If you wanted more children you shouldn't of got your tubes tied, I don't think in-vitro would work, but, there is always having a reversal for your tubes, I had mine tied 7 months ago, and I wouldn't dream of having them undone......... good luck to you
2006-09-13 10:38:04
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answer #2
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answered by crazy2have3kids 3
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yes in vitro would work... where your tubes just tied? because that can be reversed...if they were cut or burnt I don't think that can be reversed.
2006-09-13 10:32:53
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answer #3
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answered by Greeneyed 7
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its costly but yeah. They can harvest some of your own eggs, fertalize them and implant them in your uterus.
Talk to a professional about it. If its only been 17 months you might be able to reverse your surgery.
2006-09-13 10:39:21
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answer #4
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answered by amosunknown 7
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15 percent of the population is considered infertile. Infertility is described as not having a baby after 6 months of unprotected intercourse. Infertility is increasing in modern communities. In men declines in sperm count due to toxic environment and possible evolutionary effects are noted. Also women due to educational and career concerns are married at a later age. Average menopausal age ranges between 48 and 52 in women. We now know that, several years before the menopause women are unable to bear children due to the diminished ovarian function.
Historically, the menopausal age did not change and the chance of having a baby is very slim as the female approaches menopause. Therefore we recommend that all women especially with the family history of early menopause should have a baby at an earlier age. All the infertility treatments and even IVF cannot be successful if women’s ovarian function is diminished.
For WOMEN,
FSH, LH, E2, PRL, and TSH hormon levels on the third day of the period. If these are normal, ovulations are monitored with ultrasound. If there is an ovulation problem it is treated by oral medications or hormonal injections, monitored by ultrasound.If the ovulation is normal, then Hysterosalpingography ( X-ray of the uterus and tubes) is performed to rule out the tubal blockage.
If there is a problem with the tubes, laparoscopic correction is tried in certain cases. However, in recent years due to highly successful IVF/ICSI results, tubal surgery is performed less often.
In some couples no cause is found. This is called as unexplained infertility. In this group, firstly 3 to 6 months of ovulation induction treatment is given. If this is unsuccessful, artificial insemination is used for 3 to 6 months as well.
If all these fail, then IVF/ICSI should be performed
In general, below age 40 with normal hormones of the female, classical treatments are successful in almost 70 percent of the cases. IVF/ICSI would be the answer if the classical treatments are unsuccessful, the sperm count is very low, and both tubes are blocked.
The age of woman is a serious factor. If the age is over 40, the chance of getting pregnant is lessened, so the classical non-IVF treatments should be given for a short time only. Therefore IVF/ICSI is used earlier and more often.
IVF/ICSI
In 1978, the first test tube baby Louisa Brown is born in London. This revolutionized the infertility technology. Millions of IVF babies have been born and procedure is getting more and more popular.
In normal conditions, women produce an egg and this egg is captured by the Fallopian Tube. Egg travels in the tube and meets the sperm. Fertilization occurs in the tube and 2-3 days later, the fertilized egg (zygote) enters the uterine (womb) cavity. Under natural circumstances, this zygote implants in the endometrium (lining of the womb) and the chance of pregnancy is 20% only. For some reason, these events cannot occur in infertile couples.
IVF/ICSI procedure mimics these natural events. Women receive hormonal injections to increase their number of available eggs. The eggs are monitored closely by ultrasound. When they reach to 18-20 mm in size, they are triggered by HCG injection to complete maturity which happens after 36 hours. At this time patients are taken to the operation room and under sedation anesthesia eggs are retrieved by ultrasound guided follicle puncture.
Meanwhile, male partner gives sperm. Sperm is evaluated and most mobile and normal part is taken to be used for the IVF/ICSI procedure.
In normal IVF procedure, eggs are placed in a Petri dish and inoculated with 100.000 sperm per egg. Mixture is placed in incubators and following day eggs are checked for fertilization. In normal circumstances with a good sperm count approximately 70/80 percent of the eggs are fertilized. The eggs continue to divide and two days after the egg recovery they achieve 4 cell stage. On the third day, embryos reach 8 cell stage. Same day, healthiest three embryos are taken and placed in the women’s uterus by plastic catheter. In our center all the embryo transfers are performed under careful ultrasound guidance in which uterus is seen easily, and embryos are transferred exactly 2cm below the top of the cavity. This gives the best pregnancy chance. Pregnancy test is performed 12 days later.
In IVF procedure sperm and egg are placed in the same dish and fertilization of the eggs by the sperm is expected. However, if the sperm count is extremely low or the sperm is mostly abnormal, fertilization cannot occur. Even with the normal sperm sometimes fertilization cannot happen for some unknown reason. In ICSI procedure single sperm is taken and injected into the egg by means of micro needles which guarantees the fertilization.
In Vitro fertilization can be divided into 5 basic steps:
1. Stimulation of the eggs with drugs: Fertility medications are used to stimulate ovarian production and there is an attempt to obtain multiple eggs to increase the patient's chance of getting pregnant by fertilizing numerous eggs for embryo development. At this stage, the eggs developing in the ovaries are monitored with ultrasound and hormone testing and retrieved before they are released.
2. Retrieval of the eggs: The eggs are retrieved by inserting a special aspiration needle guided by ultrasound into the vagina. The patient is given light anesthesia. Once retrieved the eggs are placed in special receptacles in a laboratory environment. Special methods are used to fertilize the eggs with sperm taken that same day from the woman's husband.
3. Fertilization of the eggs and embryo development: The eggs are fertilized in the laboratory with sperm using the microinjection method. Then the embryo is allowed to develop for a period of time, after which the highest grade embryos are chosen for placement in the mother's womb.
4. Transfer of the embryo to the mother's womb: The chosen embryos are transferred to the mother's womb with a special catheter, after which one must wait and see if they attach to the womb and pregnancy develops.
5. Luteal follow-up: In order to assist pregnancy development, the patient will be given medications containing progesterone after the embryo transfer. Ultrasound and hormone tests will be administered once a week. Whether or not pregnancy has occurred will be determined by testing for the bHCG hormone in the blood on the 12th day after the embryo transfer.
2006-09-13 10:58:32
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answer #6
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answered by mswathi1025 4
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