Getting Started

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PROSPECTIVE PATIENTS If you’re a prospective patient looking for information, let the Fertility Partnership show you how we may be able to help make your dream of having a child come true.

New Patients

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Thank you, new patients, for believing in the Fertility Partnership. You’ll find information about what to expect during your first visit to our St. Louis office.

Your Plan

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CURRENT PATIENTS If you’re a current patient, you’ll find all the latest news and information about new treatment options and health during pregnancy.
IVF News
Tubal Reversal: The Fertility Partnership Guarantee

   

Tubal Reversal: The Fertility Partnership Guarantee

   

If you are one of the many women or couples who are trying to decide whether or not to have a tubal ligation reversal surgery or move forward with in vitro fertilization, we try to make it easier for you here at Fertility Partnership. Most large studies have shown that usually it is better, at any age, to choose the tubal reversal surgery. At Fertility Partnership we offer both services and can help you solve your dilemma. There is an old saying, “ if you are a hammer then everything is a nail”. If you are clinic that only offers one of those services, tubal reversal or IVF, then that is what you’re going to recommend. We offer both and therefore we are able to make you a promise and a guarantee. If we perform the reversal and are unable to demonstrate that at least one tube is open three months after the surgery, then we will credit our surgeon’s fee to your IVF costs.

There are situations where we would not recommend tubal reversal as the first choice.

  • If the Ovarian Reserve-that is the egg reserve, is low. The Ovarian Reserve is determined by ultrasound and a blood test called Anti Mullerian Hormone, or FSH.

  • If the semen analysis demonstrates a significantly low sperm count that suggests that pregnancy is unlikely to be successfully achieved with just intercourse.

  • If the type of tubal ligation or any other circumstances suggest that there may not be enough tube to put back together again.

Before moving forward with the surgery we would like to meet with you, review your surgical records, check your egg reserve, and draw some blood tests. Unless we find a reason that the surgery is unlikely to succeed (for surgery and anatomic reasons), you can expect us to recommend tubal reversal as first-line. If the sperm count is very low then we will recommend in vitro fertilization. If your egg reserve is very low then we will recommend in vitro fertilization as first-line.

At Fertility Partnership, whenever we perform a tubal ligation we strongly recommend that couples refrain from trying to get pregnant for at least three months to allow the tubes to heal. Patients who do not heed this warning are at much higher risk for having a tubal pregnancy. Most programs perform the surgery and send you on your way and tell you to wait at least a year or more before declaring the surgery failure. No attempt other than to just "wait and see" is offered. At our clinic, after three months, we perform a hysterosalpingogram, the "dye test", to confirm that we have the tubes open. Approximately 90% of the time we will have at least one tube open and nearly 80% of the time both will be open. Our Doctor uses Microscopic Surgical Technique while performing these cases to give the highest success rates. If we have not managed to reverse at least one side then we will subtract our surgeon’s fee (approximately $2000) from the cost of performing in vitro fertilization at the Fertility Partnership. Unfortunately, we cannot apply the fees paid to the surgical facility which is approximately $4000.

There other factors to consider before deciding between tubal reversal and in vitro fertilization. For example, having your tubes reopened will give you an opportunity for a second or third child if you choose. On the other hand, with a good ovarian reserve, is very likely that you will have extra embryos to freeze and could also have an opportunity for more children. Issues such as these will be discussed when you come in and meet our Doctor.

We look forward to meeting you! Call 636-441-7770 or 800 BabyToday to schedule a consultation.

Doctor Referral

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If you’re a doctor or medical professional interested in referring patients to the Fertility Partnership, learn more about our practice and our desire to fully collaborate with you.

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