Tubal Ligation Reversal

Tubal Ligation Reversal

What is Tubal Ligation Reversal?

Tubal Ligation is a procedure that is commonly known as getting one’s “tubes tied”, and it serves as an extremely effective form of birth control. The procedure can be performed in the following ways: the fallopian tubes are tied, the tubes are sealed together or the tubes are burned together. When women want to reverse the procedure, they go through a surgery that is known as Tubal Ligation Reversal.

It turns out that some women change their mind about not wanting to have a child or having more children, so tubal ligation reversal is an option available for women who are ready for childbirth. It is okay to change your mind and it is actually not that uncommon, because what may seem right at the time may change due to our perspective, circumstances or fortunes.

To reverse the procedure, the surgeon will try to undo what was done in the initial tubal ligation surgery. Depending on the patient’s age and condition, the doctor will determine whether this treatment is possible or appropriate. It is important to remember reversing the procedure does not guarantee an easy pathway to pregnancy, and frequently women will need to seek out additional fertility treatments.

Who is a Good Candidate For Tubal Ligation Reversal? 

The doctor will look at a number of factors to determine if the tubal ligation reversal procedure is appropriate for you. Due to the sensitive nature of this decision, it is not a bad idea to get a second and third opinion to make sure you are receiving the best medical advice available. The following are some basic factors a doctor looks at before deciding whether or not ligation reversal is the correct choice for the particular patient, because doctors do not want to perform procedures that are not helpful and/or risky.

  • Patient’s Age
  • Tubal Ligation Procedure Performed on the Patient in Past
  • Current Health of Fallopian Tubes
  • Scar Tissue in the Pelvic Area
  • Fertility Tests (including test of partner’s sperm)


What is the Surgery Like?

You will go to a hospital or outpatient center to get the tubal reversal ligation preformed by a surgeon. The surgery takes around 3 hours to perform. This is a procedure that requires anesthesia, so that means you will be asleep and feel nothing during the operation.

The surgeon performs the surgery by going through the belly button into the pelvis area with a small scope, called a laparoscope. Once the surgeon does this they will know exactly what they need to or if they can perform the reversal surgery. After this the surgeon makes two small cuts near the pubic hair line. They use microscopic tools to remove the clips or rings that blocked the tubes. If they need to reconnect the tubes, they will make small stitches to re-attach the tubes.

Usually once the procedure is done, you will need to stay in the hospital for at least one night. Some hospitals with advanced equipment even let women go home the same day a few hours after the procedure is performed. Even though all surgeries are serious, this one is relatively low risk and has a quick recovery. There is some discomfort after the surgery, but you will be given pain killers that can mostly manage the pain.

What is Likelihood of Getting Pregnant After Tubal Ligation Reversal?

There are lots of factors that determine whether a patient can get pregnant or not after the reversal procedure. Obviously all couples are different due to age, health, fertility levels and medical history, so the average range of success is large and falls in 40% to 80%. When pregnancy can occur unassisted, it usually happens within the first year. After the first year, you may need to consider fertility treatments to increase your odds of pregnancy.

What To Do After The Procedure To Increase Chances Of Pregnancy? 

If the procedure is done there is a good chance you can still get pregnant, but not every woman will be able to become easily pregnant. You may want to explore some of the fertility options listed on this site to help enhance the chances of achieving pregnancy. Here are some natural fertility treatments that are especially recommended after tubal ligation reversal.

1) Treatments to Remove Scar Tissues

Both of the procedures of Tubal Ligation then Tubal Ligation Reversal cause the body to form scar tissue in the pelvic area that can impede a women’s ability to get pregnant. There are lots of natural treatments that address this, so please the follow the links to learn more about the suggested therapies to treat pelvic scar tissue and other fertility related issues.

Castor Oil Packs: This therapy is simple and uses a flannel soaked in castor oil then applied to the abdomen. This treatment has been used for thousands of years to heal the body.

Maya Abdominal Massage: This treatment is a technical belly massage that treats the reproductive organs.

Fertility Acupuncture: Tiny, painless needles are inserted into the skin to stimulate blood flow to certain areas of the body.

Fertility Self Massage: Massages you can administer to yourself to enhance blood flow to help the body heal scar tissue in the pelvic area. For those who would prefer a professional to administer the massage contact a fertility massage therapist.

2) Natural Fertility Treatments

In addition to healing the the tubes post-surgery, you may want to enhance the body’s ability to perform the reproductive process. All of the treatments above will help your body’s performance increase while healing scar tissue, but let us tell you about some treatments that will boost your fertility too.

Fertility Yoga: This type of yoga empowers and stretch the parts of the body that need to be in top shape for reproduction. It also helps to reduce stress which is a huge factor in fertility problems.

Fertility Hypnotherapy: Our minds form negative pathways that repeat over and over to create stress when we focus on just the negative. This type of therapy retrains our brain to focus on the positive and reduce stress in all facets of life.

Fertility Acupressure: This therapy uses the application of pressure from fingers to stimulate blood flow to certain parts of the body. This increased blood flow gives the body to heal and improve upon its current state.

3) Enhance Healthy Lifestyle

Modern day life is hard on the body between poor diet, lack of exercise, introduction of toxins and many other factors. To be healthy, including in our reproductive health, sometimes we need to seek assistants to manage the harm done to our bodies through an unhealthy lifestyle.

Herbal Therapy: There are many herbal supplements available to treat and enhance fertility. Dang Gui, Red Raspberry Leaf and Maca are just to name a few.

Fertility Diet and Nutrition: Eating certain foods can boost our energy and overall health to make the likelihood of successfully reproducing just one step closer.

Fertility Counseling: Anyone who has had any issues with fertility knows that fertility is not just a matter of biology, but it impacts many couples emotionally as well. Many couples can benefit by attending counseling to address emotions, concerns, stress, etc.



Dr. Naveed Khan

Khan, Naveed. Tubal Reversal vs. IVF. Shady Grove Fertility.

Scott, Monica. How to Get Pregnant After Tubal Ligation. Conceive Easy.  

Tubal Ligation Reversal. WebMD.