Fertility Solutions: Official Blog

Live, Online Seminar Q & A: Fertility Options After Tubal Ligation

Posted in Live Online Seminar: Q & A | Tagged infertility, Tubal Ligation, Tubal Ligation Reversal, Tubal Reversal, Tubes Tied May 10, 2012

Each month we host a free online seminar where patients can ask the physicians of Fertility Solutions questions about infertility in real-time. The seminar for May was about 'Fertility Options After Tubal Ligation'. Some of our past topics include Fibroids, Fertility and Pregnancy, Optimizing Natural Fertility, Ask an Embryologist and more. View the live Q & A chat below:

Fertility Options After Tubal Ligation(05/09/2012)

7:03

Welcome to our live chat regarding "fertility Options after tubal ligation"

Wednesday May 9, 2012 7:03

7:04

Couples have several options for future fertility following an elective tubal ligation

Wednesday May 9, 2012 7:04

7:06

[Comment From Johanna Sanchez Johanna Sanchez : ]

what the chances are to bring a baby home after a tubal ligation?

Wednesday May 9, 2012 7:06 Johanna Sanchez

7:06

Key considerations are the type of ligation that was performed and the age of the woman

Wednesday May 9, 2012 7:06

7:07

[Comment From johanna sanchez johanna sanchez : ]

I AM 33 YRS OLD NOW.

Wednesday May 9, 2012 7:07 johanna sanchez

7:08

Your age is still an advantage for you. We do not see a measurable decline in fertility until after 35 in most woman

Wednesday May 9, 2012 7:08

7:09

[Comment From johanna sanchez johanna sanchez : ]

TUBAL LIGATION WAS DONE AT 1999

Wednesday May 9, 2012 7:09 johanna sanchez

7:09

[Comment From Guest Guest : ]

What if your tubes were burned ? If so what are the options?

Wednesday May 9, 2012 7:09 Guest

7:10

We can still consider tubal reversal with tubes that are burned, however we would review the surgeons records to see if we could tell how much tube was involved

Wednesday May 9, 2012 7:10

7:11

The best tubal ligation to reverse is if ligation was with clips or rings.

Wednesday May 9, 2012 7:11

7:12

[Comment From johanna sanchez johanna sanchez : ]

yes my tubes were cut and burned

Wednesday May 9, 2012 7:12 johanna sanchez

7:13

It would still be important to see the note that the surgeon wrote to see how much of the tube was involved. If most of the tube was burned, then IVF would be the better method to have children

Wednesday May 9, 2012 7:13

7:13

[Comment From Michelle Michelle : ]

What is the cost of such procedures?

Wednesday May 9, 2012 7:13 Michelle

7:14

The tubal reversal procedure is approximately $7500, that includes a number of costs, hospital care, anesthesia, equipment, medication, operating room and personel time and surgeons time.

Wednesday May 9, 2012 7:14

7:15

The average cost of IVF is around $7000 to $8000 dollars plus medications

Wednesday May 9, 2012 7:15

7:15

[Comment From johanna sanchez johanna sanchez : ]

what are the chances of a IVF after my tubes been cut and burned?

Wednesday May 9, 2012 7:15 johanna sanchez

7:16

Johanna, you sucess just given your age alone would be in the 50% range per attempt. As long as there are no other medical problems or problems with your partner

Wednesday May 9, 2012 7:16

7:16

[Comment From Lenny Lenny : ]

Have you seen any or many patients at your practice who have had a previous TL, and if so, were they successful with IVF?

Wednesday May 9, 2012 7:16 Lenny

7:16

We have seen many patients and many have been successful.

Wednesday May 9, 2012 7:16

7:17

For those woman in their 20's even late 20's, success rates with IVF can be 55 to 60%

Wednesday May 9, 2012 7:17

7:17

[Comment From Lenny Lenny : ]

I am not a reversal candidate; mine were cut and burned, and I am 37.5 years old now.

Wednesday May 9, 2012 7:17 Lenny

7:18

If you are not a reversal candidate and you are 37 you would still have a very good chance at success

Wednesday May 9, 2012 7:18

7:19

We look at other aspects of fertility such as egg quality, the uterus and sperm testing and this helps us determine potential sucess rates

Wednesday May 9, 2012 7:19

7:19

[Comment From johanna sanchez johanna sanchez : ]

what its the First step?

Wednesday May 9, 2012 7:19 johanna sanchez

7:20

The first step is to get a copy of your operative note form the prior tubal ligation. Set up an initial consultation with us so that we can review your specific case

Wednesday May 9, 2012 7:20

7:21

[Comment From Michelle Michelle : ]

What is the success rate for 40 yr old?

Wednesday May 9, 2012 7:21 Michelle

7:21

Sucess rates depend on many factors and what type of fertility approach is taken

Wednesday May 9, 2012 7:21

7:21

[Comment From Michelle Michelle : ]

Do you have any patients that have gone though your program I could speak with??

Wednesday May 9, 2012 7:21 Michelle

7:24

We can't release any names, however, if individuals have unique situations and want to speak to other couples, we can always discuss that with current patients. Many couples will write about their experiences online... but it is hard to know who these individuals are when you are reading posts...

Wednesday May 9, 2012 7:24

7:24

[Comment From Michelle Michelle : ]

Do you have payment plans?

Wednesday May 9, 2012 7:24 Michelle

7:25

We do, we work with a company called Springstone that specializes in loans for fertility reasons

Wednesday May 9, 2012 7:25

7:25

[Comment From M. George M. George : ]

what about tubal reversal for ablation patients?

Wednesday May 9, 2012 7:25 M. George

7:26

I would be very concerned about fertility potential following an ablation

Wednesday May 9, 2012 7:26

7:26

[Comment From johanna sanchez johanna sanchez : ]

I probably wont obtain any information of the tubal ligation. the doctor who did it. he retired and I lost the documents i had.

Wednesday May 9, 2012 7:26 johanna sanchez

7:27

This is not uncommon, I would contact the hospital in which the surgery was done and they keep separate records

Wednesday May 9, 2012 7:27

7:28

[Comment From johanna sanchez johanna sanchez : ]

its there any risk for a IVF after I had my tubes cuts and burns,?

Wednesday May 9, 2012 7:28 johanna sanchez

7:29

Great question. The prior tubal ligation should not increase IVF risks

Wednesday May 9, 2012 7:29

7:29

[Comment From johanna sanchez johanna sanchez : ]

ok great. i will get the information of the hospital

Wednesday May 9, 2012 7:29 johanna sanchez

7:32

We have found that each individual case of tubal ligation can be different. It is our job to advise you of options and then help you consider which method of achieving pregnancy will work best.

Wednesday May 9, 2012 7:32

7:32

[Comment From johanna sanchez johanna sanchez : ]

how does the first visit work?

Wednesday May 9, 2012 7:32 johanna sanchez

7:33

You would call our center and arrange for an initial consult

Wednesday May 9, 2012 7:33

7:33

[Comment From johanna sanchez johanna sanchez : ]

its ther a financial services person to help with the financial? or its it just to consult with the doctor?

Wednesday May 9, 2012 7:33 johanna sanchez

7:34

There is a financial person who would meet with you to discuss all of the options

Wednesday May 9, 2012 7:34

7:35

[Comment From johanna sanchez johanna sanchez : ]

why I will have to take medicines for?

Wednesday May 9, 2012 7:35 johanna sanchez

7:35

You would only take medications if you proceeded with IVF. The medications are to stimulate multiple eggs to develop on your ovaries

Wednesday May 9, 2012 7:35

7:35

[Comment From M. George M. George : ]

Is IVF or something else recommended for ablation patients?

Wednesday May 9, 2012 7:35 M. George

7:36

I think it would depend on how effective the ablation was. If the lining is completely scarred, then it will not be able to regenerate. If it was a limited ablation, there may be more of a chance

Wednesday May 9, 2012 7:36

7:37

[Comment From M. George M. George : ]

what would happen if I took Clomid while my tubes are still tied?

Wednesday May 9, 2012 7:37 M. George

7:37

You would experience hormonal symptoms from the Clomid, but the egg would not be able to travel through the tube to be fertilized

Wednesday May 9, 2012 7:37

7:38

[Comment From M. George M. George : ]

how soon after a reversal do women usually conceive?

Wednesday May 9, 2012 7:38 M. George

7:38

We generally have woman wait about three months to start trying

Wednesday May 9, 2012 7:38

7:38

[Comment From M. George M. George : ]

how do you know if the entire lining was destroyed? could stem cell therapy help regenerate the lining?

Wednesday May 9, 2012 7:38 M. George

7:39

It is a good thought, but I am not aware that stem cell therapy would help this situation

Wednesday May 9, 2012 7:39

7:41

To answer a question about medications used for depression.. it usually depends on the type of medication

Wednesday May 9, 2012 7:41

7:41

[Comment From M. George M. George : ]

I have what the dr called a "streak ovary" that wasn't tied. what does that mean?

Wednesday May 9, 2012 7:41 M. George

7:42

A streak ovary is an ovary that did not develop normally, instead of being round, the ovary is elongated.. like a streak

Wednesday May 9, 2012 7:42

7:43

Thank you for all the great questions!
Please join us next month for our next session

Wednesday May 9, 2012 7:43

7:44

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