Tubal ligation, also called getting one's "tubes tied," is a surgical form of birth control that is available for women who do not want to become pregnant. A tubal reversal is available to help women regain their fertility after tubal ligation. The tubal reversal may help these women conceive, but the possibility is dependent on a woman's anatomy, as well as other factors of the original tubal ligation.
Seek Consultation
Before proceeding with a tubal reversal, it is important to talk to a fertility specialist. In order to become pregnant after a tubal reversal, a female must be producing healthy eggs, and the male must produce enough sperm. Her reproductive organs must be in good health for pregnancy to occur. If this is not the case, further medical interventions may be necessary. Women approaching the age of 40, or over age 40, will definitely want to consult with an expert. After age 38, women are less likely to get pregnant after a tubal ligation is reversed. In vitro fertilization (IVF) may be a better option for conception for women over 38.
Background
During a tubal ligation, a woman's fallopian tubes are sealed off and the egg is unable to travel into the uterus to be fertilized by the sperm. Ligation involves several methods to seal the tubes, including tying them or attaching a clip or ring to the tube to block it. Before a reversal can be done, the doctor will assess the length and width of the remaining tubes. If a clip or ring was used to tie the tubes, the tubal reversal will likely be a success. If the fallopian tubes were cut, a dye test can be performed to make sure that the length of the remaining fallopian tube will be adequate for the reversal.
Procedures
During the tubal reversal, which takes about one hour, the fallopian tubes are reconnected. The reversal takes a little more time than the original tubal ligation, as the surgeon must make a larger incision for this process. The incision in the lower abdomen will be about four to five inches long. The fallopian tubes must the right length in order to be reconnected, and the diameter of the tubes must also be compatible in order to reconnect them properly. Recovery from the reversal may also take longer than the original procedure, and about a week of bed rest is standard.
Success Rates
Success of a tubal reversal depends on several factors. These factors include the type of sterilization that was performed, the age of the female, and the length and diameter of her fallopian tubes. The American Society of Reproductive Medicine states that 40 to 80 percent of women will be able to conceive after a tubal ligation. The younger the woman is, the more likely she will be to conceive.
Risks
Women who have had tubal reversals face a higher risk of ectopic pregnancy when they do become pregnant. Discuss this possibility with a physician before proceeding with the reversal. Be aware of the symptoms of an ectopic pregnancy, as it can be harmful for the mother and must be terminated.
