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Tubal Ligation Reversal "Tubal Reanastomosis"

The tubal ligation reversal T.L.R. is a surgical procedure to restore fertility when a tubal ligation 'tubes tied'was performed.

During a T.LR. the healthy portion of the fallopian tubes are reconnected, this may allow the capacity of the egg and sperm to move throughout the tubes and allows the sperm to fertilize the egg. Now the embryo is allowed to travel to the uterus for the implantation.

There are different techniques to tie tubes (burning, cutting,clips, rings and so on).  The one that results in  the most limited scarring are the most succesful to be reverted.  

The T.LR. may allow you to get pregnant without any further medical assistance.

The T.L.R. is not appropriate for every patient.  Your doctor should consider several factors to see if you are a good canidate for the procedure.


Factors playing a roll are:

-Your age

-The type of tubal ligation

-Extension of the damage of the tube 

-Remaining tubal length 

-Sperm and egg quality 


Possible risk of the Tubal ligation reversal failure




-Scarring of the fallopian tube 

- Risk of ectopic pregnancy


Discuss with your doctor:

-Discuss the chance of success after the reversal 

-Explain how the procedure is done; procedure could be done laparoscopically, robotically or with a small incision (mini laparotomy)

-Discuss options such as in vitro fertilization (IVF)



Your doctor could not be able to reattach one or both fallopian  tubes if too much length of the  tubes was removed.

Success rates after the T.L.R. can vary widely, depending on factors such as maternal age, type of tubal liagation procedure that was previously done. 

While it is difficult to predict the chance of pregnancy, women under 35 years old have a better chance of success.   Also in case of failure to conceive after T.L.R., women younger than 35 years old have more time to perform an IVF procedure.


P.S.  Be aware that T.L.R. is unusually covered by any health insurance, anyhow we suggest that you contact your healthcare insurance to check your benefits for this procedure. 


Daniel A Rostein MD FACOG, Fertility Specialist. Fertility Specialist . Minimal Invasive Surgery. Assistant Professor at Loyola Medical School

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