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Tubal Ligation

Periodically, patients in my practice have undergone a tubal ligation. These patients have the following treatment options at this time: One would be to have a tubal ligation reversal. The other option is do In Vitro Fertilization (IVF).

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.
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About the Author

Dr. Herbert is a fertility expert and an innovator in the field.