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Undone

by honey1992, May 13, 2008 01:19PM
Is it possible to get your tube tying reversed if they have been done 14 years and what are the chances of getting pregnant? My husband and I are wanting another baby,we have 2 children! Any advice would really be appreciated!
Member Comments (7)

by Brown Eyed Gurl, May 13, 2008 01:21PM
you can get them untied unless they are burned on the ends also....

by FaithNHim, May 13, 2008 07:39PM
It is according to how your tubes were tied:
Pomeroy method. This is the typical “cut and tie” method. Most commonly is it performed at the time of a C-section or on the day of a vaginal delivery. However the Pomeroy Method may also be used months or years after the delivery of a child. This technique usually involves surgically removing roughly ½ to 1 inch from the center of the fallopian tube and tying off the cut ends. In most cases, the surgeon will then lightly cauterize (burn) these cut ends to seal off small bleeding points. This conservative use of cauterization to stop minor bleeding should not be confused with the Laparoscopic Cauterization technique discussed below. In order to determine if the Pomeroy Method was employed, check for a one to two inch incision, generally below the navel (belly button) that was used to remove a portion of the tube. The advantage of the Pomeroy Method is that the remaining fallopian tube remains in good physiological health. However, it is possible for the physician to remove too much tube, thus lowering the chances of success. All other factors aside, women who were sterilized with the Pomeroy technique are the second most likely group to have successful reversals.

Laparoscopic cauterization (LTC). This procedure is generally performed as an interval procedure, in other words, not at the time of a delivery. The method involves inserting a small telescope through the belly wall just below the navel. The tube is grasped in the middle and usually about ½ to 1 inch is burned until the tube separates into two halves. This technique offers many advantages, as it is a quick and easy outpatient procedure that most women fully recover from within a day or two. However, there are also drawbacks, as the heat from the cauterization may damage the health of the tube to some degree. If you have been sterilized using this technique, don’t be discouraged. Even the majority of these patients are able to conceive after their reversal is performed.

Laparoscopic banding, clamping or clipping. These three procedures are all very similar. Like the LTC procedure, they are done as interval procedures. These methods involve inserting a small telescope through the belly wall just below the navel. Grasping the tube in the middle, a silastic (rubber) band, Hulka clip or metal clip is used to pinch off a very small part of the tube. Each of these devices is similar to putting a clothespin on the tube and squeezing off a small portion. After several days, the pressure of the device causes the tube to separate into two separate halves. The advantage of this procedure is that the tube is left in superb physiologic condition. Moreover, only a small portion is removed, leaving plenty of the fallopian tube for the reversal procedure. There are really no disadvantages to these procedures and accordingly they yield the highest rates for successful reversals.

by FaithNHim, May 13, 2008 07:45PM
I forgot to mention that it does not matter how long ago your tubes were tied. Do you have the operative report from the doctor who completed the tubaligation?
In addition to the quality of the fallopian tubes, many other factors contribute to one’s ability to conceive. Age, general health, regularity of periods, quality of cervical mucous, quality of your partner’s sperm, history of venereal infections and previous surgeries, can affect your ability to become pregnant. Due to these varying factors, women who have been sterilized using the same technique may have different likelihoods of success with a reversal. Under ideal circumstances, the average chance of success with a Pomeroy sterilization is 75%, with a banding procedure 85%, and with a cautery procedure about 60-65%. Keep in mind that the specifics of your case will affect these percentages.

by housingmama, May 13, 2008 09:06PM
To: hunny1992
you could have them untied but it cost a lot of money and you could have a tubal pregnacy you best bet is to do IVF it cost less and your chances of getting pregnant is way better thats how i got my twin boys i'm now 27 weeks and everything is good.you can always go threw medicard they pay for it and you just make payments. you can find them on line

by FaithNHim, May 14, 2008 07:51PM
It is cheaper for tubal reversal versus IVF. I speak from experience. I have had failed IVF cycles this year. I wish I would have just had the TR from the beginning.
Everybody does not get pregnant with IVF, even after multiple cycles.

by FaithNHim, May 14, 2008 07:51PM
To: hunny1992
Congratulations!

by basill1970f, May 14, 2008 08:10PM
The ivf i paid for was 12 grand and failed.  My tubal reversal was just under 7 grand.  Me and hubby wish we wouldve gone the untie route to begin with.  Plus with IVF is a one time shot unless u get some frozen (which i didnt)  with the untie u can practice and practice and practice all you want and you have a chance every month for the same price.. There is also capitol one healthcare financing, thats how i paid for mine, the interest rate was very low.. the first 12 grand came from my retirment fund.    Let me know if i can help u with anything else.. im 6 weeks along and crossing fingers after 3 m/c but none were tubal pregnancy... the dr's check u for that very very very early on.
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