In Vitro Fertilization (IVF) Questions and Answers

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Question:

My husband had a vasectomy six years ago and we are now discussing having another child. Please don't think terrible of us, but we've been discussing sperm aspiration and genetic predetermination so we may have a boy. We have 2 daughters and he would like just one more child. Is this feasible or would it make more sense to reverse the vasectomy.

Answer:

If you want one more child, in vitro fertilization and intracytoplasmic sperm injection with sperm recovered via precutaneous epididymal sperm aspirationi (PESA) would be my recommendation if everything is still normal with you. Sex selection with pre-implantation genetic diagnosis (embryo biopsy) for family balancing is controversial but many centers, inclding mine, offer this service to patients. Reversing the vasectomy would be better if you wanted more than one child and did not care what the gender was. I hope that this helps. Daniel A. Potter, MD, FACOG Huntington Reproductive Center infertility.org

Daniel Potter, MD
Fullerton, CA

Question:

I am a 35 yr old female. I had a tubal ligation done 12 yrs ago. Now I would like to have another child and wanted to know if you do the precedure IVF ( In Vitro Fertilization). If so, can you please e-mail on the information and Pricing. Thank you

Answer:

Dear Eileen I do that but I am in VA. You need to go see someone in Brooklyn. Go see Dr Susan Lobel at Genesis Fertility Center in Brooklyn. Good luck Fady I. Sharara, M.D VA Ctr for Reprod Med

Question:

Are there any documented cases of women with Turners Syndrome 45X conceiving on their own?

Answer:

Yes, but this is very rare because the absence of the second sex chromosome causes premature degeneration of the egg cells and complete loss of all egg cells often happens before sexual maturity. Also, many of the egg cells are going to be chromosomally abnormal. Some women's with Turner's have a less severe form where only some of their cells are 45x (mosaic). These are the patients that have a chance at having a child naturally but it is very rare even in these cases. Most women with Turner's syndrome require in vitro fertilization with egg donation in order to have children.

Question:

seven years ago i had a tubal ligation. i have since then went through a divorce and have met someone who wants children. my question is are there any medical procedures that can reverse the tubal. it is to my understanding that there are different types of tubal ligations and depending on which surgical procedure was performed will determine if microsurgical reversal of the tubes can be performed. If by chance I am not a candidate for this type of surgery can In Vitro fertilization be an option?

Answer:

Hi, Reproductive specialists may be able to perform microsurgical tubal reversal or IVF. Contact your gyn and ask for a referral to a qualified Reproductive Endocrinologist. Good luck! Dr. Roseff

Question:

After two etopic pregnacy and lossing both my tubes because of scaring , is there ant hope for me to get pregnant some day ? I know it will have to be implanted , but can they do something if you have scaring ? Also is there any hope of it becoming more affordable ?

Answer:

in vitro fertilization (IVF) would be the ideal treatment for you. as long as your ovaries are functioning well, IVF will do the trick. the cost has come down significantly in the last few years. a cycle of ivf is around $5,000 plus medications. Good Luck Daniel A Potter, MD http:\www.infertility.org

Question:

what are the current ways of unblocking fallopian tubes

Answer:

Surgery is the only proven method but unblocking the fallopian tubes has been replaced for the most part by in vitro fertilization (IVF). IVF is a process where the fuctions of the tube are essentially replicated in the laboratory. Good luck Daniel A Potter, MD http:\www.infertility.org

Question:

I had a tubal ligation in 1995. I regret getting the surgery and want to have another baby. Not sure where to go from here. I've heard that women can get pregnant with there tubes tied, what are the chances. I have no idea what the surgery cost, if insurance will take care of any of it....ect. Can you give me some idea what im getting into. Thanks for your time. donia

Answer:

Dear Donia There are 2 ways to help you get pregnant, one is a surgery called "tubal reanastomosis" which basically is reattaching the tubes. The other procedure is called in vitro fertilization (IVF) which involves the use of fertility druga, getting the eggs out, putting them with your husband's sperms, then putting some embryos back. Unfortunetely, both procedures are costly and usually not covered by insurance. There are pros and cons to each, and therefore you need to see a preferrably Borad-certified Reproductive Endocrinologist. Good luck

Question:

I can't find my Doctor online, but I'd like to know the basics about invitro-fertilization. The cost, my chances. I had a partial hystorectomy, but still have an ovary and a uterus! I'm 21.

Answer:

See www.infertility.org for info

Question:

i had my tubes tied about 15 years ago' but I would like to have another baby what would my chances be to have one' someone told me about a method where use my eggs and 'can the mothod work what kind of chane would I have am 36 years old. thanks

Answer:

You would be an excellent candidate for in vitro fertilization. Your chances per attempt would be in the 35-40% range. Good luck.

Question:

My husband was tested for fertility and the doctor said his sperm doesn't travel, the just sit there like they don't know where to go. He said there wasn't much you can do about it. Is this true? What do you possibly think could be the problem? Please give your suggesitons. Thank you.

Answer:

Hi Allison, Your husband needs to see a Urologist who specializes in male fertility. I work with several, and can make a recommendation here in NJ (I know it's far) if you want. If he has already seen a qualified Urologist, and if the sperm won't get to where they need to go, you may need to undergo insemination or in vitro fertilization. I hope this helps! If you want to undergo further diagnosis and advanced therapy here, please let me know. Dr. Roseff, Director W.E. C.A.R.E. Visit us at www.reproendo.com

Question:

I HAD MY TUBES TIED IN 1992 AFTER MY 3 CHILD, NOW ME AND MY SECOND HUSBAND ARE EAGER TO HAVE A CHILD TOGETHER. I GOT A TRANSCRIPT OF MY TUBAL LIGATION. NOT SURE WHAT TYPE I HAD DONE SO HERE ARE SOME OF THE WORDING OF MY TUBAL, PLEASE TELL ME WHAT IS MY BEST OPTION FOR BECOMING PREGNANT AGAIN. 1-1/2 CM OF TUBES WERE REMOVED BILATERALLY. CAUTERY WAS PERFORMED OF THE TUBAL LUMENS. COMPLETE HEMOSTASIS WAS ACHIEBED. POMEROY TECHNIQUE BILATERALLY.

Answer:

Hi, It sounds like you probably need in vitro fertilization (IVF). IVF totally bypasses your tubes, and may be your best option for achieving a pregnancy. There are many qualified IVF centers in CA, so you should be able to find one nearby. Thanks for your inquiry! Scott Roseff, MD, FACOG - Director of W.E. C.A.R.E. Visit us on the web at: http://www.reproendo.com -------------------------------------------------------------------------------- Since I may not know your entire medical history, and I may not have examined you, Dr. Roseff (W.E. C.A.R.E.) can't be held liable for any consequences of your actions taken (or not) as a result of the medical information conveyed in this message. This communication is for your general information, only, and should never be used as a substitute for the medical advice/care of your own physician. --------------------------------------------------------------------------------

Question:

I need to know if it is possible to have all the signs of pregnancy and still have a hm testing show neg? Is it possible to have a child after a tubal ligation? Does it involve is invitro fertilization? I had a tubuligation 1 1/2 years ago. Let me know what the possibilities are? Thank you.

Answer:

It is possible to have signs of pregnancy if one isn't pregnant. Since you had a tubal ligation, however, there's a possibility you might be pregnant, have a negative home pregnancy test, and still be pregnant. A big potential risk is a tubal pregnancy, and if you even remotely believe you might feel pregnant, you should see your doctor immediately for an examination and blood pregnancy test! If not pregnant, options to achieve pregnancy after tubal ligation include microsurgical reversal of the tubes vs. in vitro fertilization (even after 1 1/2 yrs). Please see your doctor ASAP for a blood pregnancy test and exam! Good luck! Dr. Roseff, Director W.E. C.A.R.E. Visit us on the web at: http://www.reproendo.com =================================================== Since I don't know your entire history and haven't examined you, any medical information given to you may be incomplete or inaccurate. Therefore, Dr. Roseff and the W.E. C.A.R.E. staff can not be responsible for any actions taken or not due to the information contained within these communications. These communications are for educational and informational purposes only, and should never be used to replace the information and care rendered by your own doctor. ===================================================

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