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Can You Get Pregnant After Tubal Ligation?

cut and tied tubes are reversibleCan you get pregnant after tubal ligation?

This is a frequent question from visitors to our Tubal Reversal website and Tubal Reversal Blog. There are several common reasons for asking this question after tubes have been tied. So if you have had a tubal ligation, have missed a period, and have found yourself asking the question,

“Can I be pregnant after my tubal ligation?”, then this article is for you and the answers may surprise you.

Is Pregnancy Possible After Tubal Ligation?

Pregnancy is possible after tubal ligation. Tubal ligation procedures are intended to be permanent and effective. Although tubal ligation procedure are highly effective at preventing pregnancy, pregnancies can occur after the fallopian tubes have been blocked. Tubal ligation procedures do have failures and pregnancy can occur after a tubal ligation.

Failed Tubal Ligation

A tubal ligation can fail in three ways: the fallopian tube may be missed during tubal ligation surgery and the tube may not be closed at all, the tube may form a fistula (new opening), and recanalization (rejoining of the tubal lumens) can occur.

Most times the fallopian tubes will be closed after a tubal ligation; however, if a patient has severe scar tissue it may be much harder to identify where the fallopian tubes are located. A fistula is a small opening which may remain after the healing response has been completed. This allows sperm to get through to fertilize and egg but the egg may have a harder time finding the small opening and getting back into the uterus. Recanalization occurs when the tube is not adequately closed and the tube reopens after the tubal ligation.

What Are the Chances of Tubal Failure?

The largest study to date on tubal ligation failure is the CREST study. This study found that tubal ligation failures do occur and can be as high as 3%  depending on the method of tubal closure. Tubal ligation failures occured more often in women who had Hulka clip procedures and in younger women. These are the failure rates in the CREST study for the different methods of tubal ligation:
Unipolar Coagulation  0.8%

Unipolar Coagulation 0.8%
Tubal Ring 1.8%
Interval Partial Salpingectomy 2.0%
Bipolar Coagulation 2.5%
Hulka Clip 3.7%

Can You Have a Pregnancy After a Tubal Ligation?

Pregnancy can happen after a tubal ligation. A pregnancy after a tubal ligation is considered high risk because there is a greater likelihood the pregnancy will be ectopic (tubal). If a woman becomes pregnant after her tubes have been tied, she should see her doctor immediately to be evaluated for an ectopic pregnancy. Some post tubal ligation pregnancies will be inside the uterus but a large portion (30-40%) of them will be outside the uterus and in the tube. This is condition requires immediate evaluation and appropriate treatment.

Can You Have A Baby After A Tubal Ligation?

The possibility of pregnancy after a tubal ligation is very real for many women who have had their tubes tied. The chances are higher among women in their twenties and among women who have had Hulka clip tubal occlusion. The reality is women who have had their tubes tied can become pregnant after the procedure. If you have become pregnant then you should see your doctor immediately to be evaluated for a tubal pregnancy. If you want to be pregnant and have a baby then you should not rely on the failure of a tubal ligation to achieve this for you. Many women will find better and safer success in becoming pregnant after a tubal ligation though tubal ligation reversal surgery or IVF.

Need More Information About Reversal?

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Stephanie Reply

I had 1.8 cut from left and 2cm from right. What are my chances of becoming pregnant? This is all the info provided no other things were done to them. So what are my chances of a good tr? I am getting one either way but becoming pregnant in the mean time. it has been 6 years and no pregnancy but 2 chemical pregnancies.

    Dr. Monteith Reply


    There is a 98% chance we can repair your tubes and a 60% chance of successful pregnancy.

    If you are becoming pregnant after your tubal ligation (meaning you have had tubal ligation failure) then this is because you have formed a small abnormal opening called a fistula. This allows sperm to get out of your tube but does not allow a fertilized egg to find the small abnormal opening. Most of these pregnancies are in the fallopian tube….some of them they body will take care (miscarry) off but some will cause the tube to rupture and you would require surgery to remove your tube.

    We should be able to help you. We can reverse most tubal ligation procedures.

    You should send us your tubal ligation reports for a free review and we can let you know if you are a candidate for reversal surgery. Your reports can be obtained from the medical records department where your tubal ligation surgery was performed.

    We charge $6400 total plus $125 to schedule and we are located in Raleigh, North Carolina.

    Please be aware that starting April 1st 2019 the fee for reversal surgery will increase to $6,900 and the scheduling fee will increase to $150. If you want to avoid the higher fees then you should schedule your surgery before April 1st or start a Reversal Prepayment Account.

    Patients pay in full and out-of-pocket at the time of scheduling. All you have to pay for in addition to the surgical fee is the cost of travel, hotel, and food.

    On average the chance of pregnancy after tubal ligation reversal is about 60% if you are under age 42.

    We do have a prepayment tubal reversal plan that allows you to save towards your reversal over a 3 year period.

    Although $6,400 seems expensive…the alternative treatment in-vitro fertilization (IVF) average $12,000 to $14,000 and is about 40% successful!

    The main advantage to tubal reversal is that every month you have a chance and you can become pregnant more than once.

    The following link will answer most of your questions about reversal. This is the MOST HELPFUL INFORMATION to read when considering reversal at our office. Each question has a link to more information about the question:

    Frequently asked questions about tubal reversal

    Call us at (919) 977-5050 8am to 5pm eastern standard time and we would be happy to speak with you about tubal reversal at our facility.

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