Answer

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Your choices would be either in vitro or tubal reversal. You would need to see a doctor for an evaluation to determine if you are a candidate for reversal. During an initial assessment for the procedure, your doctor will examine the current health of your fallopian tubes, most likely through laparoscopy. She will also look over the surgery and pathology reports from when you originally had the procedure done. Many women opt for a reversal, as not only is it cheaper but is not time consuming like in-vitro. Tubal reversal would cost around $5000 and up. Invitro typically costs much more. You can read more about reversal here including where in your area there is a doctor that specializes in this type of surgery
http://www.ihr.com/infertility/provider/tubal_reversal.html?source=overture
Although pregnancy rates after a tubal reversal are significantly better than trying to conceive through IVF, having the procedure done does not guarantee that you will become pregnant. Women under the age of 40 who have a tubal reversal through the traditional surgical methods have a 70% to 80% pregnancy success rate, with conception usually occurring during the first year after the procedure. Women who have microsurgery done have a slightly higher success rate, with about 90% of women becoming pregnant within one year of the procedure. However, tubal ligation success rates tend to decline with a woman’s age although they are still better than IVF pregnancy rates. It is important to note, though, that having a tubal reversal does increase your risk of experiencing an ectopic pregnancy. Among the general population, about 1 in 100 women will experience an ectopic pregnancy. However, for women who have had a tubal reversal, this risk increases to about 5 in 100 women.

Expert:	Nurse Annie
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Answered:	2/25/2008

Nurse (RN)

PHD RN 40+ years in nursing all depts & units 20+ years as a midwife, certified lactation consultant