The specific tubal ligation procedure your surgeon used is an important factor in whether you will have a successful tubal reversal surgery. Each of the ligation methods use different ways to prevent an egg from travelling down the fallopian tube to where it could potentially meet up with sperm. Unfortunately, these procedures do not simply “tie” your fallopian tubes and therefore cannot be simply “untied.” Some methods cut off a segment of the tubes, others use a clip to pinch the tube closed, while others stitch the tube closed. Your chances of becoming pregnant again depend on the method used and how well the tube can be restored back to its original condition. Methods in which too much fallopian tube were cut away make pregnancy more difficult.
Does Age Affect Pregnancy Rates?
Your chances of becoming pregnant again after tubal reversal surgery are also influenced by the age of the wife. As women age, the quality of their eggs decline and the chances of pregnancy also decline. Even though your tubal reversal surgery may successfully put your tubes back together, your egg quality may prevent a future pregnancy.
Testing for the Husband is Important!
Additionally, the husband can also affect your chances of becoming pregnant after tubal reversal surgery if your husband’s sperm count is low. It is highly recommended that your husband get a sperm count test prior to tubal reversal surgery.