Oct
2014

Q&A: Is tubal reversal still possible at 45 years old?

Ask A Doctor Question: 

I am 45 my future husband and I want to have kids together.Can I still get my tubel reversed.I would also like to do inplantation were they take my eggs and his sperm and inplant them in me.Is this possible.Is there any insurance that would help with cost.What would it be.

- Charlene

Answer: 

Wendy J Schillings, MD, FACOG - LocateADoc.com

Unfortunately, the window of opportunity for pregnancy is minimal at the age of 45 years.  Studies looking at embryos, created in someone around this age, show almost 100% abnormalities.  That is not to say, that it is impossible for a 45 year old to achieve pregnancy.  A very small number of women do conceive, but of that small number over 60% miscarry, and of those that don’t miscarry 5% have a child born with chromosomal birth defects. 
 
At your age, under going a surgical procedure, to perform a tubal reversal, is not advised due to risks associated. The best chance for pregnancy would be to have IVF, using donated eggs, from a woman who is less than 32 years old.  Typically, multiple eggs are obtained and few have chromosomal abnormalities.  This equates to lower miscarriage rates and high continued pregnancy rates.  While the embryos would not be your exact genetic make-up, most couples are able to find a donor significantly like the mother, so that the child would appear similar to both parents.  Success rates, utilizing donor egg, is greater than 50% compared; this is a significant difference than if you utilized your own eggs to undergo IVF, which would have <1% chance of success. 
 
I am sorry that I am the bearer of difficult to “hear” news, but it is important that you understand, the various aspects of success, before undertaking such an important decision. 
 

--Wendy J Schillings, MD, FACOG
610-820-6888
Allentown, PA

Answer: 

William F. Ziegler, DO, FACOG - LocateADoc.com

Good Afternoon Charlene,
 
       Thank you for contacting our center via LocateADoc.Com. In order to better evaluate your situation,  I recommend that you contact our office to set up a free phone consultation with one of our reproductive specialists. Please contact our office.
 
 
 

--William F. Ziegler, DO, FACOG
Eatontown, NJ

Answer: 

Christopher D Williams, MD - LocateADoc.com

Charlene,
 
Thank you for your email inquiry. We would not be able to perform a tubal reversal on you due to your age.  In vitro fertilization using an egg donor would be an option.  The cost is approximately $19200 for the actual cycle plus $2500-$4500 for the cost of medications for both you and the donor.  The majority of insurance companies will not cover egg donor IVF but you could contact your policy and ask.
 
Please let me know if you have any further questions.
 

--Christopher D Williams, MD
Charlottesville, VA

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