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 surgery is performed on an outpatient basis with over 99% success for those men who… READ MORE>>>

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 this requires placing six to eight microsutures (half the thickness of a human hair) inside this tiny channel. You can understand why using a microscope to enlarge the view of this channel is so important to being able to precisely place the sutures; without this the doctor really can’t see what he is doing very well and that… READ MORE>>>

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.	Skill and Success.  Dr. Werthman has success rates that are as high or higher than anyone in the World. READ MORE>>>

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 need be undertaken prior to a reversal to assess sperm production. Some older physicians are still performing READ MORE>>>

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…READ MORE>>>

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 after permanent sterilization. While it is always good to have multiple treatment options, couples need to be informed of …READ MORE

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, chronic pain may develop after the vasectomy…READ MORE

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 the patency rate because many more factors play a role in getting pregnant other that the return of sperm in the ejaculate. The results of microsurgical vasovasostomy from the Vasovasostomy Study Group data are >90% patency if…READ MORE

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 was recognized at the 2010 American Urologic Association meeting as contributing to the top ten most important innovations in…READ MORE

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 process was for them. The surgery center is located in Beverly Hills and is equipped with the latest, state-of-the-art medical technology including two new operating microscopes. You will be asked to arrive at the surgery center one hour prior to surgery and can leave usually about an hour after the procedure. The surgery itself…READ MORE

Choosing a Reversal Doctor – Questions to Ask
Many patients have seen this list of questions on other websites and ask us these questions so we will answer them here on the site and add several questions whose answers we feel are important to for you to know…READ MORE

Five percent of the more than 500,000 men who undergo vasectomy each year subsequently change their mind. Those patients now have two options to restore their fertility: vasectomy reversal and sperm harvesting combined with it vitro fertilization (IVF). Each procedure has its advantages and drawbacks, but vasectomy reversal is the only option that allows a couple to conceive naturally and is also the most cost-effective alternative for family building after vasectomy. IVF might allow couples to…READ MORE