Fertility after a vasectomy in Houston, TX

We understand that life changes can drive a man to seek fertility after a vasectomy. There are several Fertility options for men after a vasectomy, but the two most common are a vasectomy reversal and a sperm retrieval for IVF. Both are surgical procedures and can be highly successful, depending upon each couple’s situation.

What to Know About Sperm Retrieval

The sperm extraction or sperm retrieval is a shorter surgical procedure with a shorter recovery time with higher success rates of achieving good quality sperm for in vitro fertilization. This is a much more controlled procedure than a natural conception and has several very measurable endpoints to track success. Because this procedure often results in abundant sperm and embryo formation, this procedure is ideal for couples who want one child or multiple children. Furthermore, this procedure usually results in only a single operation being performed on the man.

What to Know About a Vasectomy Reversal

A vasectomy reversal is a surgical procedure that returns the sperm to the ejaculate. This is a more prolonged surgery, with a longer recovery, and can result in a prolonged period of time to achieve pregnancy. This would be the less desirable approach if there’s any female factors complicating a future natural pregnancy. This would not be the approach of choice for couples who want to get pregnant and start a family within a definite time frame. The benefit of a vasectomy reversal is that it does not require in vitro fertilization for a pregnancy and could be cheaper if invitro fertilization is not required.

If the vasectomy reversal is not successful, then a couple will still have to proceed with in vitro fertilization with the man having to go through another surgery with sperm retrieval.

Dr. Russel Williams with The Y Factor has been treating men for over 25 years who desire future fertility after a vasectomy. Because of our extremely high success rate, our surgical strategy has evolved to focusing on sperm retrieval for optimal pregnancy returns.

Deposit Policy
The Y Factor’s commitment to care means we want a urologist available to see patients when they need it. In order to minimize no-shows, The Y Factor requires a deposit for special procedures like the no-scalpel vasectomy, Shang Ring Circumcision, and other select procedures. This deposit will be applied to the cost of your urological services or forfeited if you no-show.

*100% of the deposit will be forfeited for no shows or cancellations less than 48 hours prior to the procedure. All cancellations must be via phone call and communication to our office staff. All cancellations or reschedule appointments greater than 48 hours before your procedure qualify for a refund or reapply the deposit to that later date.

Sperm Retrieval | Frequently Asked Questions

Because he has zero sperm in his ejaculate.

He has a duct blockage (vasectomy) or his testicles are deficient in making sperm.

We must first understand how much sperm he is making. We will then try to treat conditions impeding sperm production and then retrieve sperm with a method that is most likely to be successful.

Retrieving sperm from the sperm tubes or from the testicle(s). Both approaches are performed through a small window created in the scrotal sack.

Dr. Russel Williams performs the microscopic sperm retrieval which causes the least amount of injury to the testicle. Men can lose 10% of testicular function after a microscopic sperm retrieval.

Infection, bleeding and adverse reaction to a medication.

The procedure is done under general anesthesia (you will be asleep).

Either freeze the sperm for later use or use it immediately. Some men have poor quality sperm and need to have their sperm used quickly after retrieval.

For sperm duct obstruction with good sperm production, the success should be 100%. If there is a decrease in sperm production, then the success decreases. We would need to perform genetic testing and perform an examination to better assess the chance for success.

Three-to-four days light activity. A jock strap support will need to be used for two weeks.

This is variable but we will check with your insurance. We also accept Care Credit.

Sperm retrieval costs about $8,000.

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We offer fertility after a vasectomy treatment in Houston & Tomball.