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Free article Clinical Trial Reversal of sterilization in women over 40 years of age: a multicenter survey in The NetherlandsT C Trimbos-Kemper. Fertil Steril. 1990 Mar. Free article AbstractMicroscopic reversal of sterilization in women is successful. Most infertility treatments, however, are bound to an age limit, which in the individual case is sometimes overstepped. To determine if reversal of sterilization in women greater than 40 years of age is justifiable, the data of nine centers of tubal surgery in the Netherlands were analyzed. In 78 women between 40 and 45 years, an intrauterine pregnancy rate of 45% and an ectopic pregnancy rate of 4% was reported. Whereas 26% of first pregnancies ended in a spontaneous abortion, the live birth rate (all healthy children) still amounted to 44%. The mean duration between operation and first pregnancy was 5.5 months. It is concluded that microscopical reversal of sterilization in women between 40 and 45 years is an acceptable infertility treatment. PIP: Cases of all women over 40 attending 9 Dutch centers offering microsurgical tubal surgery for reversal of sterilization from 1987- 1988 were reviewed. 78 cases met the criteria of minimum 4 cm of healthy tube, and normal basal body temperature, semen analysis and postcoital testing. The patients' ages ranged from 40-45, mean 41. There were 38 pregnancies after surgery: 35 intrauterine and 3 ectopic, an initial pregnancy rate of 45% intrauterine pregnancy. 26 normal term births and 9 spontaneous abortion resulted. 7 of the women who miscarried and 1 of those with ectopic pregnancy subsequently bore term babies. Thus the overall live birth rate was 44%, in comparison to 66% among the total population of reanastomosis cases in these 9 centers. The total abortion rate, 26%, is similar to that seen in women over 40 from the general population. The mean duration to 1st pregnancy was 5.5 months. Best results were seen with women sterilized with rings or clips. A trend in successful pregnancy appeared in younger women. Similar articles
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What type of tubal ligation is not reversible?Description. Tubal ligation reversal is surgery done to allow a woman who has had her tubes tied (tubal ligation) to become pregnant again. The fallopian tubes are reconnected in this reversal surgery. A tubal ligation cannot always be reversed if there is too little tube left or if it is damaged.
How long does it take to get pregnant after tubal reversal?Generally speaking, you will be healed enough within one month to begin trying. If everything went well, you may be lucky enough to get pregnant after your first month of trying. Most patients with successful Tubal Ligation Reversal procedures get pregnant within the first year.
Can you get pregnant right after tubal reversal?Usually, you can start trying to have a baby one to two cycles after Dr. Gehlbach performs the tubal reversal. Because this procedure can increase the risk of ectopic pregnancy, Dr. Gehlbach closely monitors all patients who become pregnant after tubal reversal.
How long does it take for tubes to heal after tubal reversal?The recovery period.
Recovery from a tubal reversal takes approximately 2 weeks.
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Tubal ligation reversal at age 45
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