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Reversal Of Tubal Ligation
Overview
About 1.5% of women who have undergone tubal ligation decide to have surgery to reverse the procedure. Most commonly, these are women who have remarried and want to start a family with their new husband. Depending on the method of sterilization utilized, success following reversal of tubal ligation can range from 50-65%.Depending on the method of sterilization utilized, success following reversal of tubal ligation can range from 50-65%.
IVF as an Alternative
Today, In Vitro Fertilization (IVF) offers an alternative to surgical reversal of tubal ligation. With IVF, the woman's eggs are removed directly from the ovaries, fertilized in a laboratory, and the resultant embryos placed into the uterus. Thus, the tubes are simply bypassed in the process.

In considering IVF versus surgery, there are pros and cons of each:

The Advantages of IVF
  • Reversal of tubal ligation is a major surgical operation, with post-operative pain and four to six weeks of recuperation.
  • The risk of ectopic (tubal) pregnancy is higher following reversal of sterilization than with IVF.
  • A couple undergoing two IVF attempts at a clinic with good success rates has a better chance of having a baby than if the wife chooses surgical reversal of sterilization.
  • There is no need to repeat the tubal ligation or utilize other methods of birth control after one's family is completed.
The Advantages of Surgery
  • Two or more attempts at IVF may be more costly than surgical reversal of sterilization.
  • IVF entails a risk of multiple births.
  • If the couple wants more than one child, they would need to repeat the IVF process.
Personal Choice
Thus, the choice between reversal of tubal ligation or IVF is a personal one that each couple must make, depending on their own situation and preferences.
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