Citation
Glock, Jacob L.; Hunt, Robert B.; Kim, Alexis H.; Trad, Fouad S.; Hulka, Jaroslav F.; & Brumsted, John R. (1996). Reproductive Outcome after Tubal Reversal in Women 40 Years of Age or Older. Fertility and Sterility, 65(4), 863-865.Abstract
Objective: To determine the reproductive outcome of women who received a microsurgical tubal anastomosis operation at age 40 years or older.Design: Multicenter retrospective cohort study.
Setting: Four university teaching hospitals.
Patients: Fifty-two women having undergone tubal sterilization reversal at age > or = 40 years.
Main outcome measures: Pregnancy and live birth rate.
Results: Of the 52 women, 10 were lost to follow-up. Of those traced, 18 of 42 (42.8 percent) conceived. Of those 18, 6 patients had a live birth, 10 patients had a first trimester spontaneous abortion, 1 patient had an ectopic pregnancy, and 1 patient had an elective termination. Overall, the live birth rate was 14.3 percent, spontaneous abortion rate was 23.8 percent, and ectopic pregnancy rate was 2.4 percent.
Conclusions: Microsurgical tubal anastomosis is a justifiable alternative to IVF-ET in women age 40 years or older.
URL
http://dx.doi.org/10.1016/s0015-0282(16)58227-2Reference Type
Journal ArticleYear Published
1996Journal Title
Fertility and SterilityAuthor(s)
Glock, Jacob L.Hunt, Robert B.
Kim, Alexis H.
Trad, Fouad S.
Hulka, Jaroslav F.
Brumsted, John R.