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Artigo Acesso aberto Revisado por pares
BIBTEX RIS

Reproductive outcome after tubal reversal in women 40 years of age or older

1996; Elsevier BV; Volume: 65; Issue: 4 Linguagem: Inglês

10.1016/s0015-0282(16)58227-2

ISSN

1556-5653

Autores

Jacob L. Glock, Alexis H. Kim, Jaroslav F. Hulka, Robert B. Hunt, Fouad S. Trad, John R. Brumsted,

Tópico(s)

Gynecological conditions and treatments

Resumo

To determine the reproductive outcome of women who received a microsurgical tubal anastomosis operation at age 40 years or older. Multicenter retrospective cohort study. Four university teaching hospitals. Fifty-two women having undergone tubal sterilization reversal at age ≥40 years. Pregnancy and live birth rate. Of the 52 women, 10 were lost to follow-up. Of those traced, 18 of 42 (42.8%) 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%, spontaneous abortion rate was 23.8%, and ectopic pregnancy rate was 2.4%. Microsurgical tubal anastomosis is a justifiable alternative to IVF-ET in women age 40 years or older.

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