What Is Tubal Ligation Reversal?
When you had your tubes tied, you were probably 100% sure you never wanted to get pregnant. But what if you change your mind? There's still a way to make it happen.
Your doctor may suggest an operation called "tubal ligation reversal." A surgeon will reopen, untie, or reconnect your fallopian tubes so you can have a baby again.
Can I Have Tubal Reversal Surgery?
Your doctor will consider several things before you both decide that the operation is right for you:
- Your age
- The type of surgery you had to get your tubes tied
- Your overall health and the health of your ovaries, uterus, and remaining fallopian tubes, especially their length
Your doctor will also ask you questions like:
- When did you have your tubes tied and what type of surgery did you have?
- Were you ever pregnant and was it a healthy pregnancy?
- Had you had surgery for endometriosis, fibroids, pelvic inflammatory disease (PID), or other gynecological disorders? Surgery can cause scar tissue, which may affect the success of the tubal reversal.
In general, tubal reversal could be right for you if you had only small parts of your fallopian tubes removed, or if your tubes were closed with rings or clips.
Some surgeons say the best candidates for tubal reversal are women younger than 40 who had their tubes tied right after childbirth, a procedure called postpartum tubal ligation.
Before the Procedure
Your doctor will likely suggest you and your partner get a complete physical exam. That way you can find out if there's anything that might keep you from getting pregnant after a tubal reversal.
Your exam may include blood and imaging tests to make sure your ovaries are normal. You'll also need a test called a hysterosalpingogram (HSG), to check the length and function of your remaining fallopian tubes. An HSG can be done using dye and X-rays or saline and air along with ultrasound.
Your doctor may also suggest that your partner get tests such as a sperm count and semen analysis to rule out any fertility problems.