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Tubal Ligation Reversal

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Pregnancy Success Rates After Reversal

If the remaining fallopian tubes are healthy, and you and your partner do not have any other infertility issues, you have a good chance of becoming pregnant after tubal reversal.

However, not every woman is able to become pregnant after tubal reversal. Age plays an important role in the ability to become pregnant after tubal reversal. Older women are much less likely than younger woman to become pregnant after this procedure. In general, pregnancy success rates range from 40% to 85%. When pregnancy does occur, it usually occurs within the first year. Success depends on several things, including:

  • Your age
  • Type of tubal ligation procedure you had
  • Length of the remaining fallopian tubes, and whether they still work properly
  • Amount of scar tissue in your pelvic area
  • Results of your partner's sperm count and other fertility tests
  • Surgeon's skill

You will need another X-ray dye test (hysterosalpinogram) about three to four months after surgery to make sure your tubes are open and working properly.

Complications and Risks

All surgery carries some risk. Risks are very rare but may include bleeding, infection, damage to nearby organs, or reactions to anesthesia.

Women who have tubal reversal have an increased risk of ectopic pregnancy, a life-threatening condition in which a fertilized egg grows outside of the womb -- usually inside a fallopian tube. This condition requires immediate medical attention.

In some cases, the area of the tubal reversal forms scar tissue and re-blocks the fallopian tubes.

How Much Does Tubal Reversal Surgery Cost?

Insurance does not typically cover the procedure. Tubal reversal is expensive -- several thousand dollars for the surgery, along with anesthesia and hospital fees and the cost of fertility tests required before the procedure .

 

Alternatives to Tubal Reversal Surgery

An alternative to tubal reversal is in vitro fertilization (IVF), a form of assisted reproduction in which a woman's egg and man's sperm are fertilized outside the womb in a laboratory dish. The fertilized egg (embryo) is later placed into a woman's womb. Increasing IVF success rates have led to a decrease in the number of tubal reversal in recent years.

IVF may also be an option for women who cannot achieve pregnancy after tubal reversal surgery.

WebMD Medical Reference

Reviewed by Traci C. Johnson, MD, FACOG on October 17, 2014
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