What Is Tubal Ligation Reversal and How Successful Is It

What Is Tubal Ligation Reversal And How Successful Is It?

Tubal reversal is one of the most common forms of birth control. But it’s not without risks. According to the American College of Obstetricians and Gynecologists (ACOG), “The risk of complications from tubal sterilization are rare.” However, there have been cases where women did experience problems with their bodies after having the procedure done. For example, some women developed blood clots or even died due to these procedures.

In addition, there have been cases where women experienced other issues related to the surgery itself such as pain during sexual activity, infertility and sterility problems. These types of complications may occur in up to 1% of all patients undergoing tubal sterilization.

For these reasons, ACOG recommends against tubal sterilization if possible. If it is necessary, ACOG suggests waiting at least five years before attempting the procedure again. Women who wish to undergo tubal sterilization should consider the following factors when deciding whether or not they want to go through with the procedure:


Does she have any medical conditions that could affect her ability to carry a pregnancy normally?

Some of these conditions include diabetes, high blood pressure and certain cancers.


Is her partner likely to be supportive during the entire pregnancy and postpartum period?

Studies have shown that women who have supportive partners are less likely to regret their decision to undergo tubal sterilization in the future.


Does she have a living child already, either biological or adopted?

Having a child already makes women less likely to regret their decision for the procedure in the future.


How old is she?

Women who are over the age of 35 have a higher risk of requiring additional surgeries to remove additional blocked tubes or address complications.


Does she have any history of mental illness or depression?

Some studies have shown that women with major depressive disorder are more likely to undergo reversal surgery.

Sources & references used in this article:

Risk factors for tubal sterilization regret, detectable before surgery by E Hardy, L Bahamondes, MJ Osis, RG Costa… – Contraception, 1996 – Elsevier

Factors influencing the outcome of microsurgical tubal ligation reversals by JC Seiler – American journal of obstetrics and gynecology, 1983 – Elsevier

Microsurgical reversal of female sterilization: the role of tubal length by SJ Silber, R Cohen – Fertility and sterility, 1980 – Elsevier

Endometriosis and the development of tuboperitoneal fistulas after tubal ligation by JA Rock, TH Parmley, TM King, LE Laufe, BC Su – Fertility and Sterility, 1981 – Elsevier

Tubal obstruction after ligation reversal surgery: results of catheter recanalization by AS Thurmond, KR Brandt, MJ Gorrill – Radiology, 1999 – pubs.rsna.org

Tubal anastomosis by robotic compared with outpatient minilaparotomy by AK Rodgers, JM Goldberg, JP Hammel… – Obstetrics & …, 2007 – journals.lww.com

The effect of tubal ligation scoring and sterilization counseling on the request for tubal reanastomosis by SC Demir, MT Çetin, O Kadayıfçı – The European Journal of …, 2006 – Taylor & Francis

Sterilization reversals performed by fellows in training: what success rates can we reasonably expect? by MV Sauer, KB Zeffer, MC Bustillo, JE Buster – Microsurgery, 1987 – Wiley Online Library