If you regret having your tubes tied, the tubal reversal procedure offered by IVFMD may offer a good solution. The average pregnancy rate after tubal reversal is up to 80% in some cases. Success often depends on the type of tubal occlusion you underwent. Dr. Le is the director and founder of the well-respected IVFMD fertility center. With locations in Irving, Grapevine and Arlington, Texas, his team is known throughout the region for their skill and expertise in fertility treatments. For more information regarding tubal reversal call or schedule an appointment online today.
For women who regret having their tubes tied, the tubal reversal procedure can offer a good alternative to IVF, which for some patients can provide an average cumulative pregnancy rate of up to 80% a year after surgery.
We perform tubal reversal using microsurgical instruments via a 1.5-2 inch incision at the pubic hairline (bikini incision). The tubes are first identified and freed of any adhesions from the previous tubal ligation. The blocked ends are then resected and reattached to each other under the microscope to ensure the tubes are correctly aligned and perfectly sealed. A blue dye is then injected into the uterus and the end of the tubes are observed for spillage of dye.
The surgery usually lasts 1-3 hours and patients can go home on the same day after a short stay in the recovery area.
We have negotiated with the hospital an affordable package for outpatient tubal reversal. A global fee of $6,500.00 will cover:
• Initial consultation with surgeon
• Preoperative, surgical and postoperative care at Baylor Surgical Hospital of Las Colinas
• Anesthesia fee
• Surgeon fee for 2 board-certified specialists experienced in microsurgical techniques
• Postoperative visit
Surgery is performed at Baylor Surgical Hospital of Las Colinas which offers the best in safety, state of the art equipment and nursing/anesthesia support.
Operating room at Baylor Surgical Hospital of Las Colinas
The success of the procedure is dependent upon the age of the woman, the type of tubal ligation (clip, ring, cutting, tying, burning, part of the tube removed), the amount of tube remaining and the health of the fimbria. The 12-month cumulative pregnancy rates by age and method of tubal occlusion are as followed:
| Age | Clip/Ring (%) | Resection (%) | Burning (%) |
| <30 | 80 | 80 | 60-70 |
| 30-34 | 70 | 60-70 | 50-60 |
| 35-40 | 50-60 | 50-60 | 40-50 |
| >40 | 40s | 30-40 | 20-30 |
Since the successful outcome of tubal reversal is dependent upon the condition of the remaining tubes and the presence of any scarring due to previous pelvic infection or surgery, a laparoscopy may sometimes need to be performed to assess tubal length and the overall pelvic anatomy before proceeding with the reversal.
In most cases both tubes can be reconnected; however, in some situations only one tube may be healthy enough to be fixed, and rarely, neither tube can be repaired even with the best surgical effort. If only one tube is patent after surgery it may take you a longer time to achieve pregnancy.
The most prevalent risk of tubal reversal is an increased incidence for ectopic pregnancy (pregnancy outside of the uterus), which is 10% vs 2% for the general population. To reduce the risk of an undetected ectopic pregnancy, a urine pregnancy test should be performed after a missed period. If positive, the pregnancy should be followed with serial serum HCG levels until the location of the pregnancy is confirmed by ultrasound. If a tubal pregnancy is detected early it can be successfully treated with methotrexate without the need for surgery. Listed below are the main risks associated with tubal reversal:
