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Tubal Ligation Reversal

What it is

Tubal reversal, also known as tubal ligation reversal, is a surgical procedure designed to restore fertility in women who have previously undergone tubal ligation—a procedure commonly referred to as “having your tubes tied.” The surgeon reconnects the fallopian tubes, allowing eggs to travel from the ovaries to the uterus, making natural conception possible again.

How it works

During a tubal reversal procedure, a surgeon reconnects the severed or blocked sections of the fallopian tubes, allowing eggs to once again pass through the tubes and potentially be fertilized by sperm. This procedure is performed under general anesthesia and typically involves a small incision in the lower abdomen, often through a method called microsurgical tubal anastomosis. The goal is to restore the normal function of the fallopian tubes, enabling natural conception.

Why choose Tubal Reversal

Natural Solution
Tubal reversal allows women to conceive naturally, meaning they can try to become pregnant during each menstrual cycle without the need for additional medical intervention.
Greater Control
Unlike other fertility treatments, this procedure allows for multiple pregnancies without the need to repeat the treatment.
Proven Effectiveness
For many women, tubal reversal has proven to be a highly effective option, especially when compared to IVF in terms of cost and success rates.

Success Rates

Comparative Success Rates Over the Last 20 Years by Age Group (Including 2024)

Tubal Ligation Surgical Expertise at Procreate Fertility

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    • In Vitro Fertilization (IVF)
    • Tubal Reversal
    • Inseminación Intrauterina (IUI)
    • Male infertility
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    • Annual Visit
    • LGBTQ+ Fertility Services
    • Hormone Testing
    • Semen Analysis
    • Fallopian Tubes Evaluation
    • Genetic Testing (PGT)
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    • Uterine and Endometrial Assessment Important
    • Pelvic Anatomy Scan
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    • Christian Perez - MD, FACOG
    • Silvina M. Bocca - MD, PhD, HCLD
    • Katherine Duey - WHNP
    • Stacey Seeley - MSN, APRN, WHNP-BC
    • Mary Jo Dougherty - PA-C
    • Kristen Miller - MPA, PA-C
    • Tricia Wahl - PA-C
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    • Chesapeake
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    Frequently Asked Questions

    Who is a good candidate for tubal reversal?
    Ideal candidates for tubal reversal are women who have had a tubal ligation but wish to conceive again, are in good overall health, have a reasonable amount of healthy fallopian tube remaining, and are generally under the age of 40. The success of the procedure also depends on the type of tubal ligation originally performed.
    What is the success rate of tubal reversal?
    The success rate of tubal reversal varies depending on factors such as the woman’s age, the length and health of the remaining fallopian tubes, and the type of tubal ligation that was initially performed. Generally, success rates range from 40-80%, with younger women typically experiencing higher success rates.
    How long is the recovery time after a tubal reversal?
    Recovery time after a tubal reversal surgery usually ranges from 2 to 4 weeks. Most women can return to light activities within a week, but full recovery, including returning to normal physical activities, may take a few weeks longer.
    Are there risks associated with tubal reversal surgery?
    As with any surgery, tubal reversal carries some risks, including infection, bleeding, and damage to nearby organs. There is also an increased risk of ectopic pregnancy, where the fertilized egg implants outside the uterus, typically in the fallopian tube. It’s important to discuss these risks with your surgeon before the procedure.
    How does tubal reversal compare to IVF?
    + Assuming the sperm is normal, tubal reversal allows for natural conception, which means you can try to conceive each month without any additional cost. In contrast, IVF (In Vitro Fertilization) is a more expensive procedure that involves retrieving eggs, fertilizing them in a lab, and transferring the embryo to the uterus. If unsuccessful, additional attempts with IVF or embryo transfers will have additional costs. Tubal reversal will be less expensive if you plan to have multiple pregnancies.

    + When the sperm is abnormal or the couples are interested in gender selection, the surgical repair is not indicated and IVF is the only option.
    Can tubal reversal be performed on all types of tubal ligation?
    Not all types of tubal ligation are reversible. The success of a tubal reversal depends on the type of ligation performed. Procedures that involve minimal damage to the fallopian tubes, such as clip or ring methods, are more likely to be successfully reversed. Techniques that involve burning or removing large segments of the tubes may not be reversible.
    How soon can I try to conceive after a tubal reversal?
    You can typically begin trying to conceive 2 to 3 months after the surgery, once your body has fully healed. Your doctor will provide specific recommendations based on your recovery progress.
    What are the costs associated with tubal reversal?
    At Procreate Fertility Center, the cost of a tubal reversal surgery is $6,450. This fee typically includes the surgical procedure, anesthesia, and the use of our facility. We also accept most insurance plans, which may help cover part of the costs. We recommend contacting our clinic directly to get a detailed breakdown of what is included in the price and to discuss how your insurance can assist with the expenses.
    What are the chances of having multiple pregnancies after a tubal reversal?
    After a tubal reversal, the likelihood of conceiving multiples (twins, triplets, etc.) is the same as it would be for any natural conception. However, it is not as common as with IVF, where multiple embryos are often transferred to increase the chances of pregnancy.

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