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Pregancy Rates by Age and Tubal Ligation Method

Pregancy Rates by Age and Tubal Ligation Method

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Published by Gary S Berger MD

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Published by: Gary S Berger MD on Mar 23, 2010
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11/03/2010

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Tubal Reversal Pregnancy Report 2009
Pregnancies After Tubal Ligation Reversal
Pregnancy Rates At Chapel Hill Tubal Reversal Center
From July 2000 to June 2008, 5046 women underwent tubal ligation reversal at ChapelHill Tubal Reversal Center.The operative techniques of microsurgical tubal anastomosis,tubouterine implantation, and salpingostomy were used as appropriate to each patient’ssituation, and often these techniques were combined in a single case. Including allwomen’s ages, methods of tubal ligation, and operative techniques used for tubalreversal, the overall pregnancy rate was 66% based on 3317 pregnancies reported duringthis 8 year interval.The following tables show pregnancy rates specific for age, method of tubal ligation, and remaining tubal lengths available for repair and the interaction between these factors.
Pregnancy Rates By Age
As expected, younger women had higher pregnancy rates than older women. The pregnancy rate after surgery ranged from 80% for women under 30 to 31% for women 40years of age and older (Table 3).
Table 3. Pregnancy Rates by AgeAgeTotal CasesPregnant (No.)Pregnant (%)
<3076161080%30-341873136773%35-391795115264%40+61718831%
Pregnancy Rates By Tubal Ligation Method
Reversal of tubal clip procedures had the highest pregnancy rate (75%), followed by tubalrings (72%), coagulation (66%) and ligation/resection (63%). Patients with other or unknown methods of tubal ligation had the lowest pregnancy rate (54%). Pregnancy rates by tubal ligation method are shown in Table 4 (scroll to next page).
 
Table 4. Pregnancy Rates by Tubal Ligation MethodMethodTotal CasesPregnant (No.)Pregnant (%)
Clip40930675%Ring85361472%Coagulation1605105366%Ligation/Resection1923120763%Other/unknown25613754%
Pregnancy Rates By Age And Method
Pregnancy rates taking into account both age and tubal ligation method are shown inTable 5. The highest pregnancy rate (90%) was reported by women under 30 years of agewho had reversal of a previous clip method of sterilization. Of the two variables, age ismore predictive than tubal ligation method regarding the likelihood of becoming pregnantafter reversal surgery.
Table 5. Pregnancy Rates by Age and Tubal Ligation MethodAgeClipRingCoagulationLigation/Resection
<3069/77 (90%)137/163 (84%)190/244 (78%)192/248 (77%)30-34114/139 (82%)227/299 (76%)461/620 (74%)517/744 (70%)35-39110/151 (73%)210/303 (69%)353/554 (64%)421/681 (62%)40+13/42 (31%)40/88 (46%)49/187 (26%)77/250 (31%)
Tubal Reversal Pregnancy Study 2009Table Of Contents:
Pregnancy Rates by Age and Method (this page)

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