A woman may need to have a hysterosalpingogram or a laparoscopy performed to determine the feasibility of success before a reversal can even be attempted. Reversal success rates are dependent upon several factors, including:
The best candidates for tubal reversal are women under age 31 who have had falope ring or clip tubal ligations involving the portion of the tubes closest to the uterus and who have no known infertility factors. Less than five percent of women with tubal ligations have damage that cannot be repaired.
With steady improvements in the pregnancy rates resulting from assisted reproduction, patients now have a non-surgical option for achieving pregnancy after a tubal ligation through in vitro fertilization, which transfers embryos directly into the uterus for implantation.
In nearly all tubal ligation cases, IVF offers the best chances for pregnancy success. The risk factors, benefits, and success rates of each procedure are outlined below:
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The main benefit of performing this surgery is that the patient is back to normal. After the procedure, the patient can become pregnant the old-fashioned way, through natural intercourse. Tubal ligation reversal eliminates the need to continue with fertility medications or weekly check-ups with a fertility specialist.
Patients also don’t have to worry about having multiple children after tubal reversal. Now it’s still possible to have twins and triplets, but the chances are extremely limited after tubal reversal. After she goes through the surgery, thae patient will only need to be conscious of using contraception unless they would like to continue having more children.
While many insurance plans do not cover reverse sterilization or infertility treatments, the majority will cover the diagnostic tests that help determine which treatment method is right for each patient.
Keep in mind that, although the cost of a tubal reversal is fixed, the fees for facilities and anesthesia vary significantly, many times exceeding the cost of IVF. Due to these and other varying factors, tubal reversal cost averages around $25,000 or more.
For women without infertility treatment coverage, the Fertility Center offers IVF packages starting at $10,900. This includes all treatment procedures, ultrasounds and labs, micromanipulation, cryopreservation, anesthesia and facility fees. Medication costs are additional. For qualified patients, we also have an IVF Refund program.
Regardless of the procedure, financing is available. The Fertility Center guides each patient in choosing the option that best fits her budget.
When a woman goes through tubal ligation, her fallopian tubes are cut, cauterized and tied together. The length of these cauterized ends of the tubes matters when considering tubal reversal surgery.
The longer the cauterized ends of the tubes are, the higher the change for a successful reversal and pregnancy, but the shorter the tubes are, the lower the chances for pregnancy. We can’t know how long the tubes are without surgery. We can use a hysterosalpingogram to know the length of the proximal tube, but it won’t tell us the length of the distal tube.
Another potential problem can be if the fimbriated end of the cauterized tubes are damaged or have been removed. The fimbria are the fluffy and delicate ends of the tubes that “pick up” the egg during ovulation when the potential egg is released from the ovary. If the fimbria is damaged, the chances of a successful pregnancy are low.
If all fertility signs are good, long tubal ends, working fimbria, good sperm from a male partner, the success rates for tubal reversal surgery are greater than 75% within the first year! This means that within the first year of trying with their partners, more than 75% of women with long tube ends, good fimbria, and good sperm will find a successful pregnancy!
The Fertility Center offers tubal reversal services for our clients from Nashville, Atlanta, Knoxville, Chattanooga, and beyond! Our two offices are located in Chattanooga and Knoxville.