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Frequently Asked Questions
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FAQ

Most patients can begin to attempt pregnancy 4 weeks after the surgery. In our center, we do our microscopic reanastamosis through a 5cm (2 inches) incision.

Success rates may vary widely depending upon numerous factors such as age, how the tubes were tied, coexisting infertility issues, male factors, and others. In general, good candidates under 35 years of age can expect tubal reversal pregnancy rates between 65-70% within two years of the tubal reversal surgery.

No, it doesn’t. Keep in mind that your age is a factor and generally speaking, the earlier the better. So the take-home message if you are committed to having another baby is to get scheduled like yesterday.

Yes.  It is done as an outpatient procedure and under general anesthesia. You will be discharged to go home after surgery.

In straightforward cases, it is about one hour, but plan to be at our center for about 3-4 hours for preoperative, operative, and postoperative care.

You have two choices for pregnancy after tubal sterilization. In Vitro Fertilization (IVF) or Tubal reversal. In comparison, the cost of a single cycle of in-vitro fertilization (IVF) averages $14,000 and the average IVF success rate is 36% per cycle (takes about 2 months) attempted.

You are not too old for surgery if you are 35 years of age or older. Although being over 35 is considered Advanced Maternal Age (AMA), AMA status has nothing to do with the ability to become pregnant after tubal reversal.  Although natural pregnancy is more difficult to obtain with increasing age, pregnancy can occur at almost any age if you are having regular periods. The ability to become pregnant does not decline dramatically until after the age of 43.

Wear a comfortable button-down blouse and easy-to-put-on pants. Have warmer outerwear such as coats and jackets available in case. Leave all valuables and jewelry at home.

No, you must have a friend or family member pick you up.

Depends on what their definition of major surgery is. We perform this through one very small incision about 5 cm or about 2 in long using the most advanced state-of-the-art surgical microscope. We do it outpatient and it’s very well tolerated in general.
Many different factors come to play a role such as your BMI previous number of cesarean sections and abdominal surgeries other complicating uterine or fallopian tube procedures, and the type of tubal ligation to name a few.
For you to become a mommy again you either have to do the tubal reversal or choose to go with in vitro fertilization. In vitro fertilization for ladies 40 and above has about a 10% success rate and for ladies under 35 is at best around 30% per cycle. The cost is about $30,000 per cycle which is usually two months. The chance of success with tubal reversal is much higher than that although it depends on many other factors such as the type of tubal ligation the length and the quality of the leftover tube.
Surgical pain usually is consistent with the size of the incision length of the operation blood loss to name a few. In our practice, we use an advanced surgical microscope through a single small incision. Our patients can go back to sitting jobs within days and usually completely recover within 2 weeks. Post-operative pain is a subjective matter but most patients are very well controlled with non-narcotic painkillers.
This procedure is outpatient and after the surgery, you’ll be able to go home.
The downtown also depends on many other comorbid factors such as BMI other medical conditions previous surgeries the length of the surgery length of anesthesia and its related side effects but in our practice, this usually is about 2 weeks.

It’s like any other surgery ie e. bleeding, infection, injury to internal organs, risks of anesthesia, the possibility of admission to hospital for various reasons, and complications.

In our practice, this is relatively fast since we make a very small incision and use the most advanced surgical microscope for the delicate manipulation of tissues. Usually 2 weeks.