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.

It is very easy to time when one of you is ovulating.  At that time donor sperm can be placed into the uterus. 

Prior to performing a reversal I would recommend blood work to assess your ovarian age. If you have a new partner I would also recommend a semen analysis. If the tests are normal then we can proceed with a reversal. There is financing available. The cost can range from $6400 to $8100 depending on the length of time it takes to perform the reversal. If you have any questions please call our office.

A pincer nail can be caused by several things,  including damage or infection to the nail root or damage to the underlying bone in the toe.  Using high percentage urea nail gel may help , but often the shape of the nail is a result of the shape of the nail root.  In many cases your best option is to have the nail removed, which is a simple office procedure.

Yes, removing fat from your belly and adding it to your beasts is possible.  Results will vary depending on your anatomy. Call and schedule a consultation to discuss pros and cons verses an implant augmentation.

I am having a little difficulty understanding the extent of the pigmentation.  In general, pigmented lesions are of most concern when there is a change in size, which could suggest melanoma.  I would urge you to have the lesion evaluated.  The recommended method of removal would depend on the nature of the lesion.

When a woman undergoes a tubal ligation procedure, both fallopian tubes are occluded. An insemination procedure involves placement of a concentrated sample of sperm directly into the uterus, followed by movement of the sperm into the fallopian tubes to meet an ovulated egg (an egg that is released from the ovary and picked up by the fallopian tube. Therefore, an insemination procedure is not feasible when the fallopian tubes have been blocked as in a tubal ligation.