IVF vs. Tubal Reversal - How to Decide
Getting your tubes tied is considered permanent. But what happens if you are one of the thousands of women who changes her mind every year? Your doctor would most likely say in vitro fertilization or IVF is your only answer. What he might not tell you, or might not even know is available, is to get a tubal ligation reversal. Let's look at IVF vs. tubal reversal below.
A tubal reversal is a micro-surgical technique of repairing the fallopian tubes where they were cut. The preparation is minimal for the surgery including some review of your tubal ligation operative records. If you have a BMI greater than 30, it is suggested you get it down for your own surgical safety. You can check out this page to determine your BMI if you need to: www.tubal-reversal.net/body-mass-index-bmi.php
To undergo the IVF process, you will need to have a series of injections. Some will be subcutaneous which means just under the skin but some have to be put into the muscle. For each drug you get, you will have to go in each day for a few days to receive the shots. This is just to prepare your body such as stimulating it to produce more eggs at once than normal.
Seems like it should be time to remove the eggs, right? Well…you get another injection before ovulation is due. And your doctor will have to monitor you to be able to grab the eggs at the right time. He or she will do this with a needle. This is painful as you can learn by reading a few of the forums available on the topic of IVF.
Now, comes the part you have been taking all those shots for. You will have the fertilized eggs implanted into your body. This will happen after some time in the lab where the fertilization and the beginning development of the embryo takes place. You will most likely get more than one fertilized egg, which actually has begun developing into an embryo, placed back into your uterus. One possibility with the remaining embryos is to have them frozen for when this cycle does not give you the hoped for result of a pregnancy. You will get more injections at this point as well.
Will all this be successful? That depends on several things which can include something as "simple" as how careful your doctor is and whether or not he rushed the implant procedure and if he put the embryo in a good place. At any rate, you will need more injections now to help sustain things and make your chances better. With all these shots, you should be aware that there are some dangers not only to you but to your child as well, if you should be lucky enough to carry to term. Look around the web to see what the potential dangers are from IVF.
So what are your chances of a success on any one cycle of IVF? The figures vary depending upon such things as how many eggs were implanted, but the most common figures seem to be a 10% to 30% chance of pregnancy.
You will need to learn more about IVF in order to make the best decision but you can see that a tubal reversal surgery just might be a better choice. Starting with success rates for tubal reversal you will find it varies with the doctor you choose. Actually most will only give you the industry wide statistics because they don't collect their own nor know them. However, when looking at a center such as Chapel Hill Tubal Reversal Center, you will find their success rates posted on their website. Overall the success rate for them for tubal reversals is 69%. Take a look at the charts to see where you with your specific circumstances fit in. But, barring any other problems, after the surgery you get to try and try again to conceive all for the same cost.
And that's the last thing to cover. One session, or cycle, of IVF will cost on average $10,000 to $12,000 with most patients being told to expect to undergo at least three cycles. That's like $30,000 or more. Some doctors charge even more. Now compare that to the average cost of a tubal reversal which is $8,000 to $9,000 in the U.S. So what do you think about IVF vs. tubal reversal now? Which choice will be the best for you?