Understanding How A Tubal Reversal Works
A tubal reversal procedure is designed to open or reconnect your fallopian tubes. Before performing a tubal reversal at our Kansas fertility center, Dr. Gehlbach will want to review the details from your tubal procedure, complete a physical exam, discuss alternatives to surgery and order a for your partner. Usually, you can start trying to have a baby one to two cycles after Dr. Gehlbach performs the tubal reversal. Because this procedure can increase the risk of ectopic pregnancy, Dr. Gehlbach closely monitors all patients who become pregnant after tubal reversal.
What Are The Most Common Causes Of Tubal Ligation Failure
One of the most common causes of tubal ligation failure is an incorrectly performed procedure. A diagram of the female reproductive system, including the fallopian tubes. A tubal ligation is typically performed immediately after a woman has given birth. Irregular periods may occur after having a tubal ligation.
How can a tubal ligated woman can still be pregnant?
Since tubal ligation is considered a permanent form of birth control , it does require a minimally invasive surgical procedure to reverse it, so you can try to become pregnant. This involves reconnecting the blocked segments of the fallopian tubes to the remainder of the fallopian tubes.
What Happens During The Procedure
Just before open abdominal surgery, youll be given general anesthesia. The surgeon will make an incision a few inches long on your lower abdomen. The fallopian tubes can be seen and removed from this incision. Then, the opening will be closed with stitches or staples.
Laparoscopic surgery is a less invasive procedure. It may be performed under general or local anesthesia.
A tiny incision will be made in your lower abdomen. A laparoscope is a long tool with a light and camera on the end. It will be inserted into the incision. Your abdomen will be inflated with gas. This allows your surgeon to get a clear view of your pelvic organs on a computer screen.
Then a few additional incisions will be made. Theyll be used to insert other tools to remove the fallopian tubes. These incisions will likely be less than half an inch long. Once the tubes are out, the small incisions will be closed.
Exploring Options For Conceiving After Tubal Reversal
If you want to achieve pregnancy after a tubal reversal, Dr. Gehlbach can discuss the available treatments. The odds of conceiving after tubal reverse depend on several factors such as:
- Type of original tubal ligation procedure
- Length and function of your fallopian tubes
- Scar tissue in the abdominal cavity
- Your partners results
The success rate for conceiving after tubal reversal is approximately 70% for women under 35 and roughly 30% for women in their early-40s. In many cases, intrauterine insemination or in vitro fertilization will increase the chances of success. Dr. Gehlbach will review your specific case before making any recommendations.
At Midwest Reproductive Center, we want to assist our patients in removing any roadblocks to creating or expanding their families. Dr. Gehlbach is committed to providing the highest quality infertility treatment at our Kansas fertility center. Contact us for more information about conceiving after tubal reversal or to schedule an appointment.
Can I Get Pregnant After A Salpingectomy
It depends on what type of salpingectomy you had. If you have a unilateral salpingectomy , youll be able to get pregnant, assuming the other fallopian tube is still functioning. If both fallopian tubes are removed , you are unable to get pregnant naturally.
If youve had a salpingectomy, you can pursue an IVF pregnancy. IVF is a process that involves fertilizing your eggs in a lab, then transferring them into your uterus.
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Activity After Tubal Reversal Surgery
- Expect to feel sore and washed out for a few days following surgery. Remember to get up and move about, even through you may not want to. Increase your activity gradually during this time. For a week or two after surgery expect to tire easily even after the slightest effort of work or exercise. Do not engage in strenuous activity until after your first post-op visit at our office. If you plan to travel, please check with your physician prior to surgery if possible. If an emergency arises and you must travel during the first week of surgery, please notify our office before you leave.
- The pain pills do what they are supposed to do, which is mask your pain. Therefore, you may feel a false sense of wellness due to the pain pills, so even though you feel fine the next day or two, be aware that your body is still recovering and take it easy. Eat and drink carefully. The last thing you will want to do following this type of surgery is choke or cough. Sneezing, laughing, crying and shivering from the cold may also be uncomfortable. So snuggle up and treat yourself well.
- The day following surgery, you may take a shower however, do not take a bath for at least five days after surgery.
How Long Does It Take To Get Pregnant After Reversal
Many of our patients ask, How long does it take to become pregnant after a tubal reversal?
The monthly chance of becoming pregnant after tubal reversal is approximately 5 to 10%. Since tubal ligation reversal provides a chance each month, the cumulative chance of pregnancy increases over time and surpasses the pregnancy rate associated with treatment by IVF.
Most of our patients become pregnant within 12 months of having tubal ligation reversal at our center, but for some patients pregnancy may not occur until one or more years after their reversal procedure.
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Are The Fees Affordable For Tubal Reversal Surgery
The estimated fees for the surgery are listed under the Costs of Tubal Reversal section of our website. There are no hidden fees. Any cost in addition to the tubal reversal surgery is listed below the estimated cost of the surgery.
Many people find the surgery affordable, especially when compared to the typical costs of in vitro fertilization.
How Is Tubal Reversal Done
You’ll need to go to a hospital or an “outpatient” center — a place where you don’t stay overnight after surgery. You’ll be given general anesthesia, which means you’ll be pain-free and won’t be awake during the operation.
Your surgeon places a small lighted scope, called a laparoscope, through your belly button and into the pelvis area. This lets them look at your fallopian tubes and decide if reversal surgery is possible.
If they decide it’s OK to do the reversal, your doctor then makes a small surgical cut, called a “bikini cut,” near your pubic hair line. Microscopic instruments attached to the end of the laparoscope let them remove any clips or rings that were used to block your tubes, and reconnect the ends of the tubes to the uterus, using very small stitches.
The surgery usually takes about 2 to 3 hours.
Ask your doctor about other approaches to a tubal reversal.
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Where Can I Find Support For Making The Tubal Reversal Decision
Family and friends are an awesome source of support, but sometimes they dont really understand what your concerns and feelings are. Online forums and social media groups are excellent sources of support for making decisions and learning about tubal reversal, conceiving, and pregnancy. Of course, dont take medical advice from such online information, leave that to your doctor, but join one or more online groups to connect with others just like you.
Note that it can be challenging on some groups in the beginning because they use so many abbreviations, but we have compiled a list of all those TR, TTC, and Pregnancy Forum abbreviations so you can quickly understand and participate in the discussions.
Having A Child After Hysterectomy
If you want to have children but you need a hysterectomy for medical reasons, it is possible for you to start a family. While you might be able to use your own eggs, you cant carry the pregnancy yourself.
One option is to have your eggs harvested for future fertilization and surrogate implantation. Harvesting can be done before the surgery if your ovaries will be removed, or after surgery if your ovaries are to remain intact. While a surrogate will carry the child, it will be your biological child.
If egg harvesting is not possible or you do not wish to go that route, there are other options. A male partner may provide sperm for a surrogate pregnancy, either of a donor egg or the surrogates egg. A female partner may carry a pregnancy resulting from her egg being fertilized. You may also consider adopting a child as an alternative.
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What Are The Alternatives To Reversal
If youve had a tubal ligation, in vitro fertilization is your other option for getting pregnant. In IVF, your eggs are mixed with your partners sperm in a lab. Fertilized eggs are then implanted directly into your uterus and pregnancy can proceed as usual from there if the procedure is successful.
The choice to have a tubal ligation reversal or undergo IVF is different for every woman. However, there is evidence that IVF might be a better choice than tubal ligation reversal for women over 40, while the opposite is true for women under 40.
One concern is cost. For women under 40, reversal is often less expensive, including the costs of pregnancy afterward. IVF is usually less expensive for women over 40.
Another factor to consider is the likelihood of pregnancy after each procedure. For example, the pregnancy rate for women over 40 who have a tubal reversal is half the rate of those who have IVF. For women under 35, pregnancy after a reversal is almost twice as likely than from IVF. For women ages 35 to 40, pregnancy is also almost twice as likely with tubal reversal than with IVF.
Is It Easy To Get Pregnant After A Tubal Ligation Reversal
If both partners are healthy and do not have other fertility-related issues, becoming pregnant after a tubal ligation reversal should not be difficult. Statistics show that younger women have a higher rate of success in becoming pregnant with women under the age of 35 having a 70-85% rate of pregnancy success and women over 40 years of age having a 30-40% success rate.
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How Much Does It Cost To Get Pregnant After Tubal Ligation
Insurance plans rarely cover tubal reanastomosis or IVF after tubal ligation so the out-of-pocket cost can be high for both. Tubal reversal surgery may require an overnight stay at a surgery center or hospital. These costs can be similar to or much greater than IVF, which is often $13-20,000.
Ideally, choosing how to grow your family after voluntary sterilization is based on each case in terms of the medical, surgical, and financial variables involved. These factors should be discussed in consultation with your specialist, who can guide you on which route would be best for you.
Schedule a consultation to learn more about getting pregnant after tubal ligation.
Cost Of Ivf Vs Tubal Reversal
If you have talked to an infertility specialist that does IVF, they likely have recommended that you try IVF rather than tubal ligation reversal. IVF is generally at least $10,000 dollars every time you try. Tubal ligation reversals are $6,900 dollars in our clinic and you can try month in, month out. IVF has a success rate of about 22% per attempt while the overall success rate for tubal reversals can be as high as 75%. The math is not tough tubal ligation reversal makes more economic sense for you, but IVF makes more economic sense for the infertility specialist.
We occasionally see patients who can afford tubal reversal but could never consider IVF due to the higher cost.
Why should you consider Lakeshore Tubal Reversal Center for your tubal ligation reversal?
Many of our emails have lists of questions prompted by other facilities websites do you use stents, do you use loupes or a microscope, do you have success rates available for someone in my particular situation, how long does it take you to do the operation, and so forth.
We only do 1 or 2 reversals per day. We like it this way because we can concentrate on you and your surgery. If we look in your tummy and find something extra we can do to improve your chances, we do it. There is no patient behind you waiting so we do what is needed in each case at no extra charge to you whatsoever.
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Am I Too Old For A Tubal Reversal
Dr. Rosenfelds age limit for performing tubal reversals is 39. He is always concerned about patient safety and maximizing the possibility of getting pregnant after tubal reversal so he recommends IVF for patients over 39. He has many successful tubal reversal patient testimonials from older moms. One of them had 5 babies in 6 years!
Tubal Reversal Surgery Or Ivf In Vitro Fertilization After Tubal Ligation
Bundled price for tubal reversal of $9,000, including our fees, the surgery center and anesthesia.
Women who have had tubal ligations sometimes regret their decision and desire fertility in the future. There are 2 options for fertility after tubal ligation, tubal reversal surgery and in vitro fertilization IVF. Both of these are reasonable options and how the woman chooses to proceed should be based on an educated consideration of the pros and cons of each.
Most women have their tubes tied before they leave the hospital after they deliver a baby, or they come in for tubal ligation by laparoscopy which is an outpatient surgical procedure done through a scope that goes through the belly button.
Tubal reversal surgery usually requires a laparotomy which is a much larger incision on the abdomen usually approximately 4 to 6 inches in length. Since the skin and all the muscles and other tissues of the abdominal wall must be cut through there is considerably more discomfort and a much longer recovery time following the surgery as compared to a laparoscopic surgery such as with a tubal ligation.
Some surgeons are now performing tubal reversal surgeries through the laparoscope. However, this is a relatively difficult technique and there is not yet sufficient published data to know what pregnancy rates will be after laparoscopic tubal reversal.
Status of any other pelvic conditions
Egg quantity and quality
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Tubal Reversal Success And Increased Risks
Whether or not tubal reversal surgery can be successfully performed depends on two factors. Is there enough healthy tissue on each end of the tube to be reconnected, explains Dr. Bromer, and is the reconnected tube long enough to function properly? Unfortunately, not all patients have tubes that can be reconnected.
Sometimes even when reattaching the tubes is successful, there can be scarring of the tissue that interrupts the flow of the tube, says Dr. Bromer. This happens in about 20 percent of the cases. If, however, the HSG confirms that the tubes are open, then the patient can begin trying to get pregnant on her next cycle.
There is also an increased risk for ectopic pregnancy after tubal reversal surgery. One risk with tubal reversals is that there is a 10 to 20 percent chance of having an ectopic pregnancy after tubal reversal surgery, says Dr. Bromer. Ectopic pregnancy occurs when a fertilized egg gets stuck in the Fallopian tubes and implants there. Ectopic pregnancies must be terminated with medications or surgery to avoid a rupture of the Fallopian tube, which can be life threatening.
Since the tubes cannot always be reconnected, the success rate for achieving pregnancy after a tubal reversal is around 40 percent for women under 37.
Common Questions About Tubal Ligation Reversal
Tubal ligation reversal might sound like a scary process, but its actually a safe, straightforward procedure for healthy women, and its a fairly common fertility treatment option for restoring fertility.
The problem of infertility is something many women face today most just dont realize how common it is or that there are fertility treatment options available. Its estimated that around 44% of women have sought medical treatment for infertility, and as many as 90% of infertility cases can be treated effectively through drug therapy or surgery.
Before choosing to have a tubal ligation reversal, you probably want some questions answered. While talking to a medical professional before making any decisions is always advised, heres a quick look at some of the most common questions women ask when theyre considering a tubal reversal for restoring fertility:
How big will the incision be? The incision in the procedure is usually around two inches long and will be in the middle of your lower abdomen, usually around the bikini line. Its really not a big incision at all, and it heals quickly, around six to eight weeks in most cases.
How long does it take to get pregnant after the surgery? This depends on each individual, but most patients find that they can get pregnant within six months after the surgery. In some cases, it can take as long as a year. The success rates for tubal ligation reversal procedures are as high as 65% when the time span is at one year.
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Do You Offer Tubal Reversal Discounts Or Special Promotions
Dr. Rosenfelds tubal reversals offer the latest in technology at a fair price that is lower than or comparable to other surgeons that offer the same high quality surgery. So we do not offer discounts, promotions, or fees based on ability to pay. But we wrote an article on how to Save Money on Tubal Reversals. Many patients find it useful to use their federal tax refund to start their payment plan.