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IVF vs. Tubal Reversal - Making Your Decision

Jul 15, 2008
If you had your tubes tied but have decided you want another child, your doctor will probably suggest doing the in vitro fertilization (IVF) process. But there is an. That alternative is a tubal reversal. Should you have one? Let's check out IVF vs. tubal reversal to see what might be best for you.

A tubal reversal is a micro-surgical technique of repairing the fallopian tubes where they were cut. The preparation is minimal for the surgery including some review of your tubal ligation operative records. If you have a BMI greater than 30, it is suggested you get it down for your own surgical safety. You can check out this page to determine your BMI if you need to: www.tubal-reversal.net/body-mass-index-bmi.php

To undergo the IVF process, you will need to have a series of injections. Some will be subcutaneous which means just under the skin but some have to be put into the muscle. For each drug you get, you will have to go in each day for a few days to receive the shots. This is just to prepare your body such as stimulating it to produce more eggs at once than normal.

Next will be the removal of your eggs. Of course, the doctor will need to be sure of the right time to do so and will do this by monitoring to be sure to catch the eggs at the right time. Your system has been stimulated to produce many more eggs than normal. You will get another shot before ovulation is due. Then, when all is ready, the doctor will use a needle to remove the egg. Ouch again!

Now, comes the part you have been taking all those shots for. You will have the fertilized eggs implanted into your body. This will happen after some time in the lab where the fertilization and the beginning development of the embryo takes place. You will most likely get more than one fertilized egg, which actually has begun developing into an embryo, placed back into your uterus. One possibility with the remaining embryos is to have them frozen for when this cycle does not give you the hoped for result of a pregnancy. You will get more injections at this point as well.

This is when you hold your breath hoping everything will go OK. Of course,this will depend upon things like how skilled your doctor is and how careful he was in implanting the embryos among other things. If it doesn't work there are always those embryos you had frozen, if you did. And you get to go through all the shots and preparing your body again. Some of those may not happen if you do choose frozen over another fresh cycle. All this hyper stimulation and such could have some adverse affects on both you and your child, if successful. Be sure to check out the Internet and learn about the potential risks of IVF.

Before you make a decision to have IVF done, you should probably take a look at the success rates. Most commonly the success rates of any one cycle are given as 10 - 30% that you will be successful. You have a higher likelihood of success with more eggs implanted but don't want to go overboard as that could lead to some problems as well. You will find that three embryos is about the max any doctor will implant.

Let's look at how the success rates of IVF compare to the success rates for tubal reversal. You can look around the Internet to find out what is generally quoted or you can ask the surgeon you are looking at what his specific success rates are. If he doesn't know, check out Dr. Berger who publishes his success rates right on his website at www.tubal-reversal.net/. Using those, you can see that the overall success percentage is 69%. If you look at all the charts given, though, you can see it varies from a high of 82%. You will have to see where you fit in. And the good news is that once the surgery is done, if no other problems crop up, then you can keep on trying to have a baby however many times you need all for the cost of the one surgery. No undergoing cycle after cycle of IVF treatments.

Finally is the cost comparison. A cycle of IVF is averaging $10,000 to $12,000 in the U.S. It can be as high as $20,000 though that goes for tubal reversals as well. However, chances are you will undergo more than one cycle of IVF. Doctors say to expect an average of three cycles. Add it up yourself. Now a tubal reversal will average $8,000 to $9,000 with some doctors charging much more. But you don't have to undergo an average of three tubal reversals to get the job done. Taking this into account along with all the above and you can truly see the best answer in IVF vs. tubal reversal.
About the Author
For a tubal reversal from the best trained of tubal reversal doctors, come by the http://www.tubal-reversal.net/ website to get the facts. Browse our tubal reversal board for support and answers.
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