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Online Consultation

Male Partners Details
  How old are you (years) ?
  first name (required) A value is required.
  last name (not required)
  Do you live in the UK?



  How long ago was your original vasectomy? (whole years only) A value is required.Invalid format.Minimum number of characters not met.Exceeded maximum number of characters.The entered value is less than the minimum required.The entered value is greater than the maximum allowed.
  How many children did you have prior to your vasectomy?

A value is required.Invalid format.The entered value is less than the minimum required.The entered value is greater than the maximum allowed.Minimum number of characters not met.Exceeded maximum number of characters.
  Would this be a redo vasectomy reversal ( in other words have you already had one that has failed?)
  Do you have any medical problems such as diabetes, sleep apnoeia, high blood pressure, problems with anaesthetics, etc?
Female Partner Questions
  What is your first name A value is required.
  How old are you (whole years only)? A value is required.Invalid format.
  How many children do you have already (please enter a number from zero) A value is required.Invalid format.
  Do you have any known fertility problems such as endometriosis, pelvic inflammatory disease etc?
  Have you previously been through IVF (test tube baby treatment) including sperm aspiration? /ICSI
Where would you like your report sent to?
  email A value is required.Invalid format.
  re-enter email A value is required.The values don't match.