Dubin JM, White J, Ory J, et al. - A literature review was carried out to explore the primary options available to men who desire fertility after a vasectomy. Researchers included men with a previous vasectomy now seeking fertility. Researchers examined and correlated the important considerations for men deciding between these 2 options, including obstructive interval, female partner age, anti-sperm antibodies, male partner age, female infertility factors, and cost. In couples seeking children after vasectomy, vasectomy reversal (VR) or surgical sperm retrieval with in vitro fertilization (IVF) are reasonable options. The results demonstrate that pregnancy rates for both options are overall similar, so prior to pursuing either option, a thorough discussion with a reproductive urologist who possesses microsurgical skills in VR and a reproductive endocrinologist with expertise in IVF is imperative. According to the findings, making a final choice through shared decision-making while considering these points is ideal.