If a man has a vasectomy, is it possible to retrieve sperm from his testicles and implant it into a woman so that she can become pregnant?

Answers from doctors (11)


More About Doctor John C. McHugh, MD

Published on Apr 19, 2019

Yes, there is still the production of sperm in the testicle after a vasectomy.

Answered by John C. McHugh, MD (View Profile)

Yes, there is still the production of sperm in the testicle after a vasectomy.

Published on Jul 11, 2012


More About Doctor Eric K. Seaman, MD, FACS

Published on May 25, 2015

Surgical sperm retrieval happens to be a large part of my practice. Patients who want to conceive a pregnancy after vasectomy have essentially two options; Vasectomy reversal, or surgical sperm retrieval. Both options are outpatient procedures, though retrieval is typically faster and involves a somewhat easier recovery. Surgically retrieved sperm can only be used to initiate a pregnancy in the setting of in vitro fertilization which means the wife or female partner would need to undergo a procedure as well.

Answered by Eric K. Seaman, MD, FACS (View Profile)

Surgical sperm retrieval happens to be a large part of my practice. Patients who want to conceive a pregnancy after vasectomy have essentially two options; Vasectomy reversal, or surgical sperm retrieval. Both options are outpatient procedures, though retrieval is typically faster and involves a somewhat easier recovery. Surgically retrieved sperm can only be used to initiate a pregnancy in the setting of in vitro fertilization which means the wife or female partner would need to undergo a procedure as well.

Published on Jul 11, 2012


Geoffrey E. Herter, MD

Published on May 22, 2015

Yes. With sperm aspiration directly from the epididymis and used for in vitro fertilization

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Answered by Geoffrey E. Herter, MD

Yes. With sperm aspiration directly from the epididymis and used for in vitro fertilization

Published on Jul 11, 2012


More About Doctor Robert A. Donato, MD

Published on May 22, 2015

Sperm are still produced in the testicle after a vasectomy. If it hasn't been too long (< 5 years) then a vasectomy reversal could be the most cost effective way to regain sperm. Every ejaculation thereafter should contain millions. The alternatives would be to extract the sperm directly from the testicle (TESA) or epididymis (MESA). These are one time collections that, while collecting many sperm, could need to be repeated. That would be much more expensive in the long run, especially since Insurance generally doesn't cover any these procedures.

Answered by Robert A. Donato, MD (View Profile)

Sperm are still produced in the testicle after a vasectomy. If it hasn't been too long (< 5 years) then a vasectomy reversal could be the most cost effective way to regain sperm. Every ejaculation thereafter should contain millions. The alternatives would be to extract the sperm directly from the testicle (TESA) or epididymis (MESA). These are one time collections that, while collecting many sperm, could need to be repeated. That would be much more expensive in the long run, especially since Insurance generally doesn't cover any these procedures.

Published on Jul 11, 2012


Testicular extraction of sperm is possible. In most instances a vasectomy reversal would be considered to be more cost effective then testicular extraction after considering the costs of fertilization and implanting

Answered by The Weekend Vasectomy Clinic (View Profile)

Testicular extraction of sperm is possible. In most instances a vasectomy reversal would be considered to be more cost effective then testicular extraction after considering the costs of fertilization and implanting

Published on Jul 11, 2012


Larry I. Lipshultz, MD

Published on May 22, 2015

Yes, but will have to do IVF. Testicular sperm have a poor fertilization rate except with assisted reproduction.

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Answered by Larry I. Lipshultz, MD

Yes, but will have to do IVF. Testicular sperm have a poor fertilization rate except with assisted reproduction.

Published on Jul 11, 2012


Yes

Answered by Farhad B. Nowzari, MD, FACS (View Profile)

Yes

Published on Jul 11, 2012


Ira D. Sharlip, MD

Published on May 22, 2015

Yes it is possible to obtain sperm from the testicles or from the duct which runs adjacent to the testicles (the epididymis) in almost all men who have had a vasectomy. However we rarely find enough sperm to place the sperm into a woman's uterus in the procedure called intra-uterine insemination (IUI). Almost always, there are enough sperm to do only in vitro fertilization (IVF). IVF is a complicated and expensive process in which the eggs are removed from a woman's ovaries with a needle and the sperm are retrieved from her male partner. The sperm and eggs are put together in a laboratory and a few days later a fertilized egg is transferred back to the woman's uterus.

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Answered by Ira D. Sharlip, MD

Yes it is possible to obtain sperm from the testicles or from the duct which runs adjacent to the testicles (the epididymis) in almost all men who have had a vasectomy. However we rarely find enough sperm to place the sperm into a woman's uterus in the procedure called intra-uterine insemination (IUI). Almost always, there are enough sperm to do only in vitro fertilization (IVF). IVF is a complicated and expensive process in which the eggs are removed from a woman's ovaries with a needle and the sperm are retrieved from her male partner. The sperm and eggs are put together in a laboratory and a few days later a fertilized egg is transferred back to the woman's uterus.

Published on Jul 11, 2012


Stephen F. Shaban, MD

Published on May 22, 2015

Yes but the only way to conceive with sperm harvested from the testicle is through IVF/ICSI for the woman.
All costly like minimum of $25K.

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Answered by Stephen F. Shaban, MD

Yes but the only way to conceive with sperm harvested from the testicle is through IVF/ICSI for the woman.
All costly like minimum of $25K.

Published on Jul 11, 2012


Anshu S. Guleria, MD

Published on May 22, 2015

Yes, there should be live sperm in the epididymis that can be directly injected into an egg.

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Answered by Anshu S. Guleria, MD

Yes, there should be live sperm in the epididymis that can be directly injected into an egg.

Published on Jul 11, 2012


Marvin L. Stein, MD, FACS

Published on May 22, 2015

Yes

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Answered by Marvin L. Stein, MD, FACS

Yes

Published on Jul 11, 2012


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