You will need to firstly undergo a reanastomosis, a surgery which can be performed in some cases, depending on which method was used to tie your tubes. This procedure is carried out in the hospital setting and is performed in certain hospitals only. Once this step is completed, pregnancy may be possible with natural methods or by insemination, depending on the results obtained.

The core of this method consists of facilitating the way of a sperm to the egg by injecting sperm, after special laboratory preparation, by means of a thin tube into the uterine cavity during the period of ovulation. The basic prerequisite for the application of this method is the preserved permeability of the Fallopian tubes. IUI can have a therapeutic effect in cases of disorders in male fertility, immunologically conditioned infertility and also in other indications.

No. A tubal ligation is effective birth control because it prevents the sperm and egg from meeting. The process that leads to pregnancy is having an egg released from a follicle in the ovary and then beginning the journey to the uterus through the fallopian tube. Sperm will travel from the vagina, through the cervix, through the uterus, into the tube where fertilization occurs. IUI bypasses the need for the sperm to travel through the cervix, but that's it.

Generally, an intrauterine insemination cycle starts with taking a medication to stimulate the ovaries. There are also ultrasounds to follow the development of the treatment and plan the date of insemination. Ovulation is initiated by medication and the insemination takes place 36 hours later. The day of the insemination, we perform an injection of the sperm, which has been washed to obtain the best quality sperm, into the uterus of the patient.

The first step would be to have a vasovasectomy to return fertility. If this intervention is successful, fertilisation can take place naturally or by insemination. If the reversal can not be performed, we can proceed with collecting sperm directly from the epidydimis or testicle with an aspiration technique. (PESA - TESA). However, the quantity recovered in this manner in not sufficient for intrauterine insemination, and only IVF is possible.

Yes. Tubal ligation does not impact the ability to donate eggs. In fact, it eliminates the possibility of unintended pregnancy while the donor is taking the stimulation drugs and in the menstrual cycles immediately following the donation. Chances of conception are actually increased during these times.

Yes, patients have the option of surgically reuniting the fallopian tubes through a process called microscopic tubal reanastomosis. This can commonly be done as an outpatient procedure with good results. Depending on other infertility factors, couples are able to conceive in a short interval of time. An alternative to this procedure would be in vitro fertilization (IVF), where the eggs are fertilized outside the body.

IUI is the use of husband or donor sperm to inseminate the uterus. The semen sample is washed, prepared and then placed into the uterus by passing a small plastic catheter through the cervix. This is an office procedure and is usually associated with no discomfort. The procedure places a large concentration of sperm into the upper uterus so the sperm are closer to the fallopian tubes where they can travel to fertilize an egg.

An intrauterine insemination consists of collecting a sample of sperm (or using the sperm of a donor) in order to inject the sperm directly into the uterus of the patient at the moment of ovulation. The fertilisation takes place in vivo, that’s to say in the body of the woman and not in the laboratory.

Theoretically, blockage of the tubes by tubal ligation or by any other cause (for instance, pelvic inflammatory disease) should protect against the further production of endometriosis. However, a recent investigation of women requesting tubal ligation reversal has not supported this concept. The prevalence rates for endometriosis were found to range from 2 percent through 12 percent in two studies. When an infertile population is studied, these rates range from 5 percent through 35 percent.

Infertility is defined as the inability to conceive after one year of unprotected coitus. It is estimated that 15% of couples experience difficulty achieving conception. Fortunately, in most cases, the cause of infertility can be identified and treated.

IUI helps deliver much more motile sperm to the fallopian tubes at the critical times around ovulation, and is recommended to improve pregnancy rates in many instances, including: unexplained infertility; sperm issues (such as count, motility or morphology); when fertility medications (including Clomid or injectable medications) are being used; or when a cervical mucous abnormality blocks the ability of the sperm to swim in to the uterus.

Basically there are two choices, surgery to try and repair the tubes or In Vitro Fertililization (IVF). There are pros and cons to each choice and often the best choice depends on your unique situation. Surgery offers the option of attempting pregnancy naturally indefinitely without repeated treatments, but carries the rare risks of surgery and in some cases is not successful depending on the type of tubal ligation or tubal damage done initially.

Yes. With the IVF procedure, the embryos will be implanted directly into your uterus; therefore, having your tubes tied does not affect your ability to be a Surrogate.

Theoretically, blockage of the tubes by tubal ligation or from any other cause (for instance, pelvic inflammatory disease) should prevent the further progression of endometriosis. A biopsy of the lesion documents the presence of endometrial tissue. Today, many surgeons will videotape the laparoscopy and this can be reviewed at a later date if there are any questions.

Yes. In comparison, tubal ligation (sterilization) for a woman is a more significant operation which is more difficult for a woman than a vasectomy is for a man. While a vasectomy is performed in-office under local anesthesia, tubal ligation is more invasive and is done in the hospital or surgical center under general anesthesia. Tubal ligation can result in greater discomfort, has potentially higher risks, has a longer recovery period, and has a lower success rate than a vasectomy.

Artificial insemination is now more commonly referred to as,IUI, Intrauterine insemination. It is a procedure used for couples with unexplained infertility, minimal male factor infertility, and women with cervical mucus problems. It is a procedure of using the husband's or donor sperm, washing and treating the sperm and injecting it into the woman during the time of ovulation. IUI