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Fertility Evaluation and Testing
Reversal Procedures

Vasectomy Reversal
Our Centers are staffed by Board Certified Urologists that specialize in male infertilty. We provide classic microsurgical vasectomy reversal procedures, along with techniques such as MESA, TESA and PESA (see below) which include simple, through the anesthetised skin, needle aspiration of sperm, and methods to overcome failed vasectomy reversals. Cost for vasectomy reversal is approximately $6,400.00.

Tubal Ligation Reversal
We perform both laparoscopic and "open" microsurgical tubal reanastamosis. Success rates in selected cased approach 85%. These procedures are also offered by our Guadalajara based associates at facilities in Mexico at substantially lower hospital prices ($7,200 total cost), with no compromise in success.

ALTERNATIVES TO VASECTOMY REVERSAL:

MESA, TESA, PESA

For those wishing to avoid the reversal of a prior vasectomy, either for standard In Vitro Fertilization (IVF) or for advanced IVF procedures involvng guaranteed gender selection, we are able to offer MESA (Microsurgical Epididymal Sperm Aspiration), TESA (Testicular Sperm Aspiration) or PESA (Percutaneous "no incision" Sperm Aspiration). These procedures involve our board certified fertility Urologist aspirating sperm directly from testicular structures at the same time that the eggs from the female are obtained. The recovered sperm are then used to inseminate the waiting eggs. Fertilization and pregnancy rates approach the same levels achieved with successful vasectomy reversal procedures with minimal or no incisions. This procedure is most appropriate for couples interested in one or perhaps two additional children. "Extra" sperm obtained from the aspiration in excess of that needed for the initial egg insemination may often be frozen and cryopreserved for future use.

IVF Evaluation Gender Selection


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