Reconsidering vasectomy reversal over assisted reproduction in older couples

Akash A. Kapadia, Marcus Anthony, Ann Martinez Acevedo, Eugene Fuchs, Jason Hedges, Kevin A. Ostrowski

Research output: Contribution to journalArticle

3 Scopus citations

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 languageEnglish (US)
Pages (from-to)1020-1024
Number of pages5
JournalFertility and Sterility
Volume109
Issue number6
DOIs
Publication statusPublished - Jun 1 2018

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Keywords

  • ICSI
  • vasectomy reversal
  • vasoepididymostomy
  • vasovasostomy

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynecology

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