After my last C-section I had my tubes tied and burned. If I get a reversal, can I become pregnant again?

I have had three C-sections. After my last one, I had my tubes cut, tied, and burned. Would I be able to get pregnant after a tubal reversal?

Answers from doctors (1)


Piedmont Reproductive Endocrinology Group

Published on Mar 01, 2016

Good morning!

A tubal reversal is something to look into, but there are a lot of factors that can affect your success at getting pregnant following the surgery.

First, the doctor would need to determine whether he feels he could successfully repair your fallopian tubes. For him to make this decision, he needs to examine your operative report from the tubal ligation surgery. If he feels that he could be reasonably successful with the surgery, he then will look into your fertility. This will likely consist of drawing a panel of labs and performing an ultrasound to confirm that you seem to still be reasonably fertile; meaning you still have a healthy number of eggs. Next, your partner's fertility is assessed via a semen analysis. The main goal of this would be to make sure you would be able to conceive after the tubal reversal surgery.

I know this is a lot of information, which is why a consultation is in order. During a consultation, your doctor would review your operative report, discuss the risks and benefits of a tubal reversal, and discuss the success rates of a tubal reversal versus in vitro fertilization (IVF). IVF is a procedure that does not require the use of the fallopian tubes.

From there, he will customize a plan to you and your situation. Afterwards you (and your spouse) will likely meet with the facility's financial counselors to get cost sheets detailing the expenses of your options to help you make a decision.

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Answered by Piedmont Reproductive Endocrinology Group

Good morning!

A tubal reversal is something to look into, but there are a lot of factors that can affect your success at getting pregnant following the surgery.

First, the doctor would need to determine whether he feels he could successfully repair your fallopian tubes. For him to make this decision, he needs to examine your operative report from the tubal ligation surgery. If he feels that he could be reasonably successful with the surgery, he then will look into your fertility. This will likely consist of drawing a panel of labs and performing an ultrasound to confirm that you seem to still be reasonably fertile; meaning you still have a healthy number of eggs. Next, your partner's fertility is assessed via a semen analysis. The main goal of this would be to make sure you would be able to conceive after the tubal reversal surgery.

I know this is a lot of information, which is why a consultation is in order. During a consultation, your doctor would review your operative report, discuss the risks and benefits of a tubal reversal, and discuss the success rates of a tubal reversal versus in vitro fertilization (IVF). IVF is a procedure that does not require the use of the fallopian tubes.

From there, he will customize a plan to you and your situation. Afterwards you (and your spouse) will likely meet with the facility's financial counselors to get cost sheets detailing the expenses of your options to help you make a decision.

Published on Jul 11, 2012


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