Tubal reversal or tubal re-anastomosis is the surgical procedure that restores fertility for women who have had their tubes “tied”. An outpatient surgery which lasts approximately 90 minutes, the tubal re-anastomosis , when performed by our experts, is successful in repairing tubes approximately 90-95% of the time. Success rates in terms of achieving pregnancy depends on other factors such as the patent’s age, partner’s sperm quality and prior reproductive history, but in terms of repairing the tubes, tubal reversal is an excellent approach.
The process to have a tubal reversal is as follows:
- Call our center. Call (310) 209-7700 and speak to one of our knowledgeable and friendly staff. They will ask you to obtain the surgical record from your tubal ligation (if it is unavailable that is still okay) and schedule a time to consult with the doctor about the procedure. The consultation can take place in person or remotely by phone or Skype. About half of our patients travel more than 300 mile to have their procedure done by our doctors.
- Consultation: During your consultation, our doctors will sit with you (physically or virtually) to review your surgical history as well as you and your partner’s medical histories. The doctor will explain the tubal re-anastomosis procedure and review any specific concerns related to your unique situation. Further, the doctor may recommend fertility testing such as hormone levels or sperm evaluation depending on each patients individual characteristics. Usually, the procedure date and time are scheduled at the end of the consultation. The surgery is normally scheduled during the week after the end of your period, usually between days 5-13 of the cycle.
- Pre-op exam: Between 1 week and 1 day prior to your surgery, you will come in and meet with the doctor. She or He will explain the procedure again and review any risks or concerns. Also, the doctor will perform a physical exam and trans-vaginal ultrasound to prepare for the surgery. Lastly, they will draw some blood for pre-operative labs and the nurses will give you instructions on when and where you need to be for your upcoming surgery.
- Surgery: You will arrive to the surgery center roughly one hour prior to the surgery time to meet with the surgery staff and anesthesiologist and change into hospital attire. The surgery itself normally takes about 90 minutes plus another 1-2 hours in the recovery area before going home or to their hotel room (for out of town patients).
- Post op check: One day to one week after the surgery, patients return to the office to meet with the doctor and make sure that everything is healing properly. This is also the time that the doctor can describe (in as much or as little detail as you prefer) the surgery and explain the outcome.
- Trying to conceive: our doctors recommend that patients wait for their next normal cycle before trying to conceive and then use ovulation prediction kits (OPKs) or other methods of detecting ovulation to properly time intercourse. Most pregnancies occur during the 6-12 months after the surgery. If a pregnancy does not occur during that time, the doctor will recommend a special X-ray called and HSG that can test to make sure that your tubes have stayed open.