title: Reproductive outcome after tubal reversal in women 40 years of age or older.
abstract: OBJECTIVE
  To determine the reproductive outcome of women who received a microsurgical tubal anastomosis operation at age 40 years or older.
  
  
  METHODS
  Multicenter retrospective cohort study.
  
  
  METHODS
  Four university teaching hospitals.
  
  
  METHODS
  Fifty-two women having undergone tubal sterilization reversal at age > or = 40 years.
  
  
  METHODS
  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.
authors.affiliation: University of Vermont College of Medicine, Burlington, USA.
authors.forename: J L
authors.initials: JL
authors.lastname: Glock
authors.forename: A H
authors.initials: AH
authors.lastname: Kim
authors.forename: J F
authors.initials: JF
authors.lastname: Hulka
authors.forename: R B
authors.initials: RB
authors.lastname: Hunt
authors.forename: F S
authors.initials: FS
authors.lastname: Trad
authors.forename: J R
authors.initials: JR
authors.lastname: Brumsted
mesh_terms: D000328:Adult; D000367:Age Factors; D015331:Cohort Studies; D005260:Female; D005307:Fertilization in Vitro; D006801:Humans; D008866:Microsurgery; D008875:Middle Aged; D011247:Pregnancy; D011379:Prognosis; D012189:Retrospective Studies; D013243:Sterilization Reversal / Q000379:methods