Vasectomy not that permanent
Our expert gives advice about ways around vasectomies.
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My husband is thirteen years older than I am. He had a vasectomy done about 9 years ago. I fell pregnant, but lost my baby at 10 and half weeks. Should we try IVF? Where do I go? Whom can I speak to and what are the financial implications? I do not drink at all, is a bit over weight and I am a smoker (Less than 5 a day). My husband does consume alcohol and he is a chain smoker. Is there any chance of falling pregnant again? I am turning 30 in a few weeks and do not want to wait any longer.


Answer from Dr Wiswedel:

If the vasectomy was 9 years ago then the only realistic chance is with IVF/ICSI.

My husband had a vasectomy 15 years ago; can it be reversed successfully for us to have children?

C Aucamp

Answer from Dr Wiswedel:

If a vasectomy was done longer than 5 years then the sperm quality is usually so bad that you will need IVF to fall pregnant. So the recommendation is to do IVF straightaway and not do a reversal first.

Dear. Dr Wiswedel, I have Polycystic Ovarian syndrome as well as Porphyria…..BUT we have had two boys with no issues. Well actually, they were not at all planned. My husband had a vasectomy in 2006, and now we have decided we would like to have girl. Please could you let me know if this would be possible with all the above taken into consideration!? If so, could you please let me know the recommended procedures and what costs we would be looking at? Thank you.


Answer from Dr Wiswedel:

As the vasectomy was only done 3 years ago, I suggest your husband has it reversed. Then you can try to fall pregnant the "normal" way again

I had a vasectomy 8 years ago. Is it possible to do an ivf, without the reversal?


Answer from Dr Wiswedel:

Yes, it is possible. Sperm can be taken directly from your testis with a small operation and can then be used to fertilise your wife's eggs in the laboratory. The procedure is called IVF/ICSI/TESA.

Dr Wiswedel is one of the pioneers of fertility treatment in South Africa and author of numerous publications pertaining to infertility. After 10 years as head of the IVF and Infertility Unit at Groote Schuur Hospital, University of Cape Town, he started the private Cape Fertility Clinic in 1993 after leaving the hospital.

Under his guidance many successes have been achieved for South Africa, including the first pregnancy from donated eggs, first pregnancy from micro-injection, first to use GnRH agonist and ultrasound guided ovum pick ups.

Do you have any infertility questions? Ask Dr Wiswedel.

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