Tubal reversal at PFCLA

Tubal reversal, or tubal reanastomosis, is the surgical procedure that reverses tubal ligation (a procedure that ties your tubes), providing you or your partner with increased chances of fertility. If you or your partner are interested in tubal reversal, your doctors will discuss this procedure in further detail and address any concerns you may have about it.

Important factors for successful pregnancy rates

During the initial consultation, your doctors will consider these factors when identifying the potential chances of pregnancy:

• Your age
• The type of tubal ligation
• Your partner's sperm quality
• Prior reproductive history

The tubal reversal procedure

You or your partner will have your own dedicated clinical coordinator, nurses and doctor throughout this procedure. Rest assured you’ll be seeing the same familiar faces from the initial call to the end of the tubal reversal procedure. Here’s a breakdown of what you or your partner can expect once you’ve made the decision to go through this procedure:

1. Initial call. Your initial call will consist of scheduling a consultation with your doctor about the procedure. You can have these consultations either in person or remotely through telephone or skype. 
   
2. Consultation. During your consultation, your doctor will sit with you (physically or virtually) to review your surgical and medical history. Your doctor will then explain the tubal reanastomosis procedure and review any concerns related to your situation. They’ll also discuss further fertility test recommendations, such as hormone level or sperm evaluation. If at the end of your consultation you agree to this procedure, it’s generally scheduled during the week towards the end of your period (between days five to 13 of the cycle). 
3. Pre-op exam. A week before your surgery, you'll be required to meet with your doctor for a pre-procedure appointment. During this session your doctor will explain the tubal ligation reversal procedure for the last time and address any risks or concerns you may have. During this visit, your doctor will also perform a physical exam and transvaginal ultrasound to prepare you for the surgery. Lastly, they’ll draw blood samples for our preoperative labs. Your nurse will provide further instructions for your upcoming surgery and what to expect on the day.
4. Tubal reversal surgery. Arrive at the surgery center roughly one hour before the operation to change into your hospital attire and meet with your nurse, doctor and anesthesiologist. The surgery itself takes approximately 90 minutes with a one to two hour recovery period before you’ll be allowed to go home or to your hotel (in the case of out-of-town intended parents).
5. Post-op check. You’ll be asked to return to our office (up to one week after the surgery) to meet with your doctor to ensure everything is healing correctly. During this session, your doctor will offer to provide you with expert opinion on your tubal reversal procedure and explain the resulting outcomes.
6. Conception. Your doctor will recommend you or your partner to wait for the next normal cycle before trying to conceive. They'll recommend the use of ovulation prediction kits (OPKs) or other methods of detecting ovulation to correctly time intercourse. Most pregnancies occur during six to 12 months after the surgery. If a pregnancy does not happen during that time, your doctor will recommend a special X-ray called HSG to test and ensure your tubes have stayed open.