Posted by: Belinda | 2007/05/02

Att: Paula

Hello Paula.

I just want to know if you can maybe help me with this. I had my son 10 weeks to early he was born on the 3rd April but only lived for 18 days. Doctors took thier time as he needed a operation for his heart valve. At the same time i had myself sterilized and was wondering how quick would a women fall preggies after the reversal. I miss him so much and my husbabd and i would really like to try for another baby.

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Our expert says:
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Tubal Reversal Surgery

Just as a tubal ligation is considered to be major surgery, so is a tubal reversal. Normally, this procedure takes two to three hours and is done under general anesthetic. In order to make your fallopian tubes functional again, the doctor will unclamp; reattach; remove any devices that may be blocking your tubes or place an implant into your fallopian tubes. This type of surgery does require a hospital stay of at least one night but you may need to remain in the hospital for as much as five days after the surgery. Once you leave the hospital, you can expect to completely recover from the procedure over the course of the next four to six weeks.
As with any type of major surgery, complications are always a possibility. Although they are rare, side effects of tubal ligation reversal surgery may include:
§ Bleeding
§ Infections
§ Damage to the surrounding organs
§ Complications due to anesthetic

Thanks to the advances made in microsurgery, though, it is possible for tubal reversals to be done in less than an hour on an outpatient basis. Additionally, only local anesthesia is necessary for this procedure. While this type of surgery is far less invasive than the traditional tubal ligation reversal surgery, thereby significantly reducing the risk of complications, the technology is still new and not widely practiced.

Are There Other Options?
Understandably, many women may think twice about having a tubal ligation reversal. Some women may consider having in vitro fertilization (IVF) instead of "untying" their tubes. Although this can seem like an easier option, it is important to note that undergoing IVF can also be quite taxing on your system.
IVF requires you to take hormonal medications in order to stimulate your egg follicles and help you produce several mature eggs instead of your usual one. Just before your eggs are naturally released, your fertility specialist will retrieve the mature eggs and combine them with a semen sample from your partner. Any fertilized eggs will then be left to develop for a few days before being transferred back to your uterus. The entire process, from beginning the medications to embryo transfer, can take anywhere from four to six weeks. On average, 35% of women undergoing IVF are able to conceive while 29% of women will have a live birth.
Am I a Candidate for Tubal Reversal?
Not all women who have had a tubal ligation will be able to have the procedure reversed. During your initial assessment for the procedure, your fertility specialist will examine the current health of your fallopian tubes, most likely through laparoscopy. She will also look over the surgery and pathology reports from when you originally had the procedure done. Your specialist will also consider the following factors:
§ How your tubal ligation was done (whether your fallopian tubes were cut, tied, cauterized or non-surgically blocked)
§ At what point in your fallopian tubes the sterilization took place
§ Just how much of your fallopian tube is left
§ How healthy your fallopian tubes are
§ Your age

Will I Get Pregnant?
Although pregnancy rates after a tubal reversal are significantly better than trying to conceive through IVF, having the procedure done does not guarantee that you will become pregnant.
Women under the age of 40 who have a tubal reversal through the traditional surgical methods have a 70% to 80% pregnancy success rate, with conception usually occurring during the first year after the procedure. Women who have microsurgery done have a slightly higher success rate, with about 90% of women becoming pregnant within one year of the procedure. However, tubal ligation success rates tend to decline with a woman’s age although they are still better than IVF pregnancy rates.
It is important to note, though, that having a tubal reversal does increase your risk of experiencing an ectopic pregnancy. Among the general population, about 1 in 100 women will experience an ectopic pregnancy. However, for women who have had a tubal reversal, this risk increases to about 5 in 100 women.

Health Admin

The information provided does not constitute a diagnosis of your condition. You should consult a medical practitioner or other appropriate health care professional for a physical exmanication, diagnosis and formal advice. Health24 and the expert accept no responsibility or liability for any damage or personal harm you may suffer resulting from making use of this content.

Our users say:
Posted by: Belinda | 2007/05/02

Thank you for the response. It gives me hope.

Reply to Belinda
Posted by: Paula | 2007/05/02

Hey Belinda

I’m so sorry to hear about your son. Sounds like he was a real little fighter though if he managed to hang on for 18 days after his very early arrival, with a heart condition nogal.

I’m afraid I can’t answer your question about how long it would take to fall preggy after a sterilization reversal. The best person to speak to would be a gynaecologist/fertility specialist.

Good luck with whatever you guys decide.


Reply to Paula

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