Yes, a tubal ligation can indeed be reversed. Tubal ligation reversal is done to allow you to get pregnant again even though you had a tubal ligation procedure in the past (i.e., you had your “tubes tied”).
If you have changed your mind about pregnancy, this is where a tubal ligation reversal comes in. This is the surgical procedure of reconnecting, or re-opening, your fallopian tubes. A tubal ligation reversal is usually performed via a minimally invasive laparoscopic procedure in the abdomen.
Is a Tubal Ligation Reversal Always Successful?
A successful tubal ligation reversal depends on many factors, such as:
- Age
- Site of the tied tubes
- Method of the tied tubes
- Ovulation function
- Underlying pelvic issues
- Lifestyle
- Deftness of the surgeon and the tools used
Am I a Good Candidate for Reversing a Tubal Ligation?
Not every woman who has had a tubal ligation is a good candidate for a reversal. You may be a good candidate for the procedure if:
- After careful determination using hysterosalpingography, you are found to have enough fallopian tube left.
- You have normal fimbriated ends attached to the tube.
- You have an adequate number of eggs in your ovaries.
Reversing a tubal ligation is not always advisable, especially if there is not enough of the fallopian tube left, if it is damaged, or if you had an irreversible birth-control system inserted in your fallopian tubes. Your doctor will counsel you on the best options you have for getting pregnant again.
How Tubal Ligation Reversal Is Performed
A tubal ligation is completed by either blocking the tube or by removing a section of the tube. To reverse a section removal, the surgeon will most likely make an incision on each side of the tube and stitch the two ends back together again. If the tube was blocked by using rings or clips, the surgeon will remove these devices.
Preparing for the Surgery
Before surgery, you will need to inform your doctor of any medications you are taking, including non-prescription medicine and supplements. You will be advised to stop taking certain medicines that will affect the ability of your blood to clot, and also to stop smoking, for a short period of time before your operation.
On the day of your tubal ligation reversal procedure, you will be advised not to eat or drink anything, including water, for at least eight hours before the surgery. Usually they tell you not to eat or drink “after midnight” the night before if your surgery will be early in the morning. This is advised in order to avoid food or liquids from coming up into your esophagus while you are under anesthesia.
After Tubal Ligation Reversal
Because tubal ligation reversal is a minimally invasive procedure, it is usually performed on an outpatient basis – meaning you will likely be able to go home on the same day of the surgery. However, you will need to arrange for someone to drive you home.
You will likely be told that you can take a shower after 48 hours, and that you should avoid rubbing or handling the incision area for at least a week. It’s normal to feel some pain and tenderness in your abdomen and your shoulder. The stitches will also dissolve on their own.
Follow all of your doctor’s advice about taking care of yourself after your tubal ligation reversal surgery. Your physician will also order a follow-up appointment about a week after the surgery just to check how your healing is going.
Most women do not suffer any complications after tubal ligation reversal surgery. Up to 80 percent of women who have this procedure become pregnant within two years after the procedure.
Caring OB/GYN in Los Angeles
If you are interested in reversing a tubal ligation because you want to have children again, make sure to choose a gynecologist who specializes in tubal ligation reversals.
Dr. Paddy Jim Baggot, MD, is located in Los Angeles and has more than 35 years of experience. His specialties are obstetrics and gynecology, and he is committed to helping his patients conceive again.
For a consultation, call us today at (626) 573-2222 or request an appointment online. We are advocates of life, and we look forward to serving you.
