Approximately 500,000 men request vasectomies each year and it is recognized that 5% of them will change their minds, usually due to remarriage, death of a child or improved circumstances allowing for more children. Over the past 20 years, the surgical technique of vasovasostomy provided excellent results, permitting a man to re-establish his fertility. The [...]
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Vasectomy reversal yields highest success rates when it is performed as a microsurgical procedure. The inside channel of the vas is 0.3 millimeters in diameter, or the size of a pen dot. During a reversal, the surgeon has to put the two ends of the vas back together so that it is water tight and [...]
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1. Experience.  The Center for Male Reproductive Medicine, the practice of Drs. Werthman and Rothman has been in existence for more than 30 years. We are not a new or fly-by-night operation. Over 20,000 men have been treated at this facility over the years and have helped build the excellent reputation that we enjoy. 2. [...]
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Myth #1: Men stop making sperm after a vasectomy Fact: Men continue to make sperm regardless of how long it has been since the vasectomy unless other factors come into play. Some of those include injury to the testicles, exposure to chemicals or toxins, and certain serious medical problems. Barring any of these situations, no investigation [...]
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Many doctors and clinics feel that they must resort to using some sort of gimmick or guarantee to attract patients and increase their business. They do this in the hopes that most prospective patients will know little about vasectomy reversals and will be drawn to them by attractive marketing. What is a bit frightening is… [...]
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The Treatment of Post-Vasectomy Infertility: IVF or Vasectomy Reversal? This is an article from the American Infertility Association 2003 newsletter.  Over the years there has been much misinformation spread regarding vasectomy and vasectomy reversal. In the last decade an alternative treatment, in vitro fertilization, has evolved to help those couples wishing to continue family building [...]
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Most men who undergo vasectomy have no difficulties, but a small group of men develop chronic testicular or epididymal pain after the procedure. This pain can start immediately after surgery and is usually due to a sperm granuloma (inflammation at the vasectomy site) or infection and most cases resolve with the appropriate medical therapy. Occasionally, [...]
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The results of vasectomy reversal are reported as two percentages. The first is patency rate; that means the percentage of men who have the return of sperm in the ejaculate after reversal. This means that the operation was technically successful. The second statistic reported is the pregnancy rate. The pregnancy rate is always lower than [...]
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1.  We Are The Vasectomy Reversal Experts. Dr. Werthman is the only Male Fertility Doctor from San Diego to San Francisco whose full time practice is dedicated to microsurgical reversal and treatment of male infertility. All other doctors advertising reversal located between these cities practice general urology and dabble in reversal and infertility. Dr. Werthman [...]
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1. About the Surgery Vasectomy reversal is performed on an outpatient basis. While we used to perform the surgery in the hospital setting, two years we moved to an outpatient surgery center for patient convenience and to streamline the experience that you will have. We have received many compliments from patients on how easy the [...]
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