Understanding Tubal Ligation Reversal Surgery

Tubal Ligation Reversal Surgery (TLRS) offers a beacon of hope for women who wish to regain their fertility after undergoing tubal ligation. This procedure has the potential to significantly restore natural fertility, opening the door to the possibility of pregnancy.
Endorsed by the American Society for Reproductive Medicine (ASRM), tubal reanastomosis stands out as a highly effective method for reversing tubal sterilization. The ASRM advocates for this surgery as a preferable option to in-vitro fertilization (IVF), highlighting its superior cumulative pregnancy rates and cost-effectiveness, even for women aged 40 and above. This support underscores the procedure’s viability and success in offering women a path back to natural conception.

HOW WE DO IT

The crucial point to understand is that the fallopian tubes can be smaller than 1/10th of an inch in diameter, necessitating advanced technology and a surgical microscope for proper magnification and precision.
At our center, we utilize the most advanced surgical microscope, operated by double board-certified microsurgery expert. The most important take-home message is simply that.

The primary benefit of tubal reversal for our patients is its effectiveness. Nestled in vibrant Los Angeles, California, our center offers solutions that extend beyond mere effectiveness. With over 25 years of expertise, we specialize in a safe, cost-effective approach to tubal reversal surgery.

Under the care of our board-certified expert, patients undergo a minimally invasive procedure. This is performed through a small 5 cm (2 in) incision, utilizing specialized microsurgery techniques, enhancing success rates while minimizing postoperative discomfort and enabling a swift, smooth recovery. During the 40 to 70-minute procedure, a specialized tube is gently inserted into the uterus to allow the passage of dye through the fallopian tubes, confirming their patency and ensuring optimal outcomes.

Patients are discharged post-operatively the same day with pain management and antibiotics, supported by 24/7 access to their surgeon’s cell phone for any concerns.

While all surgeries carry inherent risks, our experience shows that immediate risks are minimal at our center. We provide comprehensive guidance to mitigate the risk of ectopic pregnancy, including early monitoring protocols. In the rare event of an ectopic pregnancy, our tailored approach, which includes medical intervention and close follow-up, ensures the utmost safety and care for our patients’ fertility journeys.

Serial hCG testing, individual pelvic ultrasound, and medical treatment with methotrexate can effectively treat most early ectopic pregnancies.