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Tubal Reversal

Source: IVF New Jersey
Women who would like to have a baby, but have had their tubes tied can undergo tubal reversal at IVF New Jersey. Dr. Michael Darder explains how tubal reversal is an alternative to in vitro fertilization.

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For women who have had their tubes tied, sometimes they enter new relationship and they decide that they want to untie them. There are a couple of options available to them such as in vitro fertilization, but for some, they will prefer to do a tubal reveral procedure. It is a surgical procedure. It is done in the hospital and it involves an incision like a cesarean section incision and through that we are able to reach in, take the tubes and make them whole again. This might be something for you.
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Fallopian Tubes

The female reproductive system includes two fallopian tubes, one on each side of the uterus. These flexible, trumpet-shaped tubes extend to the surface of each ovary. When the ovary releases an egg, finger-like projections at the flared end of the tube catch the egg. It is there, in the tube, that conception occurs if the egg meets sperm and becomes fertilized. Tiny hairs inside the tube’s lining push the resulting embryo (fertilized egg) out of the tube and into the uterus where it implants and grows.

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Diagnosing and Treating Tubal Factor Infertility

Although some women experience pelvic pain or fever, most women don’t know they have blocked or scarred fallopian tubes until they have problems getting pregnant.

Diagnosis

Three types of tests are available to diagnose blocked or scarred fallopian tubes:

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    Tubal Factor Infertility: New Treatment Guidelines

    Tubal disease, a disorder in which the tubes are blocked or damaged, is responsible for approximately 25 percent to 35 percent of all female factor infertility. Tubal factor infertility is defined as any anatomic abnormality that prevents the sperm and egg from uniting.

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    Ectopic Pregnancy

    It is possible to become pregnant even if you have problems with your fallopian tubes. Surgery can help by removing a blockage, reconstructing the damaged end of a tube, or removing scar tissue. IVF is another way of trying to become pregnant. It doesn’t repair the tubes but bypasses them to help you conceive.

    What it an Ectopic Pregnancy?

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    Treat Hydrosalpinx Before IVF

    Submitted by Dr. Beth Hartog on Mon, 02/27/2012 - 16:45

    a blog by Beth Hartog, M.D., East Coast Infertility & IVF, February 27, 2012

    Have you been diagnosed with a hydrosalpinx (dilated fallopian tube)?

    What Are Advances in Tubal Ligation Reversal?

    Dr. Jason Bromer, a fertility doctor with Reproductive Science Center of New Jersey, explains how robotic surgery has advanced tubal ligation reversal in women who want to get pregnant.

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    0:00:00.000,0:00:03.000 (text on screen): Fertility Authority. Your Most Trusted Source 0:00:03.000,0:00:05.000 Ask the Experts 0:00:05.000,0:00:10.000 What are the advances in tubal ligation reversal for women who want to get pregnant? 0:00:10.000,0:00:14.000 Dr. Jason Bromer, Reproductive Science Center of New Jersey: This is a very, very fine application of microsurgery 0:00:14.000,0:00:19.000 that, again, has been difficult to accomplish laparoscopically in the past, 0:00:19.000,0:00:27.000 because of the very, very tiny sutures or stitches that are needed to put the tubes back together. 0:00:27.000,0:00:36.000 The success rates with laparoscopic tubal reversal versus, again, with a traditional open incision, have been much lower. 0:00:36.000,0:00:38.000 Therefore, patients could opt for a less-invasive procedure, 0:00:38.000,0:00:42.000 but were told their chances of getting pregnant afterwards would be much lower. 0:00:42.000,0:00:47.000 Now, again, with the fine control that robotic surgery allows us, 0:00:47.000,0:00:54.000 we can now accomplish the procedure with similar success rates and similar chances of pregnancy, again, 0:00:54.000,0:00:59.000 with the same recovery time they would get with laparoscopic surgery versus the traditional open procedure. 0:00:59.000,0:01:03.000 (text on screen): Fertility Authority. Your Most Trusted Source
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    Too Much Caffeine Can Affect Fertility by Reducing Fallopian Tube Muscle Activity

    The Times of India,  May 25, 2011
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    Tubal Reversal

    Tubal ligation is the process of having your “tubes tied.” A tubal ligation reversal (or “tubal reversal”) reconnects or reopens the fallopian tubes. More than 650,000 women have tubal ligation surgery per year and about 6 percent of women decide to have this surgery reversed within five years. Tubal reversal may allow women to once again become pregnant naturally.

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    Your Fallopian Tubes

    Submitted by dkreiner on Wed, 11/04/2009 - 05:31
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    Are roadblocks preventing your pregnancy?

    Are roadblocks preventing your pregnancy?

    a blog by David Kreiner, M.D., F.A.C.O.G.

    A hydrosalpinx is a fallopian tube that is blocked at its distal end on the opposite side from the entrance to the uterine cavity. To diagnose it you need to have a hysterosalpingogram or, in severe cases, a pelvic ultrasound. The hydrosalpinx is filled with inflammatory fluid and is most likely the end result of a pelvic infection. Its inflammatory fluid can flow into the uterus and provide a hostile environment that will prevent implantation of an embryo.

    Research has shown that removing the hydrosalpinx (salpingectomy) or closing it off from the uterus with a tubal ligation significantly improves embryo transfer success by preventing the flow of this inflammatory fluid into the uterus.

    Hydrosalpinx also hinders pregnancy in another way. It’s not uncommon for transferred embryos to be pushed into the fallopian tubes after a uterine contraction. A healthy fallopian tube will sweep that embryo back into the uterine cavity with its cilia or microscopic hairs. A hydrosalpinx does not have healthy cilia so many of these embryos that find their way into the fallopian tube become trapped and may implant there resulting in a dangerous ectopic pregnancy that needs to be removed surgically ord medically.

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