Are There Risks With In Vitro Fertilization After Tubal Ligation?

Women who have underwent a tubal ligation and want to become pregnant may turn to in vitro fertilization. They may also seek a tubal reversal, which essentially reverses the tubal ligation procedure so that the fallopian tubes are no longer blocked. Deciding which is the best way to become pregnant is a discussion that women should have with their doctor.

Couples with infertility issues may be best off choosing IVF to get pregnant, while women who do not have any fertility problems except for the tubal ligation may be best having the procedure reversed and trying to get pregnant naturally. Again, that’s a discussion to have with a doctor, as each case will differ.

There are risks involved with all IVF procedures, such as ovarian hyperstimulation syndrome (OHSS). This is serious medical problem that should be reported to a doctor immediately. There is also a risk of multiple pregnancies with IVF following tubal ligation, as there is with any IVF procedure. The procedure involves the combination of sperm and eggs in a dish in a laboratory to create embryos. These embryos (a select few embryos) are transferred to the uterus where they may implant in the uterine lining and develop.

Two things to consider with IVF is its cost and success rates. The rate of success varies depending on a wide range of factors from the cause of infertility to the age of the woman undergoing the procedure. Success rates are reported from 10% or less to up to around 50%. It’s important to speak with your fertility specialist for a more accurate estimate of success rate based on your unique circumstances. Tubal reversal success rates also depend on a few factors, such as the method of ligation used in the original procedure. Success rates are more favorable with tubal reversal-around 60 to 70%–although women or couples with infertility problems may struggle to become pregnant because of the cause of the infertility.

Women over the age of 40 may find pregnancy more difficult no matter the procedure or method they choose to try to become pregnant. There are also certain risks inherent when getting pregnant after 35 or 40 years old. It’s important that you’re aware of these risks before undergoing IVF, tubal reversal, or any other procedure that may help you become pregnant. There is a higher instance of birth defects in babies born to women over 40, for instance.

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