18 Mar The Steps and Effectiveness of Tubal Reversal
Many women who have a tubal ligation (tubes tied) later wish to have this reversed.
What is the success rate of tubal reversal?
A tubal reversal requires more skill than an IVF procedure. IVF has around a 30% success rate and can be more costly than a tubal reversal. Most microsurgical tubal reversal procedures yield a 95% success rate. The procedure involves making a small incision, is associated with very little pain, and allows the patient to return to work within a week. Patients experience very little post-operative pain after the surgery.
What diagnostic tests are required before the tubal ligation reversal procedure?
The only laboratory test required before the tubal ligation is a recent semen analysis from the current partner. If possible, you should also provide a copy of your operative report from the tubal ligation surgery so the surgeon can determine the best approach for the tubal reversal. A hystersalpingogram (HSG) is performed if you had a fimbriectomy performed.
What happens during the procedure?
After you are given anesthesia, the doctor makes a small incision along the bikini line to expose the uterus, fallopian tubes, and ovaries. Blocked fragments of fallopian tubes are removed in attempt to repair the tube using sutures. Afterwards, the incision is closed, and a bandage is applied.
What happens after the procedure?
You cannot bathe or soak in a tub until the sutures are removed. Be sure to keep the incision clean and dry. Also, avoid sex and strenuous activities for two weeks.
How big will my incision be?
The incision for a tubal reversal is around 4-5 centimeters, or two inches. This extends along the bikini line just inside the public hairline. We use sutures (stiches) to close the skin, which is readily absorbed by the body over 6-8 weeks.
How soon can I go back to work after the tubal reversal procedure?
Returning to work after a tubal reversal surgery depends on the type of occupation. Women who have sedentary jobs can return to work within 5-10 days. For people with a more rigorous job and heavy lifting, you will probably be off for up to two weeks.
How soon after the reversal can I attempt pregnancy?
Depending on the method of tubal ligation performed first, pregnancy rates vary. You may attempt becoming pregnant on the next cycle after a tubal reversal procedure. Most reversal patients achieve pregnancy within six months following the surgery. However, pregnancy may take up to a year.
Am I likely to have a tubal pregnancy following a tubal ligation reversal?
Tubal (ectopic) pregnancy can occur following tubal reversal surgery. The incidence for ectopic pregnancy is 3-5 percent, and if you are two days late for your menstrual period, you should have a pregnancy test. Symptoms of an ectopic pregnancy include abdominal pain, pelvic pain, spotting, and cramping.
What risks are associated with the tubal reversal procedure?
The risks associated with tubal ligation reversal surgery include:
- Blood vessel injury
- Complications related to anesthesia
What is the cost of tubal reversal surgery?
The cost of surgery varies from center to center. Many patients have the option of financing the procedure, whereas others choose to take out a small loan for the procedure. The tubal reversal procedure at most centers runs between $5000 to $7000.
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