Parental Concerns:

Many women who have had their fallopian tubes ligated are choosing to undergo tubal reversal procedures in order to have one or more children again.  Tubal reversal is a surgical operation that restores a woman’s ligated tubes back to normal and allows pregnancy to occur.  There are some concerns, however, that a woman above the age of 40 who had a tubal reversal has an increased risk of conceiving a child with trisomy 21 or Down syndrome. (more…)

Trisomy 13, also known as Patau’s syndrome, and Trisomy 18, also known as Edwards’ syndrome, are conditions where the presence of chromosomal abnormalities generally result in severe mental retardation and physical disfigurement.   (more…)

A polycystic ovary is a condition in which the follicles never erupt from the ovaries.  This may be associated with a pathological condition known as polycystic ovarian syndrome (PCOS). This is a very common disorder and occurs in nearly 1 out of 5 women. (more…)

When to Have an HSG after a Tubal Reversal?

HSG is the best method to determine the tubal patency (if the tubes are open).  It is not recommended to have a HSG too soon after a tubal reversal surgery.  Most will recommended at least 4 to 6 months after a tubal ligation reversal because an HSG relies on increased pressure in the tube, and it the tube is still weak where the tubal ligation reversal occurred, the tube could be damaged. Also, the risk of infection is present whenever a HSG is performed.  It is recommended that patients try for a pregnancy first before going straight to an HSG.  A good number of patients conceive within this early period and will then not need or desire to have a HSG performed. (more…)

In the past, ultrasound for infertility was done by placing a transducer on the abdomen.  This required a full bladder for greater accuracy so that the sound waves could be transmitted into the abdomen and pelvis.  However, the standard ultrasound technique used for infertility is now the vaginal, or endovaginal, ultrasound.  The procedure is much more advanced. A long, thin probe is inserted into the vagina. This probe is used for imaging the pelvic organs.  The pictures generated from a vaginal ultrasound are sharper and clearer because having the probe inside of the vagina allows the probe to get much closer to the pelvic structures. (more…)