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Question
Posted by: Sam | 2010/03/11

Connected?

Dear Doc. Would like to find out if my tubes could be re-connected. I am 39 and my tubes are in good ''condition''. They were cut 13 yrs ago after my caesar. If so, could this be done laparoscopically or would it be a major operation? How long would one have to wait afterwards before trying to conceive? Many thanks!

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Our expert says:
Expert ImageFertility expert

Dear Sam

Reanastomosis of the fallopian tubes is only advisable if there is an adequate length that maybe obtained after a reversal can be performed. This however can only be determined by a laparoscopy. If on laparoscopy the doctor has assessed that a reversal is possible and that the fallopian tube length will be reasonable then you should be able to go ahead with the reanastomosis. Whether this procedure can be done laparoscopy or by laparotomy will be determined by the surgeon’s expertise and as well as the anatomy of the genital tract at the time of the laparoscopy. It should be pointed out that the success rate to try and achieve a pregnancy after a reversal would be around the region of 30%. However you need to bear in mind that you are 39 years old and this would certainly have an impact in the success rate of achieving a pregnancy and therefore the success rate of 30% in your particular case might be much lower.

Answered by: Dr Y.M. Dasoo

The information provided does not constitute a diagnosis of your condition. You should consult a medical practitioner or other appropriate health care professional for a physical exmanication, diagnosis and formal advice. Health24 and the expert accept no responsibility or liability for any damage or personal harm you may suffer resulting from making use of this content.

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Our users say:
Posted by: Fertility expert | 2010/03/17

Dear Sam

Reanastomosis of the fallopian tubes is only advisable if there is an adequate length that maybe obtained after a reversal can be performed. This however can only be determined by a laparoscopy. If on laparoscopy the doctor has assessed that a reversal is possible and that the fallopian tube length will be reasonable then you should be able to go ahead with the reanastomosis. Whether this procedure can be done laparoscopy or by laparotomy will be determined by the surgeon’s expertise and as well as the anatomy of the genital tract at the time of the laparoscopy. It should be pointed out that the success rate to try and achieve a pregnancy after a reversal would be around the region of 30%. However you need to bear in mind that you are 39 years old and this would certainly have an impact in the success rate of achieving a pregnancy and therefore the success rate of 30% in your particular case might be much lower.

Answered by: Dr Y.M. Dasoo

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