More than 650,000 women undergo tubal ligation in the United States annually, permanently ending their ability to have children. But what happens if circumstances change?
Studies show that within five years of undergoing a tubal ligation, approximately six percent of women decide they want to reverse the procedure to have a baby.
Tubal Ligation reversal is a same-day procedure and does not require a hospital stay. With the da Vinci robotic tubal reversal procedure, patients are able to go home the same day and begin natural conception after a 7 to 10 day recovery period.
Women who make the best candidates for the reversal procedure are those whose tubal ligation included the removal of a small section of the fallopian tubes, or the use of clips or rings placed around the tubes to prevent eggs released during ovulation from traveling through the fallopian tubes.
Success of tubal reversal is generally 80-90% for an ideal patient.
If you had your tubes tied at the time of cesarean section or shortly after a vaginal delivery, the chances of success of tubal reversal might be somewhat reduced since a larger portion of the tube is typically removed.
If the tubes were burned or if too much of the tubes was removed, the success rate decreases significantly.
While it is possible to have your tubes reversed after ablation, your chances of getting pregnant after ablation is exceedingly low because of scar tissue build-up in your uterus.
Fulgrated tubes can be reversed. However, the success rate after reversal is 50%. Because of this, some surgeons decline to perform tubal reversal after fulguration. Others educate patients about their choices and let them decide whether this is something they wish to proceed with.
The appropriate timing of tubal reversal is determined by the patient's age, not the time that has passed since tubal ligation. Generally, most patients younger than 35-40 are appropriate candidates.
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