Tubal Ligation Reversal

Consultations offered at our three convenient locations in Los Angeles, Beverly Hills and Long Beach, CA

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Our mission is to deliver the most advanced tubal reversal techniques in safest, most cost-effective manner to our patients in a comfortable and compassionate environment.

What Is It?

Tubal Ligation Reversal

Tubal Ligation Reversal Surgery (TLRS) – is a surgical procedure that can restore fertility to women after a tubal ligation. Tubal ligation reversal surgery can be very successful in restoring your natural fertility, allowing you to become pregnant.

The American Society for Reproductive Medicine (ASRM) has repeatedly supported tubal reanastomosis as an effective treatment for tubal sterilization. ASRM has consistently supported sterilization reversal as an alternative to in-vitro fertilization (IVF). They have consistently concluded that Tubal anastomosis for reversal of tubal sterilization has a significantly higher cumulative pregnancy rate than IVF, and it is more cost-efficient, even in women 40 years of age or older.

HOW WE DO IT

The main benefit of tubal reversal for our patients is its effectiveness. Our patients can become pregnant more than once, and multiple medical interventions are usually not required. It is safe. It is the most cost effective approach. In our state of the art center in beautiful Beverly Hills California, and under general anesthesia, we perform the operation through a 5 cm (2 inch – Fig.1) incision and use a special microscope. This is to improve success rates, help reduce postoperative pain, while improving fast and smooth postoperative recovery.Surgery is between 40 to 70 minutes in uncomplicated cases. At the time of surgery, a special tube will be placed inside the uterus. Special Dye will be introduced through this tube. This will travel through the uterus and into the fallopian tubes. Free spillage from the ends of the fallopian tubes will confirm patency of the repaired tubes at the completion of your surgery. Patients go home the same day on pain killers and antibiotics. Patients will have 24-7 access directly to surgeon’s cell phone for any and all concerns. There are risks to any surgery but in our experience the immediate risks of surgery at our center are small and the risk of ectopic pregnancy can be minimized by following our early pregnancy monitoring recommendations. An Early home pregnancy test is most recommended. We suggest immediate notification and visit of your local obstetrician’s office. Serial HCG testing with endovaginal pelvic ultrasound and Medical treatment with methotrexate can effectively treat most early ectopic pregnancies and can minimize this risk of reversal and need for future surgery.

FAQ

What information can be found in my health record

Most patients can begin to attempt pregnancy 4 weeks after the surgery. In our center we do our microscopic reanastamosis through a 5cm (2 inch) incision.

What are my chances of having a baby?

Success rates may vary widely dependent upon numerous factors such as age, how the tubes were tied, coexisting infertility issues, male factors, and others. In general, good candidates under 35 years of age can expect tubal reversal pregnancy rates between 65-70% within two years of the tubal reversal surgery.

Does the amount of time passed since tubal ligation affect the outcome?

No it doesn’t… Keep in mind that your age is a factor and generally speaking, the earlier the better. So the take home message if you are committed to have another baby is to get scheduled like yesterday.

Is this an out patient procedure? Is it under general anesthesia?

Yes. It is done as an outpatient procedure and under general anesthesia. You will be discharged to go home after surgery.

How long is the surgery?

In straight forward cases it is about one hour, but plan to be at our center about 3-4 hours for preoperative, operative and postoperative care.

What is the average cost of IVF as opposed to Tubal reversal?

You have two choices for pregnancy after tubal sterilization. In Vitro Fertilization (IVF) or Tubal reversal. In comparison, the cost of a single cycle of in-vitro fertilization (IVF) averages $14,000 and the average IVF success rate is 36% per each cycle (takes about 2 months) attempted.

Am I too old to get pregnant?

You are not too old for surgery if you are 35 years of age or older. Although being over 35 is considered Advanced Maternal Age (AMA), AMA status has nothing to do with the ability to become pregnant after tubal reversal. Although natural pregnancy is more difficult to obtain with increasing age, pregnancy can occur at almost any age if you are having regular periods. The ability to become pregnant does not decline dramatically until after the age 43.

What should I wear for the day of tubal surgery?

Wear comfortable button down blouse and easy to put on pants. Have warmer outer wear such as coats and jackets available in case. Leave all valuables and jewelry at home.

Can I call uber or drive home alone?

No you must have a friend or family member pick you up.