Tubal Ligation Reversal
Sometimes, women who have undergone tubal ligations (surgical closure of fallopian tubes) opt to achieve pregnancy later in life. At that point, there are two available options including in-vitro fertilization (IVF) or tubal ligation reversal.
Determining which is the best option for a woman depends on several factors, including her age, the method of tubal ligation, and the remaining tubal lengths.
Reversing a tubal ligation involves microsurgical techniques to open and reconnect the fallopian tube segments left after a tubal ligation procedure. Usually there are two remaining fallopian tube segments — the proximal tubal segment that emerges from the uterus and the distal tubal segment that ends with the fimbria next to the ovary. The procedure that connects these separated parts of the fallopian tube is called microsurgical tubotubal anastomosis, or tubal anastomosis for short.
For women who choose tubal ligation reversals, IHR has accomplished laparoscopic surgeons who perform this procedure.
As regards the in-vitro fertilization option, In IVF eggs are obtained from the female after her ovaries have been stimulated with infertility drugs through an egg retrieval. While the patient is sedated for five to ten minutes, a needle under ultrasound control is inserted into the ovaries and the eggs are aspirated. These eggs are then fertilized in the laboratory (in-vitro) with the partner's sperm and the developing embryos are watched for three to six days. Embryo transfer is performed on day 3 of the IVF process or on day 5 at the blastocyst stage of embryo development. Embryos are placed into the uterine cavity with a tiny catheter, usually imperceivable by the patient. A pregnancy test (hCG) is administered approximately ten days later.
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