Tubal ligation reversal is the procedure of restoring fertility after a woman has had a tubal ligation procedure (gotten her tubes “tied”). During a tubal ligation reversal, the blocked parts of the fallopian tubes are reconnected to the remaining parts of the fallopian tubes, allowing eggs to move through the tubes and sperm to travel up the fallopian tubes to join an egg.
When you want to reverse a Tubal Ligation, there are some things that you need to know. When discussing your options with your health-care provider to determine the potential for a successful tubal ligation reversal, make sure you provide your surgeon with all the facts and records from the tubal ligation procedure. The type of tubal ligation procedure used is a significant factor that will determine the proper procedure for tubal reversal, and it has a great influence on the chance of success.
Sterilization procedures such as those done with tubal clips or rings often cause the least amount of damage to the fallopian tubes. It is most likely to allow a successful tubal ligation reversal.
Because of the way some sterilization procedures (such as the Essure & the Adiana systems) seal off the fallopian tubes, in general, it is not possible to open the fallopian tubes again after these procedures. In such cases, in-vitro fertilization (IVF) may be a better way. IVF includes the recovery of eggs from the ovary, fertilizing them in a laboratory and setting them in the uterus.
The procedure which is performed to reverse the Essure or Adiana ligation methods differs from the standard tubal reversion. In this case, a tubocornual implantation is required. The old way of this implantation was really hard to do and as a result, it left the patient with the requirement of a cesarean section for future pregnancies. But as time passes and technology becomes better this is no longer the case.
To reverse the Adiana or the Essure ligation systems, first the implants need to be removed. The next step is to then make a very tiny and round hole in the wall of the uterus. After the uterus is prepared, the tube is sewn into the lining of the womb. After this, the tube must be sewn to the outside of the uterus in order to seal it off. After this process, when the repair is done successfully, the womb is examined from the inside with a special camera to make sure that everything has been done well and the tube is where it should be. This part of the procedure is common for all types of tubal reversal procedures to ensure it is properly done.
The tubal ligation reversal procedure uses microsurgery which is used with the aim of connecting the two disconnected sections of the fallopian tubes. Many factors influence the potential for a successful tubal reversal procedure. Because of the fact that the fallopian tube’s diameter differs from one end to the other, the procedure will have a greater chance of success when the diameters of the two remaining sections are nearly identical. In some cases when the two remaining sections of the tubes have a different diameter, unfortunately, the success rates for pregnancy will be lower.
For an improved chance of success of a tubal ligation reversal surgery, it is ideal if the remaining ends of the tubal sections are almost equal in diameter and the tubes are at least three to four inches long following the tubal ligation procedure. Before having a tubal ligation (getting your tubes “tied”) the fallopian tubes are about eight inches long; if, after the tubal ligation the tubes are less than three or four inches in diameter, the result might be poor.
The decision of performing tubal ligation reversal should be carefully weighed against the potential for successful in-vitro fertilization (IVF). There are some women who have a low chance of a successful tubal reversal. These patients are often advised to have in-vitro fertilization (IVF).
You should discuss your situation with your doctor who will help you determine the best way of achieving a successful pregnancy either by tubal ligation reversal, or in-vitro fertilization (IVF).