Tubal Reversal vs IVF
There are several factors to consider when deciding between a tubal reversal and IVF.
IVF-ET is the most well known of the “Assisted Reproductive Technologies”. Formerly referred to as “test tube baby,” IVF and has helped infertile couples conceive and bear children for over two decades and has become useful in treating factors such as immunological problems, unexplained infertility, and male factor infertility.
IVF is a 4 Step Process:
- STEP 1 Also known as “Ovarian Stimulation” or “Superovulation.” Medications are taken to make multiple follicles (eggs) begin to develop on the ovaries.
- STEP 2 Involves monitoring follicular growth, by ultrasound, to determine egg growth and uterine lining development. When the follicles and uterine lining are appropriately mature, a trigger shot (Human Chorionic Gonadotropin) is administered.
- STEP 3 36 hours later retrieval of the eggs by an in-office procedure (ultrasound-guided-needle aspiration) is performed. The sperm specimen is washed and prepared for insemination, placed in a dish with the eggs and then placed in an incubator for 18 hours. After 18 hours, the embryos are observed for normal fertilization and then incubated further for continued development into multi-cell embryos.
- STEP 4 Transfer of the embryos into the uterine cavity via a catheter inserted through the cervix. The number of embryos transferred varies with the desires of the patient, under the guidelines of age, use of PGS, medical history and various other factors. Additional embryos may be frozen and stored for future use.
IVF requires subcutaneous and intramuscular injections for a period of 4-6 weeks. Risk of medication may include ovarian hyperstimulation syndrome and allergic reaction. There is controversy on whether these medications may be associated with an increased risk of developing ovarian cancer.
Tubal Reversal is performed as an out-patient procedure. Surgery lasts approximately 2 hours and is performed via a small incision at the bikini line. This type of procedure involves minimal risk and patients typically return to work within 5-7 days following surgery. A tubal reversal allows a woman multiple times to try to conceive naturally. Our physicians are in surgery every Friday performing tubal reversals. You must wait 8 weeks after surgery before trying to conceive.
What is the risk of multiple pregnancies?
There is not an increased risk of multiple pregnancies with a tubal reversal. The risk of twins following IVF is approximately 30% and that of triplets or more is 5%.
What is the risk of ectopic pregnancy?
There is a 5-10% risk of tubal pregnancy following a reversal and a 1% risk following IVF.
What is the cost difference?
- Tubal Reversal ranges between $5,500 – $6,500
- IVF ranges between $10,000 – $20,000
What are the success rates?
- Tubal Reversal is approximately 70%, but is age dependent
- IVF is approximately 50% per cycle, but is age dependent
Ultimately, the physician will advise you of your options and which option would be best for you.
For more information about IVF, please visit our companion site.