Tubal Disease

Tubal disease is a common cause of infertility. The tubes must be open in order to transport eggs from the ovaries to the uterus. Tubal blockage can occur because of infection (pelvic inflammatory disease), scarring from previous surgery, congenital defects, endometriosis, or other conditions. In many, if not most, cases in vitro fertilization is the "therapy of first choice" for tubal disease because success rates are higher.

This is also true in most cases where reversal of tubal sterilization is desired (dependent upon where and how the tubes were tied). Some young females choose tubal reanastamosis; however, it is rarely an option for females in their thirties or those with other factors contributing to their infertility. Tubal surgery can cause scarring, which can impede egg transport, even when performed by the most skilled reproductive surgeon.

Dependent upon many factors, the cost of surgical repair of the tubes is similar to that of an IVF cycle. The only potential advantage to tubal reanastamosis in younger women is that repeated intercourse over many months could produce acceptable pregnancy rates where multiple IVF attempts may not be financially feasible. Please review the in depth discussions of this topic provided by our contributing reproductive endocrinologists.

Article

Tubal Reversal versus IVF: Which is the best choice? By Susan Conway M.D., M.P.H., M.M.Sc.©

• Infertility-Discussion
• Female Infertility
• Overview by Mark Trolice, MD
• Male Factor Infertility
• Cervical Factor Infertility
• Endometriosis
• PCOS
• Ovulatory Dysfunction
• Uterine Factor Infertility
• Unexplained Infertility
• Infertility Overview- Samuel Thatcher, MD
• PRESERVING REPRODUCTIVE OPTIONS IN ONCOLOGY PATIENTS , by Bradford Kolb, M.D., F.A.C.O.G., Board Certified, Reproductive Endocrinology and Infertility
  
• THE CONTEMPORARY FERTILITY EVALUATION, by Daniel Potter, M.D., F.A.C.O.G., Board Certified, Reproductive Endocrinology and Infertility, Huntington Reproductive Center

Article

"Tubal Sterilization Reversal"Kevin Bachus, MD, Board Certified Reproductive Endocrinologist
ROCKY MOUNTAIN CENTER FOR REPRODUCTIVE MEDICINE, P.C. ,1080 East Elizabeth Street, Fort Collins, CO. 80524, (970) 493-6353 - (800) 624-9035