After Tubal Ligation: Trying to Conceive
Over 7,000 women have undergone tubal ligation reversal at Chapel Hill Tubal Reversal Center. For many the hardest decision was choosing to have tubal reversal surgery.
Tubal reversal provides excellent chances at pregnancy and many of our reversal patients will become pregnant. Our pregnancy statistics show approximately 70% will become pregnant over time. Yet many of our patients will not become pregnant immediately after surgery and obtaining a successful pregnancy, for some, may take several years.
The tubal reversal experts of Chapel Hill Tubal Reversal Center would like to provide some helpful advice on how to become pregnant after reversal surgery.
After Tubal Reversal: Take A Multivitamin
After tubal ligation reversal, women can ensure a healthy pregnancy by monitoring their nutrition, eating a healthy diet, and taking a daily multivitamin. One of the nutrients critical to a successful pregnancy is folic acid. Research studies demonstrate taking a daily dose of 400 micrograms of folic acid will greatly reduce the risk of pregnancy birth defects and miscarriage. Taking a multivitamin every day is good pregnancy insurance.
Tubal Reversal And Smoking: Stop!
Cigarette smoking is a habit, which has conclusively been shown to be very harmful in pregnancy. The substances found in cigarette smoke cause poor healing and may cause poor healing of the tubes after reversal surgery. Women who smoke during pregnancy have more miscarriages, preterm births, placental abruptions, and smaller babies. Stopping smoking is the best thing any woman can do for her health and her pregnancy. The same goes for consumption of alcohol.
After Tubes Reversed: Optimize Medical Problems
Consulting with your doctor before or after reversal surgery is a very good idea if you have medical problems. The most common medical problems, which can cause problems during conception, are diabetes and thyroid disease.
Women with poor control of their blood sugar are more likely to miscarry or have fetal birth defects. Women with poorly controlled thyroid disease are also likely to have problems conceiving. Good control of blood sugars and thyroid disease is critical to having healthy conception and pregnancy.
After Tube Reversed: Evaluate Medications
If you are on prescription medications then it is advisable you consult with your doctor prior to becoming pregnant. Some prescriptions medications can be harmful to a pregnancy and can cause pregnancy miscarriage or birth defects. Medications to be concerned about are certain antibiotics, blood pressure, seizure, and blood thinning medications.
A consult with your doctor to discuss medications before becoming pregnant is advisable prior to conceiving.
After Tubes Untied: Monitor Ovulation
Irregular ovulation is the most common problem faced by many patients after tubal ligation reversal. Many women will develop irregular ovulation (irregular egg release) as they become older or as they gain weight. The most visible sign of irregular ovulation is erratic periods. If a woman is skipping periods then eggs are not being release reliably and consistently. Irregular ovulation can make conceiving very difficult because it is harder to predict ovulation to best time sexual intercourse.
We recommend using ovulation predictor test kits after tubal reversal to increase the chance of conceiving every month. If ovulation is not being documented then a consult with your doctor to determine the cause is recommended.
Pregnancy After Tube Untied: Are Tubes Blocked?
Most women will become pregnant within a year after their tubes are untied; however, some may require longer becoming pregnant. When all factors are ideal the chance of becoming pregnant with intercourse on the day of ovulation is about 8-10% for that month. Therefore, we recommend our patients wait 12 months before deciding to have an HSG x-ray to determine if their tubes are blocked.
In our experience, approximately 5% of patients will have a least one tube blocked after tubal reversal surgery. Most of our patients will have open tubes after reversal surgery.
After Reversal: Semen Analysis?
Sometimes ovulation will be regular and tubes will not be blocked. Although male infertility can contribute to a couple’s infertility 50% of the time, most men will have normal semen counts. We encourage all patients to consider a semen analysis and especially if the male has not fathered any children or has serious medical problems.
If conception has not occurred after a year, ovulation has been documented, and the tubes are open then we advise a semen analysis. Occasionally a low sperm count can be identified as the possible cause when all other factors have been evaluated.
Pregnancy After Tubes Untied
Tubal reversal offers women the ability to become pregnant naturally and every month.
Since tubal reversal restores the natural ability to become pregnant, women also have to endure the natural challenges to pregnancy.
Most of these challenges can be overcome with a positive outlook, healthy lifestyle changes, ovulation monitoring, and consultation with a doctor.
Many women will have success conceiving after tubal reversal, but this does not mean pregnancy will occur immediately or quickly for all women.









November 8th, 2009 at 3:59 pm
Hi! I’m from the pregnancykeys.com site. I want you to know that I’m looking forward to seeing you conceive your little miracle faster. Please do visit our site. Applying each of the simple steps presented throughout these lessons will ensure that you increase your chances of getting pregnant.
November 7th, 2009 at 6:53 pm
Great article and a good start. It is so important that take care of your body all the time and not just sometimes, as it can take 9-12 months for a very healthy and young couple while trying to conceive after tubal reversal. You have to think positively, rest properly, eat well, exercise consistently and monitor your ovulation patterns using as many methods as possible.
Rebecca
September 17th, 2009 at 7:36 pm
I would like to thank everyone for sharing all of the helpful, informative, and important information regarding Tubal Reversal. My TR is scheduled for 9/25/09 and I am so prayerful. We are going to wait at least 2 months before we try to conceive just to higher our chances. Thanks for the encouragement and the truth. May God continue to bless all of you!
August 26th, 2009 at 9:06 pm
Cindy
Yes you can. It is called IVF. It is expensive, costs between $9-12,000 and has an average success of about 35%. We have a complete blog series on IVF benefits and IVF risks. Tubal reversal has an average success of about 70% and currently costs between $5,400-5,900 at our center.
August 26th, 2009 at 7:02 pm
Can you implant sperm and an egg into a woman’s uterus and she become pregnant after her tubes are tied?
Please email me cm8871@yahoo.com
August 20th, 2009 at 3:30 pm
Message board participants also provide tips on how to have a pregnancy after tubes untied.
August 20th, 2009 at 10:42 am
Women on the message board discuss tips on trying to conceive after tubal reversal.
August 14th, 2009 at 11:05 am
[...] just two months after the tubal ligation surgery I conceived. I am now eight weeks and four days pregnant with a due date of March 10, 2010. Thanks [...]
August 11th, 2009 at 1:13 pm
This article is very informative. It really summarizes the steps for women to take to prepare for surgery and what to expect after tubal reversal surgery.
August 10th, 2009 at 1:53 pm
Great article with helpful information instructing women regarding pregnancy following tubal reversal. This is another super example of beneficial information for women desiring tubal reversal found on the Chapel Hill Tubal Reversal Center website.
August 10th, 2009 at 1:12 pm
I think this is a great article! Thanks Dr. Monteith
August 10th, 2009 at 1:00 am
Thank you! You write very interesting articles.
August 8th, 2009 at 7:15 am
I read your topic and responses with great interest.
August 5th, 2009 at 8:30 pm
This article really summarizes the important facts that can serve as a guide to conception and a healthy pregnancy for tubal reversal patients.
August 5th, 2009 at 8:22 pm
Very informative for after tubal reversal Dr. Monteith….thanks again!
August 5th, 2009 at 2:05 pm
Very informative article for women trying to conceive before tubal reversal- and after! Great advice!
August 5th, 2009 at 6:35 am
I think this is a great informative article. This will help women to take the steps that will prepare them for their tubal reversal and pregnancy. Thanks Dr. Monteith!
August 5th, 2009 at 4:39 am
This is an excellent review for any one trying to become pregnant. A must read for all of our tubal reversal ladies.
August 4th, 2009 at 2:49 pm
Heather
It is always worth considering having a semen analysis before tubal reversal. The test does cost 100-$250 and most men will have a normal semen analysis. Understandably many couples will opt not to have a semen analysis.
If a man has fathered children before then, in general, he has a higher chance of not having sperm problems. If a man has not fathered children and, especially, if he has a history of testicular or kidney problems then it is worth considering having a semen analysis done before a tubal reversal surgery. Men who have a history of anabolic steroid use, substance abuse, or prescription medications should also be considered for semen analysis.
August 4th, 2009 at 2:46 pm
This is great!!! I think that morale was low on the Tubal Reversal Message Board and we all needed to see this.
Thank you very much
August 4th, 2009 at 12:48 pm
Would it be a good idea to have the semen checked before having the tubal reversal – just in cause the male is not fertile?
August 4th, 2009 at 11:58 am
I think the advice given on preparing for tubal reversal and trying to conceive is very accurate. We absolutely must take care of ourselves so that our bodies are ready for a successful pregnancy. I used ovulation kits to help me monitor when I was ovulating. I had never used them before with prior pregnancies, and, to be honest, I really didn’t know there was a way to know these things. I learned from this site how to tell when ovulation occurs, etc. Within 3 months of my surgery and without trying I had conceived tubal reversal baby 1. Later I found out that I had Grave’s disease, so it is very important for the ladies to monitor their health, weight, smoking habits, etc. I believe the tubal reversal doctors have given the best advice they can and that the Tubal Reversal Message Board is very helpful too.
Thanks!
Joy
August 4th, 2009 at 11:09 am
This article provides helpful information and describes the optimum health and positive emotions that will help with conception for tubal reversal patients.