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

Tubal Ligation Reversal Blog

What to Know if You Want Tubes Untied

Is There a Simple Procedure to Untie Tubes?

Women who have had their tubes tied and then want to get tubes untied often ask if there is a simple procedure that permits pregnancy after tubes tied. Often they envision a tubal ligation as if there is a bow tied around the tubes that can be simply untied, like one unties a shoelace. This is actually not the case. The common term “tying tubes” simplifies what is a tubal ligation – or tubal sterilization – is.

How Tubes are “Tied”

Pomeroy Tubal Ligation
Tied and Cut
Final Result

The most common type of tubal ligation involves putting a surgical ligature (or tie) around a loop of the fallopian tube and then cutting off the segment that has been ligated. The two tubal segments separate from each other. This is the Pomeroy technique, first describe by Dr. Ralph Pomery. Some doctors burn the ends of the tubes that have been cut and may use the term “modified” Pomeroy procedure in their operative report.

Another common type of ligation/resection procedure is the Parkland tubal ligation. With this techniqe, two ligatures are placed around the tube at a distance from each other and the portion of the fallopian tube in between the ligatures is resected (cut out). There are many other variations of the ligation and resection method of tubal ligation.

Tubal sterilization can also be performed by burning the tubes. This may be done with electocoagulation (coagulation, cautery, or cauterization) or with thermal coagulation. There are also variations with the coagulation methods of tubal ligation, such as the use of monopolar or bipolar coagulators, and the number of sites burned and for how long they are burned. The greater the number and the longer coagulator is applied to the tube, the greater the amount of damage.

A third method of female sterilization involves simply blocking or obstructing the tube with clips or rings. In general, these tend to cause the least amount of damage to the tube. Of all tubal ligation techniques, the tubal clip (Filshie clip or Hulka clip) is the least damaging and the one that consistenly gives the best results when the tubes are “untied” or repaired.

Essure is another new tubal sterilization procedure. This does not require surgery, but it is the least reversible method for women wanting kids after tubal ligation.

Dr. Berger’s Comment

This summary is to help women who want to get their tubes untied. The first thing to know is what tying tubes actually means. It is not as simple as placing a string around the tube that can later be untied. Contrary to what some people think, tubes don’t become untied by themselves after a certain length of time. With this basic information about the fallopian tube and tubal ligation methods in mind, I will explain how reversal of tubal ligation is done in the next topic Tubal Reversal Blog – How to Get Tubes Untied: Reverse Tubal Ligation.

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62 Responses to “What to Know if You Want Tubes Untied”

  1. Dr. Berger Says:

    SHANNON – In order to have another baby after your tubes have been tied, you need to either get your tubes untied or have treatment by in vitro fertilization (IVF).

  2. shannon mcconnell Says:

    Can you have a baby through fertility treatment when you have your tubes tied?

  3. Dr. Berger Says:

    SHANNON – There is no home remedy, but you can get your tubes reversed. There is a weight limit that is dependent on your height, called Body Mass Index (BMI), and your BMI must be under 35 to schedule tubal ligation reversal. Here is a page on our web site where you can calculate your BMI based on your height and weight.

  4. shannon mcconnell Says:

    I got my tubes tied in 2001 after I had my son. I met a man that I love and he has no kids. We want to have a child. Can I get my tubes reversed and is there a home remedy without surgery? Is being overweight a problem for tubal reverse?

  5. Dr. Berger Says:

    JENNIFER – You will want to go to Chapel Hill Tubal Reversal Center to get the best tubal reversal procedure and cost. Read the page on Tubal Reversal Cost and call (919) 968-4656 to talk with a Tubal Reversal Nurse. You can also send an email to Julia Smith RN who can answer any question you have and help you schedule your procedure.

  6. jennifer Says:

    I got my tubes tied about 13 years ago. I got remarried three years ago and my new husband wants a baby. I really want to give this to him, but I need to know where to go and how much it is and all. Thank you, Jennifer

  7. Dr. Berger Says:

    KELSEY – You would have to check with your insurance carrier to see if they reimburse for tubal ligation reversal. That varies from one insurance company and policy to another, but most insurance companies don’t cover this procedure. Please read the information regarding Tubal Reversal Cost. If you have questions, you can speak with a Tubal Reversal Nurse by calling (919) 968-4656.

  8. kelsey Says:

    I had my tubes tied after I had my daughter and my husband wants to have a baby. I would like to know if my insurance will pay to get them untied and how much it will be that I would have to pay to get them untied.

  9. sarah Says:

    My tubes are tied for almost 12 yrs, but now I fell in love – we want to have a baby.

  10. Dr. Berger Says:

    SHERINA -

    Many of our patients have had their tubes tied and burned. To see the pregnancy rates after tubal reversal, look in the tables under the category of coagulation on our Pregnancy Statistics page. Also, follow the link to read about the options for Cost of Tubal Reversal at Chapel Hill Tubal Reversal Center.

  11. Sherina Says:

    I had my tubes tied in 2006 but i got them tied and burned. Is there chance i can get it reversed so I can have another baby and what the estimated amount?

  12. Dr. Berger Says:

    CRISTINA – We would be very happy to help you. Call one of the Tubal Reversal Nurses at (919) 968-4656 and they can help you arrange for your tubal reversal procedure.

  13. christina Says:

    I had my tubes cut tied and I think burned in 2005 can you help me so that I can have more children?

  14. Dr. Berger Says:

    Yes, of course. In fact, the chances of becoming pregnant again after a tubal reversal at age 25 is over 80%! Check out the tubal reversal pregnancy statistics at Chapel Hill Tubal Reversal Center.

  15. ANNA Says:

    I’m 25 yrs old I had my tubes cut and burned about a year ago is there a chance that I can get them untied and get pregnant again?

  16. Charles Monteith MD Says:

    Georgia
    These types of tubal ligations are very reversible. You should call our office to speak with one of our nurses for more information (919) 968-4656.

  17. GEORGIA Says:

    I got my tubes tied, cut, and burned. My Ob told me I couldn’t get them reversed. Can you help me?

  18. Dr. Berger Says:

    SHONDA – In order to become pregnant again after having your tubes tied, your options are tubal reversal surgery or IVF. Tubal reversal at Chapel Hill Tubal Reversal Center is considerably less expensive than IVF. It also has fewer complications than IVF, but does increase the chance of having a tubal pregnancy.

  19. SHONDA Says:

    I had my tubes tied on 4/20/06 after the birth of my 5th child. Now my husband wants to do it 1 more time. Is it possible for me to become pregnant again and not go through the surgery–if not what is the cost of the surgery at your center and is this surgery safe?

  20. Jennifer Okun Says:

    Hi Jamie,

    It was nice speaking to you by phone today. We look forward to receiving your records for review.

    Thank you,

    Jennifer

  21. jamie maness Says:

    i had my tubes burned in 2006 would like to have a baby please call me at 903 235 9253. Thank you!

  22. Dr. Berger Says:

    LENORA – Please read the Getting Started page on our website. Or call (919) 968-4656 for a free phone consultation.

  23. lenora Says:

    I had my tubes tied right after I had my twins but now I want a baby so can you please help me? Thank you.

  24. Dr. Berger Says:

    Yes, this is a tubal ligation and resection procedure and it can be fixed.

  25. lynn bradford Says:

    My tubes were cut and a piece taken – out can you fix it?

  26. Tubal Ligation Reversal After Age 40 | Introduction Says:

    [...] women over the age of forty will consider tubal surgery to have their tubes untied or blocked fallopian tubes opened. These women have the added concern of decreasing fertility due [...]

  27. Dr. Berger Says:

    Yes, we see many patients who tubes have been cut, tied, and burned. If you would like any assistance with this, please call (919) 968-4656 and ask to speak to a Tubal Reversal Nurse. They will give you a free consultation.

  28. Mary Says:

    I would like to have my tubes undone they are cut tied and burned can it be done

  29. Dr. Berger Says:

    Come to Chapel Hill Tubal Reversal Center and we will unband your tubes. Contact Julia Smith, RN at (919) 656-8153 or by email at JuliaS@tubal-reversal.net and she will help you get on the schedule to have your tubes repaired.

  30. Melissa Coffey Says:

    Hi my tubes were banded. I realy want to have another baby. What can I do?

  31. Charles Monteith MD Says:

    Paula
    Most tubal ligations are reversible- over 98%. Many times doctors tell patients this and, in fact, the tubal ligation can be reversed.

    You should call the office (919) 968-4656 and we can talk and explain more. Many of our patients will come to our center with stories similar to yours. Some patients will also consider a screening laparoscopy, which us allows to look directly at the tubes before a major incision is made.

  32. Paula Smith Says:

    I am 33 years old and I had my tubes tied and burned 9 years ago afther my third child. When I turned 30 I really wanted another baby. I found your website and was told that I needed to find out what type of surgery I had. I called my OB and he told me that there was no possiple way at all for me to have children again because of the way he tied and burned my tubes. Is there a certain way that this procedure can be done that a reversal would never become possiple? Should I just forget about having another child? Have you heard of other OB’S telling other patients this? Please comment back…

  33. Dr. Berger Says:

    Angela and Gary – Please see the Tubal Reversal Cost page of our website. There are 4 fee options.

  34. angela and gary Says:

    How much would it be if medical card does not cover it?

  35. Dr. Berger Says:

    Cynthia – If you would like to speak with a Tubal Reversal Nurse about having your tubes untied, please call (919) 968-4656.

  36. Cynthia Says:

    I would like to know if I could get my tubes untied,I have had many problems since I got them tied in 1999. I have been really depressed. My children are 13,11,9. I wish I could have another child. There has been so much lost in my family.That would be the best gift I could give them and myself.

  37. Dr. Berger Says:

    Lupita – Please see the Cost page of our website.

  38. lupita rodarte Says:

    i want to untie my tubes, i would like to know the cost , its been about 9 years

  39. DonnaB Says:

    Lisa,

    Please call our office at 919-968-4656 and I will be happy to talk with you and explain how we determine if you are a good candidate for tubal reversal surgery. Donna, RN

  40. lisa Says:

    my tube is buring and clip. but i want have a another baby. want can i do

  41. Dr. Berger Says:

    Burned tubes can be repaired. Read the “Getting Started” page – top link on the left hand side of the page – or call one of our nurses who will help you.

  42. Anonymous Says:

    I would to have a baby but my tubes are burned. What can I do?

  43. Dr. Berger Says:

    In response to the questions by Latonya Richardson and Meslissa, please see the navigation buttons at the top left hand side of the page!! Click on the “Cost” button. There are several options regarding Tubal Reversal Cost. If you send an email to JuliaS@tubal-reversal.net, she can tell you about some special discounts that are available during January and February!

  44. Melissa Says:

    how much does it cost to have your tubes untied?

  45. Pamela Says:

    What types of anesthesia do you provide for the surgery?

  46. shamikia Says:

    I had my tubes tied after my third child last year. I have been having the worst pains during my menstruation now. My menstruation also lasts much longer than they did before I had the procedure done. Is it possible to have it reversed and how much would it cost? If I would have known how much pain I would be in when my cycle comes, I would have never have done it.

  47. latonya richardson Says:

    Are there home remedies that we can do to help untie the tubes without surgery? If not, how much to get tubes untied if you just had them tied?

  48. Dr. Berger Says:

    Shayla – Many of our patients have had their tubes cut, tied, and burned. You can see that 2 out of 3 become pregnant by looking at the statistics for “coagulation” on our website page Pregnancy Rates after Tubal Reversal.

    For further assistance, contact Julia Smith, RN at JuliaS@tubal-reversal.net.

  49. Shayla Says:

    I had my tubes cut tied and burned after the birth of my last child 5 years ago. I never dreamed that my marriage would end and I would find the love of my life, who desperately wants a child of his own. I would love nothing more to have another child. I have felt different since the day I had the tubal ligation. I truely regret it. My ex-husband never wanted children and after 4 I had my tubes tied. Is there a chance that my husband and i can still have a baby? Is a tubal reversal even possible after my tubes where cut, tied and burned? Any information that can be provided would be greatly appreciated.

  50. Dr. Berger Says:

    Cheryl – It is certainly possible to get your tubes reversed sixteen years after a tubal ligation. Click on the “Getting Started” link at the top left hand side of the page for instructions or send an email to JuliaS@tubal-reversal.net for assistance.

  51. Charles Monteith MD Says:

    Cheryl
    It is possible to have a reversal and become pregnant. We have patients who do this all the time. To find out more, you should call the office and speak with a member of our nursing staff or email our head nurse Nurse Julia Smith JuliaS@tubal-reversal.net for more information.

  52. Cheryl Says:

    I would like to know if it is possible to get my tubes reversed and to have a baby. My tubes were tied in 1992 and now is 2008 – sixteen years later.

  53. sharon tuff Says:

    I need to know can I get my tubes untied after 18 years and how much does it cost.

  54. Jan Hoyle RN Says:

    The illustrations and descriptions are invaluable to women who are trying to understand what it means to have your tubes tied and then to have a tubal reversal.

  55. Kathy Scrone ST Says:

    Dr. Berger’s explanation of the various ligation procedures many women have had for sterilization purposes makes the information for tubal reversal easier for patients to understand. The illustrations show the tubes tied,the ends cut or burned and then separated. However, the ends can be brought together, to be reconnected and function as a whole tube again, through tubal ligation reversal or “untying tubes”.

  56. jgokun Says:

    Thank you for the explanation – this will help a lot of women to understand that “getting their tubes tied” does not usually literally mean their tubes were just tied.

  57. Sally Muncy RN Says:

    Now that Dr. Monteith has joined with Dr. Berger in the specialized field of tubal reversal surgery, even more women will have the opportunity to have their fallopian tubes untied. They are definitely the best surgeons to perform this procedure for women.

  58. Brandon Martin-Williams ST Says:

    This is a great starting point for patients considering having their tubes untied. I know when I first started learning about the different sterilization techniques I found it fascinating.

  59. Pamela Mills CRNA Says:

    I just love the illustrations, they along with Dr Berger’s wonderful description make the untying of fallopian tubes very easy to understand.
    Thank you Dr Berger!

  60. Ericka Pamplin Says:

    It’s great to know that with Dr. Berger’s experience and success, he has been able to untie tubes after all of these tubal ligation techniques.

  61. Rhonda Brown RN Says:

    This is a great starting point for women who are interested in possibly having tubal reversal surgery. Dr. Berger is truely the best in this field and it should make women more comfortable knowing that he provides so much detailed information in regards to tubal reversal surgery.

  62. Julia Smith RN Says:

    This is one of the most frequently asked questions! Many women do feel that the reversal is as simple as taking a tie off of the tubes. This information will help clarify what happens during a tubal ligation.

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