Specialties
Male infertility
Overview
- Nearly 15% of married couples have difficulty conceiving a child. There is an equal probability that either partner is a contributing factor.
- Medical and surgical treatments can improve abnormal semen.
Microscopic vasectomy reversal
- Also known as a vasovasostomy.
- This is a surgical procedure to reconnect the vas deferens tubes that are cut during a vasectomy.
- John Gould uses an operative microscope for precision - call (916) 734-7376 for consultation by phone.
Chances of success for a vasovasostomy
- Chance of returning sperm to the semen is quite high. Pregnancy rates depend on the age of the woman.
Epididymal obstruction can decrease success of reversal
- John Gould will perform a vasoepididymostomy during the vasectomy reversal, if it would be beneficial to increase surgical success.
After vasovasostomy
- Most men have mild pain after surgery.
- Walking and light activity are resumed quickly.
- Sexual intercourse is not permitted for 10 days.
- Strenuous activity should be avoided for one month.
Alternatives to increase pregnancy success
- Intra-uterine insemination (IUI) of sperm can be performed, if the sperm count is inadequate.
- In vitro fertilization (IVF) where eggs are removed from the woman's ovaries and placed in a lab dish with sperm. Fertilization occurs in a laboratory dish.
- Intra-cytoplasmic sperm injection (ICSI) is an assisted fertilization procedure used if the sperm count is very low. This consists of injecting a single sperm into each egg.
Male infertility specialist
John E. Gould, M.D., Ph.D.
Associate Professor
Alan W. Shindel, M.D.
Assistant Professor
Help is available
- Consult your physician.
- For more information call the UC Davis Urology Clinic at (916) 734-2222 or (800) 770-6930.
