Benefits of Eating Dates for Pregnancy and Labor

Dates may not be a fruit you usually keep on hand, but it deserves more attention than it gets, especially among pregnant women. Consider the benefits of eating dates for a healthy pregnancy and easier labor.

Why You Should Eat Dates When You’re Expecting

• Natural energy: Dates are one of the sweetest types of fruit, but since they’re also packed with fiber, the natural sugar doesn’t cause a blood sugar spike. Instead, you get a healthy, steady flow of energy, and you satisfy your sweet tooth at the same time!
• Constipation relief: High fiber foods also promote a healthy digestive system, thus helping prevent pregnancy-related constipation. Dates also keep you feeling full longer, reduce your cholesterol, and help you maintain a healthy weight.
• Birth defect prevention: Folate helps support healthy brain and spinal cord development in unborn babies. As a result, eating folate-rich dates before and during pregnancy can help prevent congenital disabilities.
• Bone development for the baby: Vitamin K is important for bone development and blood clotting. Consuming dates rich in this vitamin during pregnancy supports higher vitamin K levels when your baby is born. Continue eating dates while breastfeeding to pass even more of this vitamin on to your child.
• Anemia prevention: Dates contain some iron, which helps prevent anemia, or low red blood cell count. Iron also maintains hemoglobin in the body during pregnancy to strengthen you and your baby’s immune systems.
• Healthy water-salt balance: Potassium plays a role in water-salt levels and blood pressure. Eating dates can help prevent potassium deficiency for fewer muscle cramps and a lower risk of cardiovascular disease and stroke.
• Blood pressure and blood sugar regulation: Magnesium is another vital nutrient needed during pregnancy to help avoid high blood pressure, preeclampsia, placental dysfunction, and premature labor.
• Shorter, easier labor: Eating dates during the last few weeks of pregnancy can help ripen the cervix and promote uterine contractions for a faster delivery. It also reduces the risk of postpartum hemorrhage.

When and How to Eat Dates During Pregnancy

Dates are relatively high in sugar and calories, so don’t consume more than six per day during your pregnancy. It never hurts to ask your doctor about your desire to eat dates, especially if you have a high risk of gestational diabetes.

Dried dates are available at most grocery stores and are easy and convenient to eat. Stuffing dried dates with almonds or peanut butter is a great way to add protein to your snack. You can also blend dates into smoothies, chop them up into chicken salad, or add them to oatmeal cookies.

If you and your partner are interested in growing your family, but you previously had a vasectomy, you still have options. Dr. Joshua Green of the Center for Vasectomy Reversal is a leader in helping men and women become parents. To learn more about the vasectomy reversal process, please contact our Sarasota, FL clinic at 941-894-6428 or schedule a free consultation online.

Why your Libido May Be Lower than Normal

Is your libido lacking? Ebb and flow in sexual appetite is normal, but if you notice that your libido remains low for an extended time, it may indicate an underlying health issue. Let’s look at some causes of a low sex drive as well as possible treatments.

• Low testosterone is a common cause of a low sex drive. This makes sense because testosterone is an important male hormone. It’s responsible for building muscles and bone mass, stimulating sperm production, and boosting your libido. Normal testosterone levels vary, but a man is considered to have low testosterone when his level falls below 300 nanograms per deciliter. Talk to your doctor if you think this may be the case, because testosterone replacement therapy can help.
• Certain medications can knock you out of the mood. Blood pressure medications, chemotherapy or radiation, hormones used to treat prostate cancer, antidepressants, opioid pain relievers, corticosteroids, and even some heartburn and gastroesophageal reflux disease (GERD) medications can lower libido. If you think something you’re taking may be causing this issue, talk to your doctor about switching medications.
• Sleep problems can lead to libido problems. Restricted sleep, obstructive sleep apnea, and restless legs syndrome (RLS) can all play a part in lowering testosterone and, by extension, the sex drive. Research indicates that restricted sleep reduces the testosterone levels the next night. As to RLS, it can lead to erectile dysfunction and even impotency.
• Your mind has an impact on your sex drive. Depression can reduce your interest in sex, and this is further complicated by the fact that certain anti-depressants can also lower libido. Low self-esteem can also lead to anxiety about sexual performance, resulting in issues with ED or reduced sex drive.
• Chronic illnesses can make sex low on your list of priorities. Chronic pain, for instance, can drastically lower your libido. Illnesses like cancer can reduce your sperm production, and other conditions, like diabetes, obesity, high blood pressure, high cholesterol, and chronic heart, kidney, or liver failure can all take a toll. If you’re experiencing intimacy issues because of chronic illness, marriage counseling may help.
• Aging decreases testosterone. Testosterone levels are at their peak when men are in their late teens. The levels decrease as men age, but medication may help.
• Lifestyle habits may impact your libido. Heavy drinking can reduce the sex drive, as can illegal drugs. Even exercise can have a negative effect on your sex drive: too little or too much exercise can reduce libido. Stress, too, can decrease your sexual desire. Healthier lifestyle habits and stress management can help.

At the Center for Vasectomy Reversal, we pride ourselves on providing optimal surgical results and uncompromising, concierge-level patient care. Under the direction of Dr. Joshua Green, our team provides state-of-the-art treatment for men who need a reversal of their vasectomy or have other fertility concerns. To learn more, contact us through our website or call 941-894-6428 for a free consultation.

Cost of Vasectomy Reversal

The technology involved in a vasectomy reversal has improved significantly over the past few decades. In fact, the surgical techniques used today are nothing short of miraculous. If you’ve had a vasectomy and now would like to start a family, you have a very good chance after undergoing vasectomy reversal. Still, the procedure can be cost-prohibitive, since most infertility procedures are not covered by insurance.

Dr. Green is an extremely skillful surgeon, and his vasectomy reversal results speak for themselves. He’s fine-tuned his skills over years of clinical practice, performing hundreds of vasectomy reversals. Every patient receives personalized care, and even receive Dr. Green’s personal cellphone number.

When you schedule a vasectomy reversal with us, a non-refundable fee of $1,000 is required to reserve the operating suite and high-powered microscope. If you need to reschedule, you can do so once at no charge, as long as it’s at least three weeks before your scheduled surgery date. To reschedule again, there will be an additional reservation fee, which will be applied to the total cost of the surgery.

The cost of a vasectomy reversal is $7,250.00. This includes our surgeon’s fee, surgery center, anesthesia, all consultations, and office visits. Once you’ve paid your initial fee, the balance is due one week prior to surgery. If Dr. Green determines that you require a vasoepididymostomy, no extra fee will be charged. We accept major credit cards, cash, and checks. We also offer a discount of $250 to active duty service members.

Dr. Green offers a payment plan option for those unable to pay the entire fee at once. With this plan, patients are still required to make the $1,000 deposit, and will pay a total of $7,500. $3,500 is due one week before the surgery, and the remainder is broken into six monthly payments of $500 each, beginning the month after the surgery.

If you’re traveling from out of town, many pre-operative details can be handled over the phone, online, or via mail or email. Dr. Green will meet with you before the surgery if it’s convenient, or will talk to you on the phone and meet you at the surgery center on the day of your procedure. You don’t have to stay in Sarasota, as long as you can be at the surgery center by 11:30 on your scheduled surgery day, you’ll be available for a post-operative appointment the next day, and you have someone to drive you home. If you do decide to stay in Sarasota, we’ve negotiated a discounted rate for our patients with the Hampton Inn Sarasota, across the street from the surgery center.

At the Center for Vasectomy Reversal, we pride ourselves on providing optimal surgical results and uncompromising, concierge-level patient care. Under the direction of Dr. Joshua Green, our team provides state-of-the-art treatment for men who need a reversal of their vasectomy or have other fertility concerns. To learn more, call 941-894-6428 or contact us through our website.

Benefits of Having Children Later in Life

Is your biological clock ticking? There’s a lot of press given to the scary aspects of waiting to build a family, like aging sperm, declining eggs, and the risks of pregnancy over age 35. Of course, it’s always important to talk to your doctor about your risks before you decide to try to conceive a child. However, there are actually some really great things about being an older parent.

• Science shows that having kid later in life may make you mentally sharper. One study showed that women who had their last child after age 35 had better verbal memory and cognition, and that women who didn’t start having kids until after age 24 were better problem solvers than those who had been younger when they became moms. Additionally, some research indicates that women who have children after age 33 are likely to live longer than those whose last child is born before they turn 30.
• Your child may be healthier if you’re an older parent. Recent research indicates that small children with older mothers tend to be healthier, with fewer accidental injuries as well as fewer social and emotional difficulties. One study even links longer lifespan with having an older father. While aging sperm can contribute to chromosomal abnormalities, this new research shows that it might also produce children with chromosomal traits linked to longevity that lasts two generations.
• Children of older parents are often smarter. Remember that study of small children of older moms that said they’re healthier? It also determined that they’re typically more advanced in their language skills. Research from both the U.K. and U.S. shows that kids born to older dads are more likely to have a high IQ and a stronger ability to focus on their interests. Less distracted by a desire to fit in socially, they’re more likely to be successful educationally, leading to a stronger socioeconomic status. And because older parents are likely to be better educated, their children are often more tech-savvy and well-educated.
• Waiting to have children may lead to more emotionally stable parenting. Many older parents feel that they’re more emotionally prepared for children than they were at a younger age, and research suggests that this is true. Because older parents have more life experience and maturity, they’re less likely to yell at or harshly punish their children.
• The financial stability that comes with being an older parent is helpful. A large body of research supports the idea that financial stability is linked to better health outcomes. There’s also significant evidence that children with more financially stable parents are likely to achieve a higher rate academic success.

At Center for Vasectomy Reversal, we love helping to create healthy, happy families. Under the direction of Dr. Joshua Green, our team provides state-of-the-art treatment for men who need a reversal of their vasectomy or have other fertility concerns. To learn more, call 941-894-6428 or contact us through our website.

How to Baby Proof your Home

When you are about to have a baby, it can be alarming to look at all the hazards in your home. Your space, which has always seemed benign or even inviting, may now seem like a virtual deathtrap, with danger lurking everywhere. Relax! It’s not as bad as it may seem, and babyproofing is not too overwhelming if you take it step by step.

• First, think about the reasons behind babyproofing. It’s important to keep hazards out of the way of children, not just to keep the little ones safe, but also to make it easier to parent. It’s no fun to constantly say “no”, but you can set yourself and your child up for success by creating an environment that’s comfortable and safe.
• Look for major hazards throughout the house. Anything broken, paint that’s chipped or peeling, wallpaper that’s coming unstuck- fix those things. Make sure your water heater is set below 120° F, and that your smoke and carbon monoxide detectors are in good working order. If you live in a home built before 1978, check for lead paint; hire a lead-safe contractor to fix it if you find it. Cover electrical outlets and secure any piece of furniture or heavy electronic item that could tip, using safety straps or anchoring things to the wall. If you use window blinds, consider choosing cordless blinds. If your existing blinds have cords, use cord safety wraps.
• Keep small children out of the bathroom. Babies and toddlers are drawn to water, which makes toilets, sinks, and bathtubs hazardous. Additionally, bathrooms tend to have cleaning supplies and medications. The best course of action is to secure the cabinets, drawers, and toilets with child locks and then put a doorknob cover on the outer handle.
• Kitchens need special attention. Install magnetic childproofing locks in the cabinets, secure drawers, and lock hazards like liquor cabinets and medicine cabinets. Use stove knob covers and turn the handles of pots and pans inward so a child can’t grab them and pull down hot food. Store cleaning supplies, including laundry detergent, out of children’s reach. Put non-skid pads under rugs and find a way to contain children while you’re cooking.
• Do a sweep of the whole house. In the nursery, make sure your crib is safe with crib rails at the appropriate level and no toys, blankets, or bumpers in the crib. Choose a toy box that’s safe, with no heavy lid, and put finger guards on door hinges. In the living areas, pad corners of furniture, skip tablecloths because of the danger of kids tugging on them, and install window guards.

At Center for Vasectomy Reversal, we love helping to create healthy, happy families. Under the direction of Dr. Joshua Green, our team provides state-of-the-art treatment for men who need a reversal of their vasectomy or have other fertility concerns. To learn more, contact us through our website or call 941-894-6428 for a free consultation.

What are Anti-Sperm Antibodies?

Are you and your partner struggling to become pregnant following vasectomy reversal surgery? Many factors affect the success rate of this procedure, including the potential development of anti-sperm antibodies. While this is a less common cause of male infertility, it’s still a factor worth exploring.

What are Anti-Sperm Antibodies?

Under normal conditions, sperm only exists within a man’s closed reproductive system. The tubules through which sperm travel don’t mix with other parts of the body. However, if sperm enters the bloodstream for any reason, the body’s immune system perceives the sperm as a foreign protein and produces anti-sperm antibodies in response.

Anti-sperm antibodies may cause sperm to clump together, reducing their ability to swim and subsequently reach the female egg. In rare cases, the antibodies can also cover the head of the sperm, rendering them unable to penetrate and fertilize the egg.

What Causes Anti-Sperm Antibodies?

In short, any time semen mixes with blood inside the body, anti-sperm antibodies are liable to form. Men may develop these antibodies for any of the following reasons:

• Vasectomy or other testicle surgery
• Tramatic testicle injury
• Prostate infection

Women’s reproductive systems can also produce anti-sperm antibodies if they have an allergic reaction to their partner’s semen. If present in the cervical mucus, these antibodies could damage or kill sperm as they enter the vagina. This condition is rare and not fully understood by the medical community.

Testing for Anti-Sperm Antibodies

An immunobead test (IBT) detects the presence of sperm-destroying antibodies in the blood, seminal fluid, or cervical mucus. Testing also indicates what part of the sperm is specifically affected. When performed on blood, an IBT can reveal whether the anti-sperm antibodies originate from the patient’s blood or reproductive system.

Because anti-sperm antibodies are relatively rare, and their presence doesn’t always cause infertility, your physician will likely review your medical history and conduct other tests before suggesting an IBT. Anti-sperm antibody testing should only be necessary if another cause of infertility can’t be found or the results of routine testing are inconclusive.

Treating Anti-Sperm Antibodies

While high levels of anti-sperm antibodies can make it difficult for some couples to get pregnant, their presence does not guarantee fertility issues. In fact, some findings suggest a low correlation between anti-sperm antibodies and the ability to conceive.

Still, if you’re having trouble getting pregnant, you may choose to pursue treatment for anti-sperm antibodies. Your options include immune response-lowering medication and assisted reproductive technology (ART), such as intrauterine insemination.

Dr. Joshua Green of the Center for Vasectomy Reversal is a leader in helping men overcome infertility problems. All infertility procedures we offer, including vasectomy reversal, are performed by a qualified surgeon using state-of-the-art equipment. Patients can expect concierge-level care and friendly staff interactions all along the way. To discuss your fertility concerns with Dr. Green, please contact our Sarasota, FL clinic at 941-894-6428 or schedule a free consultation online.

What is Postpartum Depression, and How Can You be There for Your Partner?

Carrying and delivering a baby causes a slew of hormonal changes in a woman’s body. At the very least, many new moms experience “baby blues” after giving birth, which may cause mood swings, anxiety, crying, and difficulty sleeping. Baby blues typically last no longer than two weeks.

Postpartum depression (PPD) is far more severe. This lingering mental condition is not a sign of weakness—it’s simply a complication of childbirth. If your partner experiences PPD, learn how you can be there for her during this difficult and emotional time.

Symptoms of Postpartum Depression

PPD may be mistaken for baby blues at first, but the symptoms are more debilitating and may last months if left untreated. The signs of postpartum depression include:

• Depressed mood or severe mood swings
• Excessive crying
• Difficulty bonding with the baby
• Withdrawing from social outings
• Trouble sleeping or sleeping too much
• Low energy levels
• Unwarranted irritability or anger
• Fear of being a bad mother
• Feelings of guilt, shame, or worthlessness
• Difficulty concentrating
• Anxiety or panic attacks
• Thoughts of self-harm or hurting the baby
• Suicidal ideation

PPD in New Fathers

Between 2 and 20 percent of new dads experience postpartum depression as well, a condition known as paternal postpartum depression. Men with relationship issues, financial instability, a history of depression, or a partner with PPD are most at risk. If you’re a new father experiencing any of the symptoms listed above, talk to a healthcare professional.

How You Can be There for Your Partner

While postpartum depression is a mental illness that often requires medical treatment, you can do many practical things to help your partner recover. Here’s what we recommend:

• Help around the house.
• Prepare healthy meals.
• Reassure your partner that she’s a good mother.
• Tell her you’re proud of how hard she’s working, even though she feels terrible.
• Make yourself available by taking paternity leave or reducing your hours at work.
• Limit your time with extended family and friends.
• Answer her phone and take a message.
• Go with her to doctor’s appointments.
• Play the role of “listener” when she wants to talk about her feelings and struggles.
• Help her get more rest by dividing up nighttime parenting and letting her sleep in.
• Watch the baby so she can pursue a hobby or go out with a friend.
• Seek help from trusted adult friends and medical professionals so you don’t have to go it alone.

Even though you know postpartum depression and other complications are always possible, you may have made up your mind about becoming a parent. If you previously had a vasectomy, the first step is to have a vasectomy reversal. Dr. Joshua Green of the Center for Vasectomy Reversal is a leader in helping men become fathers. To learn more about having your vasectomy reversed, please contact our Sarasota, FL clinic at 941-894-6428 or schedule a free consultation online.

IVF vs. Vasectomy Reversal

Did you previously have a vasectomy to avoid unwanted pregnancies? What should you do if you and your female partner have decided you want to have kids together? There are two primary options for starting on the path to parenthood: in vitro fertilization (IVF) and vasectomy reversal. Consider what each process entails to help you make an informed decision.

How Does IVF Work?

In vitro fertilization aims to bypass all infertility problems by combining the woman’s egg and the man’s sperm outside the body. The resulting embryo is implanted into the woman’s uterus, where it will hopefully grow and develop into a baby.

When performing IVF after a vasectomy, a urologist must extract sperm surgically. This comes at a greater cost and higher risk than retrieving sperm naturally. Eggs must also be removed from the woman’s ovaries after delivering a cycle of hormones designed to stimulate the release of multiple eggs.

The risks associated with IVF are quite high. The mother and baby face the chance of serious complications, some of which may be life-long. The cost is also three to five times higher than vasectomy reversal surgery. Plus, IVF must be repeated with each failed attempt, often at a considerable emotional and financial cost.

How Does Vasectomy Reversal Work?

A vasectomy reversal is a restorative procedure design to reconnect the severed ends of the vas deferens, the tubes through which sperm travel from the testicles to the urethra. The procedure takes two to three hours to complete and should be performed by an experienced microsurgeon to reduce the risks and improve the chances of success.

If the procedure is successful, male fertility is restored, giving the couple a chance to conceive naturally without treating the female partner. A vasectomy reversal also makes it possible to have multiple children over the years without undergoing any further medical intervention.

Be aware that it can take several months after a vasectomy reversal for the female partner to become pregnant. Of course, even if sperm starts presenting in the ejaculate like normal, pregnancy depends on the female partner’s fertility as well. If she has contributing issues, IVF may be the only option after all.

Deciding Between IVF and Vasectomy Reversal

Every couple should consider what’s best for them when pursuing parenthood after a vasectomy. However, because of the costs and risks associated with IVF, a reversal with natural conception makes the most sense for a majority of couples.

We recommend starting your journey with a consultation at the Center for Vasectomy Reversal. Our highly skilled and experienced microsurgeon, Dr. Joshua Green, is a leader in vasectomy reversal surgery. All infertility procedures we offer are performed using a state-of-the-art, high-powered operating microscope. Our patients benefit from Dr. Green’s remarkable success rates and enjoy concierge-level care and friendly staff interactions every step of the way.

To discuss your infertility treatment options, please contact our Sarasota, FL clinic at 941-894-6428 or schedule a free consultation online.

Vasectomy Reversal Myths

As you contemplate whether a vasectomy reversal is right for you, you may stumble upon common myths about this surgical procedure. Dispel any misunderstandings before you meet with a microsurgeon about reversing your vasectomy.

Myth: A vasectomy reversal is as straightforward as a vasectomy.

Almost any doctor can perform a vasectomy, a short and relatively simple surgery that requires minimal training. However, a correctly performed vasectomy reversal is an advanced, technically challenging microsurgery lasting two to three hours. You should only trust an expert microsurgeon with years of successful reversals to increase the chance of success and lower the risk of complications.

Myth: All vasectomy reversals have the same chance of success.

Talk to your surgeon about what could affect the success of your surgery before deciding to have a vasectomy reversal. Factors may include:

• Sperm count and mobility
• Any development of anti-sperm antibodies
• Scar tissue following surgery
• Fertility of your female partner
• Length of time since your vasectomy

Myth: A vasectomy reversal must be performed within 10 years to have any chance of success.

If you had your vasectomy less than five years ago, there is a greater than 95 percent chance of sperm in the ejaculate. Surgeries performed five to 10 years ago have about a 90 percent chance, and if 10 or more years have elapsed, there’s an 80 to 90 percent chance. Experienced surgeons can perform successful reversals over 20 years after a vasectomy. (Note: pregnancy rates are lower than the percentages given here and depend on numerous factors.)

Myth: Pursuing IVF is better than having a vasectomy reversal.

While in vitro fertilization is a viable infertility treatment, it should not be your first choice. IVF costs three to five times more than vasectomy reversal surgery, and it comes with serious risks to the mother and baby—all with no guarantee of a successful pregnancy. With the costs, risks, and success rates in mind, a reversal with natural conception makes more sense for most couples.

Myth: Some vasectomy methods are not reversible.

It is extremely rare for a vasectomy to be performed in such a way that a microsurgeon cannot reverse it. The only time this can happen is if the original surgeon removes too much of the vas deferens, the tube that transports sperm from the testes to the urethra. In this case, there is nothing to reattach, and the reversal cannot be done. Again, this is very uncommon and can be ruled out prior to surgery via a physical exam.

Dr. Joshua Green of the Center for Vasectomy Reversal is a leader in microscopic infertility procedures. If you have decided to pursue parenthood, we can help. Dr. Green has completed hundreds of vasectomy reversal surgeries and takes great pride in his remarkable success rates. We’ll discuss your surgical options, costs, and the chance of success based on your specific situation. To learn more, please call our Sarasota, FL clinic at 941-894-6428 or schedule a free consultation online.

Everything You Need to Know About Vasoepididymostomy

Vasoepididymostomy is a corrective treatment for epididymal obstruction, or blockage near the testicular end of the vas deferens. The procedure surgically connects the vas deferens to the epididymis. A successful outcome relies on the microsurgical skills and extensive experience of the physician performing the procedure.

What is the Epididymis?

The epididymis is a tightly coiled tube situated behind the testis. Sperm leave the testicle and enter this tube, where they learn to “swim,” a skill necessary to fertilize a female’s egg. The epididymis is only 200 microns wide, or twice the diameter of a human hair, so operating on it requires incredible precision. From here, sperm empty into the vas deferens, which takes them to the ejaculation ducts. Sperm then pass into the urethra in the penis prior to ejaculation.

What Causes Epididymal Obstruction?

Several underlying problems could cause a blockage in the epididymis, including:

• Congenital abnormalities, such as the absence of the distal portion of the epididymis and absence of the vas deferens
• Inflammation of the epididymis (epididymitis)
• Young’s syndrome
• Accidental injury from a prior surgery
• Side effect of a past vasectomy, especially if the procedure was performed over 10 years ago

What are the Advantages of Vasoepididymostomy Over IVF/ICSI?

In vitro fertilization (IVF) and intracytoplasmic sperm injection (ICSI) are two relatively recent advances in reproductive medicine. IVF is the process of extracting eggs from a woman and sperm from a man, and then combining them manually in a laboratory dish. The resulting embryo is then transferred to the woman’s uterus. ICSI is a type of IVF that involves injecting a single sperm cell into an egg.

Here’s why treating epididymal obstruction with vasoepididymostomy could be preferred over IVF/ICSI:

• If the treatment is successful, couples can have children through natural intercourse.
• IVF is an expensive, intense procedure, especially for the female partner.
• There are no ethical issues surrounding
• Pregnancy rates (11 to 56 percent) are comparable with or better than IVF/ICSI.
• Insurance often covers the cost to correct epididymal obstruction but may not cover IVF/ICSI.
• Sperm can be collected during the procedure and cryopreserved for future IVF attempts if vasoepididymostomy is not successful.

Could Vasoepididymostomy be Right for Me?

Your doctor may recommend this procedure if you have the following:

• Male infertility
• Active sperm production in the testis
• Signs of an obstructed epididymis, including thick fluid expressed from the testicular side of the vas deferens following a vasectomy

Dr. Joshua Green of the Center for Vasectomy Reversal is a leader in male infertility microsurgeries, including vasoepididymostomy. Whether you’re simply struggling with male infertility or you want to reverse a prior vasectomy so you can have children, we can help. If you require vasoepididymostomy alongside a vasectomy reversal, we can perform this additional procedure at the same time for no extra cost. To learn more, please call our Sarasota, FL clinic at 941-894-6428 or schedule a free consultation online.