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Tubal Reversal Pregnancy Study
A Decade of Observation

Pregnancy Rates By Fallopian Tube Lengths

The tubal lengths that remain after a tubal ligation affect the chances of getting pregnant after tubal ligation reversal. (The fallopian tube length before a tubal ligation is about 10 cm or 4 inches.)

Tubal segment lengths were measured routinely during reversal surgery and recorded in operative reports during our surgeries. (Tubal length measurements were not part of the electronic database at the beginning of the study interval, so the numbers in the following table are less than the total number of patients during the entire period covered by the study.) The average length of the fallopian tubes after repair was correlated with the likelihood of pregnancy after tubal repair (Table 6).

Women with longer tubal lengths were more likely to get pregnant than women with shorter tubal lengths following tubal reversal surgery. 83% of women with tubal lengths of 7.5 cm or longer became pregnant. The probability of pregnancy declined as tubal length decreased, but even women with the shortest tubes (less than 2.5 cm) became pregnant. Although previously unreported in the medical literature, a repaired fallopian tube of any length can result in pregnancy. Based on reports by women with only 1 fallopian tube, we have discovered that tubal lengths as short as 1 cm can result in a normal pregnancy.

Table 6. Pregnancies by Tubal Length (cm)

Length Total Women Pregnant (Number) Pregnant (Percent)
7.5+ 824 684 83%
5.0-7.4 4949 3621 73%
2.5-4.9 3114 1932 62%
<2.5 221 97 44%

Tubal Ligation Method And Tubal Length

When tubal ligation method and average tubal length are taken into account simultaneously, the amount of fallopian tube remaining after a sterilization procedure turns out to be the more important factor predicting the success of tubal reversal surgery. The less damage that occurs to the fallopian tube during a sterilization procedure, the more remains to be able to function normally once the tube has been surgically repaired. This explains the why women with tubal clips and rings – that cause the least amount of damage – are most likely to get pregnant after tubal reversal, as shown in the previous page of this report.

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

Table of Contents

32 thoughts on “Tubal Reversal Pregnancy Study Report 2011 – Fallopian Tube Lengths”

  1. Anonymous says:

    What does it mean if an OP says cauterized 0

    1. Dr. Monteith says:

      It means your tubes were burned…most of these can be reversed and the chance of pregnancy is about 60%.

      We charge $6400 total plus $125 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.

      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.

      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. Ellie says:

    Im considering having my tubes reversed for PTLS, also I lost my children tragic accident. I have my pathology measuring 1.2 X 04 and 0.8 X 0.4 cm and operative report. I’m 34, am I a good candidate?
    In

    1. Dr. Monteith says:

      Ellie
      You should be an excellent candidate because of your younger age and the segments removed were very small. Things should go well with reversal and you should have good chances of pregnancy. Call us at (919) 968-4656 8am to 5pm eastern standard time and we would be happy to speak with you.

      We are also offering patients who schedule surgery in January and February 2017 to have their two, night luxury hotel stay included in the price of their reversal surgery. For more information: Free 2 night luxury hotel stay Jan/Feb 2017

      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. dia says:

    if my tubes are only 3 inches after i tied them what are my chances of pregnancy. HAve 3 kids already all c sections but woukd love another bundle of joy please advice my obgyn said it will mever be possible unless i do invitro

    1. Dr. Monteith says:

      We may be able to help you. We can reverse most tubal ligation procedures. You should send us your tubal ligation operative note and we can review it free of charge and let you know if you are a candidate. 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

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