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Any Suggestions for Conceiving After Having Tubes Untied?

QUESTION

Dear Midwife,
I had my tubes untied in September 2003 and I have still not gotten pregnant. I am 32, I have two children 10 and 12 had no problem getting pregnant with them. My husband had a sperm count, number good. I had the test to make sure tubes were open, both are open. We generally have sex on average 4 to 5 times per week. No luck. Any suggestions?

Please help, I am getting older fast.

ANSWER

I don't have anything to add. Possibly the cilia in the tubes were somewhat damaged in the process so that the egg doesn't move down the tubes in the normal way. You are still pretty young, but if you haven't conceived by the end of summer, you may want to consult a specialist and/or consider in vitro fertilization and by-pass the tubes altogether

-- Cynthia, CNM. PhD.

Cynthia Flynn

Cynthia Flynn, CNM. PhD, is the General Director of the Family Health and Birth Center which provides prenatal, birth, postnatal, gynecological and primary health care to underserved women and their families in Washington, D.C. Recently Cynthia served as Associate Professor of Nursing at Seattle University. There she not only taught, but remained in full scope clinical midwifery practice at Valley Medical Center where she cared for pregnant and birthing women, and practices well-woman gynecology, family planning, and treatment of sexually transmitted diseases.

Cynthia founded Columbia Women's Clinic and Birth Center, where she took care of pregnant women and infants up to two weeks of age and attended both birth center and hospital births. Before Cynthia earned her CNM, she worked as a registered nurse in labor and delivery and postpartum and is a certified Doula and Doula trainer.