Tubal Ligation
Friday, October 27, 2006
Carl M. Herbert, MD
A tubal reversal is major surgery. The operation can take up to four hours. Because it is a major operation, it must be done in a hospital and the cost could be between $10,000 and $20,000. However, some insurance companies will cover this procedure.
IVF is not surgery. It is a much less invasive procedure. The cost for IVF is often less than the cost of tubal ligation reversal. However, there are not many insurance companies that cover the costs of In Vitro Fertilization.
IVF is often as, or more, successful than surgery.
Tubes that have been cut out or clipped may be repaired; those that have been "burned" (cautery) cannot be repaired. However, the reversal surgery can leave scars in the tubes. These scars are the cause of a 30 to 40% increase in tubal pregnancy (ectopic pregnancy).
IVF leaves your contraception method intact. Yet, it is possible to have more than one baby from your IVF cycle, if you have frozen embryos.
If you or someone you know has had a tubal ligation and is considering conceiving, feel free to drop me a line. I’d love to hear from you.
9 Comments:
At Mon Oct 30, 06:59:00 PM 2006,
JuliaRN said…
Fortunately, tubal reversal surgery can be affordable, comfortable, and successful and can be performed as outpatient surgery. At Chapel Hill Tubal Reversal Center, the only procedure performed is tubal reversal surgery. Dr. Berger performs the procedure in an hour and there is no hospital stay required. With a fee of $5900, tubal reversal surgery can be affordable for almost everyone. Pregnancy rates depend on a woman's age, the type of sterilization performed, and the amount of tube remaining after surgery. But overall pregnancy rates are around 70%. This is much better than pregnancy rates with IVF where only 25% of women will conceive a pregnancy. For most women, reversal surgery is the better option.
Sincerely,
Julia Smith RN
JuliaS@tubal-reversal.net
http://www.tubal-reversal.net/
At Tue Oct 31, 11:51:00 AM 2006,
Carl Herbert said…
Dear Julia,
Thank you for your pitch. Unfortunately, Dr. Berger is the exception and not the rule. The low fees and the ability to successfully complete a tubal reanastomosis via laparoscopy are currently a rare combination. If an individual is considering more than one child, is young, has a type of tubal ligation which is readily reversible and can find someone with proper expertise, there is definitely a place for surgical reversal. Unfortunately, there is no oversight board for reported rates of success in tubal reversal surgery as there is for IVF pregnancies, so the average consumer may have trouble finding a competant reasonably priced surgeon who can provide high pregnancy rates. As I mentioned previously, the rates for ectopic or tubal pregnancies are also a worry in tubal surgery and are minimal for IVF. It is a bit misleading to say "IVF pregenacy rates are 25%" without defining the patients to whom you are directly comparing surgical success rates. For instance, current IVF success rates for women under 30 with only tubal factor,i.e. thus who would consider a reanastomosis, in many clinics will range between 50-70%. So there is a place for surgical reanastomosis, however, to characterize it as the better option for "most" women would be a bit overstated.
Carl Herbert, M.D.
At Sun Jun 03, 08:21:00 PM 2007,
sandy riverra said…
angleys37@aol.com thought you'd be interested in these pages:
http://www.healthline.com/blogs/infertility/2006/10/tubal-ligation.html
My name is Sandy Rivera, i had a tubal ligation and now i am in a relationship with a young man who does not have kids, i have three grown chidren all delivered by c-section the oldest 24 years old the youngest 10 years old , my question is would i have a chance to be able to under go the reversal at my age of 43 years old!
my email is angleys37@aol.com
At Tue Aug 14, 03:30:00 PM 2007,
Rosie S. said…
I had a tubal reversal in july 2002 and since then I've had 9 miscarriages...no baby yet. I was 30 at the time of the reversal and I am now 35 and still ttc.
rose9434@aol.com
At Mon Sep 17, 09:20:00 AM 2007,
Anonymous said…
I had a tubal performed when I was 27 years old. I don't want anymore children but the side effects have greatly affected me & my sex life greatly. Ever since I have had extremely heavy periods, vaginal dryness, and really bad mood swings. Will a reversal at all correct these things?
At Thu Jan 24, 04:42:00 PM 2008,
Anonymous said…
When I was 23 years old, I had my tubes tied, clipped, and burned and now I am 29 years old, finacially stable and married. My husband and I both want more children and we are researching different methods to help us conceive. Any comments?
At Fri May 02, 11:16:00 AM 2008,
Anonymous said…
Hello my name is Katie. I am 24 years old and I have 2 little girls. One is 3 and the other is 6. I had my tubes tied when I was 21. I believe that they only clamped them actually.My first daughters dad was never in the picture and abused me on a regular basis. Then I met my 2nd daughters dad. He is a very sweet king person but after i met him i prefered to get married and he didnt and I had different religious preferences and he didnt have any at all. He is a loving father still to this day. Now i have met a man and we jsut got married a year ago. He has no children but desperatly wants them. He is the last one to carry on the name. And we used to have blue cross blue shield but he got deployed with the military so our insurance doesnt cover tubial reversal. And with him being away money is usually good but not to just come up with 6,000 dollars for surgery with two other daughters. I had my tubes tied because I didnt want any kids to be brought up single parented because I felt I wasnt a good parent alone. But I feel now that I am more stable. Plus my daughters dad kind of made me get my tubes tied. SO i am wondering how much does the IVF cost and about how many times you got to do it? And what is the success rate? My email is katiejac311@yahoo.com thx so much
At Sat Aug 16, 11:20:00 PM 2008,
joy said…
i had a tubal 2 years ago.my spouse and i want another child. instead of undergoing a reversal can't i be artificially inseminated instead? and if i can how much will it cost?help!
At Mon Sep 01, 03:25:00 AM 2008,
Heather said…
I am 32 with 3 kids, I had my tubes tied in December of 98, so I'm getting close to 10 years. Some sites are saying I have a 1-2% chance of getting pregnant, others are saying I have a 5% chance. I started my life as a mother just 3 days after I turned 18 and when I had the 3rd at 22 I was sure I didn't want any more, but now I do. I am willing to go through the surgery to do the reversal, but would it be better off to wait and see what nature does for me? I really want another child, mine are 9, 13, and 14.
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