My name is Dr. Julio Cesar Novoa, MD. I am a practicing OBGYN in El Paso, Texas. I underwent a vasectomy in 2000 and had a successful reversal in 2002.

As with many vasectomies, there are times when a reversal will temporarily work but due to scarring, the vas deferens will close again making the male partner sterile again.

In 2012 I met my current wife and we planned to get married in 2017. As part of a general physical evaluation, I had a sperm analysis done and found that I was again completely sterile. This deeply concerned both my wife (fiancee at the time) and I went to my urologist for an evaluation. It was determined that the vasovasotomy that I had done in 2002 had since scarred over. The recommendation by my urologist was to not attempt a reversal but to instead go through IVF therapy via testicular sperm aspiration (TESA) with Intracytoplasmic sperm injection (ICSI). This type of therapy was estimated to cost approximately $10,000 per month with a minimum of three attempts for a successful pregnancy. This also meant that, if successful, each subsequent pregnancy would have to be done through IVF with an estimated cost of $30,000 per pregnancy.

My wife, Danielle began to research the top surgeons in the United States for successful vasectomy reversal and Dr. Silber’s name kept popping up at the top of all lists.

Although we live in El Paso, Texas, we felt comfortable in traveling to St. Louis to see Dr. Silber. Based on my history, he recommended the more complicated but more successful vasoepididymostomy procedure.

I underwent the vasectomy reversal in April 2017, with TESA and storage as a backup in case the reversal failed. In June 2017, my sperm analysis showed healthy, viable sperm at normal levels; thus a successful reversal of my vasectomy. And on July 6, 2017, my wife and I got married in Cancun, Mexico with close friends and family present.

Danielle and I planned on having a baby a few months after our wedding and in January 2018, which was 9 months after my reversal and 5 months from the date of trying to get pregnant, we were blessed to find out that Danielle was pregnant. Since I am an OBGYN, I was also blessed in managing Danielle’s obstetrical care as both her husband and her doctor.

On September 13, 2018, our son Richard Alexander Novoa, was born at 34 weeks 6 days following a medically indicated primary Cesarean section. He weighed only 4lbs 9oz but was healthy and strong and was able to go home with us when Danielle was discharged from the hospital.

Richard Alexander has been an absolute joy in our lives and we are so grateful to Dr. Silber and his team for their professionalism and expertise.

As a medical doctor and also a patient, I would not hesitate in recommending all couples interested in vasectomy reversal to seek Dr. Silber from any and all parts of the world for help.