Tubal Ligation Reversal

Dreaming about a newborn baby

Having a procedure such as tubes tied reversal is not impossible. However, it can be costly and, even with a reversal, you still may not be able to conceive. If you're currently looking into birth control options and trying to decide "Is it a good idea to get my tubes tied?" then you may want to read about all your possible birth control methods before jumping in.

Why Get a Tubes Tied Reversal

Having your tubes tied (technically called a tubal ligation) is a good solid form of birth control. Not surprisingly, there is really only one reason for having a tubal ligation reversal and that is if you decide you want a baby. Of course, there are varations on the wanting part, such as:

  1. You start thinking that you may want a baby soon.
  2. You decide that you would like a baby in your future.
  3. You change your mind about ever having children because you meet a partner who would like to have children with you.

Sometimes, tragically, a family loses a child and decides that they want another baby. There are plenty of other reasons behind changing your mind. The reason is less important than the fact that changing your mind is perfectly okay. Plenty of women do change their minds with some studies showing that as many as 25 percent decide that they'd like a baby after a tubal ligation.

Who Can Have a Tubal Ligation Reversal?

Depending on your situation, you may or may not be a candidate for having a tubes tied reversal procedure.

The first step is to make an appointment with your doctor. Most women looking into a tubal ligation reversal choose to speak with, or are referred to, a fertility specialist. If you are seeing a specialist at a clinic other than your usual clinic, it's a good idea to take along copies of your tubal ligation operative and pathology reports. There is a lot that your new fertility specialist can tell from these reports, most importantly if you're even a candidate.

While only your doctor, along with you, can decide if you're a good candidate for a reversal procedure, there are some basic issues that a doctor will take into account, such as:

  • Your age
  • Type of tubal ligation you had
  • The amount of fallopian tube you have left
  • Your current overall health and the health of your fallopian tube
  • The reasons you'd like the procedure

What if You're Not a Candidate for Tubal Ligation Reversal?

First, you can get a second opinion but there aren't that many doctors who specialize in tubal ligation reversal. If you've been told you're not a candidate, it may be because the specialist you saw may be a good fertility specialist but not a superior tubes tied reversal specialist. For example, the Chapel Hill Tubal Reversal Center may be an option. Dr. Gary Berger, the clinic medical director, has been featured on The Discovery Channel and the Learning Channel as one of the best in the field of tubal ligation reversal. Dr. Berger's stats are outstanding such as:

  • 98 percent of the women who visit the clinic are able to successfully have a tube repair.
  • Over two-thirds of women treated at this clinic become pregnant within an average of ten months after having a reversal.

These are excellent success rates. If you've been turned down for a tubal ligation reversal in the past, one option is to look into a clinic like Chapel Hill or locate other specialty fertility clinics and doctors. If a clinic is far away, they can still help you before you need to visit by looking at your medical reports.

If second (or third) opinions fail to help, the next step will be to look into IVF: in vitro fertilization. Your success rate for getting pregnant is lower with IVF than a tubal reversal but since not all women end up able to have a reversal this is one option.

Other ideas surrounding adding a baby to your family are options such as adoption or surrogacy birth.

Success Rates of Tubal Ligation Reversal

Success rates vary depending on the procedure you have. In the past, there was a traditional procedure for reversal that involving a three hour surgery under general anesthesia. The success rates for becoming pregnant after having a traditional procedure are around 70-80 percent.

There is a better, more successful outpatient procedure currently available as well that involves microsurgery. Women who have this procedure are reported to stand a 90 percent chance of conceiving afterwards.

Both the above success rates are based on women under the age of forty.

Make sure that when you visit your doctor, you take along any questions you may have about side effects, success rates based on your personal health information, costs, and if your insurance covers the procedure.

Lastly, be sure to do some research and look into all your options before choosing a doctor for your procedure - this is a one time deal. While some mistakes or problems of a problematic tubal reversal can be fixed, it's better to have it done properly the first time. Make sure you receive the best care possible.


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Tubal Ligation Reversal