If you wish to conceive after receiving a tubal ligation, microsurgical tubal anastomosis, commonly known as tubal reversal, is a surgical procedure that can be performed to reconnect the fallopian tube segments. Therefore, if you have previously had your “tubes tied,” you can reverse this decision and conceive again. At Houston Fertility Center, we strive to help our patients find the best possible solution to improve their ability to get pregnant. At our Houston, TX, facility, Dr. Sonja B. Kristiansen can evaluate your condition to determine whether tubal ligation is the only cause for infertility. Based on your unique circumstances, she and her team can provide expert surgical care or in vitro fertilization.
Who is a Candidate for Tubal Reversal?
Your eligibility for tubal reversal will depend on a number of factors, including age, medical history, body mass index, and more. Those considering this treatment should:
- Be 40 years of age or younger (or consider IVF if you are over age 40)
- Have a high ovarian reserve
- Have previously undergone sterilization through a standard tubal ligation procedure
- Have limited abdominal scarring
- Have a BMI of 30 or less
If there are any factors that could indicate an unsuccessful tubal reversal, you may be better suited for IVF. Dr. Kristiansen can help you determine if this procedure will be beneficial for your specific situation.
Overall, tubal reversal offers a quick recovery process with minimal risks involved.
Tubal Reversal Treatment Process
In order to preserve as much tissue as possible, tubal reversal is performed using microsurgical techniques. After making a small incision just above the pubic bone, the tubes, ovaries, uterus, and surrounding structures are evaluated. The blocked ends of the tubal segments will be opened, and any prior scarring will be addressed. Next, a stent will be inserted through the fallopian tube and into the uterus to confirm the opening travels all the way from the fimbria to the uterine cavity. Finally, the new tubal openings will be repositioned underneath the fallopian tube segments and secured with tiny stitches. The stent is then removed, and the surgical site is closed. Typically, tubal reversal is performed as an out-patient procedure, and can be completed in approximately two to three hours.
Recovery Following Tubal Reversal
Overall, tubal reversal offers a quick recovery process with minimal risks involved. Immediately after your tubal reversal, you will be taken to a recovery room, where you will be monitored for two to three hours. Once you are ready to go home, you will be provided with prescription medications and a detailed list of post-operative instructions. Within 24 to 48 hours, you should be able to resume your normal dietary habits. Your surgical dressing can be removed after two days, and routine activities can be continued after about one week. It is important to rest as much as possible during the first several days. Doing so will help warrant a safe and successful recovery.
Most patients can attempt conception after about one month, or during the next cycle following surgery. If you are not pregnant after six months, we will take an x-ray of your tubes and uterus to determine the next step.
Learn More about Tubal Reversal
If you desire to conceive after undergoing a tubal ligation, a tubal reversal may be the solution. To explore your treatment options, schedule a consultation with Dr. Kristiansen. You can contact us online, or call one of our office locations. In Houston, dial (713) 862-6181.