Here is a question that I often hear in our infertility consultation, “I had a tubal ligation and I want another child. Should I have surgery to have it reversed or should I go through IVF?”
Tubal reanastomosis (reversal) is a very successful operation (80% success rate) provided that the surgeon specialized in microsurgery has enough tube to work with (at least 5 cm or 2 inches) and if the male semen analysis is normal. Conception should occur within one year following the operation.
However In Vitro Fertilization (IVF) is a preferable option if:
- The patient desires immediate results.
- The patient is 37 years of age or older with a diminished ovarian reserve.
- The partner’s sperm quality is substandard.
- The review of the operative note and the pathology report reveals that the doctor who performed the tubal ligation was overzealous and did not leave enough tube to work with.
Like IVF, tubal reanastomosis is generally not covered by insurance. In our low cost program, the cost of an IVF cycle is $8,940 + medication.