of prospectively collected database. Patient(s): Two hundred forty-six men who underwent vasectomy reversal for fertility with female partner aged ≥35 years. Intervention(s): Vasovasostomy or vasoepididymostomy. Main Outcome Measure(s): Correlation of pregnancy and live birth rate of this cohort by age groups with most recently published pregnancy and live birth rate per IVF cycle. Result(s): One hundred thirty-six men who underwent vasectomy reversal between 2006 and 2014 met our inclusion criteria. Overall pregnancy and live birth rates were 35% and 30%, respectively. Subgroup analysis by female age groups (35–37, 38–40, >40 years) demonstrated pregnancy and live birth rates comparable to those per IVF cycle by age groups according to a recently published (2015) national report. Conclusion(s): Vasectomy reversal should be strongly considered in men with a partner aged ≤40 years. Additionally, vasectomy reversal can be considered in carefully selected patients even with a partner aged >40 years.
Original language | English (US) |
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Pages (from-to) | 1020-1024 |
Number of pages | 5 |
Journal | Fertility and sterility |
Volume | 109 |
Issue number | 6 |
DOIs | |
State | Published - Jun 2018 |
Keywords
- ICSI
- vasectomy reversal
- vasoepididymostomy
- vasovasostomy
ASJC Scopus subject areas
- Reproductive Medicine
- Obstetrics and Gynecology