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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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