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Tubal Reversal or IVF

Discover whether tubal reversal or IVF is right for you

The doctors at our Indianapolis fertility clinic often help women determine whether tubal reversal or IVF (in vitro fertilization) gives them the best chance of having a healthy baby. It’s not uncommon for women who have had tubal ligation as a permanent type of birth control to change their mind and decide they’d like to expand their family. In this situation, they have to determine which treatment they would like to pursue.

What do you need to know about tubal reversal?

For a woman to be a candidate for tubal reversal she must regularly ovulate and have a partner with healthy sperm, or plan to use a sperm donor. In addition, the doctor considers the woman’s age, overall health, pregnancy and surgical history, and the type of tubal ligation she received.

There are two types of surgery that fertility specialists use for tubal reversal.

Mini-laparotomy. This type of tubal reversal consists of the doctor making an incision at the pubic hair line. They then remove the closed ends of the tubes and reconnect the open portions. Before closing the incision, they ensure the tubes are open. Women return home the same day.

Robotic-assisted laparoscopy. The second kind of surgery to reverse a tubal ligation is a robotic-assisted laparoscopy. This involves the surgeon controlling a robot to remove the closed ends of the tubes and reconnect the open sections.

When a woman is deciding between tubal reversal or IVF, our fertility specialists often recommend IVF, as tubal reversal sometimes doesn’t work. In addition, insurance providers rarely cover tubal reversal.

What do you need to know about IVF?

A prime benefit of IVF is that it produces higher pregnancy rates than tubal reversal.

Another important consideration when deciding between tubal reversal or IVF, is that IVF bypasses the need for open fallopian tubes. Instead, the doctor retrieves the woman’s eggs from her ovaries after she takes medications that cause multiple eggs to grow.

Next, an embryologist fertilizes the eggs with sperm from the woman’s partner or a donor. A doctor then transfers the healthiest resulting embryo to the woman’s uterus where it can develop into a baby.

Should you select tubal reversal or IVF?

When a woman is making this decision, our Indianapolis fertility clinic specialists often encourage IVF, as it’s usually the most efficient and cost effective option. To determine whether this is the right decision for a woman, we review her medical history and have her undergo a series of tests. From there, we help her select the best path to taking home a healthy baby.

Contact us for more information about our fertility services.