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IVF vs. Tubal Reversal - How to Decide

By Sandra Wilson

Many women who have had a tubal ligation have been told it is a permanent form of birth control. When they change their minds about wanting another child, their doctors usually counsel having an in vitro fertilization or IVF. What these women usually don't know is that tying their tubes can be reversed with an operation. So you are left wanting to know about IVF vs. tubal reversal and which is best.

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

Now let's look at IVF in comparison. There are a lot of drugs that you have to get in order to stimulate your body's egg production and also to keep it from going into ovulation prematurely. You will need to go to your doctor daily for a few days to receive each shot at the right time. Most require a few visits to complete the course for the drug. This is just the preparation part.

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.

Finally, you will have to wait for a few days while the fertilization process goes on in the lab after which you come back for the implantation. Usually you will get more than one fertilized egg implanted. You will be at risk for a multiple birth if everything works right but more eggs will increase your chances of a resultant pregnancy. And you will get more shots.

This is when you hold your breath hoping everything will go OK. Of course,this will depend upon things like how skilled your doctor is and how careful he was in implanting the embryos among other things. If it doesn't work there are always those embryos you had frozen, if you did. And you get to go through all the shots and preparing your body again. Some of those may not happen if you do choose frozen over another fresh cycle. All this hyper stimulation and such could have some adverse affects on both you and your child, if successful. Be sure to check out the Internet and learn about the potential risks of IVF.

Add to all of the above the success rates of each individual course of treatments. Depending upon where you look it is from a 10 - 30% chance you will get pregnant. Higher percentages for more embryos being implanted.

Now compare all that and all the things left out of this article due to space limitations and you will see that having a tubal reversal could be a much better option. The success rates for tubal reversal can vary depending upon your chosen surgeon. This makes choosing the best tubal reversal doctor and center a matter of utmost importance. At the Chapel Hill Tubal Reversal Center where they publish their specific pregnancy rates after a tubal reversal, you will see that it is an overall 69%. Your potential success rate will depend upon several things including your age, tube length left and type of ligation procedure used. The good news is that once the surgery is done, you get to try over and over again to "make a baby" without having to pay any more money.

Finally is the cost comparison. A cycle of IVF is averaging $10,000 to $12,000 in the U.S. It can be as high as $20,000 though that goes for tubal reversals as well. However, chances are you will undergo more than one cycle of IVF. Doctors say to expect an average of three cycles. Add it up yourself. Now a tubal reversal will average $8,000 to $9,000 with some doctors charging much more. But you don't have to undergo an average of three tubal reversals to get the job done. Taking this into account along with all the above and you can truly see the best answer in IVF vs. tubal reversal.

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