What you can expectBy Mayo Clinic staff
CLICK TO ENLARGE
|Illustration of tubal ligation reversal|
A tubal ligation reversal can be done as an inpatient or outpatient procedure. The procedure typically takes one to three hours.
During the procedure
To do a tubal ligation reversal, your doctor will make a small incision in your abdomen (minilaparotomy) and expose your uterus, fallopian tubes and ovaries. Using a microscope as an aid, the doctor will remove blocked fragments of the fallopian tube and attempt to repair the tube with tiny absorbable stitches. Remember, your health care provider may not be able to reattach one or both of your fallopian tubes if too much was removed during the tubal ligation.
After the procedure
It may take a week or more to recover from tubal ligation reversal surgery.
Avoid using aspirin for pain relief after tubal ligation reversal, since it may promote bleeding. You may bathe 48 hours after the procedure, but avoid straining or rubbing the incision for one week. Carefully dry the incision after bathing by patting it with a towel.
Avoid strenuous lifting and sex for two weeks. Resume your normal activities gradually as you begin to feel better. Your stitches will dissolve and won't require removal. Make an appointment to see your health care provider a week after surgery so he or she can make sure you're healing properly.
- Deffieux X, et al. Tubal anastomosis after tubal sterilization: A review. Archives of Gynecology and Obstetrics. 2011;283:1149.
- Stovall TG. Surgical sterilization of women. http://www.uptodate.com/home/index.html. Accessed Dec. 16, 2011.
- Roncari D, et al. Female and male sterilization. In: Hatcher RA, et al. Contraceptive Technology. 20th ed. New York, N.Y.: Ardent Media, Inc.; 2011:435.
- Tulandi T. Laparoscopic surgery for treatment of infertility in women. http://www.uptodate.com/home/index.html. Accessed Dec. 16, 2011.
- Stubblefield PG, et al. Family planning. In: Berek JS. Berek & Novak's Gynecology. Philadelphia, Pa.: Lippincott Williams & Wilkins; 2007:287.
- Treating infertility. American College of Obstetricians and Gynecologists. http://www.acog.org/~/media/For_Patients/faq137.ashx. Accessed Dec. 16, 2011.
- Gordts S, et al. Clinical factors determining pregnancy outcome after microsurgical tubal reanastomosis. Fertility and Sterility. 2009;92:1198.
- Feinberg EC, et al. Infertility surgery is dead: Only the obituary remains? Fertility and Sterility. 2008;89:232.
- Schepens JJ, et al. Pregnancy outcomes and prognostic factors from tubal sterilization reversal by sutureless laparoscopical re-anastomosis: A retrospective cohort study. Human Reproduction. 2011;26:354.
- Gallenberg MM (expert opinion). Mayo Clinic, Rochester, Minn. Dec. 19, 2011.