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Tubal reanastomosis is a reversal of tubal sterilization or microsurgical tubal reanastomosis. In the state of Massachusetts, heath insurance will not cover the cost of the procedure which presently cost around ten thousand dollars.

The surgery is more complex than the operation performed for the sterilization.  Tubal sterilization is tying, clipping, banding, or burning of the fallopian tubes.   Tubal reanastomosis involves the use of very thin microsuture to carefully put the tubes back together.   It is necessary to use an operating microscope or another magnifying source to be able to visualize the tubal anatomy, so it may take from  two to three hours to perform.   Reversal of tubal sterilization can be performed through a small incision, however, due to the length of operating time, patients need to spend one  day in the hospital to recover. Unlike laparoscopy, where patients can be expected to resume all normal physical activities without restriction within 48 hours of surgery, laparotomy patients must be restricted from lifting and exercising for at least  two weeks after surgery. Patients usually require more pain medication after tubal reanastomosis, than after laparoscopic procedures. After leaving the hospital, patients are allowed to drive, walk, use stairs, and have no dietary restrictions

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women the chance to become pregnant again. Tubal reversal and reversal of tubal ligation is a best way
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women the chance to become pregnant again. Tubal reversal and reversal of tubal ligation is a best way
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women the chance to become pregnant again. Tubal reversal and reversal of tubal ligation is a best way
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Tubal Ligation Reversal or tubal reversals

Tubal reversals success depends on two main factors the type of tubal ligation and the age of the woman at the time of tubal reversal surgery.  The tubal reversal success rate can be as high as 80% for women who are under the age of 30 and also for women who have had tubal clip or tubal ring type tubal ligations.  The tubal reversal success can also be as high as 30-50% for women over the age of 40 or those who have had unknown types of tubal ligations. Even among women over the age of 40 or women with unknown types of tubal ligations approximately 1 out of 3 women will become pregnant.  More extensive information about the chances of tubal reversal success can be viewed on the website of the reversal center.   Tubal reversals success rates can be impressive when patients choose the best tubal reversal doctors in the United States. The success rate for tubal reversal can be as high as 80% for certain groups. Women interested in determining if they are a candidate for tubal reversal surgery and what their reversal success rate may be are encouraged to review the pregnancy statistics on the website of Chapel Hill Tubal Reversal Center and to call and inquire about their chances of tubal reversal success.

want to share Tubal Reversals is a surgical procedure that restores fertility to women after a tubal ligation.
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How to Get Pregnant Without a Tubal Reversal

A tubal reversal is a surgical procedure to undo a tubal ligation. In a tubal ligation, a doctor ties off the fallopian tubes by cutting, blocking or burning them. This surgery prevents eggs from traveling down the fallopian tubes into the uterus where they can be fertilized. Some women later regret being sterilized and decide that they want to become pregnant. Doctors invented tubal reversals, but this method is not entirely successful. But there are a few ways to increase the chances of becoming pregnant without a tubal reversal

 

 

 

 

 

 

 

Instructions

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      Give yourself time. In the first years of having a tubal ligation, the success rate for avoiding pregnancy is almost 100 percent. But as the years pass, the procedure becomes less effective. In some women, the fallopian tubes reform, making pregnancy possible. There is no way of knowing if you will be one of these women, and a woman can do nothing to improve her chances of the tubes naturally reconnecting. Your chances of getting pregnant increase with each passing year following a tubal ligation, but you can't count on this happening.
   2.
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      Use in vitro fertilization. This is the best way to get pregnant if a woman does not want a tubal ligation reversal, but there is no guarantee the procedure will work. In IVF, eggs are placed in a glass dish and fertilized with sperm. The fertilized eggs are then placed in the uterus of the woman who will carry the fetus. This method can work because the fallopian tubes are not involved. The needed eggs are extracted directly from the ovaries. This assisted reproductive technology is also a good choice for women in their late 30s or older. Even after menopause, IVF is a viable option because the uterus still functions. IVF is an expensive procedure, costing $10,000 to $15,000 per treatment. One of the risks of IVF is multiple births.
   3.
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      Consider egg donation. Age plays an important part in pregnancy. Women older than 35 have a lower chance of getting pregnant even in the best of situations. The main problem is the egg quality in older women. With egg donation, healthy, younger women donate their eggs to help infertile women. Egg donation is a complicated procedure that involves weeks of drug therapy and surgery for the egg donor. IVF is the next step. IVF combined with egg donation increases the chances of conception. The woman carrying the child has no genetic connection to the fetus, only a physical and emotional one. Many fertility clinics pay women a few thousand dollars to donate their eggs.
   4.
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      Check the donor's sperm quality. The chances of pregnancy always increase with good sperm quality. If the father-to-be has a low sperm count or poor sperm mobility, then pregnancy is harder to achieve. The father-to-be should have his sperm tested. To increase the chances of pregnancy, have as much information as possible about the fertility health of both partners. If fertility specialists think the sperm quality is low, artificial insemination is a possibility to improve the chances of pregnancy. Using donated sperm is also used frequently in IVF. To increases the chances of conception, using donated sperm or donated eggs with IVF is always an option for women who want to get pregnant without a tubal reversal.


Read more: How to Get Pregnant Without a Tubal Reversal | eHow.com http://www.ehow.com/how_4797493_pregnant-tubal-reversal.html#ixzz1GCc4r4vm
 

Tubal Reversal by Microsurgery and Robotic Tubal Anastamosis

Tubal ligation is used very commonly as a form of contraception in the United States. When life circumstances change often the question of whether this procedure is reversible comes up. Fortunately with modern microsurgical techniques, the answer most often is that it can be reversed.

Tubal ligation can be performed by a variety of techniques Some of the more common methods include the Pomeroy technique, frequently employed on the first day after delivering a baby, or interval sterilization, frequently performed through the laparoscope remote from child bearing. Several different laparoscopic techniques may be used for laparoscopic sterilization. These include cautery (burning of the tubes), rings or clips to occlude the tubes, or cutting or removing portions of the tubes. All of these methods are intended to provide permanent methods of contraception.

However, life circumstances change for many of our patients, and many women desire to regain their fertility after having a previous tubal sterilization performed. Fortunately, the new technique of microscopic tubal reansatamosis (sterilization reversal) is a highly successful surgical procedure available to many patients from specialized infertility surgeons. The newest technique is a robotic tubal ligation reversal.  The first technique uses and open bikini type incision.  Robotic procedures are done using small laparoscopic incisions and the assistance of a robotic controller.  Other alternatives to surgical reanastamosis include in vitro fertilization, a process in which the fallopian tubes are bypassed all together and fertilization is achieved outside the body. Both of these techniques have distinct advantages and disadvantages with overall relatively similar success rates.

Cumulative pregnancy rates over 1-2 years following sterilization reversal often approximate 60%-70%. However, the range of pregnancy rates may vary from 20%-95%. There are multiple factors influencing the outcome of the procedure. Of these, the length of healthy fallopian tube left to be repaired following sterilization reversal is the single most important factor. Success rates are very acceptable when 4-6cms of tube are left When less than 4cms of undamaged tube remain at the end of microsurgery, success rates fall dramatically. Patients at risk for short tubal length are primarily those in which either large segments of tube were removed or in which "multiple burn" cautery technique was utilized for sterilization. Those with the best prognosis are usually women who have clips or rings placed on their tubes or postpartum tubal ligations performed.

Another factor in tubal reversal success is the use of microsurgical technique. Controlled studies examining the differences between surgeons using a microscope and those utilizing other methods of sterilization reversal have clearly identified the superiority of the microscopic approach. Not all hospital operating rooms are equipped with appropriate microscopic instrumentation, and only a surgeon trained in microscopic technique should perform microscopic tubal reanastamosis. Most surgeons performing microsurgical tubal reanastamosis will do so through a mini-laparotomy incision. This is a "bikini cut" skin incision usually approximately 2/3 the size of a cesarean section scar. Most patients require a 1 to 2 night hospital stay following tubal anastamosis:

During the course of a microsurgical tubal reanastamosis, the fallopian tubes are brought into the incision. The damaged or scarred portions of the fallopian tubes are removed. Then, using suture that is too fine to be seen by the naked eye, the healthy segments of tube are stitched back together under the microscope. This is usually accomplished in two layers. At the completion of the operation, patency of the fallopian tubes is confirmed by injecting dye through the uterus out the fallopian tubes. Patency rates are greater than 80% in most instances. Unfortunately, due to previous scar tissue from the sterilization procedure or due to scar tissue which may result from the reanastamosis procedure, open tubes do not always function normally.

Considering Tubal Ligation Reversal:

When considering tubal ligation reversal you will first want to consult a doctor who will therefore recommend you to a fertility specialist. The fertility specialist, as I stated above, will give you an assessment after he or she has examined your fallopian tubes to see how good of a candidate you are considering the surgery you underwent before. They will examine your fallopian tubes with a laparoscope to see just how the tubal ligation was preformed. Once they have done this they will therefore go through some other factors when considering who is a good candidate for tubal ligation reversal surgery. These factors will include the following:

   1. Whether the fallopian tubes where blocked or snipped in the original tubal ligation surgery
   2. How much of your fallopian tube remains intact for reattachment purposes
   3. The overall health of your fallopian tubes
   4. Your age
   5. Your general overall health

All of these factors will make it much easier for the fertility doctor to assess if you are a good candidate or not.  No matter if you had your fallopian tubes snipped, clipped, clamped or if your surgeon used rings or rubber bands the surgeon can go in and reverse it depending on the factors stated above. Depending on how your fallopian tubes look, how much of the fallopian tube is intact and the health of your fallopian tubes is very important. A surgeon is not going to go in and preform the surgery if your fallopian tubes are not looking that good.  Another important factor is your age. Generally you will find that if you are anywhere between your thirties to around forty you will find that the success rate is roughly anywhere between twenty to eighty percent. If you are generally healthy and fit you will find that your success rates may increase. It is always extremely important to be taking care of yourself and your health when considering any surgery, but especially this one.

Reversal of Tubal Ligation

More than 650,000 women undergo tubal ligation in the United States annually, thus ending their ability to have children. What happens when circumstances change and a women decides that she really does want to become pregnant? Approximately six percent of women who originally decided that tubal ligation was the way to end their childbearing years will, within five years, decide that she does indeed want to experience pregnancy and the birth of a new baby.

Post Tubal Ligation Syndrome
Sometimes, tubal ligation reversal is desired not for the purpose of having children, but to reverse the effects experienced by many women of post tubal ligation syndrome. The symptoms of post tubal ligaiton syndrome may include:

    * irregular, heavy, painful periods, and other menstrual issues
    * symptoms of early onset menopause
    * severe or worsening of premenstrual syndrome
    * loss of libido
    * ectopic pregnancy
    * anxiety
    * vaginal dryness
    * palpitations
    * hot flashes
    * cold flashes
    * trouble sleeping
    * mood swings 

Reversal of Tubal Ligation

Tubal Ligation or what some may recognize it by, tying of the tubes, is a major surgery that is preformed to close a woman's fallopian tubes.  This surgery is done everyday, all over the world, to insure that a woman can no longer become pregnant. When this surgery is preformed a surgeon will go in and they will either sever or seal the fallopian tubes therefore preventing any further fertilization. This procedure is quite common and is preformed roughly around seven hundred thousand times a year. This procedure is ninety-nine percent effective and considered permanent.  Yet you will find that many woman who get this done, may later reconsider and want to try to have another baby. At least twenty-five percent of woman who decide to undergo tubal ligation come back later and undergo tubal ligation reversal surgery so they can try to have another baby. Tubal ligation reversal is a surgery preformed to reverse the previous tubal ligation. Generally before you decide to rush out and go through tubal ligation reversal surgery you will need to consult a doctor or a fertility specialist. Through their assessment they will examine your fallopian tubes and check to see what they look like and how the surgery to tie them was preformed. In this article I will explain how tubal ligation surgery is preformed, what are the factors that determine what makes a woman a good candidate or not and what doctors to look for when deciding on this surgery.