Damaged Tubes Preventing Pregnancy
What is the success rate for tubal repair and pregnancy for a
healthy 30-year old woman? Our options are tubal repair and in
vitro fertilization.
If it is a reversal of a tubal ligation, success rates have been
reported as high as 60% to lows of 20-25%.
If this is to correct a problem in the tubes, then the likelihood will
depend on the nature and severity of the underlying problem.
Things that are associated with lower success rates are: a
personal history of previous failed attempts to repair the tubes, a
single tube with problems in more that one section, severe pelvic
adhesions, if the remaining tube will be less than 4 cm with the
problem area removed, and hydrosalpinx (fluid filled tube) with
severe dilation and thickening.
IVF has success rates averaging 25% per embryo transfer
procedure. But again, the rates vary tremendously from center to
center.
You want to find out more about your doctor's estimate based on
your particular tubal problem and this doctor's center's rate of IVF
success. You want to find out about rates of live births, not just
pregnancies. Post-tubal surgery pregnancy has a higher rate of
ectopic pregnancies because the fertilized egg can get caught at
the point of repair, which may be smaller due to scarring. Also not
as many IVF pregnancies as non-IVFs are carried to term. So
pregnancy rates can be misleading. You also want to see make
sure you are getting up to date rates from the particular clinic or
center, not national averages.
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