In this blog, Dr. For tubal ligation, the fallopian tubes are tied and sealed, either by tying them off or cauterizing them. When intercourse occurs, the sperm and the egg remain on different sides of the sealed fallopian tubes , thus preventing them from meeting, and thus preventing pregnancy. Unfortunately, not everyone is a good candidate for tubal reversal. Macey will look at the following to determine if a reversal is the right move :.
If anything is unclear, Dr. Macey may perform a pelvic ultrasound to ensure accuracy in his assessment. The type of ligation is key here. If your ligation was done with clips or rings, a reversal will likely be more successful. Once the tubes are reconnected, the surgeon will inject a dye into one end of each tube.
If no dye leaks out, that means the tubes have been reattached successfully. In some cases, your surgeon might use a procedure called a minilaparotomy. Your surgeon will make an incision in your abdomen, usually about 2 inches.
The surgeon will remove damaged parts of the fallopian tube and reconnect the healthy sections while the tubes are outside your body. Recovery for laparoscopic surgery takes about a week. Recovery for a minilaparotomy takes approximately two weeks. Your doctor might prescribe you pain medication, or you can use over-the-counter medication. For a few days after your surgery, you might have shoulder pain from the gas used to help your doctor see more of your abdomen during surgery.
Lying down can help relieve that pain. You should avoid any heavy lifting or sexual activity. Your doctor will tell you how long to avoid these activities.
In general, 50 to 80 percent of women who have tubal ligation reversal go on to have successful pregnancies. Like with any surgery, tubal ligation reversal can lead to complications from anesthesia, bleeding, or infections.
These are rare and your doctor will go over these risks with you before your procedure. A tubal ligation is commonly referred to as "having your tubes tied.
During a tubal ligation reversal, the blocked segments of the fallopian tubes are reconnected to the remainder of the fallopian tubes. This may allow eggs to again move through the tubes and sperm to travel up the fallopian tubes to join an egg. Tubal ligation procedures that cause the least amount of damage to the fallopian tubes are the most likely to allow a successful tubal ligation reversal.
Examples include sterilization with tubal clips or rings. Procedures that cause scarring to seal off the fallopian tubes, such as the Essure or Adiana systems, generally aren't reversible. A tubal ligation reversal isn't appropriate for everyone. Your health care provider will consider several factors to determine if tubal ligation reversal is likely to be successful, such as:. The success of a tubal ligation reversal procedure depends on a variety of factors.
It's more likely to be successful if you still have a large portion of healthy fallopian tube remaining. Tubal ligation reversal is more likely to be successful if your tubal ligation was originally done using clips or rings, rather than if segments of your fallopian tubes were burned in order to close them off electrocautery. Mehan said. Tubal reversal surgery involves identifying the healthy sections of the fallopian tubes and undergoing microsurgery to reconnect them.
Surgery should be performed by a skilled subspecialty surgeon, generally a gynecologist who is specially trained in infertility and microsurgery. Like the vasectomy reversal, tubal reversals can be more invasive than the tubal ligation.
Recovery from the surgery is dependent on the surgical approach. Then pregnancy can be attempted. For men, success is dependent on the amount of time that has elapsed since the vasectomy. The health of your partner and their fertility are important things to consider before a reversal procedure. Based on this information, the fertility expert can help walk you through all your options to find what will work best for you and your family. The decision to grow your family is exciting, but you want to put your best feet forward in the process.
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