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Can Tubes Come Untied? Can Tubes Grow Back Together?

tubes can not come untiedCan tubes come untied? Can they grow back?

These are very common questions from women who have had their tubes tied.

Many women will have missed a period after a tubal ligation and are fearful they may be pregnant. Others will desire to have another child and wonder what are their chances of becoming pregnant after a tubal ligation.

Women have many different reasons to become concerned about the possibility of pregnancy after a tubal ligation.

Tubal ligation failure is a very real possibility for many women; however, the failure of the tubal ligation is never because their tubes have become ‘untied’ and never because their tubes have ‘grown back together’. The real reasons for pregnancy after tubal ligation are shared with readers below.

Can my tubes come untied?

Can tubes come untied? The simple answer is tubes can not become untied.

Why? Because they are never just ‘tied’ to prevent pregnancy. Many people believe the tube is tied like a piece of rope to prevent pregnancy. Others believe the tube is tied with a piece of string and once the string is removed then pregnancy will happen.

Tubal (fallopian tube) ligation (to tie) is an incorrect medical term which has been perpetuated by the medical community. Society has picked up on this term because it is easier to understand and easier to convey meaning.

Rather than say to your doctor, “I would like a bilateral fallopian tubal occlusion sterilization procedure“, it is much easier to request, “Please tie my tubes!

Tubes are not tied. They are occluded ( or blocked) with a surgical procedure. There are tubal clips and tubal ring procedures, tubal coagulation procedures, and ligation and resection procedures.

Can I get pregnant after my tubes are cut and tied?

When you undergo a tubal ligation and resection procedure the tubes are cut and a small piece is removed from each tube.  Cutting a segment of the tube out removes a small part of the pathway for the sperm to meet the egg.

Suture is then tied around the cut ends. The purpose of tying the ends with a suture is to prevent the cut ends from bleeding. The suture is intended to dissolve. Occasionally, when the tubal ends heal they may heal with a small opening.

tubal fistula can cause chemical pregnancyThis small opening is called a fistula and can easily let sperm out of the tube but it is much harder for a fertilized egg to finds its way to the small opening, inside the tube, and safely to the cavity of the uterus.

To better understand this concept it is helpful to imagine a funnel. It is much easier for small sperm to get through the funnel from the wider end and much more difficult for the larger egg to both find and get through the narrower side. Often this will be chemical pregnancies (early miscarriages detected by pregnancy tests only) or ectopic pregnancies.

Pregnancy can happen after any female sterilization procedure and it is estimated that 1-2 per 100 women may experience a failure of their tubal ligation. Occasionally these will be normal pregnancies but many times they will be ectopic or tubal pregnancies.

Can my tubes grow back together?

Tubes can not grow back together but they can heal with a fistula or the inside of the tube may not be fully closed.

Inadequate tubal closure occurs more commonly with tubal coagulation procedures, but can also occur with ring and clip procedures. During these tubal procedures, the doctor may not have applied enough heat energy to fully close the tube. Sometimes with a healthy blood supply this partial opening can result in pregnancy.

So technically tubes can not grow back together, but they can be poorly or inadequate closed or separated during the tubal ligation procedure.

Can I get pregnant after a tubal?

doctors who specialize in tubal reversalPregnancy can happen after a tubal. Many women will miss a period after a tubal ligation procedure and naturally their first concern will be if they are pregnant. Skipping periods is abnormal and is likely due to hormonal imbalances.

Some women wonder if they can get pregnant after a tubal because they have changed their minds about their tubal procedure and want to know what the alternatives are for getting pregnant after a tubal ligation operation.

Only a small percentage of women will become pregnant naturally after their tubes have been tied. This is because of tubal failure. Although a few women will have a normal pregnancy many will have an ectopic pregnancy which will need urgent evaluation and treatment.

How can tubes come untied?

How can my tubes become untied? They only way to have your tubes become untied is to have a tubal ligation reversal procedure. At A Personal Choice, we have extensive experience with tubal reversal surgery and over 98% of patients who come to us can have at least one tube successfully ‘untied’. Over 70% of these patients will experience pregnancy success.

Submitted by Dr. Charles Monteith


229 thoughts on “Can Tubes Come Untied? Can Tubes Grow Back Together?”

  1. melody Cardenas says:

    The doctor recommended that I get my tubes clamped when my last daughter was born in 2000 because I endometriosis. I was not ready to get then done but I did and now I want another child is it possible for a reversal and will I be able to get pregnant.

    1. Dr. Monteith says:

      Very possible…this is all we do. Your email was not working..so I could not send you any information.

  2. anita says:

    i was wondering if at the age of 48 if it was possible to get tubes undone ,, and if it would be safe ,,,, i had my tubes tired at the age of 26

    1. Dr. Monteith says:

      Tubal reversal would certainly be possible and safe if you are in good health. I don’t recommend tubal reversal at age 48 because the chance of natural pregnancy at age 48 is very low.

  3. Rachel nickle says:

    I am 26yrs olds when I had miscarriage.my husband and I wanting to have baby I was 34 yrs old when my doctor tied my tube for some reason I have fibroids and endometriosis.i did IVF but Unsuccessfull,now I’m 38.and was planning to untied my tube.is there any chance that I can get pregnant?please help

    1. Dr. Monteith says:


      You certainly can become pregnant at 38 even with fibroids and endometriosis. I would love for you to send me your records for review. I would need to make sure your fibroids are not too large (> 5cm) and also know the extent of your endometriosis. Often times it is easier to become naturally pregnant within the woman’s body than outside the body as with IVF.

  4. Destiny Lancucki says:

    I had a tubal ligation when I was 20 I am now almost 34 and my husband and I have been talking about wanting to have another baby would a reversal the successful do you think?

    1. Dr. Monteith says:

      Tubal reversal can be very successful. Reversing tubes can be more successful and affordable than a single cycle of IVF.

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