California Vasectomy & Reversal Center, 94002 BELMONT SAN MATEO 94005 BRISBANE SAN MATEO 94010 BURLINGAME SAN MATEO 94011 BURLINGAME SAN MATEO 94013 DALY CITY SAN MATEO 94014 DALY CITY SAN MATEO 94015 DALY CITY SAN MATEO 94016 DALY CITY SAN MATEO 94017 DALY CITY SAN MATEO 94018 EL GRANADA SAN MATEO 94019 HALF MOON BAY SAN MATEO 94022 LOS ALTOS SANTA CLARA 94023 LOS ALTOS SANTA CLARA 94024 LOS ALTOS SANTA CLARA 94025 MENLO PARK SAN MATEO 94026 MENLO PARK SAN MATEO 94027 ATHERTON SAN MATEO 94028 PORTOLA VALLEY SAN MATEO 94030 MILLBRAE SAN MATEO 94035 MOUNTAIN VIEW SANTA CLARA 94037 MONTARA SAN MATEO 94038 MOSS BEACH SAN MATEO 94039 MOUNTAIN VIEW SANTA CLARA 94040 MOUNTAIN VIEW SANTA CLARA 94041 MOUNTAIN VIEW SANTA CLARA 94042 MOUNTAIN VIEW SANTA CLARA 94043 MOUNTAIN VIEW SANTA CLARA 94044 PACIFICA SAN MATEO 94061 REDWOOD CITY SAN MATEO 94062 REDWOOD CITY SAN MATEO 94063 REDWOOD CITY SAN MATEO 94064 REDWOOD CITY SAN MATEO 94065 REDWOOD CITY SAN MATEO 94066 SAN BRUNO SAN MATEO 94070 SAN CARLOS SAN MATEO 94080 SOUTH SAN FRANCISCO SAN MATEO 94083 SOUTH SAN FRANCISCO SAN MATEO 94085 SUNNYVALE SANTA CLARA 94086 SUNNYVALE SANTA CLARA 94087 SUNNYVALE SANTA CLARA 94088 SUNNYVALE SANTA CLARA 94089 SUNNYVALE SANTA CLARA 94096 SAN BRUNO SAN MATEO 94098 SAN BRUNO SAN MATEO 94099 SOUTH SAN FRANCISCO SAN MATEO 94101 SAN FRANCISCO SAN FRANCISCO 94102 SAN FRANCISCO SAN FRANCISCO 94103 SAN FRANCISCO SAN FRANCISCO 94104 SAN FRANCISCO SAN FRANCISCO 94105 SAN FRANCISCO SAN FRANCISCO 94106 SAN FRANCISCO SAN FRANCISCO 94107 SAN FRANCISCO SAN FRANCISCO 94108 SAN FRANCISCO SAN FRANCISCO 94109 SAN FRANCISCO SAN FRANCISCO 94110 SAN FRANCISCO SAN FRANCISCO 94111 SAN FRANCISCO SAN FRANCISCO 94112 SAN FRANCISCO SAN FRANCISCO 94114 SAN FRANCISCO SAN FRANCISCO 94115 SAN FRANCISCO SAN FRANCISCO 94116 SAN FRANCISCO SAN FRANCISCO 94117 SAN FRANCISCO SAN FRANCISCO 94118 SAN FRANCISCO SAN FRANCISCO 94119 SAN FRANCISCO SAN FRANCISCO 94120 SAN FRANCISCO SAN FRANCISCO 94121 SAN FRANCISCO SAN FRANCISCO 94122 SAN FRANCISCO SAN FRANCISCO 94123 SAN FRANCISCO SAN FRANCISCO 94124 SAN FRANCISCO SAN FRANCISCO 94125 SAN FRANCISCO SAN FRANCISCO 94126 SAN FRANCISCO SAN FRANCISCO 94127 SAN FRANCISCO SAN FRANCISCO 94128 SAN FRANCISCO SAN MATEO 94129 SAN FRANCISCO SAN FRANCISCO 94130 SAN FRANCISCO SAN FRANCISCO 94131 SAN FRANCISCO SAN FRANCISCO 94132 SAN FRANCISCO SAN FRANCISCO 94133 SAN FRANCISCO SAN FRANCISCO 94134 SAN FRANCISCO SAN FRANCISCO 95148 SAN JOSE SANTA CLARA 95150 SAN JOSE SANTA CLARA 95151 SAN JOSE SANTA CLARA 95152 SAN JOSE SANTA CLARA 95154 SAN JOSE SANTA CLARA 95155 SAN JOSE SANTA CLARA 95156 SAN JOSE SANTA CLARA 95157 SAN JOSE SANTA CLARA 95158 SAN JOSE SANTA CLARA 95159 SAN JOSE SANTA CLARA 95161 SAN JOSE SANTA CLARA 95164 SAN JOSE SANTA CLARA 95170 SAN JOSE SANTA CLARA 95172 SAN JOSE SANTA CLARA 95173 SAN JOSE SANTA CLARA 95190 SAN JOSE SANTA CLARA 95191 SAN JOSE SANTA CLARA 95192 SAN JOSE SANTA CLARA 95194 SAN JOSE SANTA CLARA 95196 SAN JOSE SANTA CLARA 95208 STOCKTON SAN JOAQUIN 95213 STOCKTON SAN JOAQUIN 95234 HOLT SAN JOAQUIN 95304 TRACY SAN JOAQUIN 95376 TRACY SAN JOAQUIN 95377 TRACY SAN JOAQUIN 95378 TRACY SAN JOAQUIN 95391 TRACY SAN JOAQUIN 95641 ISLETON SACRAMENTO 95128 SAN JOSE SANTA CLARA 95129 SAN JOSE SANTA CLARA 95130 SAN JOSE SANTA CLARA 95131 SAN JOSE SANTA CLARA 95132 SAN JOSE SANTA CLARA 95133 SAN JOSE SANTA CLARA 95134 SAN JOSE SANTA CLARA 95135 SAN JOSE SANTA CLARA 95136 SAN JOSE SANTA CLARA 95140 MOUNT HAMILTON SANTA CLARA 	94135 SAN FRANCISCO SAN FRANCISCO 94136 SAN FRANCISCO SAN FRANCISCO 94137 SAN FRANCISCO SAN FRANCISCO 94138 SAN FRANCISCO SAN FRANCISCO 94139 SAN FRANCISCO SAN FRANCISCO 94140 SAN FRANCISCO SAN FRANCISCO 94141 SAN FRANCISCO SAN FRANCISCO 94142 SAN FRANCISCO SAN FRANCISCO 94143 SAN FRANCISCO SAN FRANCISCO 94144 SAN FRANCISCO SAN FRANCISCO 94145 SAN FRANCISCO SAN FRANCISCO 94146 SAN FRANCISCO SAN FRANCISCO 94147 SAN FRANCISCO SAN FRANCISCO 94150 SAN FRANCISCO SAN FRANCISCO 94151 SAN FRANCISCO SAN FRANCISCO 94152 SAN FRANCISCO SAN FRANCISCO 94153 SAN FRANCISCO SAN FRANCISCO 94154 SAN FRANCISCO SAN FRANCISCO 94155 SAN FRANCISCO SAN FRANCISCO 94156 SAN FRANCISCO SAN FRANCISCO 94157 SAN FRANCISCO SAN FRANCISCO 94158 SAN FRANCISCO SAN FRANCISCO 94159 SAN FRANCISCO SAN FRANCISCO 94160 SAN FRANCISCO SAN FRANCISCO 94161 SAN FRANCISCO SAN FRANCISCO 94162 SAN FRANCISCO SAN FRANCISCO 94163 SAN FRANCISCO SAN FRANCISCO 94164 SAN FRANCISCO SAN FRANCISCO 94165 SAN FRANCISCO SAN FRANCISCO 94166 SAN FRANCISCO SAN FRANCISCO 94167 SAN FRANCISCO SAN FRANCISCO 94168 SAN FRANCISCO SAN FRANCISCO 94169 SAN FRANCISCO SAN FRANCISCO 94170 SAN FRANCISCO SAN FRANCISCO 94171 SAN FRANCISCO SAN FRANCISCO 94172 SAN FRANCISCO SAN FRANCISCO 94175 SAN FRANCISCO SAN FRANCISCO 94177 SAN FRANCISCO SAN FRANCISCO 94188 SAN FRANCISCO SAN FRANCISCO 94199 SAN FRANCISCO SAN FRANCISCO 94301 PALO ALTO SANTA CLARA 94302 PALO ALTO SANTA CLARA 94303 PALO ALTO SANTA CLARA 94304 PALO ALTO SANTA CLARA 94305 STANFORD SANTA CLARA 94306 PALO ALTO SANTA CLARA 94309 PALO ALTO SANTA CLARA 94401 SAN MATEO SAN MATEO 94402 SAN MATEO SAN MATEO 94403 SAN MATEO SAN MATEO 94404 SAN MATEO SAN MATEO 94497 SAN MATEO SAN MATEO 94501 ALAMEDA ALAMEDA 94502 ALAMEDA ALAMEDA 94503 AMERICAN CANYON NAPA 94506 DANVILLE CONTRA COSTA 94507 ALAMO CONTRA COSTA 94509 ANTIOCH CONTRA COSTA 94510 BENICIA SOLANO 94511 BETHEL ISLAND CONTRA COSTA 94512 BIRDS LANDING SOLANO 94513 BRENTWOOD CONTRA COSTA 94514 BYRON CONTRA COSTA 94516 CANYON CONTRA COSTA 94517 CLAYTON CONTRA COSTA 94518 CONCORD CONTRA COSTA 94519 CONCORD CONTRA COSTA 94520 CONCORD CONTRA COSTA 94521 CONCORD CONTRA COSTA 94522 CONCORD CONTRA COSTA 94523 PLEASANT HILL CONTRA COSTA 94524 CONCORD CONTRA COSTA 94525 CROCKETT CONTRA COSTA 94526 DANVILLE CONTRA COSTA 94527 CONCORD CONTRA COSTA 94528 DIABLO CONTRA COSTA 94529 CONCORD CONTRA COSTA 94530 EL CERRITO CONTRA COSTA 94531 ANTIOCH CONTRA COSTA 94535 TRAVIS AFB SOLANO 94536 FREMONT ALAMEDA 94537 FREMONT ALAMEDA 94538 FREMONT ALAMEDA 94539 FREMONT ALAMEDA 94540 HAYWARD ALAMEDA 94541 HAYWARD ALAMEDA 94542 HAYWARD ALAMEDA 94543 HAYWARD ALAMEDA 94544 HAYWARD ALAMEDA 94545 HAYWARD ALAMEDA 94546 CASTRO VALLEY ALAMEDA 94547 HERCULES CONTRA COSTA 94548 KNIGHTSEN CONTRA COSTA 94549 LAFAYETTE CONTRA COSTA 95053 SANTA CLARA SANTA CLARA 95054 SANTA CLARA SANTA CLARA 95055 SANTA CLARA SANTA CLARA 95056 SANTA CLARA SANTA CLARA 95070 SARATOGA SANTA CLARA 95071 SARATOGA SANTA CLARA 95101 SAN JOSE SANTA CLARA 95103 SAN JOSE SANTA CLARA 95106 SAN JOSE SANTA CLARA 95108 SAN JOSE SANTA CLARA 95109 SAN JOSE SANTA CLARA 95110 SAN JOSE SANTA CLARA 95111 SAN JOSE SANTA CLARA 95112 SAN JOSE SANTA CLARA 95113 SAN JOSE SANTA CLARA 95115 SAN JOSE SANTA CLARA 95116 SAN JOSE SANTA CLARA 95117 SAN JOSE SANTA CLARA 95118 SAN JOSE SANTA CLARA 95121 SAN JOSE SANTA CLARA 95122 SAN JOSE SANTA CLARA 95124 SAN JOSE SANTA CLARA  	94550 LIVERMORE ALAMEDA 94551 LIVERMORE ALAMEDA 94552 CASTRO VALLEY ALAMEDA 94553 MARTINEZ CONTRA COSTA 94555 FREMONT ALAMEDA 94556 MORAGA CONTRA COSTA 94557 HAYWARD ALAMEDA 94560 NEWARK ALAMEDA 94561 OAKLEY CONTRA COSTA 94563 ORINDA CONTRA COSTA 94564 PINOLE CONTRA COSTA 94565 PITTSBURG CONTRA COSTA 94566 PLEASANTON ALAMEDA 94568 DUBLIN ALAMEDA 94569 PORT COSTA CONTRA COSTA 94570 MORAGA CONTRA COSTA 94571 RIO VISTA SOLANO 94572 RODEO CONTRA COSTA 94575 MORAGA CONTRA COSTA 94577 SAN LEANDRO ALAMEDA 94578 SAN LEANDRO ALAMEDA 94579 SAN LEANDRO ALAMEDA 94580 SAN LORENZO ALAMEDA 94582 SAN RAMON CONTRA COSTA 94585 SUISUN CITY SOLANO 94586 SUNOL ALAMEDA 94587 UNION CITY ALAMEDA 94588 PLEASANTON ALAMEDA 94589 VALLEJO SOLANO 94590 VALLEJO SOLANO 94591 VALLEJO SOLANO 94592 VALLEJO SOLANO 94595 WALNUT CREEK CONTRA COSTA 94596 WALNUT CREEK CONTRA COSTA 94597 WALNUT CREEK CONTRA COSTA 94598 WALNUT CREEK CONTRA COSTA 94601 OAKLAND ALAMEDA 94602 OAKLAND ALAMEDA 94603 OAKLAND ALAMEDA 94604 OAKLAND ALAMEDA 94605 OAKLAND ALAMEDA 94606 OAKLAND ALAMEDA 94607 OAKLAND ALAMEDA 94608 EMERYVILLE ALAMEDA 94609 OAKLAND ALAMEDA 94610 OAKLAND ALAMEDA 94611 OAKLAND ALAMEDA 94612 OAKLAND ALAMEDA 94613 OAKLAND ALAMEDA 94614 OAKLAND ALAMEDA 94615 OAKLAND ALAMEDA 94617 OAKLAND ALAMEDA 94618 OAKLAND ALAMEDA 94619 OAKLAND ALAMEDA 94620 PIEDMONT ALAMEDA 94621 OAKLAND ALAMEDA 94622 OAKLAND ALAMEDA 94623 OAKLAND ALAMEDA 94624 OAKLAND ALAMEDA 94625 OAKLAND ALAMEDA 94649 OAKLAND ALAMEDA 94659 OAKLAND ALAMEDA 94660 OAKLAND ALAMEDA 94661 OAKLAND ALAMEDA 94662 EMERYVILLE ALAMEDA 94666 OAKLAND ALAMEDA 94701 BERKELEY ALAMEDA 94702 BERKELEY ALAMEDA 94703 BERKELEY ALAMEDA 94704 BERKELEY ALAMEDA 94705 BERKELEY ALAMEDA 94706 ALBANY ALAMEDA 94707 BERKELEY ALAMEDA 94708 BERKELEY ALAMEDA 94709 BERKELEY ALAMEDA 94710 BERKELEY ALAMEDA 94712 BERKELEY ALAMEDA 94720 BERKELEY ALAMEDA 94801 RICHMOND CONTRA COSTA 94802 RICHMOND CONTRA COSTA 94803 EL SOBRANTE CONTRA COSTA 94804 RICHMOND CONTRA COSTA 94805 RICHMOND CONTRA COSTA 94806 SAN PABLO CONTRA COSTA 94807 RICHMOND CONTRA COSTA 94808 RICHMOND CONTRA COSTA 94820 EL SOBRANTE CONTRA COSTA 94850 RICHMOND CONTRA COSTA 94901 SAN RAFAEL MARIN 94904 GREENBRAE MARIN 94912 SAN RAFAEL MARIN 94914 KENTFIELD MARIN 94915 SAN RAFAEL MARIN 94920 BELVEDERE TIBURON MARIN 94925 CORTE MADERA MARIN 94939 LARKSPUR MARIN 94941 MILL VALLEY MARIN 94942 MILL VALLEY MARIN 94964 SAN QUENTIN MARIN 94965 SAUSALITO MARIN 94966 SAUSALITO MARIN 94976 CORTE MADERA MARIN 94977 LARKSPUR MARIN 95002 ALVISO SANTA CLARA 95008 CAMPBELL SANTA CLARA 95009 CAMPBELL SANTA CLARA 95011 CAMPBELL SANTA CLARA 95014 CUPERTINO SANTA CLARA 95015 CUPERTINO SANTA CLARA 95035 MILPITAS SANTA CLARA 95050 SANTA CLARA SANTA CLARA 95051 SANTA CLARA SANTA CLARA 95052 SANTA CLARA SANTA CLARA 95125 SAN JOSE SANTA CLARA 95126 SAN JOSE SANTA CLARA 95127 SAN JOSE SANTA CLARA
California Vasectomy
& Reversal Center
Pregnancy after
Vasectomy
Reversal
Pregnancy after vasectomy reversal
Most couples will get pregnant after a successful vasectomy reversal.  In fact, the
reported pregnancy rate is approximately 65%.  The natural pregnancy rate of couples
trying to conceive who have not had a vasectomy reversal is only 80-85%.  The
remaining 15-20% of couples will have difficulty achieving a pregnancy with a male
factor involved in half of cases and a female factor involved in the other half.  It is
important that any couple trying to conceive should have a female evaluation to
optimize the success of pregnancy after a vasectomy reversal.  A vasectomy reversal
surgeon who is also a male infertility specialist can help the couple who is having
difficulty achieving a pregnancy after a vasectomy reversal.

Anti-Sperm Antibodies (ASA)

Anti-sperm antibodies (ASA) are a controversial cause of infertility in the vasectomy
reversal patient.  It is true that they exist and, in fact, 100% of men will have ASA after a
vasectomy and vasectomy reversal.  However, their exact significance is still debated in
the literature since 65% of couples will achieve a pregnancy after the procedure
despite the universal presence of ASA.  The exact location of the binding of the ASA to
the sperm has also been reported to determine the degree in infertility.  Specialized
testing can help determine the type of ASA present after the vasectomy reversal.   

Varicoceles

Varicoceles, or varicose veins around the testicles, are the most common cause of
male infertility problems. They can be an isolated problem or contributing to other
identifiable causes. Varicoceles are found in 40% of men presenting to an infertility
clinic. These dilated veins are damaged and allow the testicles to become overheated,
reflux metabolites and cause congestion. Varicoceles are also progressive lesions. If
left untreated they can become problematic in future pregnancy attempts.  Varicoceles
are effectively treated with microsurgical varicocelectomy.  Click on our link to learn
more about varicoceles and their treatment.

*   
 AUA guidelines for treatment of varicoceles
*    Surgical Treatment of Varicoceles / Varicocelectomy






















Diet

Patients often wonder if there are any dietary modifications that can improve their
sperm count and quality or, more importantly, if any dietary habits could be hindering
normal sperm production.  There is research to suggest that certain supplements
such as vitamin E, fructose and acetyl-L-carnitine are beneficial to sperm when taken
at recommended doses because of their anti-oxidant and nutritional properties.  Other
less studied ingredients include zinc, arginine, and vitamins C and B-12.  These
nutrients are the basis for many of the commercially available fertility blend
supplements.  However, it isn't necessary to over-pay for these commercial
supplements when equivalent generic forms are available at virtually every health store.

Soy based milk and products are becoming increasingly popular, especially for
lactose-intolerant individuals.  They provide good nutrition and are considered healthy
alternatives for milk products.  However, all soy-based products contain weak
estrogens (genistein and daidzein) which can negatively impact sperm quality.  Recent
human and animal studies have shown that when these substances are given at
doses equivalent to human consumption they will cause the sperm to prematurely
undergo capacitation and the acrosome reaction.(Fraser, Human Reproduction, 2006)  
 This will essentially make sperm unable to fertilize an egg.  Avoiding soy based
products while trying to conceive is recommended.

Hormones

Hormones are an integral part of any infertility evaluation. Normal hormonal levels are
important for normal sperm production. When abnormal, they can be an indication of
other more significant problems.  Correction of any hormonal abnormality is essential
for a successful natural pregnancy.

Infection/Inflammation

Previous infection such as epididymitis, prostatitis or a sexually transmitted disease
can be a contributing factor to male factor infertility. Patients can develop scarring and
obstruction leading to very low sperm counts or sperm with low motility. This can be
diagnosed and treated if identified. Additionally, unwanted inflammation in the
reproductive tract can hinder normal sperm function and fertilization. Additional testing
may be required to diagnose this problem. It can be the result of previous infection or
increased sperm turnover secondary to another problem such as varicocele. Medical
therapy exists for treating infection and inflammation. Other therapies may be indicated
to treat the underlying problem leading to infection/inflammation.

Ejaculatory Dysfunction

Even when sperm production is normal, there can be a functional problem with getting
the sperm where it needs to be at the time your wife is ovulating. This can be due to
Retrograde Ejaculation or Anejaculation which can manifest itself as a normal or low
semen volume. We commonly see this condition in patients with Diabetes Mellitus,
Spinal Cord Injury, Neurologic Diseases, Previous Abdominal/Pelvic Surgery or
Surgery for Testicular Cancer. This condition is easily treated with medication or a
simple procedure.

Recurrent Pregnancy Loss (Miscarriage)

Recurrent miscarriages can be the result of sperm chromosome abnormalities which
prior to today went undiagnosed. We now know that most cases of miscarriage are
due to abnormalities of a small set of chromosomes (13, 18, 21, X, Y). These
chromosomal abnormalities of sperm can now be evaluated to give the couple a better
understanding of the reason for the miscarriage and treatment options can be
discussed to avoid future miscarriages.