Tubal Ligation Reversal

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A tubal ligation is also referred to as “having your tubes tied” and is performed to block the fallopian tubes and prevent pregnancy using one of several techniques. Many women undergo tubal ligations thinking they have no desire to get pregnant again in the future. But what if her circumstances change and she changes her mind? This is where a tubal ligation reversal is needed.

What Is A Tubal Ligation Reversal?

If a woman who has previously had her tubes tied decides that she would like to become pregnant again, she would need a tubal ligation reversal. This surgery would free the previously blocked portions of the fallopian tubes reconnecting the two sections back together. If successful, it may make it possible for the egg to move through the fallopian tube unobstructed and allow sperm to reach it, resulting in fertilization.

Who Is a Good Candidate for Tubal Ligation Reversal?

Women who are of childbearing age who do not have current medical conditions that would prevent a normal pregnancy, whose partner has a normal sperm analysis, and whose fallopian tubes are in good health and of adequate length, would be a good candidate for tubal ligation reversal.

Illustration Of Tubal Ligation Before And After Ligation

How Does Tubal Ligation Reversal Surgery Work?

Tubal ligation reversal surgery is done under general anesthesia (patient is sleeping) and takes between 2 and 3 hours to perform. Often, the surgeon will use laparoscopy to explore the current condition of the fallopian tubes and the feasibility of successfully re-connecting the tubes. This is normally done through a tiny incision in the navel. If the surgeon determines that everything looks good, a small bikini-cut incision will be made just above the pubic hairline and the surgeon will laparoscopically reconnect the fallopian tubes with very fine sutures.

A hospital stay is not normally required, and the surgeon will discharge the patient with aftercare instructions and pain medications to recover at home. Normally, after 2 weeks patients can return to their regular activities.

Can All Tubal Ligations Be Reversed?

Unfortunately, not all tubal ligations are able to be reversed. In some cases, the technique used to block the fallopian tubes damages them to the point that a reversal is not possible. Reversals most likely can be done in cases where the initial surgery used tubal clips or rings to close off the fallopian tube or only a small portion of the fallopian tube has been removed.

What Is The Success Rate of Tubal Ligation Reversal?

The success of tubal ligation reversal depends on many different factors, some of these include:

  • The condition and health of the fallopian tube sections that are to be rejoined;
  • If there is an adequate length of the fallopian tube to work with – about 3”;
  • The expertise of the microsurgeon;
  • The overall health and age of the patient;
  • The technique used to perform the tubal ligation.

The success of tubal ligation reversal is between 45-85%.

What Are the Risks of Tubal Ligation Reversal Surgery?

There are risks associated with any surgical procedure. The risks of tubal ligation reversal surgery, although rare, may include:

  • Adverse side effects from anesthesia;
  • Bleeding;
  • Infection;
  • Damage to nearby organs;
  • Increased risk of ectopic pregnancy – 5 in 100 pregnancies.

How Long Does It Take to Get Pregnant after Tubal Ligation Reversal?

The goal of having tubal ligation reversal surgery is to become pregnant and have a child. Surgeons normally run tests on both partners prior to scheduling a tubal ligation reversal to rule out any potential fertility issues. The tests will reveal the health of both the sperm and the egg, and determine if conceiving naturally is feasible.

Among couples who had no other general fertility problems, 75-80% of women who have had successful tubal ligation reversals became pregnant within a year after the procedure.

How Much Does Tubal Ligation Reversal Surgery Cost?

The cost of a tubal ligation reversal will vary depending on different factors. During the initial consultation with IBI Healthcare Institute we will discuss pricing and specifics unique to your situation. Call us and learn more today or make an appointment online!

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