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Question: What is the price of the tubal ligation procedure? Also is blue cross poo acceptable insurance?
Answer: Dear Maggie,   Thank you for asking your question of Dr. Douglas.  Yes we do take BCBS PPO insurance.  Please give us a call at 877-915-3521 and I will be happy to answer any questions you may have regarding tubal ligations.
Question: I have had surgery a few years ago for a tubal pregnancy and the doctor told me that I can still get pregnant but it would take more work and I have only my left ovari and left tube so is the fertility procedure going to work
Answer: Chara,   You only need one tube and one ovary to conceive.  So as long as you are ovulating good eggs and the left tube is functional then you should be able to conceive.  You have have an increased ectopic risk in that tube also.  
Question: I am 36 years old. I had my tubes tied back in 2001. Would Tubal Reversal be the most recommended way or IVF? 
Answer: IVF has improved so much that it is rare for anyone to have a reversal anymore.  Tubal reversal is a major surgery.  You would miss 3-5 weeks of work.  When you do IVF as an outpatient you are back to work the next day.     Thank you for your  great question.
Question: I am a lesbian me an my spouse wants to now how do we go by having kids
Answer: It is very easy to time when one of you is ovulating.  At that time donor sperm can be placed into the uterus. 
Question: I got my tubes tied almost 7 years ago after my 3rd pregnancy. I just got married a few months back and would like to have a baby with my husband.However, he suffers with erectile dysfunction. Is it possible for us to have In Vitro if we are both are fertile without having a tubal reversal? And if he is sterile- can I have Artificial Insemination on top of a tubal?
Answer: In Vitro would be the best way to bypass both the tubal ligation and the erectile dysfunction.  Your chances of pregnancy should be very good.
Question: Fertility Dr has indicated that I have either a BU/septum uterus. She diagnosed this with HSG test, which also showed both tubes are still open. I've had 2 full-term babies (granted a very long time ago), tubes tied (nine yrs ago) and then reversed (1 yr ago). Wouldn't this have come up before? I am now 43. Would the Dr have done the tubal reversal if the uterus was an issue or is this something they don't check or notice? Fertility Dr is saying that I need to wait to get pregnant when I ovulate on the left side but given my history is this really necessary?
Answer: Tracy we don't usually look for this unless there miscarriage problems.   If the left side of the uterus is enlarged from the 2 prior pregnancies then you are more likely to make it to term beings the pregnancy is on that side.   
Question: my wife is 34 years old and we have been married for 6 years without a child. she loses her pregnancy whenever she conceives within 1 - 3 months. this has happened up to five times, what do we do? thanks. kennedy
Answer: Dear Kennedy,   Your wife needs to have testing to determine why she is having the miscarriages.  Once we know the reason for the miscarriages the treatment can be quickly determined and implemented.   Feel free to call our office at 972-612-2500 to make a consultation.   Best regards,

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