Dilemma of postvasectomy procreative management with older female partners: is in  vitro fertilization really better?

The determination of how to manage a couple who present for fertility postvasectomy should involve a complete, informed, honest, unbiased discussion of all the options tailored to the couple without conflicts of specialty (gynecology vs. urology) and financial interests. Therefore, this should be based on the complete understanding of the literature for vasectomy reversal, assisted reproduction technology (ART) options, and outcomes as well as alternative options, for example, donor sperm with IUI versus adoption or maintaining the status quo.
Source: Fertility and Sterility - Category: Reproduction Medicine Authors: Tags: Reflections Source Type: research