The choice to have a baby is a huge decision, and one that you may change your mind about many times throughout your life.
While a tubal ligation may have been the right choice for you at one point, what do you do if you now want to have a baby? Are you left paying for IVF or trying for adoption if you had your tubes tied?
Tubal ligation reversal can be a great way to get pregnant naturally after your sterilization procedure. Read on to learn more about your tubal reversal cost and how much you can expect to pay for this procedure.
What Is a Tubal Ligation?
Before we get into the specifics of costs, let’s talk some about tubal ligation and tubal ligation reversal procedures. As you may remember, tubal ligation is a sterilization procedure that targets your fallopian tubes. Many people have tubal ligations during C-section births, while others choose to have the operation as a standalone procedure.
During a tubal ligation, your surgeon will go in and cut the tubes leading between your ovaries and your uterus. This means that each month, when you’re ovulating, the egg passes out into your body cavity, rather than into the uterus to be fertilized.
Tubal ligations are more than 99 percent effective at preventing pregnancies.
What Is Tubal Ligation Reversal?
In some cases, people who have had tubal ligations may decide that they want to become pregnant after all. One of the great things about the tubal ligation procedure is that, depending on your situation, it can be reversed.
This will allow you to get pregnant again through natural means, rather than by IVF.
If you’re considering a tubal ligation but haven’t had one yet, don’t bank on a tubal ligation reversal as your safety net. While this procedure can be a miracle for some patients, having a tubal ligation makes it much less likely that you’ll ever get pregnant by natural means, even with a reversal.
Consider other long-term methods of birth control instead, such as an implant or an IUD.
Unfortunately, not all people who have had tubal ligations can have tubal ligation reversals. If you had a sterilization procedure, such as a bilateral salpingectomy (totally removal of both of your tubes), you won’t have any fallopian tubes left to reattach. Certain other types of tubal sterilization procedures will also make it unlikely or impossible for you to have a successful reversal.
Younger patients and patients who have a lower BMI tend to have more successful reversal procedures than older or heavier patients. Your doctor will also want to make sure you don’t have an underlying condition that makes it difficult or impossible for you to get pregnant.
And in general, being more fertile and having a more hospitable uterus will make it more likely that you can get pregnant after a tubal ligation reversal.
About the Procedure
During a tubal ligation reversal, your surgeon will insert small instruments into your abdomen and take a look at your fallopian tubes. If each end looks healthy and there are no additional problems, they may be able to reattach the two ends. If your fallopian tubes aren’t in good enough shape, they won’t continue with the procedure.
Your surgeon will remove any clips or other devices that may have been used to seal off your fallopian tubes. From there, they’ll use tiny stitches to reattach the two ends of the tubes to each other. Once your fallopian tubes have healed, eggs will pass normally from your ovaries to your uterus, where they can be fertilized.
The big question after a tubal ligation reversal is how likely it is that you’ll actually get pregnant. Each person’s likelihood of a successful pregnancy will depend on the factors we discussed earlier. If you or your partner have other underlying fertility issues, it can impact your chances of getting pregnant naturally.
In general, somewhere between 50 and 80 percent of people who have a tubal ligation are able to get pregnant afterward. People under 35 years old have an average success rate of 70 to 80 percent. However, if you’re over 40 at the time of the procedure, that success rate drops to just 30 or 40 percent.
Factors That Impact Cost
There are several factors that can impact how much you should expect to pay for your tubal ligation reversal. For one thing, the area where you live will make a big difference. People in larger metropolitan areas will likely pay more for the procedure, although people in more rural areas may pay more in travel costs.
Your age can also play a role in how much your tubal ligation reversal procedure costs. The older you are and the longer it’s been since your tubal ligation, the more you’re likely to have to pay. And what sort of sterilization procedure you had can also be a factor; clip or ring procedures will cost less than procedures where the tubes were severed.
Although many of us tend to think only of the costs for the procedure itself, there are a lot of other expenses that go into getting a tubal ligation reversal. For one thing, you’ll need to pay for tests, doctor’s visits, and preparation procedures leading up to your operation.
These costs in themselves can add up to thousands of dollars, depending on your particular situation.
Your doctor may want to start out with an ultrasound or other scanning at minimum to check the status of your fallopian tubes. They may even want to do an exploratory procedure, especially if it’s been a long time since your procedure and if it severed your fallopian tubes. You’ll need to pay for any blood tests your doctor orders, as well as the doctor’s visits themselves and your surgery prep costs.
Aside from your prep costs, you may also have to pay travel costs associated with your tubal ligation reversal. Depending on where you live, there may not be a surgeon in your area who’s qualified to perform the procedure. In some cases, traveling further to see a better surgeon can improve your chances of a successful pregnancy later.
Depending on how far you need to go, you might need to pay for plane tickets for yourself and your partner. Even if you live close enough to drive, gas costs can start to add up.
Unless you know someone in the area you’re traveling to, you may have to pay for hotel stays both during your pre-operation visits and for a few days after the procedure.
Tubal Ligation Reversal Costs
If you get your tubal ligation reversal through our office, you can expect to pay
one simple, flat fee for your procedure. We’ll discuss more later what all these costs cover, but there won’t be any surprise fees. In addition to the procedure cost, you’ll pay a $150 scheduling fee that will cover everything from pre-operative lab work and a medical history phone interview to travel advice and hotel recommendations.
If you pay cash for a tubal ligation after April 1, 2022, you’ll pay $7,500. You may also be eligible for this discounted rate if you use our prepayment option that gives you three years to save for the cost of your procedure. If you choose to finance your tubal ligation, you’ll pay $8,100 for the procedure.
Essure Removal Costs
Between November 2002 and December 2018, patients could elect to get a tubal sterilization
procedure called Essure done. During this procedure, your doctor would insert small flexible rods through the vagina and cervix into the fallopian tubes. Over time, your body would grow tissue around those inserts, blocking off your fallopian tubes.
Although Essure is no longer available, thousands of patients still got it implanted. If you need your Essure device removed due to abnormal symptoms, you’ll pay $7,900 cash or $8,500 through a financing plan.
You may be able to apply for reimbursement from your health insurance company for this procedure.
Essure Reversal Costs
In some cases, patients had no trouble with Essure devices and simply wish to get them removed so they can become pregnant again. We’re proud to report that we were the first physicians to report a patient with a successful pregnancy after having an Essure device removed. In general, your chances of a successful pregnancy after Essure reversal is between 30 and 40 percent.
If you pay cash for your Essure reversal, you’ll need to pay $7,900, plus our $150 scheduling fee. Starting 2022 the cost for Essure reversal will increase to $8,500. If you plan to finance the surgery, it will cost $8,500 and starting 2022 the cost to finance will be $9,100.
If you aren’t getting this procedure done out of medical necessity, you shouldn’t plan on your health insurance company paying for the cost of the operation. You will have to pay directly out of pocket.
If you are having symptoms after Essure and the Essure removal procedure is medically required then your health insurance will pay for the operation; however, you will have to have a hysterectomy in the hospital if you expect your health insurance to pay for your surgery.
Screening Laparoscopy Costs
One of the risks of tubal ligation reversal surgery is that you may not be able to have the procedure done at all. If your surgeon sees that your fallopian tubes are too damaged to be repaired, they’ll end the procedure. However, you’ll still be responsible for the full cost of the operation even if it isn’t successful.
If you choose, we can perform a screening laparoscopy procedure before your operation to check how your tubes look. This operation is completely optional, but it can save you some money if you’re concerned that your tubes may not be operable. If you pay cash for a screening laparoscopy after April 1, 2022, you’ll pay $2,500; for a financed procedure, you’ll pay $3,100.
What These Costs Cover?
So what exactly will all these costs we’ve discussed cover for your tubal ligation reversal procedure? We do our best to ensure that all our surgery costs are as all-inclusive as possible. You won’t be smacked with any hidden fees or unexpected costs once you’ve already committed to having your surgery.
Our procedure costs cover your record review and consultation with your doctor before your operation. They also include your surgeon fees, anesthesia fees, surgical supplies, and operating facility fees. We even include the costs for your post-op visit and follow-up care, so you can get the treatment you need with one simple fee.
Now we know what you may be thinking at this point. All those numbers sound very scary, but I have health insurance, so I won’t have to pay all that, right? Unfortunately, no; most insurance companies won’t cover the cost of a tubal ligation reversal since the original operation was a voluntary sterilization procedure.
In some cases, your health insurance company may offer coverage for IVF procedures. However, if you underwent a voluntary sterilization procedure (i.e. a tubal ligation), most companies will refuse to pay for that too. This means that you’ll be paying for everything out of pocket or financing it through different means.
Alternatives to Tubal Ligation Reversal
Depending on your health and financial situation, a tubal ligation reversal may not be a feasible option for you. However, that doesn’t mean you’ll never be able to have a baby. There are some alternatives that can help you conceive or have a baby through other means.
Many patients who can’t have tubal ligation reversals may opt for in vitro fertilization as a way to get pregnant. If your body simply can’t support pregnancy, you may consider working through a surrogate. You and your partner may also want to consider adoption as a way to have a child.
Learn More About Your Tubal Reversal Cost
Tubal ligation reversal can be a great way to get pregnant even after you’ve had a sterilization procedure. However, most insurance companies won’t cover these operations, so you need to plan to cover the costs yourself. At our office, if you pay cash, you could have your procedure done for as little as $6,900 but starting in 2022 the cost will increase to $7,500.
If you’d like to learn more about your tubal reversal cost, check out the rest of our site at A Personal Choice Tubal Reversal. We’ve performed more than 12,000 successful tubal reversal procedures since 1997.
Contact us today and take the first step towards your affordable tubal reversal surgery today.