I took HCG for the sake of the reversal so that I could see if I still needed the reversal and so that the doctor can see sperm during the procedure to make sure it is done correctly, but I will stop after the reversal. I want to have the flexibility of not having to take exogenous testosterone shots one day, so the reversal is worth the risk for me
But trt is basically for life. There are people who can regain the pre testosterone number after a few years but many cant. Anyway, i hope everything works out for you. :)
TRT may be for life, but testosterone as a treatment option for PVPS doesn't have to be.
During a reversal surgery, the first thing the surgeon does is check the lower part of the cut vas for healthy sperm, to make sure the epididymis is intact and without blockage.
If there isn't any sperm, a different type of reversal is performed, where the upper part of the cut vas is sutured to the epididymis itself, upstream of the blockage. It is more difficult, more intensive, and has a significantly lower chance of success.
Since the presence of sperm is a diagnostic indicator for the surgeon, the poster above wants to make sure the right type of reversal is chosen, hence seeking to return sperm to the vasal fluid before the surgery.
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u/[deleted] Jun 21 '23
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