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Reproductive Outcome After Sterilization Reversal in Women of Advanced Reproductive Age

Journal of Assisted Reproduction and Genetics volume 16, pages 402–404 (1999)Cite this article

Abstract

Objective: Our objective was to assess the clinical outcome of tubal reversal in women of advanced reproductive age.

Methods: 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.

Results: Clinical pregnancy rates were significantly lower in women ≥40 compared to younger groups. The time to conception was significantly shorter for women <30 compared to women ≥35. No pregnancies occurred in women ≥42.

Conclusions: Our data support the judicious use of sterilization reversal for infertile women with no male factor through their early forties. Women ≥42 years should be especially counseled as to the very low success rates.

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Affiliations

  1. Department of Obstetrics and Gynecology, Columbia University College of Physicians & Surgeons, New York, New York

    Matthew A. Cohen, Peter L. Chang, Mark V. Sauer & Steven R. Lindheim

  2. Department of Obstetrics and Gynecology, Loyola University, Maywood, Illinois

    Meike Uhler

  3. Department of Obstetrics and Gynecology, Hershey Medical Center, Hershey, Pennsylvania

    Richard Legro

  4. Columbia Presbyterian Medical Center, Department of Obstetrics and Gynecology, 622 West 168th Street, New York, 10032, New York

    Steven R. Lindheim

Authors
  1. Matthew A. Cohen
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  2. Peter L. Chang
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  3. Meike Uhler
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  4. Richard Legro
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  5. Mark V. Sauer
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  6. Steven R. Lindheim
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Cohen, M.A., Chang, P.L., Uhler, M. et al. Reproductive Outcome After Sterilization Reversal in Women of Advanced Reproductive Age. J Assist Reprod Genet 16, 402–404 (1999). https://doi.org/10.1023/A:1020509323039

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  • DOI: https://doi.org/10.1023/A:1020509323039

  • sterilization reversal
  • advanced reproductive age
  • pregnancy