Can my tubal ligation be reversed if the cut was made where the tube meets the uterus?
Can my tubal ligation be reversed if the cut was made where the tube meets the uterus? I am hearing conflicting stories. Thank you
Answers from doctors (4)
Depending on exactly how close the tube is cut to the uterus, tubal reversal can be very challenging. If tubal re-implantation is needed, the procedure is very complicated, and has high risk for failure and ectopic pregnancy. The best way to determine if tubal reversal can be performed is to actually look at the tubes with laparoscopy before proceeding with possible tubal reversal surgery.
Published on Jul 11, 2012
The answer is "Yes, your tubes can be put back together if the cut was next to the uterus." But it may depend on whether a large segment of your tubes was removed or burned. The portion of the fallopian tube that traverses the uterine wall has the smallest lumen. If the surgeon who is trying to reattach your tubes has to remove a good bit of scar tissue from the end of the tube that used to be attached to the uterus, there can be a significant size mismatch. The tubes widen as they move away from the uterus, much like a trombone. Trying to attach a wide piece to a skinny piece can be trickier and less successful. Still, it can be done in experienced hands with good micro-surgical technique. A thorough discussion of in vitro fertilization that compares the two is also a good idea.
Published on Jul 11, 2012
We can often reverse tubal occlusion when the tube was blocked as it enters the uterus. We perform a specialized procedure called tubouterine implantation and it can provide you with a chance at natural pregnancy.
Published on Jul 11, 2012
It is genreally not recommend to try and do tubal reversal if tube was cut at uterus. This would require a much more difficult (tubal reimplantation) and much less successful tubal reversal attempt. IVF would be the much better option to try for pregnancy
Published on Jul 11, 2012
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