REVERSAL OF TUBAL LIGATION
Reversal of tubal ligation by microsurgical
techniques is most successful when minimal damage is done to the smallest
length of the fallopian tube (e.g., Hulka clip, Filshie clip, or Falope
ring)—in some series approaching 50% to 75%. In most cases, however, rates of
25% to 50% are more reasonable expectations, so that many specialists in
infertility recommend the use of assisted reproductive technology (e.g., in
vitro fertilization) rather than attempts at tubal ligation reversal with the
attendant low success rates and increased risk of tubal ectopic pregnancy.
who has undergone tubal reversal and becomes pregnant is presumed to have an
ectopic pregnancy until intrauterine pregnancy is established.