A vasectomy is intended as a permanent form of male sterilization. Although reversals are possible, their success rates are not guaranteed. Dr. Nannan Thirumavalavan explains that microsurgical techniques improve reversal success, particularly if done within ten years. Alternatives like sperm aspiration and sperm banking are available for those who might want children in
the future. It is advised not to rely on reversals but to consider the decision as permanent.
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replacement therapy can help manage symptoms. However, such therapy isn’t suitable for everyone, particularly those with a history of prostate cancer, and it can affect fertility. Psychological support may also be beneficial for related issues.
The article addresses andropause, often called “male menopause,” which involves a gradual decrease in testosterone levels in men starting in middle age. Unlike female menopause, this change happens slowly. 
quality, with obesity, smoking, and testosterone therapy being notable factors. A healthy diet and lifestyle improvements can help. Couples struggling to conceive are advised to seek medical evaluation after a year of trying, or six months if the woman is over 35.