Tubal Reversal Versus In Vitro reproduction

Tubal Reversal Versus In Vitro reproduction

Injections - Tubal Reversal Versus In Vitro reproduction

Good morning. Today, I learned about Injections - Tubal Reversal Versus In Vitro reproduction. Which could be very helpful in my experience therefore you.

Tubal ligation or having your "tubes tied" occurs usually after a woman has given birth and has decided not to have any more children. This sterilization course is done with particular counseling by their Ob/Gyn, taking into consideration the patient's age and how many children she has had. Oftentimes, the patient, through no fault of her own, has regrets. usually this happens after a separation has occurred and the patient has remarried and the new couple wishes to have a child of their own union or worst case scenario, maybe she has lost a child and wishes for another.

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Injections

For whatever reason, this patient should consult with a scholar who can perform either a tubal reversal or in vitro fertilization.

What I usually counsel my patients who come to me with this dilemma are that there are a few factors to consider, age, cost and the way the tubal ligation was performed. Here is a brief overview of the options this type of patient should consider.

*Tubal reversal or reanastamosis

It is a surgical procedure. Some surgeons do it as a large open incision and some as a small incision. Tubal reanastamosis is not covered by inexpressive insurance. The large incision will be very costly (,000-,000) with a 6-8 week recovery. The small incision can be done as patient surgery but will cost - ,000. Recover will be 4 weeks. The latter surgery is skill-based and should be done by a physician comfortable with a mini-lap course to insure success.

The pros are that if the course works, you can get pregnant over and over by natural means.

The cons are that it is a surgery, and that success depends on the surgeon, the distance of the tube after repair, and the type of tubal ligation that was done. The term "tied" is indeed a misnomer. Basically, all tubal ligation procedures damage a measure of the tube causing the canal to be blocked off. There are varied methods and the quality to repair them varies depending on the method. The methods are:

Post-partum tubal ligation (tubes are tied in two places and the tube removed in between). The ends are then cauterized.

Laparoscopic tubal ligation done through a scope. The tubes can be burned, clipped or a ring placed. The clip formula yields the best reversal and burning and cutting the least successful reversal.

In addition, there has to be enough normal tube gift for the tube to function (4 cms). If the fimbria is damaged (fimbriectomy) then this is indeed not reversible. Most physician do a laparoscopy first to value either or not the tubes can be reversed before doing the reversal procedure.

Because the tubes are damaged, the chances for fertilization are reduced and the chances depend on your age. I do not advise tubal reversal surgery in patients over the age of 35. There is also an increased risk of a tubal fertilization (surgical life threatening emergency). fertilization rate will vary by age and will be less than the equivalent rate in the normal population. You will need contraception again if you don't want more than one more child. You have to at least try for one year following surgery to get pregnant and decree if the reversal worked. If it hasn't, then the only choice left is Ivf for an supplementary cost.

*Ivf or in vitro fertilization

Ivf is a non-surgical course and will cost approximately ,000 per exertion (which includes the Ivf, medications and lab tests). It is sometimes covered by inexpressive insurance.

The pro is that it is not surgery, that you will get pregnant with minimal waiting, it is great for those who want one or two more children and that it has a much higher fertilization rate than trying naturally, especially if you are older. Sometimes you will have enough eggs fertilize that some can be freezing and used for a later freezing embryo transfer, giving you the freedom of choosing to have another child when the time is right. It is not painful to have the eggs retrieved or transferred into the uterus and it is performed as an patient procedure.

The con is that it is costly (as described above), that you have to take injections on a daily basis for a short period of time (although they are not too bad) and that you may have to do it again and again if you want to have more children. It is not a "natural" process since in vitro fertilization is done in an embryology lab.

In closing, nowadays, because Ivf fertilization rates are so much higher, we advise Ivf over tubal reanastamosis. However, the doctors that don't do Ivf tend to advise tubal reversal. The doctors that do both, as I do, tend to advise Ivf because it is better. It is more of a sure thing than the surgery. However, if you are still under the age of 35 and know that you will want to have more children, then the reanastamosis might be the best way to go, assuming that it works. The costs will be about the same, but if it doesn't work, then you have to do Ivf. Most of my patients will choose Ivf since it has a best chance of success for the money.

I hope you get new knowledge about Injections. Where you possibly can offer use within your day-to-day life. And above all, your reaction is passed about Injections. Read more.. Tubal Reversal Versus In Vitro reproduction.

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