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Male Infertility A child of my own - Andrology Australia

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APPENDICESVASECTOMYVasecto<strong>my</strong> shouldNOT be consideredreversible. Spermstorage (banking)however, does<strong>of</strong>fer an ‘insurancepolicy’ to couplesconsideringvasecto<strong>my</strong>Why is a vasecto<strong>my</strong> considered afertility problem?Vasecto<strong>my</strong> is a safe and effective way to stopcouples becoming pregnant. It should beconsidered permanent contraception. Almost onein three <strong>Australia</strong>n men aged between 40 and 49years <strong>of</strong> age have had a vasecto<strong>my</strong>. Men planningto have a vasecto<strong>my</strong> should think about storingsperm before having this procedure. This mayremove the possible need for a vasecto<strong>my</strong> reversalin the future.Vasecto<strong>my</strong> involves cutting and removing asection <strong>of</strong> the vas deferens, the tube that carriessperm from the testis to the urethra at the base <strong>of</strong>the bladder.Only a small percentage <strong>of</strong> the large number <strong>of</strong>men having had a vasecto<strong>my</strong> each year will, atsome time, want to have more <strong>child</strong>ren. However,this still means that each year many hundreds <strong>of</strong>these men will think about surgical reversal <strong>of</strong> thevasecto<strong>my</strong> or fertility options such as IVF.Vasecto<strong>my</strong> reversal surgery can be difficult due tothe small size <strong>of</strong> the tubes that need to be joinedback together and <strong>of</strong>ten does not enable couplesto become pregnant naturally. If sperm have beenstored before the vasecto<strong>my</strong>, a female partner canbe inseminated at the time <strong>of</strong> ovulation (the fertiletime <strong>of</strong> a woman’s menstrual cycle).MALE INFERTILITY 84

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