If you’ve had your tubes tied and are now considering having them reconnected, you’re not alone. Many women change their minds about childbearing after tubal ligation. Fortunately, laparoscopic tubal reversal (also called tubal reanastomosis) can restore fertility for many women. But what are your chances of success? Let’s break it down.
What Is Tubal Reversal?
Tubal reversal surgery reconnects the fallopian tubes that were previously cut, tied, or blocked during sterilization. The goal is to restore the natural pathway for the egg and sperm to meet, allowing for pregnancy without in vitro fertilization (IVF). We are one of the only centers in the world that performs this procedures laparoscopically: using small (less than 1cm) incisions.
Factors That Affect Success
Not every patient has the same chance of success. Several factors play a role:
1. Your Age
- This is the single most important factor.
- Women under 35 years usually have the highest success rates (up to 70–80%).
- After age 40, chances decline significantly.
2. Remaining Tubal Length
- For the surgery to work, there needs to be enough healthy fallopian tube left as a result of your original sterilization.
- Best results: at least 4 cm of healthy tube on each side.
3. Type of Tubal Ligation You Had
- Clips or rings (like Filshie or Hulka clips): Best candidates for reversal.
- Partial removal of the tube (salpingectomy): Moderate chance.
- Fimbriectomy (end of tube removed): Poor candidate—IVF may be better.
4. Health of Tubes and Pelvis
- Healthy tissue and minimal scar tissue improve your chances.
- Severe pelvic adhesions, previous infections, or damaged fimbriae (the end of the tube) can reduce success.
5. Other Fertility Factors
- A normal sperm test for your partner.
- No significant uterine or hormonal issues.
What Are the Success Rates?
- Under 35 years: 60–80% pregnancy rate.
- 35–39 years: 40–60%.
- 40 years and older: 20–30% or less.
How Do We Predict Success Before Surgery?
Your doctor may recommend:
- Imaging tests (like hysterosalpingogram or ultrasound) to estimate tube length.
- Reviewing your sterilization report to understand what was done.
- Fertility labs (like AMH and partner semen analysis).
Should I Consider IVF Instead?
For some patients, especially those over 40 or with significant tubal damage, IVF may offer a better chance of pregnancy than surgery. Your doctor can help you weigh both options.
Bottom Line: Predicting Success of Laparoscopic Tubal Reversal
Tubal reversal can indeed be life-changing for the right candidate. Therefore, understanding factors such as your age, tubal health, and surgical history is essential for predicting success. In addition, it is important to schedule a consultation with a fertility surgeon so you can thoroughly discuss your individual chances. As a result, you will be better equipped to make an informed decision.
