Women who have decided that they do not want any more children can opt for a permanent sterilization procedure known as tubal ligation, also referred to as “having your tubes tied.”  Sometimes, though, a woman who underwent a tubal ligation wants to get pregnant again. Although it's not right for everyone, a tubal reversal to restore the ability to conceive without medical intervention is possible. The guide below discusses this procedure further.

How Tubal Reversals Work

A tubal ligation is a surgical procedure in which the fallopian tubes, which allow the egg to travel from the ovary to the uterus, are either cut and removed or blocked using a clip or ring. This prevents eggs from being fertilized and eliminates the need for any additional birth control.

A tubal reversal attempts to undo that process and restore the ability for eggs to reach the uterus and the possibility of becoming pregnant. The ability to reverse the procedure depends on several factors, including how it was originally done. Less damaging tubal ligations, such as those accomplished using rings or clips, or in which only small parts of the tubes were removed, can be successfully reversed. Other factors that influence whether you're a good candidate for surgery include your age, body mass index, how long your remaining tubes are, and the quality of your eggs and your partner's sperm.

Recovering From a Tubal Reversal

Most tubal reversals are done laparoscopically, using small instruments inserted via a small incision in the abdomen. The procedure typically takes 2-3 hours, and for most women, it's an outpatient procedure. Pain and discomfort in the abdomen are common, but typically decrease within a few days. 

Although most women feel better within 1-2 weeks, it can take up to three months for full healing. At that point, it's safe to begin trying to conceive. 

Getting Pregnant

Having a tubal reversal isn't a guarantee that fertility is restored. However, the success rate within the first year is anywhere from 40 to 85%, depending on the individual. Women under age 35 tend to be the most likely to get pregnant. Should the surgery be unsuccessful, in vitro fertilization (IVF) is an option for getting pregnant. 

If you're considering a tubal reversal, make an appointment with a provider at Advanced OB-GYN Services to discuss your options. With convenient locations in St. Peters and Bridgeton, MO, this OB-GYN center brings more than three decades of experience in gynecology and obstetrics to its compassionate, quality practice. Dr. Hazan and his team offer 24-hour assistance to all patients. Call (636) 928-1800 to schedule an appointment or visit their website to browse their services.