What Is Tubal Ligation?

Tubal ligation is a permanent contraceptive method that involves closing, cutting, or burning the fallopian tubes to prevent the egg and sperm from meeting. This makes natural pregnancy impossible.

Is There a Way to Reverse Tubal Ligation?

Although considered irreversible, there is a surgery called tubal reanastomosis, or tubal reversal, which attempts to restore the continuity of the tubes to allow the egg to pass through again. However, its success is limited and depends on various factors.

What Affects the Success of Tubal Reversal?

Tubal reanastomosis is a reconstructive surgery that aims to reverse the ligation. While it may be successful in some cases, the pregnancy rate varies significantly depending on:

• The patient’s age

• The type of tubal ligation performed

• The time elapsed since the procedure

• The condition and length of the remaining tubal segments

Additionally, women who undergo this type of surgery face a significantly increased risk of ectopic pregnancy.

Advantages of IVF Over Tubal Reversal

IVF offers multiple advantages:

• Avoids reconstructive surgery and its associated risks

• Allows for genetic testing of embryos

• Adapts to each patient’s age and specific condition

• Has success rates over 45% per attempt in women under 35, according to ASRM and ESHRE

• Provides control over the ideal timing for pregnancy and the option to freeze embryos

Comprehensive Evaluation Before Deciding

Before choosing between IVF or surgery, a complete medical evaluation is essential, including:

• Ovarian reserve status

• Sperm quality

• Age of both partners

• Additional gynecological conditions

At Baja Fertility Services, we conduct this evaluation from the very first consultation to offer a personalized, safe, and evidence-based treatment plan.

You’re Not Alone: There Are Options

If you’ve had a tubal ligation and now wish to become a mother, the good news is that real alternatives exist.
You are not alone on this journey.
We are here to provide you with clear information, honest medical guidance, and warm, professional support.

REFERENCES

1. Practice Committee of the American Society for Reproductive Medicine. Role of tubal surgery in the era of assisted reproductive technology: a committee opinion. Fertil Steril. 2021;115(6):1352–1357.
2. European Society of Human Reproduction and Embryology (ESHRE). Guideline: Management of tubal factor infertility. 2020.
3. ACOG Clinical Guidance. Female Sterilization. Obstet Gynecol. 2019;133(1):e29–e36.