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Q: Conceiving after sterilization ( Answered,   1 Comment )
Subject: Conceiving after sterilization
Category: Health > Women's Health
Asked by: cayann-ga
List Price: $2.00
Posted: 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.
Subject: 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.

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.

And finally, a paragraph on ectopic pregnancy after tubal ligation
from Health Centeral:

The following source from the Advanced Fertility Center of Chicago

"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.

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:

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!


Subject: 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: (has section on
assisted reproductive technology including ivf) (discusses ivf for
tubal damage)
(discusses ivf as an alternative) (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,

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