Tubal Ligation Reversal Blog

How to Conceive After Tubal Ligation?

How to conceive after tubal ligation.How to conceive after tubal ligation? That is the question that many women ask when they have had their tubes tied and then want to have another baby.

Most women are told their tubal ligations are permanent and irreversible. Many women will regret having had a tubal sterilization and will be unaware about the possible ways to to conceive after a tubal ligation.

There are 3 ways to become pregnant after the tubes have been tied…

Tubal Ligation Failure: Pregnant After A Tubal Ligation

Tubal ligation procedures are very effective at preventing pregnancy; however, no tubal ligation is 100% effective. Tubal ligation failures do occur, and pregnancies can happen naturally even after a tubal ligation procedure. Tubal ligation, regardless of whether the tubes are cut, burned, clipped, banded, or tied, is about 99 percent effective, meaning that about 1 percent of women will conceive an unplanned pregnancy after tubal ligation. This failure occurs slightly more frequently in younger women. A recent study (the Collaborative Review of Sterilization, or CREST, study) looked at 10,000 women who had undergone tubal ligation and found 143 failures (a failure rate of 1.4 percent). It can be higher when a tubal is done at the time of a C-section. The U.S. Collaborative Review of Sterilization (CREST) found the failure rate for tubal ligation (all occlusion methods) to be 1.85% after 10 years.

Tubal ligation failure rates are related to the technique used to perform the procedure – techniques that cause least damage to the tubes (such as tubal clips and tubal rings) have the highest failure rates. There is less of a chance of pregnancy where maximum damage to the tubes has been done (electrocoagulation methods) or where a large portion of the tube has been excised (bilateral partial salpingectomy). Newer hysteroscopic methods of tubal ligation such as Essure and Adiana also have failures; however, these procedures are much newer and the long term failure rates are not well known at this time.

When a tubal ligation fails and pregnancy occurs then there is a very high chance the pregnancy will be an ectopic pregnancy (tubal pregnancy). Occasionally the pregnancies can be inside the uterus and normal, but a very large number of them will be tubal pregnancies and may require surgical intervention.

Conceiving After Tubal Ligation Through IVF

ivf to conceive after tubal ligationIn vitro fertilization (IVF) is one way to become pregnant after your tubes have been tied. The IVF procedure involves administering hormones to cause over production of eggs. These eggs are then harvested from a woman’s body, mixed with her partner’s sperm, and then reinserted into the woman’s uterus. This process by-passes the blocked tubes.

IVF procedures cost an average of $10,000-$12,000 for each IVF cycle. Each IVF cycle has about 35% chance of success. The success of IVF decreases with age and for women over the age of 40 many IVF providers recommend the use of donor eggs from a younger woman. In this case, the baby is not the genetic offspring of the birth mother (the IVF patient).

Conception After Tubal Ligation Through Tubal Reversal

Tubal ligation reversal provides women with the best chance of conceiving after a tubal ligation. Many tubal ligation patients and many medical providers are poorly informed about the chances of pregnancy success after a tubal reversal. During tubal reversal surgery, the reversal specialists remove the tubal blockage and reconnect the fallopian tubes. This technique of tubal anastomosis allows natural conception to occur.

tubal reversal is possible after tubal ligationThere are several ways to perform a tubal reversal operation: robotic tubal reversal, laparoscopic tubal reversal, abdominal incision with a hospital stay, and abdominal incision without a hospital stay. The method of the reversal determines the cost of the reversal surgery. At Chapel Hill Tubal Reversal Center, we perform the reversal as a one hour outpatient operation through a small abdominal incision.

The cost for tubal ligation reversal is currently $5,400 to $5,900 and pregnancy success averages 70%. The chances of pregnancy after tubal reversal at our facility based on patient age, method of tubal ligation, and tubal length can be seen in our Pregnancy Statistics section on our website.

Can I Get Pregnant After My Tubes Have Been Tied?

You can get pregnant after your tubes have been tied. The three ways listed above are the only ways pregnancies can happen after the fallopian tubes have been tied. If you have a tubal ligation failure, you may be extremely lucky and have a normal pregnancy, but the chances are far greater the pregnancy will not be normal and will not happen naturally unless the tubes are surgically corrected. Many women wanting to conceive after tubal ligation will have to choose between IVF or tubal reversal and decide which method is the best for them.

Submitted by Dr. Charles Monteith


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180 thoughts on “How to Conceive After Tubal Ligation?

  1. Dr. Monteith Post author

    Tubal reversal and vasectomy reversal would give you a chance at natural pregnancy. Your question is a complicated one and depends on the time since your partner’s vasectomy and your overall health condition. We can certainly reverse your tubal ligation and the chance of pregnancy would be about 60%. Since you are having male and female reversal the cost would be about the same as a single cycle of IVF.

  2. Melissa

    Hello! I had a tubal ligation after my second baby at the age of 26, my husband was a physician with significiant issues that affected his ability to function and parent. I’ve just turned 37 and am eager to have twins-ish with my present husband who’s had a vasectomy.
    Given that we have both undergone these procedures is IVF the best option? My OB stated my TL was not reversable; my tubes were burned and clipped. I worked for a Urologist while I was in nursing school who specialized in Vasectomy Reversals. I have a bit more faith that my husband’s procedure could be reversed than mine.
    My second concern is age. When I was educated it was highly frowned upon for women to attempt pregnancy past 35. Seeing as though I am 37 today, do you reccomend any type of genetic testing? I would love to add children to our functional family but am not sure that I am in a position as a working mom with a husband that travels 200 plus days per year.
    Since the age of my eggs is an issue which route do you reccomend? And if push came to shove would you scrap the idea of twins (time saving method to have to lovely babies) vs, attempting traditional pregnancies back to back at say 38 and 40?
    I sincerely appreciate your knowledge and time! Best to you and your work,

  3. Dr. Monteith Post author

    Tubal reversal surgery is the most cost effective way and can be more affordable than IVF but you have to have a regular male partner to attmept to become pregnant. If you dont then IVF with donor sperm may be the better way to become pregnant. I would not delay your decision and would do some treatment before the age of 42.

  4. Vera

    Hi, I’m a 40 year old female who has never had kids I have had a tubiligation done 2 years ago and I’m regretting my decision I want to have a baby soooo bad and I’m not sure what my options are being that I am 40 and I’m a single woman I’m also looking at affordability as well,can you please suggest a cost affect way and what are the risks and is it possible. Thank you

  5. Dr. Monteith Post author

    Your partner has about an 80% to 85% chance of sperm being restored to the ejaculate. Your chances depend on your age and type of tubal ligation. If you are under the age of 40 your chance would be about 60 to 70% of becoming pregnant.

  6. Kristine Barnett

    I was wondering what the percentage rate of pregnancy would be if both parties were fixed and had reversal surgery done. I had a TL done 4 years ago and my husband had vasectomy 11 years ago! Please let me know

  7. Dr. Monteith Post author

    Tubal reversal is the most affordable and effective way to have a baby after tubal ligation. Tubal reversal at our center costs $5900. We do not perform IVF but a single cycle of IVF will cost around $14,000.

  8. Kathy

    I had a tubal ligation 4 years ago n I’m wanting.another baby! What’s the cheapest way to.do this?

  9. Dr. Monteith Post author

    If both of you had tubal reversal and your age is less than 40 then you would have a good chance at becoming pregnant. IVF would require sperm be aspirated from your partners testicles and that would greatly increase the cost of IVF. A single cycle of IVF could cost $15,000 to $20,000 for a 35% chance.

  10. DT

    I had my tubes tied 12 years ago and since have divorced and remarried, my husband had a vesectomy 13 years ago, what are our best chances of having a baby.

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