How to Choose Between Tubal Reversal Surgery or IVF to Conceive


If you’ve changed your mind after having your tubes tied and want to conceive, you’re likely deciding between a tubal reversal procedure vs. in vitro fertilization (IVF) treatments.  But which option is best for you?

A tubal reversal is a surgical procedure where the blockage in the tubes is removed and a doctor reconnects the severed tubes. Depending on the surgical method that was used to originally “tie” your tubes, a tubal reversal can give patients about a 70 to 80 percent overall chance of getting pregnant–about twice as high as IVF treatments. However, if the tubes were cut too short, a reversal may not be possible. If tubal reversal is successful, a woman can get pregnant as many times as she’s naturally able and not have to rely on infertility drugs and assisted reproduction procedures like IVF.

If a women with her tubes tied does not want to undergo surgery, she may opt for IVF treatments. The best candidate for IVF after tubal ligation would be a women who is producing healthy eggs and doesn’t have fallopian tubes damaged by scar tissue. Women older than 38 who want to get pregnant may opt for IVF since tubal reversal is not always effective in older women when it comes to conceiving. According to the Centers for Disease Control and Prevention, an in vitro fertilization treatment after tubal ligation gives women about a 35 percent chance of getting pregnant.

If you want to conceive again or for the first time but have had your tubes tied, consult with one of our highly trained physicians to find out which option is right for you.

IVF Tubal Reversal

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