Is reversing your tubal ligation the right path to another baby? We’ve got the answers you need to make an informed decision, including your chances of getting pregnant, factors affecting success rates, and a realistic timeline for seeing those two pink lines.
Plus, we’ll cover the risks and how to prepare physically and emotionally for the process.
First of all, what is a tubal reversal?
A tubal reanastomosis, or tubal reversal, is a minimally invasive, same-day surgical procedure to reconnect your fallopian tubes and remove any obstruction. This procedure can be done if you decide to add to your family after having a tubal ligation, AKA having your “tubes tied.”
It’s important to mention that a tubal reversal or undergoing in-vitro fertilization (IVF) are the only options for conceiving after having a tubal ligation. Although the decision is personal, some experts recommend women older than 37 go straight to IVF.
How soon after a tubal reversal can you conceive?
Reproductive endocrinologist and infertility specialist Jessica Ann Ryniec, M.D., says it starts with being a good candidate for the procedure. “About 70% will become pregnant within a year after surgery,” says Ryniec.
However, Ryniec recommends both you and your partner complete fertility testing to ensure tubal reversal is the right choice for growing your family. “Typically, it is recommended to do ovarian reserve testing (including AMH and cycle day 3 hormones), endocrine evaluation (thyroid and prolactin), and a semen analysis,” says Ryniec.
Factors affecting time to conception
Although everyone’s situation is unique, there are some key considerations. “Success decreases with age, the length of time from the initial procedure, and the type of initial tubal ligation surgery also can impact success,” says Ryniec.
- Your age. Studies show that younger women tend to have higher success rates after tubal reversal. But age is only one piece of the puzzle. Many women in their early 40s have successful pregnancies after undergoing the procedure. Be sure to discuss your specific situation with your healthcare provider.
- The type of reversal. Providers use a few different techniques to reverse your tubal ligation, and some are easier on your body than others. Your provider should explain your options and ask questions when you have them.
- Your tubal ligation. The success of your reversal largely depends on what kind of tubal ligation you had. Some providers use clips or rings to tie your tubes, making reversal easier. Electrocauteous procedures, or ones that burn your fallopian tubes, are more difficult to reverse.
- Your overall health. If you’re not doing so already, work on prioritizing your physical and mental health. “Taking a prenatal vitamin with folic acid, getting good sleep, keeping hydrated, and maintaining an overall healthy diet is beneficial, as is about 150 minutes of moderate physical activity a week,” says Ryniec. “Avoiding smoking and keeping alcohol use less than about 4 drinks a week is also helpful,” she adds.
- Your fallopian tube length. Longer fallopian tubes tend to be easier to reconnect. “Ideal candidates are women younger than 37 with >4cm of residual tube,” says Ryniec.
- Your partner's health. Getting pregnant after tubal reversal is more likely if your partner has no fertility issues. Your provider may recommend they undergo fertility testing before performing your reversal just to be sure. In cases where male factor infertility is a concern, IVF may be a better option.
When to seek help
Ryniec recommends being aware of your fertile window and using proactive strategies to increase your chances of pregnancy, like having intercourse at least every other day when ovulating or using ovulation predictor kits.
If you’re not pregnant after six months to a year, talk with your healthcare provider about your options. “It may also be an option to add intrauterine insemination if pregnancy does not occur spontaneously,” says Ryniec.
More tips and things to consider
Like any surgical procedure, a tubal reversal comes with risks to keep in mind. Trying to conceive too soon after your reversal can increase those risks. “The main concern would be of an ectopic pregnancy after tubal reversal surgery,” says Ryniec. She recommends having close early pregnancy monitoring to mitigate any complications.
Fertility treatments can be pricey. See if your insurance offers coverage, or consider looking into grants. If you need further assistance, ask your provider about financing options.
Trying for a baby is an emotional rollercoaster, and frequent doctor visits can be a lot to handle. Although it’s easier said than done, try to maintain your regular lifestyle and find healthy distractions to keep your mind away from the inevitable “what ifs.” Do activities you enjoy, find ways to laugh, and prioritize self-care to help manage stress.
Lean on your support system during the process. Contact a therapist, even just to have them available “just in case.” We recommend joining the Rescripted community for support while navigating your fertility journey and beyond.
Blair Sharp is a freelance writer who lives in Minnesota with her husband and son. Her words have been published in various publications, including Parents, SheKnows, The Bump, and Insider. Find her writing daily on LinkedIn and check out her weekly newsletter, Hey Freelancer! Head to her website www.blairsharp.com for more.