In order to really understand tubal reversal, it’s important to first know what tubal ligation is – the procedure that comes before it.
When a woman wants to have a permanent form of contraception, and never worry about birth control again, she can choose to undergo tubal ligation. During this process (which is normally referred to as “getting your tubes tied”), a woman’s fallopian tubes are severed, tied or cut. Since a woman’s fallopian tubes are the place where eggs are normally fertilized by sperm, they are primary players in the process of becoming pregnant. Therefore, tubal ligation actually prevents eggs and sperm from meeting.
Tubal reversal is, very literally, a procedure that reverses a woman’s previous tubal ligation surgery. During the process, her fallopian tubes are opened and reunited once again, allowing her to become fertile. And the process is actually pretty simple, beginning with a patient receiving general anesthesia. Once the patient is asleep, a laparoscope is inserted through the belly button, until it enters the pelvic region. Once the surgeon can tell whether or not the procedure can be done, several other small “key-hole” incisions are made to place other instruments to do the surgery. Anything that is blocking the patient’s fallopian tubes (usually a clip or ring) is removed, and the surgeon reconnects the ends of the tubes back together – but don’t worry, it only requires small stiches to heal.
Why You Should Consider Tubal Reversal
For women ages 30 and older, tubal ligation is the most prominent form of contraception. But that doesn’t mean that women under 30 don’t get their tubes tied. In fact – according to the American College of Obstetricians and Gynecologists, women younger than 30 are more likely to regret their tubal ligation procedure.
Although not every patient’s reasoning is reported, some women consider tubal reversal because they felt pressured by a partner or spouse to get their tubes tied in the first place. Others reported divorce or marital issues as a reason behind their tubal ligation, which is why they wish to reverse the process.
If a woman has undergone tubal ligation, and does end up regretting the procedure, she should definitely consider tubal reversal. Chances are she would like to become fertile again, with the ultimate goal of becoming pregnant, and tubal reversal is the go-to procedure for that result.
For women considering the process, it’s important to remember that tubal reversal is highly successful if a sufficient length of tube remains on both sides of the ligation . An operative report from her tubal ligation procedure can be used to identify if she will have a good chance for a successful reversal.
Your Chances of Getting Pregnant During Post Tubal Reversal
On a positive note for those who are serious about getting pregnant after their tubal reversal, the chance that a woman under the age of 40 will have a normal pregnancy is typically 70 percent , which is double the chance for women between the ages of 40 to 44. If a woman does have a successful pregnancy post tubal reversal, she will usually go on to have more pregnancies.
Of course, tubal reversal does have a slight risk for disadvantages. There is a 5 percent incidence of ectopic pregnancies that follow the procedure, characterized by a fertilized egg that stays in the fallopian tube, usually resulting in an embryo that cannot survive..
Choosing the Right Doctors for Tubal Reversal in NJ
Because the tubal reversal surgery demands an extremely high level of knowledge and expertise, it’s wise to seek a reproductive surgeon who has done afellowship in infertility, and is board certified in Reproductive Endocrinology and Iinfertility. Going to a fertility center that offers such experienced surgeons will not only increase your likelihood of getting the tubal reversal procedure completed in a timely, efficient and successful manner – it will put your mind at ease because you’re in good hands.