Tubal reversal or IVF?

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Women who have previously had a tubal ligation often consider either IVF or a tubal reversal to get pregnant. 

IVF involves inserting a fertilized egg directly in the uterus. As such, the process completely bypasses the fallopian tubes.

A tubal reversal, on the other hand, reopens the fallopian tubes so that you can try getting pregnant naturally. Some doctors believe the best candidates for tubal reversal are people under 40 who had a tubal ligation immediately after childbirth. 

So, how do you choose? A number of factors will influence the success of each option, including age and health profile. Discussing the pros and cons of a tubal reversal and IVF with a doctor should always be the first step.

Tubal Reversal

In a tubal reversal, a small incision is made near the pubic hair line. A laparoscope, or thin, lighted tube, connected to microscopic instruments is inserted and used to remove the clips or rings used to block the fallopian tubes and to reconnect the tubes to the uterus.

While tubal reversal is major abdominal surgery, it is often outpatient surgery, and recovery time is typically 2 weeks.

Why Tubal Reversal?

  • It is more cost effective than IVF. Tubal reversal typically costs about $6,000 for the one-time procedure; IVF can cost over $15,000 per cycle.

  • It only requires one procedure: a one-time opening of the fallopian tubes. IVF often involves multiple cycles and medication to achieve a pregnancy. 

  • Further pregnancies are now possible. With a tubal reversal, the patient may now have future pregnancies without further intervention.

  • Natural pregnancy is possible. If the patient has no other infertility concerns, pregnancy can be achieved through sexual intercourse. Beats multiple visits to the doctor, medications, and procedures!

    Why IVF?

    • It leaves less to chance and may have a better success rate depending on your health and age.

    • Health conditions make it necessary: the fallopian tubes cannot be opened, egg quality is poor, or ovulation cannot be induced with medications.

    • Doctors will monitor your progress and enhance your chances of getting pregnant on a schedule