2024-01-01 · female, fertility, surgery
Tubal Reversal Surgery FAQ
What Is Tubal Reversal Surgery?
Tubal reversal surgery, also called tubal reanastomosis, is a procedure that reconnects previously blocked or cut fallopian tubes. The goal is to restore fertility by allowing eggs and sperm to meet naturally. It is typically considered for people who have had a prior tubal ligation and now wish to conceive.
Why Do People Consider Tubal Reversal?
Common reasons include:
- Desire for pregnancy after a prior sterilization procedure
- Change in life circumstances or family planning goals
- Preference for natural conception instead of assisted reproductive technology
- Favorable tube length and healthy uterine anatomy
A fertility specialist evaluates whether tubal reversal or IVF is the better option.
What Are the Signs That Tubal Reversal Might Be Appropriate?
Candidates for tubal reversal often have:
- A history of tubal ligation or tubal occlusion
- Adequate remaining tube length based on prior surgery type
- Normal ovarian reserve and overall reproductive health
- A partner with normal or manageable fertility factors
A thorough evaluation helps determine the likelihood of success.
About the Tubal Reversal Procedure
Tubal reversal is usually performed under general anesthesia and takes two to three hours. The surgeon accesses the fallopian tubes through a small abdominal incision or minimally invasive approach. Scarred or blocked segments are removed, and healthy tube ends are reconnected using microsurgical techniques. Dye testing may be performed during surgery to confirm that the tubes are open.
What Happens After Tubal Reversal Surgery?
Most patients go home the same day or after an overnight stay. Mild to moderate abdominal discomfort, bloating, and fatigue are common for several days. Activity is limited for a few weeks, and follow-up visits are scheduled to monitor healing. Your surgeon will advise when it is safe to resume intercourse and attempt conception.
How Long Does Recovery Take After Tubal Reversal?
Recovery varies by surgical approach and individual healing. In general:
- Light activity is possible within a few days
- Most people return to work in one to two weeks
- Full recovery takes four to six weeks
Pregnancy may be possible within a few months, but timing depends on healing and fertility factors.
What Are the Potential Risks of Tubal Reversal?
Risks are similar to other abdominal surgeries and include:
- Infection or bleeding
- Scar tissue formation
- Ectopic pregnancy (higher risk after tubal surgery)
- Failure to restore tubal patency
Careful selection and follow-up can reduce complications.
When Should I Seek Medical Attention?
Contact your care team if you experience severe pain, fever, heavy bleeding, or signs of infection. After surgery, seek urgent care for sudden pelvic pain or dizziness, as these may signal an ectopic pregnancy.