Few months ago I have got one problem, that’s why I shall ask this question now. I have heard that several studies have evaluated the most cost-effective option for varicocele associated male infertility. Again, in another study of only treatment costs Comhaire found varicocele repair to be the least expensive option. All this confused me so actually now I don’t understand anything. I would like to know the truth about varicocele cost.
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That study you mentioned was limited to only making comparisons based on procedure fees. The lower cost of varicocele repair was attributed to the lower fees. Off course, the one associated with embolization and a pregnancy rate of 40% to 60%. They concluded that from a health care payer's perspective, varicocele/IVF is preferable. The average cost per live delivery with the varicocele/IVF option was less expensive ($44,522) compared to IUI/IVF option ($49,757) and immediate IVF ($64,422). Pregnancy after varicocelectomy may take up to 1 year or more, which needs to be factored into cost-effective decision you will make. With ART couples need to be aware of the influence of delays in treatment, canceled cycles and the necessity of multiple cycles. This is needed to achieve pregnancy which may lengthen time to delivery. In addition, for couples in whom the male partner undergoes varicocelectomy multiple natural pregnancies may occur afterwards. That’s why and the additional cost for repeated assisted reproduction to have another child may be avoided.
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