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(text on screen): Fertility Authority. Your Most Trusted Source
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Ask the Experts
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When is surgery the right treatment for infertility?
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Dr. Amos Madanes, Midwest Fertility Center: Not all patients can afford, or are good candidates, for in vitro fertilization.
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And repairing the tubes could be a very important instrument for these patients.
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This, nowadays, can be done laparoscopically. We even do reversal of tubal ligation laparoscopically,
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which means that it's a quick outpatient procedure, and the patient basically re-establishes fertility
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should they decide to have more children.
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Obviously, in vitro fertilization is always available for cases where tubal repair is not possible.
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This is definitely an option, especially for patients that have limited resources.
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Obviously, when resources are not unlimited, and the patient desires only one additional pregnancy, in vitro fertilization
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will be the proper choice since they will still maintain their excellent contraception and they'll have the child that they desire.
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On the other hand, when resources are limited, and it's difficult to have multiple in vitro fertilization procedures
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to achieve a single baby, a reversal of tubal ligation is a very viable and probably the best option available.
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In addition to that, there are patients that, due to infections or scar tissue or endometriosis,
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have tubal damage and cannot get pregnant because of that.
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So, this will be another group of patients that could benefit from repair of the tubes, rather than subjecting themselves
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to the lengthy hormonal treatment preceding in vitro fertilization, and the risk of multiple birth with in vitro fertilization.
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So, tubal repair should definitely be considered for these patients.
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In addition to that, there are surgical treatments that can be used as adjuvant or additional treatment to in vitro fertilization,
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such as treating endometriosis.
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It is quite well-established that patients that do have endometriosis would have success rate in various fertility treatment
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of only about 50 percent than what they would have had they had their endometriosis treated before.
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So, all these patients will definitely benefit from the treatment of endometriosis in preparation for in vitro fertilization.
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So, I think that finding a clinic that can feel comfortable with surgical approach to infertility,
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in addition to in vitro fertilization, could be very helpful and offer a wider variety of option to you as a patient.
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(text on screen): Fertility Authority. Your Most Trusted Source
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