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Tubal Reversal Pregnancy Study
A Decade of Observations

Outcomes After Tubal Reversal
Births, Miscarriages, & Ectopic Pregnancies By Age

Table 7 shows the relationship between the age of reversal patients and outcome of tubal reversal pregnancies after tubal ligation reversal at our facility. With increasing age, the percentage of pregnancies resulting in births declined due to an increasing percentage of miscarriages. Among women under age 35, over half of pregnancies resulted in birth or ongoing pregnancy, while one third miscarried and 13% were ectopic (suspected or documented). The birth percentage was lowest and the miscarriage percentage highest for women 40 and older.

Whether there is an increased risk of miscarriage associated with tubal reversal is unclear. The miscarriage rate reported in the general population ranges from approximately 20% to 50% depending on a woman’s age and how early pregnancy testing is performed.

Ectopic pregnancies were more frequent than in the general population of women who have not had a tubal ligation, which is approximately 3%. Ectopic pregnancy after tubal reversal surgery may be overestimated, since some early pregnancy losses were reported as ectopic pregnancies when serum HCG levels did not rise normally and the pregnancies were interrupted with Methotrexate treatment. In these cases, it is not known whether the pregnancy was in the uterus (“blighted ovum”) or outside the uterus (ectopic). These are sometimes referred to as pregnancies of unknown location.

Table 7. Pregnancy Outcomes by Age

Age Pregnant Birth/Ongoing Miscarriage Ectopic
<30 1128 614 (54%) 368 (33%) 146 (13%)
30-34 2823 1473 (52%) 931 (33%) 419 (15%)
35-39 2262 1079 (48%) 848 (38%) 335 (15%)
40+ 443 169 (38%) 216 (49%) 58 (13%)

Pregnancy Outcomes By Tubal Ligation Method

Table 8 shows the relationship between the tubal ligation method and pregnancy outcomes. Tubal ligation reversal after tubal clips (Hulka clip, Filshie clip) has the best outcome of all tubal ligation methods, with the highest percentage of births (70%) and lowest percentage of miscarriages (25%) and ectopic pregnancies (6%). Reversal of tubal rings (Falope ring, Yoon ring) has the second best outcome, followed in order by ligation/resection and coagulation.

These findings are almost certainly due to the minimal damage to the fallopian tube caused by tubal (Hulka or Filshie) clips.

Table 8. Pregnancy Outcomes by Tubal Ligation Method

Method Pregnant Birth/Ongoing Miscarriage Ectopic
Clip 660 459 (70%) 164 (25%) 37 (6%)
Ring 1070 601 (56%) 357 (33%) 112 (11%)
Ligation/resection 2616 1254 (48%) 949 (36%) 413 (16%)
Coagulation 1872 805 (43%) 733 (39%) 334 (18%)

Pregnancy Outcomes By Fallopian Tube Lengths

Longer fallopian tube segments are associated with better pregnancy outcomes than shorter tubes (Table 9). Among women with average fallopian tube lengths measuring 7.5 cm or longer, 65% of cases gave birth or had an ongoing pregnancy by the end of the study period. The percentage of births decline as miscarriages and ectopic pregnancies become more common with shorter tubal lengths. As discussed previously, the tubal lengths that remain after tubal ligation indicate the amount of damage caused by the sterilization procedure. The greater the amount of normal fallopian tube remaining, the better the chance of it functioning normally after tubal reparative surgery.

Table 9. Pregnancy Outcomes by Tubal Lengths (cm)

Length (cm) Pregnant Birth/Ongoing Miscarriage Ectopic
7.5+ 684 447 (65%) 187 (27%) 50 (7%)
5.0-7.4 3621 1964 (54%) 1216 (34%) 441 (12%)
2.5-4.9 1932 771 (40%) 787 (41%) 374 (19%)
<2.5 97 24 (25%) 45 (46%) 28 (29%)

The complete Tubal Reversal Pregnancy Study: A Decade of Observation can be viewed by using the following links:

Table of Contents

19 thoughts on “Tubal Reversal Pregnancy Report 2011 – Pregnancy Outcomes”

  1. Jacqueline carter says:

    I had a bilateral tubal ligation partial salpingectomy I am 33 am I a good candidate

    1. Dr. Monteith says:

      Successful tubal reversal and pregnancy are very possible. Your chances depend on your age and method of tubal ligation. Being younger than 42 increases your chances. You should send us the report from your tubal ligation. We can review it free of charge and let you know if you are a good candidate.

      We charge $6400 for tubal reversal plus $125 to schedule. Insurance will not pay for tubal reversal surgery. Call us at (919) 968-4656 8am to 5pm eastern standard time and we would be happy to speak with you.

      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

  2. Kathleen says:

    I had a reversal in 2003 Dr burned 6cm. Would I still have enough to get pregnant?

    1. Dr. Monteith says:

      If they really burned 6cm then you are not a candidate. Sometimes the operative notes are not correct and sometimes they are…you are welcome to send your note to us for a free review. Call us at (919) 968-4656 8am to 5pm eastern standard time and we would be happy to speak with you.

      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

  3. Dawntia says:

    I have had my tubes tied for 9 years and my fiance doesn’t have any children and we want to try my tubes were clipped and tied I hope that this is reversible. My next question if it is is their some kind of payment plan that we can establish

    1. Dr. Monteith says:

      We do have a prepayment plan. Visit our website: http://www.tubal-reversal.net and look under “Getting Started”

      Call us at (919)968-4656 if you want to talk more about tubal reversal surgery. You should send your records for a free review.

      The following link will answer most of your questions: Frequently asked questions about tubal reversal

      Please join our celebration of tubal reversal babies: March 2016 Tubal Reversal Baby Shower

  4. Anonymous says:

    I’d like to have the essure removed. My husband and I would like to try and have a baby. Not only that but since I’ve had it placed in 2007 I’ve had extremely heavy menstrual cycles.. Would I be a good candidate for e for the removal??

    1. Dr. Monteith says:

      You should be a candidate for Essure removal or reversal. We will email you more information. We can reverse most tubal ligation procedures. Our Frequently Asked Questions page will answer many of your questions about tubal reversal.

      The following link will answer most of your questions: Frequently asked questions about tubal reversal

      We are offering a hotel special for February surgeries: February 2016 Hotel Special for Reversal Patients

  5. Cathy says:

    I’ve had the essure since 2007 and my now husband and I would like to try and have a baby.. Can you give information and cost. I’m 30, am I a good canidate for this?
    Thank

    1. Dr. Monteith says:

      If you don’t leave an email address then we can’t send you information.

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