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Can a Woman Have a Baby Even After Her Tubes Have Been Tied?

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Can a Woman Have a Baby Even After Her Tubes Have Been Tied? 9 edical rofessionals Can A Woman HaveM A Baby EvenP After Her Tubes Have Been Tied? Presented by: Once the tube is obstructed, to remarry. It is common to want who do not have a good chance ilization procedure for women, South Jersey Fertility Center the sperm cannot reach the egg to share a genetic child with the for successful reversal. Even with a approved in 2002, which is not to fertilize it. Various methods new partner, especially when the reassuring operative report approxi- reversible by surgery. It uses the have been used to ligate, “tie-off,” new partner has no children of his mately 10% of cases for tubal rever- Essure device. Women who change Tubal ligation is the most tubes. These include elastic bands, or her own. In other situations it’s sal surgery cannot be performed their minds after the Essure device commonly used method small metal clips, suture, and not a new marriage that causes the due to unexpected findings has been placed can still con- of contraception for electrocautery. The sterilization regret. Rather, the same husband in the pelvis at the time ceive with in vitro fertiliza- procedure may be performed at the and wife may decide they would of the intended reversal tion. women over age surgery. These findings Vasectomy reversal 30. It is also known time of cesarean section, within two like to have more children either days of a vaginal delivery, or beyond due to a tragic loss of a child or include scarring of the V for the man has as “permanent 6 weeks after delivery. Unless the because their financial situation has fimbriated end of the a reasonably good suc- tubes or absence of the fim- sterilization.” In women tubal ligation is done at the time improved. cess rate. The doctors at bria. The fimbria are the tiny the procedure is called of a cesarean section, it requires a our center do not perform this tubal ligation and in men Fortunately there is hope finger-like structures that sweep surgery, but we can refer you to small incision in or near the lower the egg into the tube from the it is called vasectomy. part of the navel. for most of these couples. The a highly-trained urologist. The ovary. Traditionally this surgery has success rate declines steadily with In men the sterilization two most popular solutions to been performed through a 4 inch hese procedures are known procedure is performed by making this dilemma are sterilization increasing passage of time since the “bikini-cut” incision requiring vasectomy. in lay terms as “tying your a small incision in the upper part reversal surgery and in-vitro fer- overnight hospital stay and tubes.” Couples choose to undergo of the scrotum and tying off the tilization (IVF). Each of these avoidance of work for 4 weeks. The In-Vitro Fertilization Tone of these procedures when vas deferens, which is the duct two options has its advantages Now, our Dr. Peter Van Deerlin V procedure (IVF) by-passes the that transports the sperm from the they no longer desire fertility, and disadvantages. It’s up to V does all the tubal reversal sur- fallopian tubes altogether. Eggs are yet want to avoid the need for testicle. the individual couple to decide geries by the minimally invasive retrieved from the woman’s body contraception methods which must Unfortunately many people who laparoscopic technique with just and fertilized with her partner’s be used continuously or at least have undergone such a steriliza- which option best fits their life- 4 small “key hole” incisions, each a sperm in the petri dish. If the vigilantly. The “reversible” methods tion procedure later regret it. One style once they understand the quarter-inch. Patients go home the husband had a vasectomy, then the of contraception are: the rhythm published survey found that half medical pros and cons. same day and return to work in a sperm would be aspirated from the method, withdrawal, condoms, of all women who had their tubal week or less. Dr. Van Deerlin has testicle via a needle. That sperm is diaphragm, pills, patches, vaginal ligation performed prior to the age Sterilization reversal surgery been doing tubal reversal regularly then injected into each egg through Nuvaring, IUD, or depoprovera of 30 later wished that they could V for the woman is highly suc- since 1997 and completed a course a process called Intracytoplasmic shots. In women the procedure have more children again. Ten per- cessful if a sufficient length of tube on Advanced Laparoscopic Surgical Sperm Injection (ICSI). The result- involves obstructing the mid- cent of men desire reversal of their remains on both ends of the liga- Skills for Tubal Anastomosis at the ing fertilized eggs are then placed portion of the fallopian tube, which vasectomy. Life’s situations change. tion. Often the operative report MOET Institute. Very fine suture into the uterus (womb) through is the duct through which the egg Sometimes after divorce or the from the tubal ligation procedure material is used to reconnect the the vagina. The clinical pregnancy must travel to reach the uterus. death of a spouse, a person decides is useful in identifying candidates tubes. Typically 4 or more sutures rate at our center for women under are used depending on the the age of 35 is 47%. If a couple is SJFC is proud to open our new office in Forked River starting diameter of the tube. willing to undergo 2 or 3 cycles of Usually the chance for IVF, then they have about the same November 2010. To make an appointment call 609-693-5049 a successful pregnancy chance of conceiving as with tubal within one year of the reversal. Women ages 40-44 have a surgery is 70% for 30% clinical pregnancy rate at our South Jersey Fertility Center women under the age of center. Many women produce so Division of Regional Women’s Health Group, LLC 40. Women between the many eggs that they can freeze extra ages of 40 and 44 have a embryos for future tries. The rate pregnancy rate that is half of clinical pregnancy from frozen Full Service Infertility Center with: of that. An advantage of embryos in women under age 35 is SOUTH JERSEY FERTILITY CENTER tubal reversal over IVF 44%. A disadvantage of IVF is that is looking for EGG DONORS, Ages 21-32 is that if you successfully there is a risk of twins (up to 33%) In Vitro Fertilization Program (IVF) COMPENSATIONS WILL BE $8000. conceive a pregnancy you and triplets (1%) depending on Inseminations - Ovulation Induction Donor Eggs Call 856.596.2233 ext. 260 for more information. can usually go on to have how many embryos are elected to even more pregnancies transfer back to the uterus. Some Preimplantation Genetic Diagnosis if you desire. Of course health insurance plans cover the Laser Microsurgery and Tubal Reversals this could also be a disad- IVF procedure. The cost at our vantage if you only want center for each IVF procedure is to have one more child $6,811 plus $1020 more if ICSI is Robert A. Skaf, MD FACOG and don’t want to have required. The fertility medications Peter G. Van Deerlin, MD FACOG to worry about using (if not covered by the prescription Stephen W. Sawin, MD FACOG contraception again. plan) can cost $3000 or more. Another disadvantage Advances in medical science Gary S. Packin, DO FACOOG, Dist. is that there is a 10% have indeed made it possible to Dorette J. Noorhasan, MD , FACOG incidence of tubal preg- have another child following a Barbara Alice, APN-C, MSN nancy following surgical sterilization procedure. Tracy Krause, APN-C,MSN reversal. If your medical insur- Call for your evaluation today. ance doesn’t cover the South Jersey Fertility Center Visit us on our Website www.sjfert.com tubal reversal procedure 4 New Jersey Locations to serve you: Our Newest Location (and most don’t) the 400 Lippincott400 Drive Lippincott Drive Harbor Pavilions AtlantiCare Life Center SO Center for Health • Marlton • Sewell Harbor Pavilions AtlantiCare Life Center total cost to you is $6850 Suite 130 Suite 130 570 Egg Harbor570 Rd Egg • Suite Harbor B4 Rd500 • EnglishSuite B4 Creek Ave.500 • English#225 730Creek Lacey Ave. Road,• #225 Suite G09 • Egg Harbor Township Marlton, NJMarlton, 08053 NJ 08053 Sewell, NJ 08080Sewell, NJ 08080Egg Harbor Twp. , NJEgg 08234 Harbor Twp.Forked , NJ River, 08234 NJ 08731 including anesthesia, etc. There is a new hys- • Forked River 856.596.2233856.596.2233 856.218.8863 856.218.8863 609.813.2192 609.813.2192609-693-5049 teroscopic tubal ster- www.sjfert.com The County Woman Magazine www.TheCountyWoman.com November/December 2010.
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