Every year, many women seek the services of a qualified doctor to perform a tubal ligation surgery. This form of female sterilization is common and most women will stick with their decision throughout the duration of their lives. However, for a small portion of them, life circumstances change that leave them wishing for another child. These women often become interested in getting their tubal ligation reversed.
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Things to Consider
There are many factors to consider when pursuing a tubal reversal, such as:
- The cost of the procedure
- How much down time is involved for recovery
- How effective it will be
- The risks of the procedure
- If there are comparable alternatives
The Jackson Clinic reports the average cost of a tubal reversal being as low as $5,400. While this seems to be somewhat affordable for a lot of people, it certainly isn’t for everyone, and the price can span as high as $30,000. Likewise, insurance companies do not tend to cover elective procedures like this. They rarely do if they did not cover the initial sterilization procedure to begin with.
Women seeking alternative methods of payment for a tubal reversal may have to use credit or apply for loans at lending institutions just to meet the cost of the procedure. They should keep in mind that regardless of whether the tubal reversal ends up meeting their needs and helping them get pregnant, they will still be on the hook for repaying this money. In addition, they could be repaying it for a very long time when they get pregnant and then also have to cover the costs of a pregnancy, birth and child-rearing. All of these factors should be considered when computing cost. Furthermore, the cost of comparable alternatives should be weighed, too.
Compared to other surgeries, the recovery period for a tubal reversal is minimal. When the reversal is performed at an outpatient surgery clinic, the patient goes home that same day barring any complications from surgery, such as infection. If it is performed in the hospital, it may take longer — requiring as much as three days of inpatient recovery following the day of surgery. How long it takes for a woman to return to work and feel good on her feet again is subjective, but most are okay within a week to return to normal everyday activities. Some doctors may encourage patients to abstain from unprotected sexual intercourse for a little while to allow the stitches and incisions to heal prior to possibly becoming pregnant. This is a precaution that women should take seriously since an ectopic pregnancy while their stitches are still healing could prove very harmful to their health and even end up costing them their tube on that side.
There are no clear cut efficacy rates that apply to women across the board for a tubal reversal. It will naturally be more effective for some women than for others. Age is often a mitigating factor here just as it is for the efficacy of a tubal ligation in the first place. Nonetheless, restoration of an intact tube on both sides is almost always possible if the tubal ligation was performed properly with care in mind by the overseeing physician.
In terms of efficacy, we don’t just monitor the likelihood that the tubes can be reattached to one another, but that pregnancy can be achieved. Of course, other fertility measures can impact the likelihood of woman getting pregnant, too. In general, women who have their tubal ligations reversed will fall pregnant in the first year 50 to 80 percent of the time, Attain Fertility reports.
4. Risks and Alternatives
Just as there are risks involved with getting a tubal ligation, there are risks with getting it reversed. Because of this, many people choose to go in another direction. There are alternatives to having a tubal ligation reversed. Women who desire more children can still do so by way of in vitro fertilization and surrogacy. While surrogacy would be the more expensive option since it involves IVF and the cost of a surrogate on top of it, it is still a feasible option for some couples. Today, even some insurance companies provide policies that cover the cost of a surrogate.
IVF alone can range from $12,000 to $15,000 for just one round, per Internet Health Resources. According to Sher Fertility, most women under the age of 40 who are using their own good quality eggs have more than a 70 percent chance of conception within three rounds of IVF. That means one pregnancy could take as much as $45,000 just to make it happen in the best of circumstances. There are no refunds for miscarriages or infertility in many of these cases, though there are fertility treatment centers that offer this guarantee to some clients.
The following resources may be beneficial to couples who are seeking assistance in finding the right provider to perform their tubal reversal procedure:
- The Center for Fertility and Gynecology
- Tubal Reversal Experts
- Internet Health Resources
- The Infertility Center of St. Louis
Tubal-Reversal.net is in the business of guiding consumers to make the right medical choices for themselves that are also affordable. It helps patients to calculate the risks of tubal reversal surgery, as well as comparing it to alternatives that may be more financially doable. The Center for Fertility and Gynecology notes their success rate for conception following reversals is as high as 70 percent. The Tubal Reversal Experts provide an easy way to register as a patient online and connect with branches of the Florida Fertility Institute to get you on your way to conception.
Internet Health Resources might be a competitor for the first site we mentioned. They give readers a hefty overview of what the tubal ligation reversal surgery entails, as well as what complications can occur as a result of trying to reverse a tubal that has been in place for a while. Last but not least, the Infertility Center of St. Louis details Dr. Silber’s work and not only offers assistance with tubal reversals, but vasectomy reversals and IVF, too. They also offer services to connect couples or single individuals with the resources they need to become parents through surrogacy and/or egg donation.