• Nearly 15% of married couples have difficulty conceiving a child. There is an equal probability that either partner is a contributing factor.
  • Medical and surgical treatments can improve abnormal semen.

Microscopic vasectomy reversal

  • Also known as a vasovasostomy/vasoepididymostomy.
  • This is a surgical procedure to reconnect the vas deferens tubes that are cut during a vasectomy.
  • Our doctors use an operative microscope for precision.
  • Dr. Clavijo performs vasectomy reversal surgery at CalIVF in Sacramento at this price (includes facility,anesthesia and surgeon fees):
    Vasectomy reversal $5900
  • Call (916) 734-2222 for consultation.
  • You can also email Dr Clavijo at: riclavijo@ucdavis.edu for more information.

Chances of success for a vasovasostomy

  • Chance of returning sperm to the semen and pregnancy depends on the type of vasectomy reversal that is performed, which itself depends on how long ago the vasectomy was. Since a man's sperm count decreases as he ages, it also depends on the age of the patient and his potential to make sperm. Female factors also play a significant role in the pregnancy rate.

Epididymal obstruction can decrease success of reversal

  • Our doctors will perform a vasoepididymostomy during the vasectomy reversal, if it would be beneficial to increase surgical success.

After vasovasostomy

  • Most men have mild pain after surgery.
  • Walking and light activity are resumed quickly.
  • Sexual intercourse is not permitted for 14 days.
  • Strenuous activity should be avoided for one month.

Alternatives to increase pregnancy success

  • Intra-uterine insemination (IUI) of sperm can be performed, if the sperm count is inadequate.
  • In vitro fertilization (IVF) where eggs are removed from the woman's ovaries and placed in a lab dish with sperm. Fertilization occurs in a laboratory dish.
  • Intra-cytoplasmic sperm injection (ICSI) is an assisted fertilization procedure used if the sperm count is very low. This consists of injecting a single sperm into each egg.

Sperm Retrieval and Male Infertility Surgeries

We offer several other surgical procedures for the treatment of male infertility including:

  • Microdissection testicular sperm extraction (micro-TESE)
  • Microsurgical epididymal sperm aspiration (MESA)
  • Testicular sperm aspiration (TESA)
  • Transurethral Resection of Ejaculatory Ducts (TURED)
  • Microsurgical varicocelectomy

Dr. Clavijo performs sperm retrieval a surgeries at CalIVF in Sacramento at these prices (includes facility,anesthesia and surgeon fees):

Micro-dissection testicular sperm extraction (microTESE) $4900
Micro-epididymal sperm extraction (MESA) $3900

For more information regarding these surgeries you can email Dr. Clavijo at: riclavijo@ucdavis.edu

Male infertility specialists

Help is available

  • Consult your physician.
  • For more information call the UC Davis Urologic Surgery Clinic at (916) 734-2222 or (800) 770-6930.