Now I want to have more children. Is it possible to reconnect my fallopian tubes to conceive naturally? What treatment should my husband and I pursue to have a baby soon? (Nguyen Tien, TP HCM)
Answer:
The fallopian tubes transport eggs to meet sperm. After fertilization, they propel the embryo into the uterus for implantation and development. Sterilization, typically involving tubal ligation, prevents natural conception.
Tubal reversal surgery can restore fertility, but it's complex with limited success rates. Fallopian tubes are narrow (about 1.5 mm), requiring microsurgery, advanced equipment, and a skilled surgeon. Success is less likely for women over 40, those with prolonged sterilization leading to tubal damage, or other reproductive issues.
Consult a doctor for a thorough evaluation. If natural conception is unlikely, in vitro fertilization (IVF) is a more effective option.
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Dr. Phan Ha Minh Hanh consults with a patient. Illustrative photo: Nguyen Thang |
IVF involves ovarian stimulation, egg retrieval, and sperm collection. Healthy sperm are injected into the eggs, which are then cultured in an optimal environment to develop into embryos. A suitable uterine lining is prepared, and a high-quality embryo is transferred, increasing the chances of pregnancy while reducing the risk of multiples and promoting a healthy pregnancy. Your husband should also undergo a reproductive health check-up to determine appropriate treatment.
Dr. Phan Ha Minh Hanh
Department of Assisted Reproduction
Tam Anh General Hospital - District 8
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