WOMENS-HEALTH Messages for October, 2008: Re: GENERAL: Tubal Ligation Reversal

Re: GENERAL: Tubal Ligation Reversal

From: Ben Gocial, MD (anonymous@obgyn.net)
Tue, 7 Oct 2008 17:56:30 -0500 (CDT)

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Message posted on Ben Gocial, MD behalf by: Hope Waltman, Fibroids and Women’s Health Forum Moderator

Althea: You have several good questions but the questions are not as easily answered as you might think. Getting pregnant depends on multiple issues; most importantly age. Even with successful reversal of the tubes, an older women may not be able to get pregnant. Fertility of the male (as well as other factors) is also important.

Let me answer the questions in order from the perspective of a successful operation (tubes open after the procedure).

1) If the tubes were tied in the middle portion (isthmus of the tube) than the success rate is approximately 70 - 90%.

2) Chance of a pregnancy developing in the tube (called an ectopic pregnancy) is low and at worse 5 - 8%. Most likely, less. The exact causes of ectopic pregnancies are uncertain but are clearly related to the previous surgery and most likely scarring form that surgery. Once an ectopic pregnancy develops, that pregnancy is lost and cannot be saved.

3) The chance of a pregnancy after tubal reversal going into the uterus is opposite #2, ie 92 - 95%. Don't forget that some of these pregnancies (12-15% in general, higher in older women) will be lost as a miscarriage.

-- Ben Gocial, MD, Northern Fertility Philadelphia, PA

Note: Opinions expressed here are for educational purposes only and, as such, do not constitute a physician-patient relationship. This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options and/or interventions. ** Private emails cannot be entertained due to time constraints; consequently, they will receive no response.

At Mon, 6 Oct 2008, Althea wrote: > >Hi i have a question in reference to tubal ligation. > >1) What are the odds of a successful pregnancy after a tubal reversal? >2) What are the odds of the fetus growing in the fallopian tubes and >what causes this and can it be corrected? >3) What are the odds that after a tubal reversal the success rate of the >fetus landing in the uterine? > >-- >Althea >

Next message: lisa: "Re: GYNECOLOGIC: A Cyst Question"
Previous message: Anna: "CONTRACEPTION: IUD Severe Cramping"
In reply to: Althea : "GENERAL: Tubal Ligation Reversal"
Next in thread: Dr. Herbert A. Goldfarb: "Re: GENERAL: Tubal Ligation Reversal - Dr Koh, Dr Janick - Wisconsin"

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