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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)

20 thoughts on “Tubal Ligation Fallopian Tube”

  1. Brianne says:

    I had my tubes cauterized and an ablation, can it be reversed? I have not had a period since the procedure. What are my chances of getting pregnant?

    1. Dr. Monteith says:

      If you are not having periods after an ablation then pregnancy is not possible.

  2. Beverly says:

    How common is it after you have the parkland method to get pregnant again after seven years

    1. Dr. Monteith says:

      The chance of pregnant after reversal of a Parkland method is about 70%. We can certainly help you.

      Call us at (919) 968-4656 8am to 5pm eastern standard time if you have questions 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. Evelyn says:

    I had a bilateral Fallopian tubes my records also say two pink tubal segments the shorter 2 x 0.5 cm. Represented.. Can I have them untied ?

    1. Dr. Monteith says:

      We should be able to perform a successful tubal reversal for you.

      We charge $6400 for tubal reversal surgery. Call us at (919)968-4656 if you want to talk more about tubal reversal surgery.

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

      To see why patients travel to see us read this impressive article on our March babies: March 2016 Tubal Reversal Baby Shower

  4. Kyesha Tacara Clay says:

    Tubal Ligation how much remove fallopian tube less pay it cause I’m deaf

    1. Dr. Monteith says:

      We will email you more information. Give us a call at (919)968-4656 if you want to talk more about tubal ligation reversal surgery.

      You will find that the link below to our Frequently Asked Questions will answer most of your questions about surgery at our center. You are welcome to send your reports to our office for a free evaluation.

      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

  5. Anonymous says:

    I had my tubes ‘tied’ two years ago, but how my doctor explained it to me, she completely detached the tube (the Fimbrial?) from the ovary rather than the typical procedure most women have. Is this reversible?

    1. Dr. Monteith says:

      You would need to send us the records for interpretation…it is possible your doctor removed the end of the fallopian tube. This is called a fimbriectomy.

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