Tuesday, January 13, 2009

Tubal Surgery or IVF - Which Is Best for Tubal Blockage?

By Sandra Wilson

Did you know there is an alternative to IVF and that it is tubal surgery? Whether this type of an operation will work for you depends upon the reason for your infertility. However, you should definitely be aware that IVF is not the only recourse for infertility. Tubal surgery can be your answer instead.

What type of infertility problems does tubal surgery help with? One of the leading causes of infertility is tubal blockage of some type. Many times brought on by disease, the tubal blockage prevents the egg from reaching the uterus. Tubal surgery will remove the blockage.

To best compare to tubal surgery, let's learn a bit more about IVF. Using various resources around the web including the NY Times and CNN, you can find that one cycle of IVF will be $10,000 to $12,000. During this cycle, you will be given a course of drugs to boost your egg producing ability and to prepare your body. The eggs are gathered and then fertilized. At the appointed time of development, they are placed in your uterus where you will hope one or more implants itself.

However, some women are too old to have viable eggs and have to use an egg donor. This was the story in a NY Times article about a 49 year old woman who had recently gotten married and they decided they wanted children. The eggs for her came from a 20-something Romanian woman. So there was not only the procedure but the cost of the egg donor.

But just because you get eggs somewhere else or you are able to use your own, doesn't mean you will actual become pregnant. The egg(s) have to implant themselves and remain so to term. Unfortunately, this usually doesn't happen on the first or even the second round of IVF. In fact the average number of cycles you have to go through for a successful pregnancy is three.

Now you have to go through it all again who knows how many times. You have to pay for each cycle you will go through. Usually you can count on more than one cycle with all the cost, time and potential damage done to your body.

On the other hand, tubal surgery can remove the parts of your blocked tubes that are causing your infertility. This is the same type of surgery that is done for women wanting to have a tubal ligation reversal, meaning they want to untie their tubes which they had "tied". The surgeon removes the part of the blocked tubes where the damage is and then reconnects the good healthy pieces back together.

Usually women want to know the success rate when they look at tubal surgery. Funny they don't ask when it comes to IVF but we'll provide the data here. Using a study of one doctor's tubal surgery patients in 2007, we can find it is successful in up to 87% of women. There are factors that affect that rate which you should go study yourself. For IVF, we see that the success rate of any one cycle is 30% which is still much lower than the tubal surgery success rates even among women in their late 40s and early 50s. This makes tubal surgery a better option than IVF for women who suffer tubal blockage. - 15438

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