Would In Vitro Fertilization or Tubal Ligation Reversal be more appropriate for me?

I had my tubes tied in December of 2011. My husband and I were sure we did not want any more children, but have now decided that we do want another child. I am 27 years of age with no medical problems. Would IVF or tubal reversal be best in this case?

Answers from doctors (1)


IVF LA Reproductive Associates

Published on Sep 19, 2012

There are a number of factors that impact on both decisions. If your tubal ligation was done on the isthmic portion of the tube (i.e. that portion of the tube closest to the uterus), the pregnancy rates would be about 92%, assuming enough tube is left for the reversal; that is a higher rate than IVF given even the best of IVF
laboratories. However, if the midampullary portion of the tube was ligated (this is the more common site) and now has to be reconnected, the pregnancy rates would be about 55%; a rate somewhat inferior to
good IVF labs. Another factor to consider is the cost of IVF vs. tubal reversal. Many centers are charging well above $8-10,000 for IVF, while the price of reversal is as low as $5900 and as high as $13,000. Yet few are competitively priced for both IVF and tubal reversal. The bottom line: you need to do a little homework to know where and with whom to get treatment. Best of luck!

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Answered by IVF LA Reproductive Associates

There are a number of factors that impact on both decisions. If your tubal ligation was done on the isthmic portion of the tube (i.e. that portion of the tube closest to the uterus), the pregnancy rates would be about 92%, assuming enough tube is left for the reversal; that is a higher rate than IVF given even the best of IVF
laboratories. However, if the midampullary portion of the tube was ligated (this is the more common site) and now has to be reconnected, the pregnancy rates would be about 55%; a rate somewhat inferior to
good IVF labs. Another factor to consider is the cost of IVF vs. tubal reversal. Many centers are charging well above $8-10,000 for IVF, while the price of reversal is as low as $5900 and as high as $13,000. Yet few are competitively priced for both IVF and tubal reversal. The bottom line: you need to do a little homework to know where and with whom to get treatment. Best of luck!

Published on Jul 11, 2012


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