The Dr. Fisch Blog

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Husband kissing baby after learning about vasectomy reversal alternatives
The Latest from the Blog

Testicular Sperm Extraction: An Alternative to Vasectomy Reversal

So, you (or your partner) had a vasectomy. No more kids. You are sure of it. Your doctor told you that vasectomy is a permanent procedure. But now, something in your life has changed, and you would like to have more children.

It’s a fact. Men who have a vasectomy sometimes want to have more children.  And while vasectomy is a permanent procedure, there are two options for men to try to reverse the effects of their vasectomy. … MORE

Man recovring from vasectomy reversal

Vasectomy Reversal Recovery: What You Can Expect

If you can remember your recovery period after vasectomy, you can expect a similar experience after your vasectomy reversal procedure as far as the pain and discomfort goes. Although a vasectomy reversal is a minimally invasive procedure, I realize that the idea of surgery in that area of your body can be alarming. However the incisions I use for a vasectomy reversal are quite small, contributing to the brief recovery period you can expect after surgery.


Man in car - road to fatherhood

Vasectomy Reversal: The Road to Fatherhood

It happens, you have decided to have children after your vasectomy. If you are like most men in this situation, you probably already had children years in the past and now, perhaps your life is going in a new direction and you want to have a child together with your partner. The good news is that this is certainly a possibility. There are many factors at play when it comes to vasectomy reversal success, some of which you can influence while others are outside of your control. … MORE

Couple laying on one another having a vasectomy reversal discussion

How to Discuss Vasectomy Reversal with Your Partner

It’s true, a vasectomy can be surgically reversed. In fact, the vast majority of men can successfully have their vasectomy reversed even if it has been decades since the original procedure. This is great news for couples who decide they want to have a child together naturally. However, like deciding to have a child, a vasectomy reversal is a major choice. You will need to talk with your partner, and here are some things to keep in mind during that discussion. … MORE

Man covering groin with hands - sagging scrotum

The Sagging Scrotum Cure

Low hanging balls are usually caused by varicoceles. Although not life-threatening, a varicocele is a cause for concern for men and adolescents. The main reason is fertility – now or in the future – with around 17 to 21 percent of all male infertility cases due to varicocele. This makes varicocele the single most common cause of male infertility issues. In fact, about 15 to 20 percent of the male population suffers from varicocele, which can be completely asymptomatic. However, many patients may notice that their scrotum hangs low, or as they describe it, they have low hanging balls. … MORE

Ejaculation after vasectomy - men under covers embarassed

Ejaculation after Vasectomy: What a Vasectomy Does & Does Not Do

When a man has undergone a vasectomy, he is sometimes said to be “shooting blanks.” But this metaphor is inaccurate. Really, the more apt statement would be that he is firing rubber bullets. It is a common misconception that a vasectomy will rob you of your ability to ejaculate altogether, but this is patently false. So what are the facts? Read on for more information on ejaculation after vasectomy and what a vasectomy actually does and does NOT do. … MORE

vasectomy reversal alternatives

Alternatives to Vasectomy Reversal

So you and your partner have decided you want to have children together. There is just one problem – you’ve had a vasectomy. Of course, you know that your vasectomy procedure has made you effectively sterile. What you may not realize is that the majority of the time, a vasectomy can be undone. A reverse vasectomy or vasectomy reversal surgery is far more complex than the original vasectomy, but an experienced urological surgeon has a good chance of restoring your fertility. … MORE

Sad lovers couple after pregnancy test result

4 Causes of Male Infertility You May or May Not Know About

Couples trying to conceive can face an uphill battle even when there are no fertility issues at play with either partner. In fact, very few couples successfully conceive on the first attempt. When there ARE female or male infertility problems present, the quest for pregnancy can become quite lengthy or even impossible without medical assistance. … MORE

Azoospermia Treatments - couple sitting at table enjoying breakfast
Choosing a vasectomy reversal doctor

How to Choose the Best Vasectomy Reversal Doctor

Any surgery, even the most routine procedure, should be considered from a number of standpoints. Is the operation necessary? Is there a non-surgical alternative? Do the potential benefits outweigh the risks inherent in every surgery? Is the surgeon competent? Do they have the technical skills required for a good chance of success? Does the surgeon have experience in this specific procedure? And at the end of the day, you want the best vasectomy reversal doctor possible. … MORE