The use of microsurgery to repair a vasectomy is a well establish surgical technique. Many males have a vasectomy as a contraceptive method when their family is complete. But then their social circumstances change, and they may want more children once again with their long-term wife or partner or sometimes with a new one when relationships change.
Infertility doctors have essentially two options for a male who has had a vasectomy, either a microsurgical reversal to re-join the vas deferens tubes or to turn to the world of IVF.
With IVF the sperm is extracted from the testicle by use of a needle and the female partner goes through a standard IVF cycle to produce egg. The eggs and sperm are used to make embryos which are used to create the pregnancy. All three experts are fully qualified in IVF as well and can help couples choose the best option for them. Many IVF doctors do not do microsurgery and that means Jeff, Frank and David all have a very broad perspective across both options.
Microsurgical vasectomy reversal is an option many men and their partners choose after discussions with a reproductive medicine specialist. Once his vasectomy is surgically reversed and is proven to have successfully restored normal anatomy with a semen analysis showing sperm the couple can try naturally to conceive. And a lot of couples prefer that option!
Microscopic tubal ligation reversal is a procedure Clin Assoc Prof David Greening has performed for 20 years and is very similar to microsurgical vasectomy reversal. Tubal ligation is the female equivalent of vasectomy. Jeff and Frank have exclusively done only the vasectomy reversal procedure.