I just turned 44 in January, would I be a good candidate for tubal reversal? If not, what other alternatives are there besides IVF?
I just turned 44 years old. I am a mother of twin boys (age 23) and 2 girls (ages 15 and 11). I had my tubal litigation when my 11 year old was born. I've recently remarried and my husband has no kids. At age 43, I had 3 cycles of IVF with my own eggs, and it resulted in one miscarriage and 2 BFN. I still get regular periods. Am I a good candidate for tubal reversal? If so, what are my chances of becoming pregnant? If not, are there any other alternatives aside from IVF?
Answers from doctors (2)
The initial evaluation would most likely be to look at your ovarian reserve markers to get a sense of where you stand with the number of eggs available. Since you have already gone through 3 IVF cycles at age 43 we already have some idea of this level and could repeat some of those labs now. I will tell you, most centers have a cutoff age for IVF with their own eggs around 43, which is our cutoff here. The reason for this is that IVF at an older age than that probably wouldn't greatly increase your chances of success and therefore the cost and time involved may not be worthwhile to you. Donor egg IVF is a very viable option in your situation with very good success rates. As for the tubal reversal, again, this would hinge on what your ovarian reserve numbers look like and whether or not you want to try to go through that surgery based on the chances of pregnancy at 44. With your own eggs, it's also important to note that age realated miscarriage rate is over 45% and the risk of a chromosome issue is close to 1 in 50 to 1 in 70. I hope this helps.
Published on Jul 11, 2012
At our particular office, we do not do tubal reversals, but we offer IVF as an option. We would have to do diagnostic testing to try and determine why the IVF procedures have not been successful. Aside from IVF using your own eggs, there is the option of donor egg IVF or embryo adoption.
Published on Jul 11, 2012
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