Chapel Hill Tubal Reversal Center
109 Conner Drive Suite 2200, Chapel Hill, NC 27514 (919) 968-4656

Tubal Ligation Reversal Blog

Tubal Reversal After Tubal Coagulation (Burned Tubes)

Tubal Ligation by Coagulation or Cauterization

Bipolar tubal coagulation usually damages a small amount of fallopian tube and is an excellent tubal ligation method for tubal reversal.Bipolar tubal coagulation is a popular method of female sterilization in the United States. This tubal ligation method is usually performed through laparoscopy. With the bipolar (two-poles) coagulator, the fallopian tube is grasped between two poles of electrical conducting forceps and electrical current is passed through the tube between the two ends of the forceps. Damage to the tube is limited mainly to the small segment between the forceps. Burning two or three adjacent sites is common and generally results in the loss of a few centimeters of the fallopian tube. Bipolar tubal cauterization can be successfully reversed in almost all cases.

Monopolar tubal coagulation is a tubal ligation method that results in moderate pregnancy rates after tubal reversal surgery.Monopolar tubal coagulation is less common than bipolar coagulation tubal ligation. With monopolar forceps, electrical current spreads further along the length of the fallopian tube. Consequently, monopolar cautery tends to damage more of the fallopian tube than bipolar cautery. In many cases, the tube is also cut after it has been coagulated.

When monopolar coagulation is applied to a single site of the tube, tubal reversal can be performed without the need for further diagnostic tests. If multiple sites of the fallopian tube have been burned with the monopolar technique, we offer a screening diagnostic laparoscopy to evaluate the tubal lengths before proceeding to reparative surgery. The screening laparoscopy option is discussed further on our website.

Tubal Coagulation Reversal Success

Each year Chapel Hill Tubal Reversal Center publishes updated statistics about pregnancy rates and pregnancy outcomes among all of the women who have had tubal reversal procedures performed by Dr. Berger. The data for women who had tubal coagulation sterilizations, presented in the table below, are from our Tubal Reversal Pregnancy Study Report 2007.

Pregnancy Rates of Our Tubal Reversal Patients

The overall pregnancy rate after tubal reversal for women with tubal coagulation procedures is 68% for patients at Chapel Hill Tubal Reversal Center. To calculate the pregnancy rate, the number of women who have become pregnant is divided by the total number who underwent a tubal reversal procedure. The following table shows the numbers and pregnancy rates according to womens’ ages at the time of their tubal reversal surgery.

Pregnancy Rates After Tubal Coagulation Reversal


Age


All Women


Pregnant (#)


Pregnant (
%)

<30

168

142

85%

30-34

482

357

74%

35-39

408

260

64%

40+

130

46

35%

Conclusion

Tubal coagulation methods of tubal ligation can be successfully reversed in most cases. The pregnancy rate after tubal reversal varies with a woman’s age at the time she has her tubal reversal procedure. The pregnancy rate is 85% for women in their twenties, 74% for those ages 30-34, 64% for women in the 35-39 year age group, and 35% for women 40 years of age or older.

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56 Responses to “Tubal Reversal After Tubal Coagulation (Burned Tubes)”

  1. Dr. Berger Says:

    ANTHONY AND DOROTHY – At age 30, your chances of having another baby after reverse tubal ligation is excellent. You can check the pregnancy statistics for our patients. If you would like further assistance, call (919) 968-4656 for a Tubal Reversal Nurse consultation.

  2. Anthony and Dorothy Lee Says:

    Hi, my name is Anthony Lee,
    My wife Dorothy had her tubes tied and burned 6 years ago after her last baby. She’s 30 right now – what are her chances of having another baby ? Thanks, your help is greatly appreciated.

  3. Amanda Says:

    I am 29 years old. 5 years ago I had an eptopic pregnancy which my right fallopian tube had to be removed and shortly after, I had another surgery to have the left fallopian tube “burnt shut” because it was damaged. I am not getting any younger and although my husband and I have 2 wonderful kids, we really want more. 1 or 2 more. Is there any possible way to ever get pregnant again? I dont think there is any hope. This has been upsetting ever since the eptopic pregnancy I had.

  4. Dr. Berger Says:

    ROBIN – As long as your diabetes is well controlled, you could have another baby after tubal reversal.

  5. Robin Says:

    Hi, I’m 27 yrs old, and at the age of 22 I gave birth to my second child, by c section in 2004. My tubes were tied and burned. I’m also type 1 diabetic, but have gotten remarried. He’s a good man, and wants a child. The dr said my pelvis bones were too small to have one naturally, but that I could have up to three c sections. I’m on a diabetic insulin pump. Would I be suitable for one more baby?

  6. Fran M. RN Says:

    Your c-sections should not be problem and at only age 34 and already a mother you will have a every chance of becoming pregnant after a successful tubal ligation reversal. The first step to determine whether tubal reversal surgery is the best option for you is obtain the Operative and Pathology Reports from your tubal ligation. Chapel Hill Tubal Reversal Center offers a free review of these reports. To arrange this call a tubal reversal nurse on (919) 968-4656.

  7. Maryland V Says:

    I am 34 and have three kids (all 3 c-sections). I am looking to have my tubes reversed if I can. My current husband has no kids at all and really and truly wants one bad. We have been together for 9 years and he helped me with mine. I am sure he will be a great dad. Will you be able to help us?

  8. Dr. Berger Says:

    Yes, tubal ligation reversal is possible after the tubes have been cut and burned. Many of our patients at Chapel Hill Tubal Reversal Center have had tubes that were cut and burned and have become pregnant.

  9. Anonymous Says:

    I am a 28 year old mother of one.I had my tubes cut and burned 3 years ago.I recently got married and have been thinking about whether or not a tubal reversal was an option for me. My husband and I would like to have a child together. Is it possible to repair tubes that have been cut and burned?

  10. Dr. Berger Says:

    The ligation is permanent. If you want to become pregnant, you need to have a tubal reversal or undergo treatment by in vitro feritlization (ivf). To see the likelihood of getting pregnant after tubal ligation reversal performed at Chapel Hill Tubal Reversal Center, look at the statistics on this page of the Chapel Hill Tubal Reversal Center web site.

  11. Tmb6714 Says:

    I am 35 years old and had my tubes tied and burnt at the age of 25.The doctors took me about 20 minutes after giving birth and did the procedure. What are my chances of ever getting pregnant and how long does this ligation last especially since everything happened so soon?

  12. Charles Monteith MD Says:

    Teresa
    Your chances are good as long as you are ovulating and having periods. The highest pregnancy success is with IVF and donor eggs- close to 50% chance of success. Tubal reversal after 40 can allow you to become pregnant but the chances are not as high as IVF with donor eggs. We have many tubal reversal patients after 40 report pregnancies to us.
    You should read our latest blog Natural Pregnancy At 46 After Tubal Ligation Reversal.

  13. Teresa Says:

    I am remarried and I had my tubes burned and tied in 1985. I just turned 43 and would like to have another baby very badly. Are my chances very good?

  14. Dr. Berger Says:

    C.V. – You are in the best age category for becoming pregnant naturally after a tubal reversal. Look at Table 3 on our Pregnancy Statistics page to see the post-tubal reversal pregnancy rates by age.

  15. C.V. Says:

    I was 21 years old when I got my tubes cut and burnt. It’s been 7 years of my last c-section, I have 3 children. I’m 29 now,I want to know If I can get pregnant again naturally?or Can I get a tubal reversal?

  16. Dr. Berger Says:

    JORDAN – Individual doctors each do things a slightly different way, but most likely this is a simple ligation and resection procedure with the tubal ends being coagulated to seal them. That is the most common finding with this brief description. If you would like to send us a copy of your operative report, I will be happy to review it and give you further details. Over the many years and over 8000 tubal ligation reversals that I have performed, it is very likely that your tubal ligation can be reversed successfully and at age 22 you will have the highest probability of being able to have more children. If you need any further assistance, you are welcome to call (919) 968-4656 for a free phone consult with a Tubal Reversal Nurse.

  17. Jordan Says:

    Hi Dr.’s..I’m 22 years old, and I have two children (4 and 1). I got my tubes “cut, tied and burnt” a year ago. The nurses and doctors basically have told me that it would be nearly impossible to reverse. Now after researching this subject it seems as if maybe they were just trying to scare me because of my age. I’m currently in college to be a nurse and once I graduate I am getting remarried to a wonderful man who has no children. We were discussing this subject and I thought i would ask – What exactly does “cut tied and burnt” mean? Is it just the coagulation technique?

  18. Dr. Berger Says:

    Your best option is tubal reversal. The other is IVF. Tubal reversal is more successful, less expensive, and less complicated. It also gives you the option to have more than one baby if you decide to. You can call (919) 968-4656 for a free consultation with a Tubal Reversal Nurse at Chapel Hill Tubal Reversal Center.

  19. jessica Says:

    I am 24 years old and I had my tubes burned after the birth of my 5th child. I got remarriand and we desperately want a baby. What are my options?

  20. Charles Monteith MD Says:

    You should send us your records and we will review them for you and let you know if you are a good candidate to tubal reversal surgery. Most women have a good chance of pregnancy after tubal reversal and most tubal ligations can be reversed.

  21. Anonymous Says:

    I had a c-section and was healed with lots of scars and adhesion. My OB-GYN says the c-section was infected and had to heal inside out. Also my uterus lining is thin. My HSG came back abnormal with no tubes showing to get a reversal. If I have a lot of adhesion/scarring, will the doctors be able to move around the scarring/adhesions to connect my tubes back together? What if the tubes are stuck to my uterus can my tubes still be reconnected?

  22. Dr. Berger Says:

    The cost for tubal reversal ranges from $5400 to $6900 at Chapel Hill Tubal Reversal Center, depending upon the option you choose. The average cost for IVF (including medications) is $10,000 to $15,000 per cycle of treatment. The cost for tubal reversal is a one time cost and it gives you the chance to become pregnant any month thereafter. With IVF, the cost is incurred again with each treatment cycle, and it takes 3-4 cycles on average for most women to become pregnant with IVF.

  23. Liz Says:

    Which would be easier and less costly? Having a reversal after my tubes were burnt 13 years ago or having invetro?

  24. Dr. Berger Says:

    Yes, you can get your tubes repaired 13 years after having them tied and burned. If you have questions, you can call (919) 968-4656 for a free consultation with a Tubal Reversal Nurse.

  25. Anonymous Says:

    I had my tubes cut tied and burnt 13 yrs ago – could I still get it reversed to have a baby?

  26. Dr. Berger Says:

    CARLA – Here is a link to Tubal Reversal Cost information at Chapel Hill Tubal Reversal Center. Call (919) 968-4656 for a free consultation with a Tubal Reversal Nurse.

  27. carla turner Says:

    Im 36 i got my tubed cut tied and burned in 1999 what are my chances of my tubes healing itself and getting pregant and how much would it cost to have them reversed and get pregant i really want one child.
    thankyou carla turner

  28. Dr. Berger Says:

    The tubes can be repaired after bipolar coagulation in almost all cases, and at age 27 your chances of becoming pregnant again should be excellent. You can see the pregnancy statistics after tubal reversal on our website page:
    http://news.tubal-reversal.net/pregnancy-study-2007-pregnancy_rates.htm

  29. mpaul Says:

    I am 27 with two childern both c-sections About 3 years ago i had my tubes tied. The dr. used bipolar coagulation he burnt them 4 times on each side what are the chances of getting my tubes repaired?

  30. tie Says:

    I had my tubes burnt for four years now im about to be married to the love of my life my kids are 17 16 11 5 do u think t have a chance and how much would this procedure cost

  31. Charles Monteith MD Says:

    Tracey
    We can help. We hear stories like these from patients frequently. Send us your tubal ligation report as well as a digital copy of your HSG and we can advise you.

  32. Tracey Ford Says:

    I had my tubes tied in Feb.2006. On the report it stated 2.5cm was removed from lft & right tubes. I had 2 c-section (2000 & 2006) and my ob-gyn stated that there is scarring and adhesion around my tubes and uterus. He sent me to a Fertility doctor and he did a HSG on me and stated he did not see my tubes hanging from the uterus sides. I was confused and hurt. He said that is why your ob-gyn wanted you to come here b/c of the scarring and you can do IVF. I refuse to do IVF; i just want my tubes tied back together. Can you help me?

  33. Dr. Berger Says:

    If you have had a subtotal (or “partial”) hysterectomy, then you will not be able to carry a pregnancy. In that case, the only way you could have a baby with your new husband would be through in vitro fertilization and implanting an embryo into another woman’s uterus to carry the baby for you. This is called a surrogate carrier.

  34. Kim Floyd Says:

    I have had my tubes tied and a partiial hysterectomy and I want to have another baby from my new husband. Is it possible for me to have another baby at the age of 44?

  35. Charles Monteith MD Says:

    What you describe during your c-section would not affect reversal surgery. It may impact upon any potential pregnancy and your doctor may recommend a c-section 1-3 weeks before your due date.

  36. Pmott Says:

    I am considering having a tubal reversal done, mine were cut, tied and burned back in 2002 after my c-section. The thing that worries me is, during my c-section the doctor stated that my uterus was so thin that she could see my son through it. Should I even be considering a reversal? How would that affect my chances of getting pregnant and carrying to term?

  37. janelle Says:

    I have read about their experiences and it was very enlightening. I have immensely considered tubal reversal. You will be seeing me soon!!

  38. Dr. Berger Says:

    Janelle:

    We have had many women come to Chapel Hill Tubal Reversal Center whose tubes have been cut and burned who were here because of post tubal symptoms. In over 90 percent, their symptoms have improved or disappeared completely. You can read about their experiences on the Post Tubal Ligation Syndrome Forum of the Tubal Reversal Message Board.

  39. janelle Says:

    I’ve been researching on post tubal syndrome, as I have been having similar symptoms for the past 2 years. I had my tubes cut and burned 4 years ago. Is it possible to have a tubal reversal and these symptoms would subside???

  40. Dr. Berger Says:

    Dear Wisconsin:

    If the diagnosis of premature menopause is correct, then having a tubal reversal will not correct this. The only way to have another child would be with donor egg/IVF or adoption. It is very unlikely that your tubal sterilization 3 years ago could have caused your menopausal symptoms and premature menopause now.

  41. wisconsin Says:

    I was told by a doctor in a recent appt. that i was in premature menopause. I’m 37 y/o. I had my tubes cut/burned 3 years ago. Could the tubal have caused the menopausal symptoms and if I have a tubal reversal would this change anything. We do want another child also. Is there still a chance??

  42. Lee Says:

    My Dr stated i was born with my right tube cut and was not near the ovary. About the vitro fertilization he sure mentioned about it , but my husband and i can’t afford it .I am so confused.Is there chance?

  43. Dr. Berger Says:

    Lee – Taking fertility pills will not help you become pregnant unless your tube is open or you undergo treatment by in vitro fertilization. If you would like to send me a copy of the operative report from your recent surgery, I will be happy to review it to see you your tube can be repaired. If you have any further questions, you can send an email message to me at DrBerger@tubal-reversal.net.

  44. Dr. Berger Says:

    Kel – To answer your questions please see our website pages on Pregnancy Rates after Tubal Reversal and Tubal Reversal Cost. For further information or assistance, contact our Nurse Administrator, Julia Smith RN at JuliaS@tubal-reversal.net.

  45. Lee Says:

    I am 42 and my left tube was removed along with the ovary. I went to see a fertility Dr. and he stated my right tube was blocked. When i went to surgery to unblock it, The Dr. said my right tube was cut too high and was not enough tube to attach and there was nothing he could do other than going on fertility procedure. What are my chances to conceive a healthy baby with out on fertility pills?

  46. kel Says:

    I am 42 and had my tubes tied/burned in 1995. I too want to have a child with my husband. Is it too risky at my age and what would the cost be to get it reversed. What are my chances of conceiving a healthy baby?

  47. Charles Monteith MD Says:

    Melissa
    Tubal reversal is a good way to become pregnant naturally after having your tubes tied. There is an increased risk of ectopic pregnancy (10%) but there is no increased risk of pregnancy loss, twins, or conjoined twins.

    The average cost here is $5400-5900 at the time this comment was submitted.

  48. Melissa Says:

    Hi, I am 35 and also had my tubes cut and burnt. I would like to do a reversal but have heard some horror stories about losing 4, 5 ,6 babies in tubal pregnancies and of having twins or joined twins. Is any of this true? Also what is th average cost of a reversal?

  49. Dr. Berger Says:

    ACETOWSEN:

    Since your tubes were tied/cut/burned, they would be in the category of coagulation. If you look at the Pregnancy Statistics Page of this website, you will see that the pregnancy rate is 74% for women age 30-34 following tubal coagulation (burning). If you would like further assistance, contact Jennifer Okun, RN at JenniferO@tubal-reversal.net or Julia Smith, RN at JuliaS@tubal-reversal.net.

  50. acetowsen Says:

    I am 32 years old i have 3 kids i would like to have one more child i had my tubes tied/cut /burned.what are my chances? I had mine tied in 2002 right after my c-section

  51. Rosalind Hawk Says:

    I am 30 years old and have two children 10 and 8, I had my tubes tied cut and burned 8 years ago at the time I felt it was a good choice. But I have been married for 2 years and have the greatest husband ever and he does’t have a child of his own other than his step kids. And we are wanting to have a baby, but I live in Wabash Indiana and I have called several doctors and they will not help me other than requesting fertility, but it’s exspensive and I’m looking for someone to help me with untieing my tubes or lead me in the right direction.

  52. sonia scott Says:

    I would like to have a tubal reversal but i am kind of scared because of my age. I am 37yrs old and think i am kind of old.If i really decided to do it would there be any bad health risks for me or the baby. i had my tubes tied and burned the yr 2000 was when i had my last child i really regret having my tubal done but i thought i was done having kids now i am remarried again and my husband would really like to have one but of course i am afraid because of my age and the risks.

  53. Jennifer Okun Says:

    Hi Reyna,

    A tubal reversal would be a great option for you so that you may try to conceive again. In your age group, pregnancy rates after tubal reversal surgery with Dr. Berger are very high. You can read over our scheduling page on the website, which describes how you can have your records forwarded to our office for review. You may also email me directly for assistance. My email is JenniferO@tubal-reversal.net

    I look forward to hearing from you.

  54. reyna Says:

    I have a question I am 24 years old and had my tubes tied and burned. i was wondering if you can tell me what can I do to be able to have a child.

  55. Untying Tied Tubes | Tubal Reversal Says:

    [...] common method is to burn the tubes with electrical energy (electrocoagulation). This is usually done by laparoscopic surgery and is [...]

  56. rsbrown08 Says:

    I am a 28 year old mother of two boys from previous relationships. My children are 10,2. I recently got married to the love of my life in 2006 and he has no children. I want to have the surgery so that we can have children together. I had my tubes cut,tied,burned June 2005 while I was on the operating table for my last child which was a c-section. Has anyone been through this and can give me some advice? I am scared but I want to do it. What are the side effects, and are there any major complications?

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