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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160 thoughts on “How to Conceive After Tubal Ligation?

  1. Dr. Monteith Post author

    Becky
    When you come to our center you will recieve uncompromsing care in a one on one environment. I will email you information because we can help you but you will need to leave your email address.

  2. Becky

    Had my tubes tied 3 yrs ago this july and was wondering if I couldvget a reversal done? I live in va. Do you know of any places here or could I go through your offices?

  3. Dr. Monteith Post author

    Jayla
    Tubal ligation failure happens about 1 out of every 250 women who have tubal ligation. If you have had a tubes tied for 12 years with no pregnancy then it is doubtful you would have a failure.Tubal reversal can work for you and about 3 out of every 4 women will become pregnant.

  4. Jayla

    I had my tubes ties 12 years ago during a c-section at the age of 22.
    I am getting married, and would love to have another child. I am now 34 years old.
    My tubes were cauterized. How likely would a tubal reversal work for me? I am not interested in IVF, are there any other options or hopes that my previous surgery would fail sometime soon?

  5. Dr. Monteith Post author

    Sheryl
    Many patients are told IVF is the only way to go. We can help you because we can reverse most types of tubal ligations. I will email you information.

  6. Sheryl

    Hi i had my tubes tied when i was 18yrs old through my belly button and the dr said that the only way i could have kids would be through ivf but could i do the reversal?

  7. heather

    I had my tubes “tied” 10 1/2 years ago… I heard the longer they are tied the bigger chance they have of coming undone.. is this true and if so what are signs that they have reversed.

  8. Dr. Monteith Post author

    Jacky
    If one tube was removed and 4 cm of the remaining tube was removed we would recommend you have IVF. Tubal reversal could work if we could reverse one tube but with 4 cm removed there may not be any tube left with which to perform a tubal reversal.

  9. jacky

    hi dr my name is jacky i had one of my tubes removed due to ectopics and the other tube about 4 cm of it was removed and then stapled shut is there any way that a tubal reversal could work for me?? or would ivf be a better choice?

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