Women who have previously had a tubal ligation or got their tubes tied often consider either in vitro fertilization or a tubal reversal to get pregnant or to conceive. IVF involves inserting a fertilized egg directly into the uterus. As such, the process completely bypasses the fallopian tubes.
A tubal reversal, on the other hand, reopens the fallopian tubes so that you can try getting pregnant naturally or try to conceive naturally without going for infertility treatment. Some doctors believe the best candidates for tubal reversal are people under 40 who had a tubal ligation immediately after childbirth so that they need not opt for infertility treatment.
A number of factors will influence the success of each option, including age and health profile. Discussing the pros and cons of a tubal reversal and IVF with a doctor should always be the first step before going for the infertility treatment.
In a Tubal Reversal, a small incision is made near the pubic hair line. A laparoscope, or thin, lighted tube, connected to microscopic instruments is inserted and used to remove the clips or rings used to block the fallopian tubes and to reconnect the tubes to the uterus. Here is some difference between Tubal Reversal and IVF:
1. Tubal Reversal:
a- It is more cost effective than in vitro fertilization or test tube baby.
b- It only requires one procedure: a one-time opening of the fallopian tubes. In vitro fertilization often involves multiple cycles and medication to achieve a pregnancy via test tube baby.
c- Further pregnancies are now possible. With a tubal reversal, the patient may now have future pregnancies without further intervention.
d- If the patient has no other infertility concerns, pregnancy can be achieved through sexual intercourse. Beats multiple visits to the doctor, medications, and procedures!
2. In Vitro Fertilization:
a- It leaves less to chance and may have a better success rate depending on your health and age.
b- Health conditions make it necessary: the fallopian tubes cannot be opened, egg quality is poor, or ovulation cannot be induced with medications then you can opt for the test tube baby.
c- Doctors will monitor your progress and enhance your chances of getting pregnant on a schedule
Traditional Surrogacy is where the surrogate mother is the biological mother of the child because she uses her own egg that is fertilized by the intended fathers sperm. While in Gestational Surrogacy the woman carries the embryo of the intended couple through IVF process and is not biologically related to the child. She just acts as a carrier.
IUI costs in Delhi with highest success rates starts from Rs.10000 and goes up to Rs. 35000. The costs vary on the basis of the quality of treatment provided and thus have a direct implication on the success rates of the treatment. However, it is to keep in mind that, IUI costs in Rupees in Delhi may vary as per the type of IUI performed. For natural cycle IUI, the cost is minimum, however, for Induced Cycle IUI (medicine induced), IUI costs in rupees in Delhi starts from Rs. 18000and goes up to Rs.35000.
IUI costs in Kolkata range between Rs. 10,500 to Rs. 37,750 including medicines and disposables. The cost varies based on experience of the gynecologist, history of past successful cases, reputation and quality of medication and treatment used. It also varies based on type of IUI, whether its natural cycle IUI or its Induced Cycle IUI.