After a tubal ligation or “tubes tied” there are couples who
desire to have a baby. The reasons are many but the most common one is a change
in relationship. Both IVF and tubal reversal can work for these couples. The ultimate
question is which one has the better success rate? Which one will the couple be
able to afford? And, what if the couple chooses to have more than one child
over time?
Success of Tubal
Reversal
The couples that go to Chapel Hill Tubal Reversal Center are
carefully chosen. Of the patients that have their surgeries at this tubal
reversal specialty center 98% are able to have at least one fallopian tube repaired
successfully. This is a huge accomplishment because many other surgeons would
not even attempt many of the repairs. Sixty-six of these patients will be
pregnant in the first year after surgery. After reporting the pregnancy, 35-40%
will report miscarriage; 10-15% will have ectopic pregnancies and the remaining
50% will go on to have a baby.
This means that about 33% of women that have the tubal
reversal surgery will go on to have a baby and many of these women have more
than one baby.
The tubal reversal success rate at CHTRC is followed up with
data collection and pregnancy self-reporting by the patients. It is possible
for the success rate to be higher with the staff doing more follow-up. The
staff is aware that not all patients will report pregnancies. This actually
makes the tubal reversal pregnancy rate higher than what has been calculated, reported
and then published.
The Success of IVF
Success of IVF is a different matter. In the United States
the average for all IVF cycles started and ending in a successful pregnancy is
about 37%. This is lower than the reversal results collected and reported.
Cost
The cost of tubal reversal surgery at Chapel Hill Tubal
Reversal Center is $5900.00. The cost of IVF for each attempted cycle is
$10,000 - $12,000. Couples who are searching for the most cost effective with
the higher pregnancy success rates choose reversal surgery. With tubal reversal
surgery the couple does not have to have any further medical intervention to
attempt another pregnancy.
There is no question that both IVF and tubal reversal
surgery offer the opportunity for successful pregnancy following a tubal
ligation or having ones “tubes tied”. IVF recipients do not need surgery, do
not chance ectopic pregnancy and have the chance of pregnancy when facing other
serious infertility problems or issues. With tubal reversal surgery the couple
has many more chances at becoming pregnant, able to have more than one child
and resolve any guilt about having a tubal ligation. Tubal reversal surgery at
Chapel Hill Tubal Reversal Center has proven to be less expensive and with a
better successful pregnancy rate over IVF.