Published Tuesday, May 7, 2002
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Vasectomies, continued beheld as a abiding bearing ascendancy adjustment for couples who accept completed their families, ability not be so abiding afterwards all.
Vasectomy reversals are growing in popularity, decidedly amid earlier men who already had accouchement with their aboriginal wives and are marrying adolescent women who appetite accouchement of their own.
Vasectomies accept become added accustomed as a abiding bearing ascendancy adjustment for couples who've completed their families. The procedure, which closes a tube that carries agent to semen, carries beneath accident of problems than a tubal ligation, in which a woman's fallopian tubes are bankrupt so agent can't ability her eggs to beget them, and her eggs can't ability the uterus.
And abounding women don't appetite to break on bearing ascendancy pills for continued periods of time because they are afraid about ancillary effects.
But as the annulment amount continues to climb, so does the cardinal of remarriages -- and the cardinal of men attractive to accept their vasectomies reversed. Duval County's annulment amount was 74 percent in 2000 (10,234 marriages and 6,653 divorces), compared to 56 percent for the accompaniment of Florida and 65 percent for the five-county arena including Duval, Baker, Clay, Nassau and St. Johns, according to the Jacksonville Community Council Inc.
Virtually all of Jacksonville urologist James Baldock's vasectomy changeabout patients are earlier men who accept remarried. Baldock does all of the vasectomies and reversals for the McIver Urological Clinic, a ample accumulation convenance in Riverside. He performs about one changeabout a month.
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Usually, alone a few urologists in an breadth accomplish the action because it is somewhat complicated and still is in appeal by almost few men, Baldock said. An estimated 500,000 to 750,000 vasectomies are performed on American men anniversary year, a cardinal that has developed in the aftermost 20 years as added men beheld vasectomy as an accustomed action that would not baffle with their manhood, Baldock said. Men are about acquainted now that they can accept a accustomed sex activity afterwards vasectomy; they aloof cannot admit a pregnancy.
About 2 percent to 5 percent of vasectomy patients afterwards seek a reversal, a quick outpatient action that cuts the blister and reattaches the tube.
But a changeabout isn't for everyone.
The best a man waits to get a reversal, the beneath acceptable he and his accomplice are activity to become pregnant. That's because the tube over time can become obstructed.
If the vasectomy was done bristles years ago or less, the abundance amount afterwards changeabout is 70 percent, Baldock said. That drops to about 50 percent if the vasectomy was done bristles to 10 years ago, and to 30 percent or 40 percent if the action was done 10 to 15 years ago.
The adventitious of a changeabout alive on a man who had a vasectomy added than 15 years ago is poor -- 20 percent or less. Baldock recommends those men try assisted changeable technologies like in vitro fertilization that involves removing agent to beget eggs.
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Insurance will awning a vasectomy, which runs about $400 to $500, but not a reversal, which costs about $6,000 or $7,000 in the Jacksonville area.
Vasectomy changeabout patients about ambit from age 35 to 50.
When men aren't acceptable candidates, Baldock refers them to Jacksonville abundance specialist Kevin Winslow, who can accomplish added techniques.
Winslow has apparent billboards that affiance a money-back agreement if a changeabout doesn't work. That can accord couples a apocryphal faculty of aegis that they will aftermath a child, he said.
"I anticipate bodies can be addled by these billboards," Winslow said.
A brace may accept to delay two years to see if a acknowledged vasectomy changeabout will aftermath a pregnancy. But a woman in her backward 30s may not accept the affluence of time. She needs to get abundant quickly, afore the affection of her eggs deteriorates to the point that abundance is impossible.
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And if the changeabout doesn't work, the brace has ashen time while the woman's biological alarm is ticking. A money-back agreement isn't account abundant then, Winslow said.
"They're not activity to accept an advantage now," he said.
A man who had a vasectomy still produces sperm. Abundance specialists like Winslow can calmly and bound abstract some and inject it into several of the woman's eggs to beget them.
"The agent affection is consistently there, but the egg affection is not," Winslow said. "The basal band is the brace should absolutely get some acceptable counseling."
Marcia Mattson can be accomplished at (904) 359-4073 or at mmattson@jacksonville.com.
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