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How Does Someone Get Pregnant After Tubal Ligation?

For most women, having a tubal ligation is the end of their reproductive years. Generally speaking, when a woman makes the decision to undergo this type of permanent female sterilization, she has no plans to have additional children in the future. However, for some women the idea of having more children does become a reality when they decide that they’ve made a mistake having the tubal ligation performed in the first place. These are the women that will be asking the question of whether or not pregnancy is possible after tubal ligation.

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Congratulations to the 11 ladies who announced their pregnanciest this week after undergoing Tubal Reversal Surgery with Dr. Gary Berger. Although tubal reversal is not right for everyone, Dr. Berger can successfully repair the fallopian tubes in 98% of women who have had a tubal ligation, regardless of the type of sterilization procedure. Over two-thirds of Dr. Berger’s patients become pregnant in an average of 10 months after their reversal procedure.

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The Weekly Pregnancy Report for Chapel Hill Tubal Reversal Center is published on the Tubal Reversal Message Board. During the week of April 19 – April 25, 2008, 20 new pregnancies were reported by Dr. Berger’s patients after their tubal reversal procedures. The women’s ages ranged from 33 to 40, and the fallopian tube lengths after their tubes were untied ranged from 3.0 cm to 7.5 cm. The tubal ligation methods among these women included Hulka clips, Falope rings, bipolar coagulation, and ligation/resection. At present, more than 1000 babies have been born following tubal ligation reversal by Dr. Berger.

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Dr. Berger detailed statistics on all of his tubal reversal patients include tubal length, age of patient, and type of tubal ligation. Dr. Berger’s patients have had successful pregnancies with all different tubal lengths following tubal reversal surgery. Weekly Pregnancy Reports document the varying ages, types of tubal ligation, and tubal lengths that have led to pregnancies. There is no minimal tubal length required to conceive a healthy pregnancy following tubal reversal surgery.

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Carol, a member of the Chapel Hill Tubal Reversal Center Message Board members, asks other ladies to share their age and FSH (follicle stimulating hormone) levels because she would like to discuss trying to conceive after age 35 and the importance of FSH when trying to achieve pregnancy. An FSH serum assay on cycle day 3 can determine if a woman has a good number of healthy eggs left in her ovaries. An elevated FSH level indicates a reduction in the quantity of eggs. A normal or low FSH level shows that there is a good reservoir of eggs for future ovulations. Carol had tubal reversal surgery with Dr. Berger in April 2008 and is optimistic that she will be able to conceive a pregnancy since her FSH was low (less than 2) and her tube lengths after surgery were 6.5 cm and 7. 0cm.

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Posted by sockmonkey (Member # 10589) on
May 05, 2007 11:10 AM: Tube lengths was a 4 Right and 7 Left

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Posted by KPJ (Member # 7043) on
May 05, 2007 11:16 AM: Welcome to the other side! Congrats!Kattie J

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Posted by jarz (Member # 9286) on
May 05, 2007 11:22 AM: Welcome!!! Congrats!!!!! Great lengths, now relax, recover. Sending babydust your way Jo

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Posted by BabyBird (Member # 10834) on
May 05, 2007 12:03 PM: Sockmonkey: Congrats! I had TR Moday, R&L 5.5 cm. Take it easy even if you feel great. I have had a slower recovery and yesterday was the firsy day I was well enough to get up and move around a bit. Great lengths…good luck on your journey!Kim

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Posted by Rhonda Brown, RN (Member # 9485) on
May 05, 2007 01:18 PM: Dear sockmonkey,I am glad to hear that your surgery went well. I wish you a speedy recovery and many positives. Keep us posted.Rhonda

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Posted by Julia Smith, RN (Member # 10) on
May 06, 2007 10:40 AM: Congratulations on your results. The majority of our patients return to work in 3 – 5 days and are able to return to the majority of their normal activities within 3 – 5 days. We will be in touch with you this weekend regarding your recovery, please let us know if you have questions or concerns. Julia Smith RN

Carol, a member of the Chapel Hill Tubal Reversal Center Message Board members, asks other ladies to share their age and FSH (follicle stimulating hormone) levels because she would like to discuss trying to conceive after age 35 and the importance of FSH when trying to achieve pregnancy. An FSH serum assay on cycle day 3 can determine if a woman has a good number of healthy eggs left in her ovaries. An elevated FSH level indicates a reduction in the quantity of eggs. A normal or low FSH level shows that there is a good reservoir of eggs for future ovulations. Carol had tubal reversal surgery with Dr. Berger in April 2008 and is optimistic that she will be able to conceive a pregnancy since her FSH was low (less than 2) and her tube lengths after surgery were 6.5 cm and 7. 0cm.

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The fallopian tube lengths remaining after a tubal ligation procedure are important determinants of the chances of getting pregnant after tubal reversal surgery. (Normal fallopian tube length before a tubal ligation is approximately 10 cm or 4 inches.)

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The Weekly Pregnancy Report for Chapel Hill Tubal Reversal Center is published on the Tubal Reversal Message Board. During the week of April 19 – April 25, 2008, 20 new pregnancies were reported by Dr. Berger’s patients after their tubal reversal procedures. The women’s ages ranged from 33 to 40, and the fallopian tube lengths after their tubes were untied ranged from 3.0 cm to 7.5 cm. The tubal ligation methods among these women included Hulka clips, Falope rings, bipolar coagulation, and ligation/resection. At present, more than 1000 babies have been born following tubal ligation reversal by Dr. Berger.

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Submitted By: Gary S Berger MD

Tubal ligation – usually considered a permanent method of birth control – can be successfully reversed through one hour outpatient surgery. A recent large prospective study shows that most women become pregnant and have more children after tubal reversal.

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