Ask A Doctor
Question: What age is to late to have Tubal Ligation Reversal done and does your insurance pay half?
Answer: The success of achieving pregnancy after tubal reversal declines with age, just like the fertility of any other women.  Some women’s eggs are depleted before other women so it is advised to obtain tests of ovarian function prior to tubal reversal.  This will allow your doctor to counsel you accordingly.  Most women begin to experience fertility decline, slowly after 32 and by their mid-40s, it is very difficult (not impossible but difficult) for a patient to become pregnant with her own eggs. Your question regarding insurance is not an easy one to answer.  Every insurance policy is different; it depends on the plan that the employer selected.  Some policies cover the entire procedure and others do not have any coverage.   We recommend that you do two things.  One: Contact your company’s human resource department and obtain a copy of your plan summary description.  This should be a one page sheet that will provide basic information on your medical policy.  Second: Call your insurance company and ask them to provide you with information regarding the coverage of tubal reversals.   Any time you contact your insurance company, always obtain the person’s name with whom you are speaking and also ask them for a call reference number.  This information will prove helpful if they provided you incorrect information and you need to have them refer back to a specific call.
Question: I had my tubes cut and burned about 8 yes ago I got married year after that and still married to him he don't have any kids and I want to give him one how much will it cost - amber  
Answer: "Hello,There's a couple of different charges for a Tubal Ligation Reversal. The estimated charges from our provider is $5000 & estimated charges from the hospital are an additional $6000-$9000. Our physicians would also discuss the option of doing IVF & provide details of the success rates of this treatment option vs a tubal ligation reversal. Please feel free to make an appointment to inquire more details. Thanks for inquiring."
Question: Hello I have a fibroid size 5.8 and I am 37 years old and I do not have children, I will do the artificial insemination Is it still necessary to fibroid attributed to the success of artificial insemination and Thanks
Answer: It is important to know where the fibroid is within the uterus. If it is not inside the uterine cavity itself, then it is questionable if it would affect your fertility but may cause pain during pregnancy.    If it does protrude into the uterine cavity, then fertility will definitely be compromised unless it is removed. Becoming pregnant is usually not advised for 6 month after removing this type of fibroid, but your age needs to be taken into consideration.   If you are over 35, it is possible to preserve your fertility until your uterus is healed.  This is done by going through an InVitro Fertilization (IVF) cycle but instead of putting the embryos back into your uterus, they are cryopreserved (frozen in time) until the uterus is healed.   The good news is that if the fibroid is entirely within the intrauterine cavity, it can be removed with hysteroscopy surgery and attempting pregnancy would not need to be delayed significantly. 
Question: I have endometriosis and hypothyroidism I have had 2 miscarriage's and my husband and I are wanting a baby would taking nutracure or mecafem b a good idea
Answer: Medafem b is a supplement for menopause and the actual ingredients are difficult to determine.  Nutracure claims to contain 60 Chinese herbs.  Neither of these supplements has undergone FDA testing and cannot be verified through research to improve fertility.
Question: How much would it cost for tubal reversal and how long is the recovery
Answer: Samanthas,   The cost for a tubal reversal varies by physician an hospital/surgical facility performing the surgery.  On average, the physician costs would range around $5,000 and the hospital charges are an additional $6,000 to $9,000.   The procedure typically has a 4-6 week recovery time.  This time may be reduced if the surgeon is able to perform the procedure laprascopically instead of through a full abdominal incision.  
Question: I am a 30 year old male and my wife and I have been trying to get pregnant for about 3 years now we have both been tested and the doctors says we both check out fine. My wife has been taking Clomid off and on for the last two years and it has not worked yet. My wife had a miscarriage about seven years ago and I was wondering if that could have anything to do with our problem. If not, what else can we do.
Answer: Experts agree that if a couple has been trying to conceive for more than one year without success, they should see an infertility specialist. I would recommend that you make an appointment with a specialist so they may be able to help you build our family.
Question: I am an overweight,non-smoking 27y/o female that's been trying to get pregnant for 4 years.I was seeing an infertility specialist for 2 of those 4.My tests have included post-coital tests, endometrial biopsy, HSG, laporoscopy(which showed 3 "spots" of endometriosis), and all of the "usual" hormone levels. All of the following were normal except for the lap.My husband had an semen analysis done and all was normal. I took Clomid at least 6-8 months without success. With the Clomid we did discover I was ovulating so my doctor suggested IUI.We followed through and then discovered that my cervical mucus, as well as my husband's semenal fluid, is thick. So, the doctor then suggested I take Robitussin for ten days during my "expected" ovulation.  Needless to say, we thought IUI was the answer but we were wrong.I am still ovulating without the Clomid(testing by home tests occasionally). My cycles are still "monthly", but vary from 28-45 days . I realize that IVF may be the next step but my insurance does not cover this procedure and I can't afford it right now. Do you have any suggestions? 
Answer: The objective with using Clomid and IUI is to produce more and better quality eggs and then to have sperm placed near the eggs at the correct time with the IUI.  Clomid alone and Clomid IUI are good first steps in accomplishing this and pregnancy rates are improved over a couple’s natural conception rate without treatment but they are not very high. Typically, if a treatment hasn’t worked after 6 tries the success tends to decrease further each cycle.   IVF has significantly higher pregnancy rates than Clomid and IUI.  There is a middle step of using gonadotropin medications by injection to produce higher quantity and quality eggs than the Clomid and gives  higher pregnancy rates but still  lower than IVF.  Using these medications will also give you a higher risk of multiples including triplets or more and hyperstimulation compared to the Clomid. You also mentioned that your laparoscopy was abnormal and that you were overweight which also may be a <>factors affecting  your success.  This should be discussed with your Doctor to discuss all the pros and cons of each treatment for your particular situation.  If you do not feel comfortable having this discussion with your current physician, I would recommend that you obtain a second opinion.
Question: How much is it to have the artificial insemination procedure done?
Answer: Believe it or not, this is a difficult question to answer.  We typically provide artificial insemination cycles which are associated to 2 different medication types: Clomid and FSH.  For us a Clomid cycle is approximately $1600 (self pay rate) and an FSH cycle is approximately $3200 (self pay rate.)   The reason this is a difficult question to answer is that every practice has different services included and not included in their cycle charge.  We do not provide medications, so they would be a separate cost for the patient.  However, our cycle cost includes all bloodwork, ultrasounds and (2) inseminations from the 3rd day of your menses until your first pregnancy test.    In addition, we do have some lower cost programs for patients without insurance coverage or have utilized their entire life time infertility maximum.   That type of answer, we would not be able to provide until one would become our patient.    I hope that answered your question.
Question: I am wondering what the cost of what a Tubal Ligation Reversal is. I am 30 years old I had my tubes tied in 2003 when my daughter was born. Things changed in my life and I want to reverse this. Help please! 
Answer: Some insurance policies covers Tubal Ligation Reversals.  However, if your policy does not cover this procedure, the appropriate cost from our provider is $5000 & there would be additional charges from the hospital which can range between $6000-$9000.  When you come in for an initial consultation, our financial coordinator reviews any associated costs with you in detail & also provides a financial packet with additional literature & financing options.
Question: Hello, I had my tubes clamped and burned seven years ago. And I am regretting it. I was wondering the cost of having them reconnected.
Answer: Cost depends greatly on the surgical technique used.    Laparotomy is usually more extensive and expensive as it is done inpatient and requires at least one overnight stay in hospital vs mini laparotomy that may be done in an outpatient setting. 

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