Conceiving after sterilization
Category: Health > Women's Health
Asked by: cayann-ga
List Price: $2.00
29 Jul 2002 11:37 PDT
Expires: 28 Aug 2002 11:37 PDT
Question ID: 46527
Is there any information on how to conceive after having a tubal ligation? NOT info on tubal reversal, but what, if anything, can be done to improve chances of conception after having a tubal ligation.
Re: Conceiving after sterilization
Answered By: historybuff-ga on 29 Jul 2002 12:28 PDT
In vitro fertilization (IVF) and egg donation are two recommended options, discussed and explained concisely on this web site from IVF New Jersey. It also explains the pros and cons of tubal ligation reversal vs IFV and egg donation. Just click on the various links to get explainations of the various IVF and donation options and procedures. http://ivfnj.com/tubal_a.html Trying to improve chances of conception without a reversal procedure by using hormone shots, for instance, would not be done because of the increased risk of ectopic pregnancy. In other words, trying to increase fertility after a tubal ligation would be counterproductive and potentially life threatening. The American Academy of Family Physicians has this page entitled "Risk of Ectopic Pregnancy Following Tubal Ligation" which gives a thorough discussion of the risks and rates of ectopic pregnancy. http://www.aafp.org/afp/971001ap/tips10.html And finally, a paragraph on ectopic pregnancy after tubal ligation from Health Centeral: http://www.healthcentral.com/mhc/top/000895.cfm The following source from the Advanced Fertility Center of Chicago says: "Women who have had tubal ligations ... want to have children in the future. There are 2 options, tubal reversal surgery and in vitro fertilization - IVF. Both of these are reasonable options and how the woman chooses to proceed should be based on an educated consideration of the pros and cons of each." They go on to discuss whether donor eggs or the woman's own eggs are a better option. http://www.advancedfertility.com/tubalreversal.htm Procedures and options in the realm of IVF include Blastocyst Transfer, Assisted Hatching, Intracytoplasmic Sperm Injection (ICSI), Embryo Cryopreservation, Gamete Intra-Fallope Transfer (GIFT). They are explained at the Genesis IVF site: http://www.genesisivf.com/learn.htm Search terms used: sterilization conception "tubal+ligation" "ectopic+pregnancy" conception "egg implantation" conception "tubal ligation" "own eggs" "tubal ligation" post-sterilization conception post-sterilization in-vitro tubal+ligation "increasing fertility" I hope that gets you started on the most helpful path! Regards, historybuff
Re: Conceiving after sterilization
From: dlp-ga on 29 Jul 2002 13:01 PDT
ivf (in vitro fertilization) is the alternative to btl (bilateral tubal ligation) reversal. gynecologists i work with have recommended not to count on reversal for conception. regarding ivf, reduction to [usually] twins is preferred to those who do not want to have a high risk pregnancy we hear of in patients treated for infertility with drugs and sometimes ivf. here are some sites in addition to those above regarding consideration of conception in a post-btl patient: http://www.infertile.com/treatmnt/treatmnt.htm (has section on assisted reproductive technology including ivf) http://www.beachcenter.com/surgical/tubal.shtml (discusses ivf for tubal damage) http://www.infertilityoverview.com/reversal-of-tubal-ligation.htm (discusses ivf as an alternative) http://www.infertility-ivf.com/reversal.htm (states: "The option of in vitro fertilization is also available for patients who have had tubal ligation procedures. IVF works best for patients with normal ovarian reserve. Eggs are recruited using ovulation injectable drugs. Once the eggs appear mature an office procedure can be performed using an ultrasound guided needle aspiration to remove the eggs. The eggs are fertilized, embryos are obtained, and allowed to grow in culture. The best appearing embryos are placed into the uterus. Other embryos that look potentially viable can then be cryopreserved. IVF works best for patient's with normal ovarian reserve as determined by Clomiphene challenge test. The chronological age affects ovarian function. There is a natural decline in ovarian function in older women. Multiple embryos are usually transferred into the uterus in an effort to achieve pregnancy [usually 2, occasionally three, and rarely more]. Our 1997 and 1998 success rates for in vitro fertilization are approximately 50% per retrieval procedure. Again, oocyte quality is important in determining the embryo quality, and embryo quality is important in final pregnancy rates. Generally, two to three embryos are place into the uterine cavity therefore the risk of multiple pregnancy per procedure is present. An individual decision will be made with each patient based on the age of the patient, quality of the embryos and each couples decision regarding multiple gestations.") Search terms used: ("in vitro fertilization" OR conception OR ivf) tubal ligation hope that's helpful as well, dlp
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