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Arranging your tubal reversal As it is often necessary to juggle home and work commitments it is usually best to arrange your tubal reversal by telephoning our office on 1300 307 166 (a local call from anywhere in Australia). Depending on where you live Dr Woolcott will provide a pre-operative consultation either in person or by telephone. |
Simplified billing We offer an all inclusive package to provide certainty regarding the cost of your tubal reversal. By comparison with others, our fees are reasonable and cover anaesthetist and assistant surgeon, as well as surgical charges. |
Normal Fertility
A very important issue to consider when assessing pregnancy rates from tubal reversal is that of normal fertility rates. When reading of extravagant claims made elsewhere on the internet about baby rates following tubal reversal it is important to be aware that the normal chance of a young couple (female age under 30 years) of successfully achieving a pregnancy within one year of starting to attempt to do so is 85%. For the average couple trying to achieve a pregnancy (female age >30 years) the chance of pregnancy is 80% in 1 year.
The single most important factor influencing pregnancy rates and take home baby rates following tubal reversal is your age. The older you are the lower the chance of successful pregnancy. |
There are those who claim exaggerated pregnancy rates following tubal reversal that exceed normal fertility rates. It is not possible to produce pregnancy rates greater than normal; fertility rates. Claims that pregnancy rates following tubal reversal exceed 85-90% thus making the claim that it is possible to improve on normal fertility - are obviously false and misleading.
Technical success from this type of operation is excellent. Over 98% of women who undergo Microsurgical Tubal Reversal will achieve open Fallopian Tubes..
Pregnancy Rates
The most important factor influencing the pregnancy related success rate is your age. The older you are, the lower the chance of a successful pregnancy. This is due the declining number of noraml eggs within your ovaries as you get older. In addition, increasing age also increases the chance of miscarriage and the possibility of having a baby with a genetic problem such as Down Syndrome.
The pregnancy rate also depends on the type of previous sterilisation procedure and the remaining length of fallopian tube and age. Tubal clips have the highest reversibility and diathermy the lowest. The pregnancy rates decrease with increasing age and also when there is less fallopian tube left to reanastomose. Pregnancy rates in the 12 months that follow the operation are as follows.
Less than 40 years of age
- Reversal tubal clipping 85% to 90%
- Reversal tubal cut and tie 55% to 70%
- Reversal tubal diathermy 75% to 90%
Greater than 40 years
- Reversal tubal clipping 40% to 45%
- Reversal tubal cut and tie 30% to 35%
- Reversal tubal diathermy 35% to 40%
Should pregnancy not occur by 12 months following the operation the chance of subsequent pregnancy is only 5%. If sex fails to achieve a pregnancy all is not lost either intra-uterine insemination or In Vitro Fertilisation are likely to be of assistance.
It is wise to take into consideration that as a results of the occurence of miscarriage that take-home-baby rates will be less than pregnancy rates. Miscarriage usually occur in 15-20% of pregnancies and in addition there is a 1-2% risk of pregnancy in the Fallopian Tube .