what is a good way to conceive after tubal ligation? would artificial insemination be a good way to go?

Question

i'm 35 years old and engaged to a 20 year old man. we want a baby together.

Answer 1

You really need to talk with a surgeon/fertility doctor about this one. Try to remember the reason you got the tubal ligation in the first place!! 20 is very young for a man to start wanting a baby. Congrats on finding love. Best Wishes.

Answer 2

That would be Intra-uterine Insemination (IUI) and women who have had tubal ligation are not candiates for IUI.

Women who have had tubal ligations sometimes regret their decision and want to have children in the future. There are 2 options, tubal reversal surgery and in vitro fertilization - IVF. Both of these are reasonable options and how the woman chooses to proceed should be based on an educated consideration of the pros and cons of each.

Most women have their tubes tied before they leave the hospital after they deliver, or they come in for tubal ligation by laparoscopy which is an outpatient surgical procedure done through a scope that goes through the belly button.

Tubal reversal surgery requires a laparotomy which is a much larger incision on the abdomen usually approximately 4 to 6 inches in length. Since the skin and all the muscles and other tissues of the abdominal wall must be cut through there is considerably more discomfort and a much longer recovery time following the surgery as compared to a laparoscopic surgery such as tubal ligation.

Some surgeons are now performing tubal reversal surgeries through the laparoscope. However, this is a relatively difficult technique and there is not yet sufficient published data to support that pregnancy rates will be equal to those following the traditional laparotomy. Most women will need to be in the hospital for approximately 3 days following tubal reversal surgery and will need to be off work for a minimum of 2 to 3 weeks.

There are 5 important issues regarding tubal reversal surgery that need to be considered and discussed. The sperm quality of the male partner, tubal status, status of other possible pelvic conditions, female age, and egg quantity and quality.

Chances for pregnancy with either tubal reversal or IVF decline in the mid to late 30's and more dramatically starting at about age 38. By age 43-44, very few women will be able to have a baby using either approach. This issue makes careful and honest counseling very important for women between about 35 to 43 years of age. I would discourage women 43 and older from pursuing either option because of the dismal success rates at that age and beyond. Egg donation is a more viable option in that scenario.

Answer 3

I believe artificial insemination is when sperm is introduced into the uterus. This would not work after a tubal ligation because the egg cannot get to the uterus to meet up with the sperm.

Invitro fertilization is when eggs are removed from your ovaries, mixed with sperm in a petri dish, then the resulting embryos are inserted into your uterus. This would probably work.

Answer 4

I recently had a laprascopy done to see if I could have my tubal reversed and they told me I could not one tube was to damaged,that I would have to have an IVF because one tube is to damaged.