I am 46 with my tubes are only clamped. I'm wanting to know which is the best way for the best results. IVF or clamp removal

It is rare for a woman to conceive and have a child after the age of 45 without the assistance of donor oocytes due to the high incidence of genetically abnormal (aneuploid) embryos at that age. We recommend making an appointment with a reproductive endocrinologist for an in-depth discussion and to evaluate your ovarian reserve so that you can make the most informed decision. If the ovarian reserve is high, the best option might be IVF to get the highest chance of conception in the shortest time and to be able to evaluate the genetics of the embryos that result. Women with a borderline low ovarian reserve are better candidates for tubal reversal, knowing that the probability of success is going to be very low

It would be best to see one of the MDs at Atlantic rather than answer your question publicly. 46 is the main issue, however.