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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