There are many women who ask this question after having their tubes cut or blocked as part of a sterilization procedure. You are not alone if you feel this. It may be that you feel that you entered into tubal sterilization unsure of the future or having been unwell. A significant number of women want to reverse a tubal ligation or female sterilisation because they were in an unhappy relationship or coerced into having the procedure in the first place. Often, it is when they meet someone knew, who they want to share their life with, that the first discussions about reversal surgery take place. For some women, it is simply the fact that they regretted their decision to have a sterilisation procedure in the first place.

These and many other questions are all commonly asked after women have had a tubal ligation procedure. In the majority of cases, it is possible to get your tubes untied and become pregnant again. This blog post will explore the topic in more depth and outline some of the key things you need to know about getting your tubes untied.

What is a tubal ligation?

Tubal ligation, also known as ‘getting your tubes tied’, is a surgical procedure, often performed under general anaesthesia, that involves permanently blocking or cutting the fallopian tubes by the application of clips or rings around the tubes or Essure inserted within the tubes. Occasionally, the fallopian tubes are cut and a small piece of tubing is removed. Tubal ligation prevents eggs from travelling from the ovaries to the uterus, and sperm from travelling from the uterus to the ovaries, effectively preventing pregnancy. At the time the procedure is performed, it is made clear that the outcome is permanent. It is usually only when there is a desperate need to have another baby that women find that tubal reversal surgery exists.

Tubal ligation is considered a permanent sterilization method for women. However, in many cases, it can be reversed.

If you are considering having your tubal ligation reversed, it’s important to talk to your doctor about the risks and potential complications involved. Additionally, you will need to undergo fertility testing to see if you are still able to conceive after the procedure. You will need to discuss ether you are a good candidate for tubal reversal, if you are still fertile and if you don’t have any medical conditions that would prevent abdominal surgery.

Why might you want to have your tubes untied?

There are many reasons why you might want to have your sterilisation procedure reversed. For some women, they may have had their sterilisation procedure done at a time when they were not ready to completely give up on the idea of becoming pregnant again. For others, their circumstances may have changed since having the original procedure and they now feel ready to start a family again.

How do you get your tubes untied?

If you’re interested in having your sterilisation reversed, there are a few things you need to know. The first is that it’s possible to have the procedure reversed, but it’s not always successful. The second is that the success rate of getting pregnant after having your tubes untied depends on a number of factors, including your age and the length of time since your sterilisation.

The best way to find out if you are a good candidate for a tubal reversal is to speak to a fertility specialist such as Mr Sam Dobson. He is based at The Park Hospital in Nottingham and is one of the few sub specialists in Fertility and IVF in the UK. His considerable experience in obstetrics and gynaecology will guide you through the whole process from initial consultation to find out if you are suitable for the surgery, to achieving a pregnancy. He will be able to advise you on the chances of success, pregnancy after the tubal reversal and what the next steps might be.

Mr Sam Dobson

The tubal ligation reversal procedure to have your rejoined is generally performed under general anaesthetic and takes around 30-60 minutes. An abdominal incision is made and in some cases, Mr Dobson may opt for keyhole surgery using a laparoscope if he feels that you are a good candidate – this is only at his discretion though. During the surgery, after taking a look at your fallopian tubes, he will focus on rejoining the ends of the fallopian tubes removing any scar tissue in the process. Once the surgery is complete, you will usually need to stay in the hospital overnight for observation.

How is pregnancy achieved after a reversal?

No doubt, this is a priority for you, to identify your chances of pregnancy after tubal surgery. You will want to know if your sterilisation surgery will hinder your ability to get pregnant or at the basic level, if it is possible to reverse your sterilization. Your chances of becoming pregnant will be discussed before surgery. Pregnancy success is common with many women finding they become pregnant naturally. Once the reversal is done, you will have to wait four weeks before restarting intercourse. Mr Dobson’s clinic has had women get pregnant in the first attempt post surgery though all are warned that there is an increased risk of ectopic pregnancies post surgery, that is a pregnancy that occurs outside of your uterus and this sadly, needs urgent treatment.

For those who do not become pregnant after reversal surgery, there are options. It is possible to have a hysterosalpingogram where Mr Dobson would inject a dye into the fallopian tubes checking for their patency (that they would allow an egg to pass down them) and he would also help you if you have gynaecological disorders. Like all abdominal surgery though, you need to allow yourself some recovery time before you resume normal activities and enable a natural pregnancy to occur.