Dear Dr. Kate,
My tubes been tied for fifteen years and I’m really thinking about getting them untied. I’m 37 and would like to have another baby before I turn 40. If I do this, what are my chances that I will have a successful surgery?
– In Knots
Fifty-fifty at best. Tubal sterilization reversal is a skilled surgery that few doctors are able to perform. And the financial outlook is tough: Depending on where you live, it costs about $10,000, is never covered by medical insurance, and works approximately 50% of the time. Sounds dismal, I know. Add that to the fact that itâ€™s harder to conceive over age 35, and you may have a tough road ahead. Another option is in-vitro fertilizationâ€”depending again on which state youâ€™re in, it costs between $6,000 and $10,000 a cycle, and your tubes can stay sterilized. I would have a consultation with a reproductive endocrinologistâ€”they can give you all the information about both a tubal reversal and about the IVF option.
– Dr. Kate
Dr. Kate is an OB/GYN at one of the largest teaching hospitals in New York City. She also lectures nationally on womenâ€™s health issues and conducts research on reproductive health. Check out more of her advice and ask her a question at Gynotalk.com.