Tubal Reversal Evaluation
Getting your fallopian tubal ligation reversed or “untied” is possible, but there are a few things you should consider first. Even though a tubal reversal is relatively minor, it still involves an abdominal surgical procedure. Therefore, both you and your partner should undergo a complete fertility evaluation before you have the surgery to determine your chance of success after your tubal reversal.
The tubal reversal evaluation should include:
A discussion of the type of tubal ligation you had.
The more fallopian tube that was damaged during your tubal ligation, the less of a chance that a tubal reversal will be successful. Scarring is more common when a large portion of fallopian tube has been damaged, and a dramatically shortened fallopian tube is less likely to work successfully.
The older you are, the more likely it is that you will need fertility treatment after your tubal reversal. If this turns out to be the case, you might consider doing IVF instead of having tubal reversal surgery.
Your partner’s sperm count
If your partner has a low sperm count, then fertility treatment (possibly IVF) may be necessary in order for you to conceive. It is important to have a semen analysis done before having tubal reversal surgery.
Your ovarian reserve
Women are born with all the eggs they will ever have and lose them with time. If you are losing your eggs faster than average, you may need fertility treatment after your tubal reversal surgery. If this is the case, a tubal reversal is less likely to be successful and IVF may be a better option.
You need to make sure that there are not other impediments to getting pregnant that need to be treated like endometriosis, uterine polyps, or fibroids. If you have these abnormalities, they should be taken care of during your tubal reversal to give yourself the best chance for pregnancy after your surgery.
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