Tubal Ligation Reversal

Many women who have had tubal ligations sometimes opt to achieve pregnancy later in life. In-vitro fertilization (IVF) or tubal ligation reversal, are two options for these women. Determining which is the best option for you depends on several factors, including a woman's age, the method of tubal ligation, and remaining tubal length.

Treatment:

Tubal ligation reversal involves microsurgical techniques to open and reconnect the fallopian tube segments that remain after a tubal ligation procedure. Usually there are two remaining fallopian tube segments - the proximal tubal segment that emerges from the uterus and the distal tubal segment that ends with the fimbria next to the ovary. The procedure that connects these separated parts of the fallopian tube is called microsurgical tubotubal anastomosis, or tubal anastomosis.

In in-vitro fertilization, eggs are obtained from the female, after her ovaries have been stimulated with fertility drugs through an egg retrieval. While the patient is sedated for five to ten minutes, under ultrasound control, a needle is inserted into the ovaries through the vaginal wall (bypassing the fallopian tubes) and eggs are aspirated. These eggs are then fertilized in the laboratory (in-vitro) with the partner's sperm and the developing embryos are watched for three to six days. Embryo transfer is performed on day 3 of the IVF process or on day 5 at the blastocyst stage of embryo development. Embryos are placed into the uterine cavity with a tiny catheter, usually unperceivable to the patient. A pregnancy test (hCG) is administered approximately ten days later.

Treatment Value:

For women who choose tubal ligation reversals, RGI/IHR has accomplished laparoscopic surgeons to perform this procedure.

Next Step:

If you have questions about Tubal Ligation or Tubal Ligation Reversal, please send us an Online Inquiry so we can learn more about you and your situation.