Can I get pregnant if my tubes are tied/had a vasectomy?
Some women choose to have a tubal ligation reversal and attempt to conceive naturally while others proceed directly to an in vitro procedure (which does not require functional fallopian tubes). Your doctor will assist you in making this decision. Factors your physician will consider include your age, other infertility issues for both you and your partner, the type of tubal ligation you had, and cost for treatment.
Some men choose to have a vascetomy reversal while others will have the sperm surgically retrieved. Your doctor will help you make this decision considering: how long it has been since the vasectomy, you and your partner’s age, any female infertility factors, how quickly you want to conceive and cost. The overall pregnancy rate after a vasectomy reversal is 50% but this rate decreases with more time since the vasectomy.
What is the difference between IUI and IVF? What are my chances of success with IUI vs. IVF?
Intrauterine Insemination (IUI) is the process of placing prepared sperm directly into the patient's uterus around the time of ovulation in order to aid fertilization chances. Please note at this time, Future Family does not provide financing for IUI.
In Vitro Fertilization (IVF) is a process consisting of several steps. First the ovaries are stimulated using medications, then the eggs are retrieved and put together with sperm. After the embryos have been created and incubated in the lab, they are transferred into the patient's uterus.
It is never easy to be specific about the success rates of a given treatment as there are so many variables that affect individual cases, but statistically, IUI has lower success rates than IVF, and the gap widens as women age.
- IUI with fertility medication (Clomid): average success rates range from 8% to 15% per cycle for patients under 35 to 2% to 5% for patients over 40.
- IVF using a woman’s own eggs: average success rates range from 40% to 45% for patients under 35 to 15% or less for women over 42.
I haven’t gotten pregnant yet. Should I get an evaluation?
If you are younger than 35 years and have not gotten pregnant after one year of having regular sexual intercourse without using any form of birth control, talk with your ob-gyn or other health care professional about an infertility evaluation or find a fertility center near you to learn more about IVF treatments.
If you are age 35-40, this shortens to 6 months before you should seek evaluation for in vitro semination treatment or other alternatives. If you are older than 40 years, an evaluation is recommended before trying to get pregnant.
I’m over 40--do I even have a chance to get pregnant?
For healthy couples in their 20s and early 30s, around 1 in 4 women will get pregnant in any single menstrual cycle. By age 40 years, around 1 in 10 women will get pregnant per menstrual cycle. A man’s fertility also declines with age, but not as predictably as a woman’s fertility.
Women become less fertile as they age because they begin life with a fixed number of eggs in their ovaries. The number of eggs decreases as women get older. Also, the remaining eggs in older women are more likely to produce embryos with abnormal chromosomes which can make it more difficult to get pregnant, increase the chances of miscarriage when a woman becomes pregnant and/or increase the chances of abnormalities in her baby (“birth defects”). As women age, not only does the quantity of eggs decline but the quality of those eggs declines as well.