A member asked:

Would it be possible for me to get pregnant again? 5 years ago i was fixed but the ogy just cut me 1cm and tied it to the utherus, she said it will grow so i may be get pregnant again in some years, i think she also burn the ends.

4 doctors weighed in across 2 answers
Dr. Ew Moffitt answered

Specializes in Obstetrics and Gynecology

It : It is possible to reverse a tubal ligation. The best thing to do is to get the operative report from the ob/gyn and then see a reproductive endocrinologist. They will discuss the pros and cons of that surgery compaired to ivf.

Answered 10/3/2016

5.3k views

Thank
Dr. Michael Opsahl answered

Specializes in Fertility Medicine

Yes, : Yes, you may be able to get pregnant again but the first question is how? (tubal reversal or ivf) and how likely? (your age is the most important). You need to seek care from a reproductive surgeon or reproductive endocrinologist to determine the best option for you. Your dr. Will need to know the specific technique used to cut your fallopian tubes (ideally they would like to review the operation report), your general health and some reproductive fertility assessment tests. You say that the tubal ligation was done by tying the tube to the uterus (estes procedure?). The tubes never grow longer again - not sure what she meant by this statement. Whenever the tube is burned then there is likely to be more damage to the tube and less tube to work with at reversal. I will leave off a detailed discusion of reproductive aging for brevity but it is a critical issue. If you are older (over 35 yrs) then ivf is almost certainly more successful than surgery. At any age, you need to have tests of egg quality (fsh, amh, antral follicle count) before surgery because if time is running out then ivf is clearly a better choice. Costs sterilization reversal surgery can cost almost as much as in ivf cycle because the surgery requires anywhere from 2-4 hours to perform in the operating room is very expensive part of the hospital. The cost is from about $8, 000 - $15, 000. Ivf cycles often come with a refund guarantee but surgery never does - and this may make ivf cheaper. Reversal and ivf sterilization reversal is one of the few reproductive surgeries that offers a high success rate. The surgery requires an operative microscope in order to remove the scar tissue around the ends of the tube that was cut and to sew them together. Not every surgeon is trained to perform microsurgery therefore you should seek out a surgeon with experience. Ivf does not require that your fallopian tubes be open. Ivf is a good option for situations in which the sterilization surgery removed a large amount of fallopian tube, the woman's age is older than 35-38 years or or there is also a male factor involved such that the sperm has a low potential for fertilizing the egg. You did not state in your question whether this is the same partner that created the first children or whether you have a new partner and he may or may not be fertile. Choices in order to choose between these 2 treatment options, we need to determine that there would be sufficient tube length at the end of the sterilization reversal surgery to yield a high probability of success compared to ivf, that your fertility potential is not compromised suggesting a small window of opportunity to achieve pregnancy, that your husband has normally functioning sperm and that you are willing to invest at least one year after surgery to achieve pregnancy. Additionally, if you're a good surgical candidate and you want to have multiple children then surgery may be a better option because we cannot always guarantee that you will have extra embryos frozen after ivf. Ivf is so success these days that there is a trend away from surgery. We often cannot reliably determine whether surgery or ivf would be the best option. We also need to look at the costs of both surgery and ivf and what insurance will pay plus whether you can have a refund guarantee for ivf. In conclusion, you probably have 2 good options for achieving another child. I predict that when you meet with your physician, at the answer to some of these questions will become more obvious. Good luck.

Answered 10/4/2016

5.5k views

Thank

Related Questions