ttc

[bariely31]

Want to get pregnant with tubal ligation and pcos

[bariely31]

But doctor how much ivf cost? im 31 and to get pregnant but last time my gynecologist told me that i produce a lot of eggs i haveny get my period since 2005 since my last c section.i live in tampa florida i dont know if my insurance will cover united health care with  medicaid i hope i hear from u soon.

[Arti Sharma, M.D.]

Hello,
A few possibilities which can result in pregnancy in a patient who has undergone tubal ligation are 1) if the procedure fails2) tubal ligation reversal procedure3)IVF.
Tubal ligation reversal can be done by surgery but is an extensive procedure and should be done by a good surgeon. You should discuss the pros and cons of this surgery with your gynecologist.
The success of tubal reanastomosis or tubal reversal depends on many factors such as the length and health of the remaining fallopian tube segments to be rejoined, skill of the microsurgeon, the woman's age at the time of reversal surgery, method of tubal sterilization etc.Few other factors which may affect conception are presence of scar tissue in the pelvis, the sperm test results of the partner and other infertility factors. The best candidate for this procedure are patients with no medical contraindications to pregnancy, have adequate tubal segments and partner's sperm analysis is normal .In tubal reversal surgery the blockage from tubes are removed and reanastomosis is done.
The outcome of this surgery depends on the procedure used in tubal ligation and other associated medical conditions of the patient. The other option is that you can conceive through IVF.
PCOD occurs due to imbalances in the hormonal system which makes ovulation irregular and causing other changes in the body. Drug like Clomiphene is used as first line drug for treatment of PCOS related infertility. It has been observed that approximately 60-70 percent ovulate after taking Clomiphene.
Along with Clomiphene lifestyle modifications like weight control, exercise are very important to improve the success rates of Clomiphene.Tamoxifen and gonadotropins are other drugs which can help women with PCOS to get pregnant. The pregnancy rate is about 15 per cent in patients with PCOD taking Clomiphene, but success depends on the length of treatment and other factors, such as whether you are overweight. It varies woman to woman.
Do clarify your doubts with the treating gynecologist. Write to us again and keep me posted. It is best to discuss it with your gynecologist about what method is best suitable for you. I sincerely hope it helps. Take care and kind regards!