Tubal reversal vs IVF which one is better?
One of the most common questions Dr. Rinku receives from doctors and patients in the Southeast concerns reverse tubal ligation surgery and in vitro fertilization (IVF). It’s easy to see why there’s so much interest. Millions of women have their tubes tied up.
When millions of women choose to undergo ‘permanent’ sterilization, inevitably, many will regret it later. We could spend a lot of time talking about We have good data on this. However, I am not writing this for women trying to choose a method of birth control. Clipped, tied, fried (and/or all of the above) I write for women.
The bottom line is that many people regret this decision and keep asking me the same question.
Ask to analysis
To almost every question, his answer was “it depends”. We started talking about the exceptions to those rules and such. Scroll down to the bottom of this blog and read the list under the heading The Short Answer.
How was the tubing sterilized?
The less damaged the pipe, the easier it will be to repair. Some methods, such as Filshie Clip and Fallope Ring, do minor damage. Reconnecting these is much easier than if the tube was burned in multiple places or if a large section of the tube was severed. Is important. If there are many damaged tubes to treat during the tubal ligation reversal procedure, the chances of success are much lower, as there is not much to undo.
At the end of tubal ligation reversal, a tube of at least 4 cm is required to have a reasonable chance of becoming pregnant.
How old is she?
An older woman, especially in her 40s, has a shorter time to conceive and has a much lower monthly pregnancy rate than younger women. After age 37, the monthly birth rate declines rapidly. Some women replace their fallopian tubes by age 37, but if they haven’t had a baby for a year, their chances of conceiving by age 38 are reduced.
With each passing year, the fertility rate declines. In patients with a good prognosis, one cycle of her IVF is usually as successful as trying to conceive alone for a year. That means she can boil down her year of treatment to two months. Ovarian reserve testing should also be considered in young women. This test can tell if a person’s eggs are functioning as well as they do for their age or if they are functioning as well as in a much older woman.
How many more children does she want?
A young woman who wishes to have several more children over the years may be the best candidate for tubal ligation reversal. If she is not trying to conceive. She should use contraception, but it may stop when she is ready to try again. May be suitable for in vitro fertilization.
Ask the patient to deliberate his or her choice
In such cases, spontaneous conception is much less likely and IVF is preferred.
How much is she going to spend?
A recent cost analysis study shows that tubal ligation reversal is a more cost-effective method for women under the age of 41 who want to conceive.
If the patient is under the age of 40 and is concerned about the affordability of treatment, tubal inversion may be a better option, depending on specific goals and physiology.
Surgery costs vary by doctor. For example, minimally invasive robotic techniques are more expensive than traditional open surgery but minimize pain and speed recovery.
Physicians who specialize in tubal ligation reversal often choose open techniques. Aside from downtime and scarring, the clinical outcomes of the two approaches are similar in tubal inversion.
Pros and cons of Tubal reversal
The goal of tubal inversion is to “unlock”, unblock, or reconnect the fallopian tubes so that the egg can pass through the fallopian tubes and return to the uterus after fertilization by a sperm. It is a surgical procedure, and how the fallopian tubes are “fixed” depends on how the fallopian tubes are ligated.
Successful tubal reversal depends on your age, reproductive health, your partner’s fertility, and whether there is excessive tubal scarring if there is enough length left in the tubal after reconnection. The advantage of tubal inversion compared to IVF is that no fertility drugs or other procedures are required to make the fallopian tubes work again after surgery.
Pros and cons of IVF
In IVF, or in vitro fertilization, a woman is given fertility drugs that stimulate the ovaries to produce eggs. Eggs are then taken, fertilized with male sperm, and embryos are transferred through a thin catheter. This catheter is passed into the vagina, through the cervix, and to the uterus.
So at least one of her is expected to stay and implant. One of the biggest advantages of in vitro fertilization over tubal inversion is that it does not require surgery, has a high success rate, and does not require surgery.
The time to conceive is also faster with IVF.
Another advantage is that within about 10 days she will know if the IVF was successful and if she is pregnant, whereas for tubal inversion she has to wait a year or longer. There are cases. There is a risk of multiple births with IVF, but the risk is reduced if only one embryo is transferred.
Conclusion
Physicians at major medical institutions suggest tube reversal in vitro fertilization, and not without reason. Although there is no significant difference in cost between the two procedures, IVF has the advantage of fewer risk factors and a higher success rate than tube reversal. The results suggest a 20% chance of ectopic pregnancy from tubal inversion, but only a small (3)% chance of ectopic pregnancy from IVF.
(The pregnancy rate from in vitro fertilization for tubal infertility is 65%, the highest of all causes of infertility, whereas the pregnancy rate for tubal surgery ranges from 20% to 60%, depending on several factors.) ) For in vitro fertilization requires a longer hospital stay.