Reversal of Tubal Ligation

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.

A patient who has undergone tubal reversal and becomes pregnant is presumed to have an ectopic pregnancy until intrauterine pregnancy is established.