I had a tubal ligation and the doctor suggested tubal reversal surgery. What is tubal reversal surgery and how does it compare with IVF?
The biggest advantage of tubal reversal surgery (tubal reanastomosis) is that once the women has gone through the surgery, she hopefully will not need any intervention through a physician, such as drugs, medications, or procedures, to get pregnant. Obviously, the idea is that good old-fashioned sex will then give them the baby that they want. There is also very low risk for multiple pregnancy — twins occur naturally in only one in 90 pregnancies. The biggest disadvantage of tubal reversal surgery is the fact that the women has to go through a big surgery and if pregnancy does not result after the tubal reversal, her only option remaining is IVF. A small disadvantage is that after she has her additional children, she will need to use contraception or have her tubes (or her husband’s) tied again. Tubal reanastomosis surgery is performed either through a laparoscopy or a laparotomy. Under magnification from special operating lenses or a microscope, both obstructed ends of the fallopian t
