title: Vasectomy related infertility: a major and costly medical problem.
abstract: Of a group of 860 men who attended a private infertility clinic in Western Australia, 80 (9.3%) presented with vasectomy-related infertility. Of these men, 73 (91%) requested treatment due to re-marriage. The median age of the men was 42.5 years and their present partners were approximately 10 years younger. The median vasectomy interval in the men in this study was 9 years. Treatment of vasectomy-related infertility included vasectomy reversal procedures, donor insemination and both in-vitro fertilization (IVF) and intracytoplasmic sperm injection (ICSI). It is suggested that care must be taken in counselling such patients prior to a vasectomy. The cryopreservation of semen prior to vasectomy would also make much of this type of infertility treatment unnecessary.
authors.affiliation: Fertility West, Mount Medical Centre, Perth, Western Australia, Australia.
authors.forename: A M
authors.initials: AM
authors.lastname: Jequier
mesh_terms: D000328:Adult; D005307:Fertilization in Vitro; D006801:Humans; D007248:Infertility, Male / Q000191:economics* / Q000628:therapy; D007316:Insemination, Artificial, Heterologous; D008297:Male; D008845:Microinjections; D012662:Semen Preservation; D013243:Sterilization Reversal / Q000191:economics*; D014659:Vasectomy