Reproductive outcome after sterilization reversal in women of advanced reproductive age1

Our objective was to assess the clinical outcome of tubal reversal in women of advanced reproductive age. A multicenter retrospective chart review of 153 patients who underwent a tubal ligation reversal was carried out. Patients were evaluated according to age. All patients had documented ovulation...

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Bibliographic Details
Published in:Journal of assisted reproduction and genetics 1999-09, Vol.16 (8), p.402
Main Authors: Cohen, Matthew A, Chang, Peter L, Uhler, Meike, Legro, Richard
Format: Article
Language:English
Subjects:
Age
Birth rate
In vitro fertilization
Infertility
Miscarriage
Ovaries
Ovulation
Pregnancy complications
Reproductive technologies
Success
Surgery
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Summary:Our objective was to assess the clinical outcome of tubal reversal in women of advanced reproductive age. A multicenter retrospective chart review of 153 patients who underwent a tubal ligation reversal was carried out. Patients were evaluated according to age. All patients had documented ovulation and a partner with a normal semen analysis by WHO criteria. Outcome measures included rates of clinical pregnancy, ectopic pregnancy, spontaneous abortion, and live birth, and the time to conception. Clinical pregnancy rates were significantly lower in women > or = 40 compared to younger groups. The time to conception was significantly shorter for women < 30 compared to women > or = 35. No pregnancies occurred in women > or = 42. Our data support the judicious use of sterilization reversal for infertile women with no male factor through their early forties. Women > or = 42 years should be especially counseled as to the very low success rates.
ISSN:1058-0468
1573-7330