When a woman decides to get her tubes tied, it is usually regarded as a permanent solution of birth control.  However, life is full of surprises. Family situations change and sometimes leave women wanting children again; no matter how certain they were at one time that they did not want to reproduce again. This leaves her with a decision if she wants to attempt to conceive: tubal litigation reversal surgery or In-Vitro Fertilization (IVF)?

This question is not easy to answer and honestly depends on a case by case basis. Let’s start by examining the Tubal Litigation Reversal Surgery.

A tubal litigation surgery involves the tying, sealing, and or burning of the fallopian tubes from the uterus in order to prevent sperm from travelling upwards into the uterus and finding an egg to fertilize, resulting in pregnancy. During the reversal process, a surgeon must surgically reopen, untie, or reconnect a woman’s fallopian tubes to the uterus so that she can become pregnant.

Before deciding to undergo this procedure, you must get the okay from a healthcare professional. Your doctor at the South Jersey Fertility Center will ask you a number of questions, and your partner will also have to take some tests.


Factors to Consider:

  • Age
    • How old are you? The ideal candidates for tubal reversal surgery are under the age of 40.
  • Method you had your tubal litigation procedure completed
    • Certain methods are easier to reverse than others. For example, if your fallopian tubes were closed using a ring or clip, it is easier to reverse than if large sections of your fallopian tubes were removed during the procedure.
  • History of Pregnancy
    • If you have had a child prior to your tubal litigation procedure, was it a healthy pregnancy?
  • Have you undergone surgery for any gynecological disorders?
    • Surgery often results in scar tissue, lowering the success rate of a reversal procedure.
  • Does your partner have healthy sperm?
    • A test will need to be done on your partner’s sperm to ensure they have enough healthy sperm to conceive naturally. Otherwise, it is unnecessary for a woman to go through the reversal procedure process.

How Many More Children Do You Want?

Another important factor to consider, how many more children do you want to have? Women who are older in age and only wish to have one more child are usually recommended to go the IVF route. This will allow the doctor to place embryos directly in the uterus. After the pregnancy and birth, the woman is already sterile and does not have to worry about birth control. Unfortunately if the embryo doesn’t take the first time, the procedure will have to be continually repeated until the woman conceives. With the tubal litigation reversal, after the procedure the woman does not have to worry about any other procedures; she is free to keep naturally trying to conceive.


Image via World Health Care Blog

Success Rates

Whichever method you choose, the end goal of being able to have a child is the same. Success rates obviously differ depending on the person, but here is a general breakdown of success:

Women under the age of 40 typically have a 70% chance success rate of conceiving after a tube litigation reversal procedure. Women aged 40-44 experience about half of that success rate.

IVF candidates under the age of 40 will experience a 45% success rate, per attempt. Candidates over the age of 40 typically only experience a success rate of 15% per attempt. For more information on success rates, and a comparison of the pros and cons of IVF and tubal litigation reversal, visit our website.