Would you suggest in vitro over tubal ligation reversal for some one wanting a child after tube being tied?

Depends: It depends on how the ligation was performed, your age, how many additional children you would like, how efficiently your ovaries are working, and your past surgical history. It is a very complex decision with many nuances that is probably best made after consultation with a reproductive endocrinologist.

IVF: One option is not necessarily right for everyone. Having said that, ivf is the more popular and practical option for the majority of couples who present with desire to conceive after woman having had tubal sterilization. A discussion with reproductive specialist and a urologist will help determine the best option for each couple.

NO: Almost all tubal ligations are reversible. Unfortunately, reproductive medicine has moved away from reversal surgery. Most practices pushing patients to ivf despite it being 3x as expensive for the preg rate. Our program is one of a handful that offers laparoscopic tubal reversal (outpatient) at a very low cost. With good ovarian function the preg rate can be >90% with chance for more preg.'s.

Tubaligation: It depends on how you tubes are tied, but in general with current ivf success rates it is becoming increasingly difficult to recommend surgery for tubaligation reversal.

It's a choice: Success depends on three factors: 1. Skill of the surgeon, 2. Length of tubal segments remaining, and 3. Age of the patient. In skilled hands, the surgery is safe and the risk of an ectopic is less than 5%. Ivf is also an option but generally costs a lot more but also has good success. It is a choice for you and your partner to decide. Discuss with a rei that does both. Good luck.