Tubal Ligation Reversal Blog

Reversal of Tubal Ligation By Clips and Rings

Tubal Ligation by Falope Ring and Hulka Clip

The falope ring is also called a tubal ring or tubal band.The Falope ring and Hulka clip are occlusive methods of tubal ligation. They block the fallopian tubes, but no tubal segments are clamped, removed, or burned. The Falope ring is also referred to as the tubal ring or tubal band. It constricts a segment of the fallopian tube very tightly, like an extra strong rubber band.

The Hulka clip is a miniature clamp placed across a very small (2-3 mm) segment of the fallopian tube. Another clip method besides the Hulka clip is the Filshie clip. The clips are similar except that the Hulka clip is made out of silastic and the Filshie clip is made out of metal. Occlusive methods of tubal ligation are predictably the best in terms of reversal since they damage such a tiny segment of the fallopian tube.

The Hulka Clip and Filshie Clip are the ideal methods of tubal ligation for tubal reversal.In contrast to the Pomeroy method, these occlusive devices are applied through a laparoscope. (Laparoscopy involves making a small incision below the belly button.) Many doctors prefer to apply tubal rings or clips when performing a tubal ligation on young women in recognition of the greater likelihood that a tubal reversal may be wanted in the future. Studies have shown that tubal ligation regret and the desire for tubal ligation reversal is more common when a tubal sterilization is performed among women in the twenties than among older women.

Tubal Clip and Ring Reversal Success

Each year Chapel Hill Tubal Reversal Center publishes current 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 rings or clips shown in the table below is 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 clips or rings is 76% for patients at Chapel Hill Tubal Reversal Center. In the table below, the first column shows ages groups. The second column shows the number of women in each age group who had a tubal reversal. The third column shows the number of women in that group who became pregnant and the last column shows the percentage of women who became pregnant (the pregnancy rate) after their reversal procedures.

Pregnancy Rates After Tubal Reversal of Clips/Rings


All Women

Pregnant (#)

Pregnant (

















Highest Pregnancy Rates After Tubal Reversal

The highest tubal reversal pregnancy rates are seen among women who have reversal of tubal clips or tubal rings. For women in their twenties, the pregnancy rate was 87%. The pregnancy rate ranged from 83% to 73% for women in their thirties. Among women age 40 or older, the pregnancy rate was significantly lower (47%), reflecting the decline in natural fertility with age. These pregnancy rates among our tubal reversal patients are similar to the pregnancy rates for women who have never had a tubal ligation to begin with.

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87 thoughts on “Reversal of Tubal Ligation By Clips and Rings

  1. Agnes

    I’ve gotten my tubes clamped at 24 after my first child I’m now 37. I haven’t had health problems. Is it possible to reverse the procedure and how likely is it for me to become pregnant after 13 years?

  2. Dr. Monteith

    Some women will have pain after a tubal ligation. I am uncertain if your pain is from your tubal ligation because it depends on what type of symptoms you are having and many other factors. We can reverse your tubes and remove the tubal clamps. The charge for this is $5900 and that included everything except for the cost of your travel, meals, and lodging.
    I will email you additional information.

  3. Amanda Miller

    I had my tubes clamped after my 3rd child. I have been in pain since. Not only that I’m going through a divorce and I have decided that it was the worst thing I have ever done. I want another baby.(with the right man). Do you think it could be the clamps causing the pain? would it go away if I had them removed. And the cost is it 5900 just for the surgery + more fees or is that just it. Thank you very much!

  4. Dr. Monteith

    Without a doubt reversal of tubal rings at your age is much better than IVF. Tubal reversal is more affordable and will allow you more chances to become pregnant than will IVF.

  5. Amanda

    I had rings placed on my tubes when I was 25 years old this wa as huge mistake . I had the clamps removed 4 years later I’m now 31 and am desperate to conceive our fourth child . We had great pregnancies and we have very healthy children. I am healthy active and so is my husband would ivf or reversal be better for us ?

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