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Fallopian Tube Anatomy

What is tubal ligation?

Tubal ligation is the general term for any surgical procedure that blocks the fallopian tubes to prevent pregnancy.

Sperm enter the fallopian tube through the uterus, and eggs enter from the ovarian or fimbrial end of the tube. When the fallopian tubes are blocked, sperm and eggs are kept apart and fertilization is prevented.

Ligation means to apply a ligature or tie, and tubal ligation is often called “tying” the tubes. Many people picture tying a fallopian tube like tying a shoe lace or a bow, and wonder why the tube can’t simply be untied to restore fertility. To explain this, the anatomy of the normal fallopian tube is shown on this page, followed by illustrations of the most common tubal ligation procedures.

Fallopian Tube Anatomy

Fallopian_Tube_AnatomyThe fallopian tube is a narrow muscular organ arising from the uterus and ending just next to the ovary. The inner tubal lining is rich in cilia, the microscopic hair-like projections that beat in waves and move the egg to the uterus.

The fallopian tube is about 4 inches long and consists of several segments. Starting from the uterus and proceeding toward the ovary, these are:

  • Interstitial segment — passes through the uterine muscle
  • Isthmic segment — narrow muscular segment by the uterus
  • Ampullary segment — wider middle segment
  • Infundibular segment — funnel shaped segment near the ovary
  • Fimbrial segment — ciliary lining facing the ovary

Tubal ligation procedures

The tubal ligation procedures described in the pages that follow are the:

  • Pomeroy Tubal Ligation
  • Tubal Rings and Clips
  • Monopolar and Bipolar Tubal Coagulation
  • Parkland and Irving Procedures
  • Essure and Adiana (Hysteroscopic Procedures)

28 thoughts on “Tubal Ligation Fallopian Tube”

  1. Anonymous says:

    I had my tubes cut after a c section 8 years ago and I would like to know if I could have it reversed

    1. Dr. Monteith says:

      We can certainly help you. We charge $6400 total plus $125 to schedule and we are located in Raleigh, North Carolina. Insurance will not pay for tubal reversal surgery. 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 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 about reversal surgery 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

  2. Anonymous says:

    I had a c section 2 and a half years ago. I consented to TL but after the procedure my letter informed they had fully removed my fallopian tube. is this normal practice?

    1. Dr. Monteith says:

      Some doctors will remove the entire fallopian tube. You will need to have IVF to become pregnant.

  3. Tracy says:

    I had my tubes clamped four years ago what is the chances of getting pregnant with them clamped?

    1. Dr. Monteith says:

      With clamps on….less than 1%. With clamps removed and tubes rejoined 80%. 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

  4. Victoria says:

    Just got tubal ligation after c-section but i had previous miscarriages… Is it worth to try the reversal? Im already 35! But i would love to have one more baby… If possible…

    1. Dr. Monteith says:

      Victoria
      If you would like to have another baby then tubal reversal is very very worth it…just dont wait too long because it is harder to become pregnant with increasing age. Your chances go down after the age of 42. 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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