Post-vasectomy semen analysis compliance is less than 50%. According to a survey of patients, convenience is the main factor preventing higher compliance. Providers using at-home testing kits from MaleFromHome have seen an increase in compliance of up to 80%.
Options for Providers
Providers can choose from three pricing and delivery options for post-vasectomy testing of their patients:
Option 1 - Patient Purchases Testing KitRequest Free Referral Cards
After vasectomy procedure, the provider gives a Male From Home referral card to the patient with instructions on when to test (e.g. after 8 weeks, and again after 11 weeks). Patient orders online and receives the kit by mail. MaleFromHome testing kits are eligible for purchase with FSA/HSA dollars.
Option 2 - Provider Purchases Testing KitBulk Testing Kits
Vasectomy provider purchases post-vasectomy testing kits in bulk to keep in clinic. After vasectomy procedure, provider hands one or two kits to patient, with instructions on when to test (e.g. after 8 weeks, and again after 11 weeks). Patient registers the kit online, then submits the testing kit by mail using the prepaid shipping label.
Option 3 - Provider Purchases VouchersPatient Voucher Cards
Vasectomy provider purchases semen sample testing kit vouchers. After vasectomy procedure, provider hands a voucher to patient with instructions on when to test (e.g. after 8 weeks, and again after 11 weeks). Patient orders testing kits online, and checks-out at no cost using the voucher.
Additional Post-Vasectomy Testing Information
A specimen sample collected by the patient is preserved for mailing with formalin. Once the sample arrives, it is examined with a high-powered microscope in our CLIA certified lab by a licensed lab technician. Post-vasectomy semen samples are typically analyzed under 40 high power fields. If any sperm is seen during the analysis, the fax report will be sent to the physician with details.
Once the test is complete, patients are notified that their results are ready to view in our secure patient portal. Additionally, the provider's office receives a fax copy of the report from our lab within one week of the test. If sperm is present, the patient is instructed to contact their provider for follow-up.
Below are the AUA guidelines that MaleFromHome follows.
Eight to sixteen weeks after vasectomy is the appropriate time range for the first PVSA. The choice of time to do the first PVSA should be left to the judgment of the surgeon. Option (Evidence Strength Grade C)
Vasectomy should be considered a failure if any motile sperm are seen on PVSA at six months after vasectomy, in which case repeat vasectomy should be considered. Expert Opinion
If > 100,000 non-motile sperm/mL persists beyond six months after vasectomy, then trends of serial PVSAs and clinical judgment should be used to decide whether the vasectomy is a failure and whether repeat vasectomy should be considered. Expert Opinion
Source: “Vasectomy Guideline” www.auanet.org