Tubal Reversal Offers the Freedom to Change Your Mind

Tubal reversal, also known as microsurgical tubal reanastomosis, is a procedure performed on women who have previously had their tubes "tied" in a surgical sterilization procedure. 

Although many patients who have undergone tubal ligation are good candidates for tubal reversal, several factors may affect your ability to get pregnant, including: 

• Age
• Condition of your fallopian tubes
• Sperm quality

If our doctors feel that tubal ligation reversal will not increase your likelihood of getting pregnant, we will recommend an alternative fertility treatment.

For some patients, tubal ligation reversal is a better option than in vitro fertilization (IVF). The procedure is fairly quick and more natural because it eliminates the need for medications and hormones. Because the effects are permanent, tubal ligation reversal allows you to have more than one child following the same procedure, making it a more economical alternative for many families.

Because we offer both procedures at our Los Angeles center, we can recommend the best option for your needs. 

Our practice uses advanced tools and methods to repair the fallopian tubes without injuring other organs or healthy tissue:

• Microsurgical techniques
• Highly precise instruments
• Eyelash-sized sutures
• Surgical magnification glasses (loupes)

This minimally invasive approach delivers a much faster recovery than traditional techniques, which require a one to three-day hospital stay with a four to six-week recovery.

To ensure minimal scarring, we also create a very small incision on the lowest part of the abdomen. We can complete the entire procedure through this five to seven-centimeter incision. In addition to repairing the fallopian tubes, we can assess the health of the uterus, ovaries, and fimbria. 

We can help you decide if the reversal process is right for you based on your medical history and overall health. 

For your consultation, we recommend that you bring a copy of your operative report from your tubal ligation (sterilization surgery). Your tubal ligation records can also be faxed or emailed to our office.

After reviewing your records, we will schedule your consultation. During your consultation, our doctors will review the risks, benefits, side effects, potential complications, and outcomes. It is important that you understand the potential risks and benefits before our doctors schedule your surgery. We serve patients from Bakersfield and Tarzana, as well as international patients, so if you are visiting us from out-of-town, we can also conduct the consult over the phone.

In some cases, we may recommend a semen analysis prior to the surgery. Semen analysis allows us to identify male infertility. In women 35 or older, we will check the follicle-stimulating hormone (FSH) levels to ensure that fertility has not declined.

If you do not qualify for this procedure due to a complete absence of tubes, low sperm count, or other factors, our doctors may recommend an alternative procedure such as IVF or IVF with intracytoplasmic​ sperm injection (ICSI). 

Tubal reversal (also called tubal reanastomosis) is an outpatient procedure that takes about 90 minutes to three hours, but you can expect to be at our out-patient surgical center for a little over two to four hours from start to finish. The procedure is low-cost and offers a quick recovery, low risk of complication, and has an impressive success rate. 

After waking up from surgery, you will stay for a short observation. Most patients are discharged from our outpatient surgery center in two to four hours after tubal ligation reversal. You should plan on resting and taking it easy, but you can typically resume normal activities within one or two weeks.

Upon discharge, you will also receive a prescription for pain medication and instructions regarding diet and activity. 

In almost every case, one or both tubes are successfully reconnected. This is clearly demonstrated by a dye test, during which dye is inserted into the uterus. If the dye flows through the fallopian tubes without leaks or stops, the procedure was successful.

At our reproductive center, the pregnancy rate one year after surgery is approximately 70 percent.

If pregnancy does not occur within six months, an x-ray study (HSG) will show if the fallopian tubes are still open. If your tubes are blocked, you may need to explore other options including IVF.

When pregnancy occurs, it is important to have a physician actively determine its location as soon as possible, since tubal reversal has been linked to an increased risk of tubal pregnancy. You should also stay in touch with our Los Angeles office during your entire pregnancy. 

At The Center for Fertility and Gynecology in Los Angeles, our doctors can perform your microsurgical tubal reversal for the price of $9,200.00.

This fee of $9,200.00 includes:

• Pre-operative examination including pre-operative blood work
• Surgical fees for surgeon and assistant surgeon
• Operating room fees
• Anesthesia fees
• Post-operative follow-up visit

Additional fees may include:

• Fees for patients with BMI (body mass index) of 25 or above 

For a personal estimate, contact our office and schedule a consultation.

We want every patient who has undergone tubal ligation to have options, so we work with various third-party lenders, including