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Vasectomy Reversal Alternatives Although we routinely perform both first time and repeat vasectomy reversals, we are often approached regarding the possibility of combining sperm retrieval procedures with in-vitro fertilization (IVF) as an alternative to vasectomy reversal or in cases where there is no chance to correct the duct obstruction such as congenital absence of the vas deferens. Since we and others have documented that pregnancies can be achieved from frozen-thawed vas deferens, epididymis or testicle sperm used in a special type of IVF called ICSI (intra cytoplasmic sperm injection), it is not necessary to retrieve the man's sperm at the time of the wife's egg retrieval for IVF. We currently recommend that couples who desire this alternative to a vasectomy reversal in Houston or for those who have non-correctable duct obstruction, that the man have his sperm retrieval and freezing before the wife starts her IVF cycle. In this way, both partners do not need to have medical procedures performed on the same day, and the entire situation becomes less stressful while maintaining high success rates. However, since sperm retrieval combined with IVF-ICSI costs much more than vasectomy reversal in Chicago or any other city on a cost-per-pregnancy basis, we encourage our clients to consider vasectomy reversal with sperm freezing at the time of reversal, as your most cost-effective option. As of February 1, 2004 our package price for vasectomy reversal is $8,300 (this includes surgeon's fee, hospital and anesthesia fees). Sperm freezing adds $500 to this cost. Please call ahead to verify current costs.

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