A tubal ligation no longer remains a procedure that eliminates the option of conceiving children. With a procedure called tubal ligation reversal, it is now possible for women who have had a prior tubal ligation, or their tubes "tied," to once again become pregnant. This is a common desire for women that may have had a tubal ligation performed at a young age, those who have suffered the loss of a child, or women have remarried and would like to make an addition to the new family.
The tubal reversal process is accomplished by removing the scar tissue from the original surgery and reconnecting the fallopian tubes and/or removing any devices that were used in the original tubal ligation to close the tubes. The surgery is now generally performed at an outpatient facility and only local anesthesia is necessary. The surgery can be accomplished with microsurgery, which requires only small incision just above the pubic area, and takes less than 2 hours to complete.
Not all women will qualify for the procedure, however. Factors such as a woman's age (usually under 40), quality of health, and condition of the tubes can all play a role in deciding if a woman is considered a candidate for this surgery.
The success rate of the tubal ligation reversal has increased greatly and is now expected to produce a pregnancy within one year in around 70 percent of patients. However, the success also depends on many factors, including the type of original tubal ligation and the length of time since performed, which will be determined by medical records from the surgery; age of the woman seeking tubal ligation reversal, and the condition of the fallopian tubes.
A major consideration is the financing of the tubal ligation reversal, which can range anywhere from $3,000 to $6,500 or more. Most health insurance companies will not cover this type of surgery because it is regarded as elective.
As with any type of elective surgery, careful consideration should be taken, especially one that could create the life-altering situation of having a child. For more information, speak with your gynecologist to discuss your options and receive a referral for a qualified tubal ligation reversal surgeon in your area.