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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194 thoughts on “Tubal Reversal After Tubal Coagulation (Burned Tubes)

  1. Dr. Monteith

    Laraye
    Tubal reversal can work. Your chances of pregnancy are 60%. I would not delay your decision too long because the chances of pregnancy decrease around 42 to 43. With reversal…every month you have a chance so the more months the more chances.

  2. laraye jones

    I got a tubal ligation 15 years ago and my tubes were cut and burned. I’m now 39 and my husband and I would like to have a child together. Can a reversal be done and what are the risk n % chances?

  3. Daena Vital

    I have done the tubel ligation I recall my last og saying she cute tide and burned my tubes is there any chanse I can reverse that and get pregenet again? I already have 4 children all from C-sections but from my previous marriage and my current partner wants a baby !

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