9 doctors weighed in:

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

9 doctors weighed in
Dr. Samuel Pauli
Fertility Medicine
3 doctors agree

In brief: 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.

In brief: 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.
Dr. Samuel Pauli
Dr. Samuel Pauli
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Dr. Joseph Pena
Fertility Medicine
2 doctors agree

In brief: 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.

In brief: 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.
Dr. Joseph Pena
Dr. Joseph Pena
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Dr. Jay Nemiro
Fertility Medicine
1 doctor agrees

In brief: 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.

In brief: 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.
Dr. Jay Nemiro
Dr. Jay Nemiro
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Dr. John Jarrett
Fertility Medicine
1 doctor agrees

In brief: 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.

In brief: 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.
Dr. John Jarrett
Dr. John Jarrett
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Dr. Michael Fox
Fertility Medicine
1 doctor agrees

In brief: 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.

In brief: 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.
Dr. Michael Fox
Dr. Michael Fox
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1 comment
Dr. Michael Fox
It does matter, however how the tubes were tied in the first place. Essure and cautery type tubals would have the lowest success for reversal surgery.
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