At 30, if your husband has a normal sperm count and you had a conservative tubal sterilization, you should have a very high chance of conception (in the range of 60-80%).
Published on Jul 11, 2012
Thank you for the email. There are many things to consider when deciding if a tubal reversal is the right choice for you and your family.
The obvious advantage with a tubal reversal is the hope that you will be able to achieve pregnancy with no interventions. The typical estimate is that, if everything goes well and all things are optimal, about 75% of women will achieve pregnancy within their 1st year of trying. If there are any factors that are not optimal, the chances for success can be significantly lower.
Here are some things to consider:
• Before a tubal reversal should take place, we first need to know if it is a good option. For example, we need to think about egg quality, your age, tubal status, endocrine status, and it is very important to know what the sperm quality is of the male partner. A consult fee will $350.00, but there are also fees for lab testing on both partners.
• If you are determined to be a good candidate, surgery will need to take place. The success of the surgery can often not be determined until after the surgery. For example, what conditions are the tubes in and is there any scar tissue or endometriosis. The cost of surgery is typically between $18,000-$24,000. There are cheaper rates posted on the internet, but often they are not including the hospital fees. The surgery typically requires 6-8 weeks of leave from work due to the open incision.
• If the reversal is “successful”, the chance of success is still not insured. For example, there is an increased risk for ectopic pregnancy.
• After a reversal, you will also have to consider birth control options-contraception vs. tubes tied again
The other option is obviously IVF. The benefits of IVF are:
• Cost typically is less 12-15K is average
• Many variables can be worked around
• Success rate each month is much greater
• Options for prevention of genetic disease through new genetic screening
• Option to screen embryos for chromosome or genetic conditions to decrease the chance for having a baby with a syndrome, or a miscarriage, through a process called preimplantation genetic testing
There are obviously drawbacks as well
• Requires medication for stimulation.
• It is not the “natural” option that some couples desire
There is much to consider prior to deciding what is the best option. The first step is a consultation with a fertility specialist to discuss your history and start your lab work up. From there, the specialist will be able to advise you on the options that best fit your needs.
Published on Jul 11, 2012
Your chances of becoming pregnant after tubal reversal are between 60% and 70%.
Published on Jul 11, 2012