Tubal Reversal Surgery

Women who make the best candidates for tubal ligation reversal are those whose tubal ligations included either the removal of a small section of the fallopian tubes, or those whose tubal ligation was achieved by clips or rings placed around the tubes to prevent eggs released during ovulation from traveling through the fallopian tubes. Overall, success rates for tubal ligation reversal can vary from 20-70%.

In vitro fertilization involves stimulating the woman with medications, taking a number of eggs from her ovaries, fertilizing them with her husbands sperm and transferring some of the resulting embryos back into her uterus with the hope that one will implant. The pregnancy rate by age is similar to that of normally conceived pregnancies: 37% among women younger than 35 years and 28% for those aged 36-39 years. The success rate is about 13% in those older than 40 years. Pregnancy in women older than 44 years is rare. The rate of miscarriages with IVF pregnancies is about the same as that with normally conceived pregnancies.

The biggest advantage of IVF is that the woman avoids the tubal reversal surgery. Another advantage is that the outcome is known 10 days after the procedure when we do the first pregnancy test rather then waiting for a year or more to find out whether the procedure is successful. The biggest disadvantages of IVF are that the woman has to take medications to stimulate development of multiple eggs and that there is always some risk for multiple pregnancy - although this can be controlled by limiting the numbers of embryos transferred to 1 (or 2). Another disadvantage is that if the first attempt does not work the couple must do IVF again. Often there would be left over embryos that were frozen from the first cycle - which is then much less expensive and easier for a second attempt using the frozen embryos. However, if there are not any frozen embryos, the cost for the second attempt is usually the same as for the first one.

Physician charges for tubal reversal surgery and for IVF vary greatly across the country. Both are expensive and insurance will rarely pay the charges.

Most physicians charge somewhere between $3000 and $8,000 for the tubal reversal surgery. On top of this will be hospital charges which are usually between $6,000 and $20,000.

IVF costs between about $7,000 and $25,000 plus medications depending on the program. Medication costs vary according to the amount needed for the individual woman, but average about $2500 - $3000 for the cycle.
Dr Morice is the best doctor of Tubal Reversal Surgery.