Follow Us:
MENU
Blog

“Thank you so much for making it possible to bring these two amazing people into our lives.”

– Saratoga Springs, New York

“You are my heroes. We can never thank you enough.”

– Ontario, Canada

We have been so blessed to bring another tubal reversal baby into our family.

– Buckatunna, Mississippi

“Ivy is our second Monteith Miracle!”

– APO, Armed Forces Europe

“It was a leap of faith and we have had a blessed journey.”

– Colorado Springs, Colorado

“Thank you for making our dreams come true!”

– Nebo, North Carolina

Our Facilities

Warm and inviting, our state of the art surgical facility offers safe, affordable & personalized tubal reversal surgery. Dreams of starting a family become a reality here.

Learn More

Ask The Doctor

Your questions about tubal ligation will be answered promptly either by phone or email. Read our most FAQs before submitting your questions.

Contact Us

Tied And Cut Tubes: Tying Tubes Explained

Ligation means to ‘tie’ and resection means to ‘cut’. Ligation and resection is by far the most common way to perform a tubal ligation procedure.

Tubes are never just tied to prevent pregnancy.Many people mistakenly believe when a tube is tied with a suture that if the suture comes undone or if the suture is removed then the tube will be normal and natural pregnancy can happen. Unfortunately this is incorrect and reversing tied and cut tubes is not as simple as just removing the suture.

The sutures are placed to prevent bleeding. The the tube is then cut and a segment is removed. The suture eventually dissolves and the tubal ends will be both separated and closed.

Ligation and resection tubal ligations are most often performed during a c-searean delivery or soon after a vaginal delivery.

There are many variations to this type of tubal ligation and these procedures are named after the doctor who first described the procedure: Parkland, Pomeroy, Irving, and Uchida.

Although there are differences in these procedures they all involve similar steps: tying the tube to prevent bleeding and cutting a portion of the tube to further reduce the risk of tubal ligation failure.

In our experience, all of these methods can usually be reversed and the chance of becoming pregnant after reversal of any of these methods is approximately 60 to 70%.

Parkland tubal ligation

Parkland Tubal Ligation
Parkland-tubal-ligation-can-be-reversed.

Parkland procedure involves tying two sutures around the fallopian tube in the middle of the fallopian tube cutting out the tubal segment between the two sutures.

When the sutures dissolve the ends of the tube will be closed and pregnancy will not occur.

The Parkland tubal ligation is a variation of a ligation and resection type of tubal ligation.

Approximately 60 to 70% of our patients will become pregnant after a reversal of a Parkland tubal ligation.

Pomeroy tubal ligation

Pomeroy Tubal Ligation
Pomeroy-tubal-ligation-can-be-reversed.
Cut-and-tied-tubes-are-reversible

The Pomeroy procedure is also a ligation and resection type of tubal ligation.

The Pomeroy procedure involves forming a loop in the middle of the fallopian tube, tying a segment of the looped fallopian tube with a suture, and removing a segment of the loop.

Pomeroy tubal ligation technique  typically leaves two healthy segments of fallopian tube that can be rejoined through tubal ligation microsurgical reversal surgery.

The Pomeroy tubal ligation is a variation of cutting and tying a tube. As with all of these procedures the technique will cause permanent closure of the tubal ends and prevention of pregnancy.

As with all of these types of tubal ligations the majority of these procedures can be reversed.

Approximately 60 to 70% of our patients will become pregnant after a reversal of a Pomeroy tubal ligation.

Irving and Uchida tubal ligation

Irving tubal ligation is also a ligation and resection type of tubal ligation.

Irving Tubal Ligation
Irving-and-Uchida-tubal-ligations-can-be-reversed

Tubal ligation by the Irving method starts by placing two sutures around the fallopian tube in the middle of the tube and removing the small segment of tube between the two sutures. The tied end of the segment of fallopian tube attached to the uterus is sutured into the back side of the uterus and the other tied end is buried in the connective tissue underlying the fallopian tube.

As with other ligation/resection methods, the Irving technique leaves behind two healthy tubal segments that can be rejoined through tubal reversal microsurgery.

Although the Uchida tubal ligation is not illustrated here it is a variation of the Irving technique and the Uchida procedure is also reversible.

The pregnancy rates after reversal of Irving and Uchida tubal ligations is approximately 60-70%.

Need More Information About Tubal Reversal?

A Personal Choice Tubal Reversal Center is in Raleigh, North Carolina and specializes in tubal ligation, Essure, and vasectomy reversal surgery.

Dr. Monteith specializes in helping couples have more beautiful children with reversal surgery and helping women treat abnormal symptoms after their tubes have been tied!

If you would like more information about reversal, including the cost and success rates, then enter your email address below and you will be emailed more information about reversal.

  • This field is for validation purposes and should be left unchanged.

Join Our Facebook Group?

Women who need more advice about reversal are encouraged to join A Personal Choice’s public Facebook group:

Facebook Tubal Reversal Group of A Personal Choice

By joining the group you can communicate with other women who have had successfully reversed their tubal ligation and restored their natural fertility.

Have Questions? Leave a comment here or visit our contact page.

10 Comments

Jennifer Reply

I’m 37 will be 38 in September and I’ve had my tubes tied for 14 years now. What are my chances for a reversal? I’m also 208 pounds. Can I get them reversed? I’ve been in contact with Mary jo for years but never did it cause I was worried it wouldn’t be successful. Worried in North Carolina.


    Dr. Monteith Reply

    Jennifer
    We require your BMI to be less than 37 to have surgery at our center. Your BMI is officially calculated on the day of your surgical consultation.

    We do not charge patients based on BMI.

    You can check your BMI with our BMI calculator here: BMI Calculator

    You should send us your tubal ligation records for a free review.

    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. Patients stay in Raleigh a total of 2 nights and 3 days. The consultation is the first day, surgery the second day, and postoperative visit is the third day.

    We charge $6,900 total for surgery plus $150 to schedule.

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

    Although $6,900 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. On average, about 2 out of every 3 women become pregnant with tubal reversal surgery.

    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 reversal surgery at our center.


Anonymous Reply

I had a tubal when I was 27 after my last child I have 4 children all born c-section but I went to my obgyn and told him I was feeling less of a woman because I was young and pressured to get them tied but never married and am planning and my partner has none biologically and we would like one together I had the Pomeroy procedure can you help me I have been battling depression because I’m young and I want another child and I would never get them retired again I told my doctor my periods have been awful since the procedure I have a regular cycle every month I’m every 21-24 days on my cycle I’m just ready to feel like myself again. My cousin had it done she has 4 kids c section pregnant with her 5th said it’s the best thing she ever did.


    Dr. Monteith Reply

    We should be able to help you. You should consider our screening laparoscopy because of your history of c-sections and the possibility of scar tissue.

    We charge $6,900 for tubal reversal surgery. You should send us your records from your tubal ligation for a free review. Sometimes patients cannot get their records. Even if you cannot obtain your records we would perform tubal reversal for you because we can reverse most tubal ligations most of the time.

    Tubal reversal can be 60% to 70% effective. The other treatment to become pregnant is In-vitro Fertilization (IVF) and this treatment cost averages $14,000 and is about 40% effective for each try.

    Tubal reversal is possible when you have a history of multiple c-sections. We have many patients who have successful reversal and pregnancy with a history of c-sections. The biggest concern with multiple (3 or more) c-sections is the possibility of severe scar tissue. If severe scar tissue exists then reversal may not be possible.

    We estimate that about 1 out of 12 women with 3 or more c-sections will have severe scar tissue that can make tubal reversal more challenging and in some cases not possible. For these patients we offer a screening laparoscopy. You can consider this similar to a surgery insurance policy.

    The laparoscopy costs an additional $1,750.

    If you choose to have a screening laparoscopy we can look with a camera during the surgery and see if you have severe scar tissue. If you have severe scar tissue we can often make a different incision…so this can increase the success of your procedure. If your tubes are not repairable or the scar tissue is too severe then we would offer you a refund of your surgical fee.

    For more information: Screening laparoscopy and surgery refund

    For more information: Screening laparoscopy and scar tissue

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

    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


Anonymous Reply

Hello,
I had both fallopian tubes removed after my last c section. This means I can’t have a reversal or conceive right?


Michelle Reply

I had a partial salpingectomy tubal ligation done 4yrs ago, Im only 30 now and was wondering if that makes me ok to get them reversed.


    Dr. Monteith Reply

    Michelle

    Partial salpingectomy is to tie and cut a small piece of the tube…”partial” means small part of…..”salpingectomy” Fallopian tube removal.

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

    The first step to see if you are a candidate is to send us your tubal ligation reports to us 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 $6,900 total plus $150 to schedule and we are located in Raleigh, North Carolina.

    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 $6,900 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.


Tasha Reply

I had my tubes tied and cut am I able to have a reversal?


    Dr. Monteith Reply

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

    The first step to see if you are a candidate is to send us your tubal ligation reports to us 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 $6,900 total plus $150 to schedule and we are located in Raleigh, North Carolina.

    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 $6,900 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.

Have Questions? We’re Happy To Help!

We provide a unique surgical experience with personalized attention and one-on-one care. We make every effort to make your surgery less of a process and more of a life’s experience. Please use the buttons below for answers to our frequently asked questions.