Tubal Obstructions

Obstructions or closures in the fallopian tubes can occur for a number of reasons, and they prevent sperm from being able to reach the eggs for fertilization. Some women undergo a tubal ligation procedure to prevent pregnancy. In other cases, closures of the fallopian tubes may develop due to infection or disorders. Our expert tubal reversal center provides professional and compassionate care to restore fertility and help you complete your family.

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Amy and Steve S.

We are pregnant!! I want to shout it from the rooftops!! After 3 years of doctors visits, ultrasounds, blood tests, not to mention the more “intimate” type of visits, we are 7 months along with a healthy baby and a healthy pregnancy. We came to Dr. Saadat a bit skeptical, but we realized right away that we were finally in good hands when he ordered a test that no one else had thought to order, which allowed him to then make a plan for ME, and my situation, and lo and behold, it worked! Unbelievable. Do your research, read reviews, ask around. All Doctors are not the same – you want someone that is willing to listen and go beyond the standard approach. We will be eternally grateful to Dr. Saadat and his office for everything that was done to make our dreams come true.

Factors That Impact Success

Age

Age plays an important role in determining the success of your procedure. Since ovarian reserves naturally decline as a woman ages, the success of conception is impacted with age. If you are over 35, you may find it more difficult to become pregnant naturally. Additionally, the longer the tubes are blocked, the lower the chance of pregnancy after reversal.

Type of Obstruction

Most standard tubal ligation processes can be properly reversed. Successful pregnancies have been reported after the clearance of blockages due to infection or disease, and the procedure to open proximal tubal blockages has a high success rate.

Health Factors

Your medical history and current health can impact your procedure. The procedures become more difficult when performed on patients with a BMI over 30.

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Surgical Options

Tubal Ligation Reversal

The success of ligation reversal depends on the technique used and the skill of your surgeon. A small incision is made along the bikini line. We examine the site of your tubal ligation under a microscope. The closed portion of your tube is removed with microscissors, and the ends are reconnected with very fine sutures. We use adhesion prevention techniques to improve the success rate of your surgery.

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Laparoscopy

Tubes that are blocked due to a prior infection, endometriosis, or pelvic adhesions can be improved through a laparoscopic tuboplasty procedure. A camera is inserted through the belly button to provide a visual of the blockage. A minimally invasive technique is used to surgically open the previously blocked area.

Hysteroscopy

Proximal tubal blockages, tubes that are blocked next to the uterus, can be treated with a hysteroscopic cannulation. This procedure is performed on an outpatient basis. Success rates with proximal cannulation can be as high a 90 percent, depending on the cause, and pregnancy rates range from 50 to 90 percent post-surgery.

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Meet with one of our fertility doctors for a private, one-on-one consultation that will help you get started on the path to parenthood.

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Frequently Asked Questions

Where is the procedure performed?

The surgery is performed in a hospital or a fully accredited ambulatory surgical facility.

How long does surgery take?

Tubal ligation reversal surgery takes between one and two hours. Laparoscopic tuboplasty and hysteroscopic cannulation are typically shorter procedures.

Do any of the surgical options require an overnight stay in the hospital or surgical facility?

No; surgery is done on an outpatient basis. Patients will be in recovery for approximately three or four hours before they can return home.

What is the recovery like after I go home?

Recovery time is dependent on the individual’s recovery rate and response to surgery; some people take less time than others to recover. In general, recovery times are the following:

Tubal reversal surgery: 1 to 4 weeks
Laparoscopy: 2 to 7 days
Hysteroscopy: 1 day

How does tubal ligation reversal or blockage reversal restore my fertility?

Tubal ligation and blockages close off the pathways that allow egg and sperm passage. Reconnecting or clearing these pathways allows sperm to travel through the tubes and fertilize the egg.