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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.

When you have a tubal reversal you are having surgery. It can be an outpatient procedure if you choose the right surgeon. It’s best to check around and be sure to get the right tubal reversal doctor. During the surgery, your surgeon will repair your fallopian tubes where the original obstruction, in whatever form, was made. Some are cut and some are clipped. Some are burned and some are ringed, so to speak. But the preparation is minimal before surgery and mainly consists of a review by your surgeon of your operation’s records and being sure you are of the proper body mass to safely undergo a surgery.

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.

Now your doctor gets to remove the eggs…or does he? Well, yes, but not before another injection just before ovulation. Your doctor will also be monitoring you to make sure he can catch the eggs before they being their journey to your uterus. He will use a needle to capture the eggs that your body has been overstimulated to produce. Seems like you are to be around a lot of needles.

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.

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.

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.

So let’s look at the cost of IVF vs. tubal reversal. One course of IVF treatments will average $10,000 to $12,000 with some going as high as $20,000. That’s just one cycle. On average, doctors will tell you to expect to go through at least three cycles. On the other hand, the average cost of a tubal reversal is $8,000 to $9,000 and you will find that, too, can go up to $20,000 or higher. Don’t pick one of those later surgeons costing that much. You can see that it usually is much cheaper to go with tubal reversal rather than IVF

Filed under: Women