In general, pregnancy success rates range from 40% to 85%. Older women are much less likely than younger women to have success. Age plays an important role in whether you get pregnant after tubal reversal. Keep in mind, though, that it doesn't work for everyone. If your remaining fallopian tubes are healthy, and you and your partner don't have any other infertility issues, you have a good chance of getting pregnant after tubal reversal. Most women go back to their normal activities within 2 weeks. Your doctor will prescribe painkillers to help you manage any discomfort. Women who have the microsurgical method usually go home the same day, typically within 2to 4 hours after the surgery is complete. An overnight hospital stay may not be needed. But today, tubal reversal surgery is most often done using "microsurgical" techniques. Some women may need to stay in the hospital for 1 to 3 days. Tubal reversal is major abdominal surgery that is more difficult and takes longer to do than your original tube-tying operation. Recovery time depends on the surgical method your doctor used. The surgery usually takes about 2 to 3 hours.Īsk your doctor about other approaches to a tubal reversal. Microscopic instruments attached to the end of the laparoscope let them remove any clips or rings that were used to block your tubes, and reconnect the ends of the tubes to the uterus, using very small stitches. If they decide it's OK to do the reversal, your doctor then makes a small surgical cut, called a "bikini cut," near your pubic hair line. This lets them look at your fallopian tubes and decide if reversal surgery is possible. Your surgeon places a small lighted scope, called a laparoscope, through your belly button and into the pelvis area.
You'll be given general anesthesia, which means you'll be pain-free and won't be awake during the operation. You'll need to go to a hospital or an "outpatient" center - a place where you don't stay overnight after surgery. Your doctor may also suggest that your partner get tests such as a sperm count and semen analysis to rule out any fertility problems.
An HSG can be done using dye and X-rays or saline and air along with ultrasound. You'll also need a test called a hysterosalpingogram ( HSG), to check the length and function of your remaining fallopian tubes. Your exam may include blood and imaging tests to make sure your ovaries are normal. That way you can find out if there's anything that might keep you from getting pregnant after a tubal reversal. Your doctor will likely suggest you and your partner get a complete physical exam. Some surgeons say the best candidates for tubal reversal are women younger than 40 who had their tubes tied right after childbirth, a procedure called postpartum tubal ligation. In general, tubal reversal could be right for you if you had only small parts of your fallopian tubes removed, or if your tubes were closed with rings or clips.
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