Tubal Ligation Reversal

Tubal Reversal Surgery in India - What You Need to Know?

Tubal ligation reversal is a procedure that may restore your ability to become pregnant after a tubal ligation, also known as having your 'tubes tied'. This short explains the key aspects of the surgery.

What is tubal ligation reversal?

This surgery aims to reconnect the fallopian tubes. The goal is to restore a path for an egg to travel from the ovary to the uterus.

• The procedure. It is a delicate operation performed under general anaesthesia. A surgeon uses microsurgical techniques to reattach the separated sections of the fallopian tubes.
• Surgical approach. The surgery is usually done through a small incision in the lower abdomen, known as a laparotomy or 'mini-laparotomy'.
• Hospital stay. A hospital stay of one to three days is common. You will be given medication to manage any pain after the procedure.

Who is a candidate for this surgery?

Several factors are considered to determine if you are a good candidate for a successful reversal.

• Your age. Age is an important factor, as fertility naturally declines over time. The procedure is generally more successful in younger women.
• Original ligation. The type of tubal ligation you had is critical. Procedures that removed only a small part of the fallopian tubes are easier to reverse.
• Remaining tube length. The amount of healthy fallopian tube that remains is a key factor for success. A surgeon will review your previous surgical notes to assess this.
• Other fertility factors. Your overall health, ovarian function, and your partner's sperm health are also important considerations.

What to expect after the procedure

• Recovery. You can expect to return to light activities within a week or two. Strenuous exercise and heavy lifting should be avoided for several weeks.
• Conceiving. If the surgery is successful in opening the tubes, it may be possible to become pregnant naturally. There is no guarantee of pregnancy.
• Ectopic pregnancy risk. After a reversal, there is a higher risk of an ectopic pregnancy, where an embryo implants outside the uterus. You must seek medical care as soon as you think you are pregnant.

The suitability of tubal ligation reversal depends on your individual circumstances. A final decision can only be made after a specialist has reviewed your medical reports and recent imaging.