Tubal Reversal Specialist

I Had Tubal Ligation - Can It Be Reversed?

Laparoscopic tubal reanastomosis, or tubal reversal, is an advanced procedure to reverse tubal ligation sterilization. Roughly one million women have a tubal ligation or surgical sterilization procedure each year. The success rate is about 79 percent for Dr. Rotman's team, and they have won awards for their work. Their pioneering work in the field of laparoscopic surgery has consistently advanced the medical options available for improving women's health.

What Factors May Prevent Me From Becoming Pregnant After Tubal Reversal Surgery?

Each woman is unique and her body's reaction to surgery and pregnancy are different, so the factors will vary. While age is a common concern, other fertility issues may also be present that can prevent pregnancy, despite a successful tubal reconstruction surgery. A woman's tendency to form scar tissue can also affect outcomes. Additionally, the type of sterilization procedure received is another consideration in whether or not a woman can become pregnant. Each type of tubal sterilization presents its own challenges.

How Should I Proceed if I Want to Find Out My Options for Reversing Sterilization?

Because your case is as unique as you are, the best first step to understanding your specific options for tubal reversal is to make a consultation appointment with Dr. Rotman. Deciding whether you want to become pregnant and your ability to become pregnant again are two separate issues. By sitting down and discussing your challenges, you can make an informed decision about how to proceed. One of the advantages of talking with Dr. Rotman is that he is a true pioneer in laparoscopic surgery and tubal reversal surgeries. He has new techniques, new tools, and more options, which is why women come to him from all over the world.

What Are the Advantages of Laparoscopic Tubal Reversal versus the Old Open Abdominal Approach?

Tubal reversal has been performed for decades. Dr. Rotman pioneered the use of minimally invasive laparoscopic techniques for tubal reversal and since then has been continuously refining his approach. As a result, Dr. Rotman's success rate for laparoscopic tubal reversal is among the highest academically published in the world. 

The advantages of laparoscopic tubal reversal versus conventional laparotomy or mini-laparotomy are smaller incisions, less pain, less scarring and faster recovery. In Dr. Rotman's hands, laparoscopic tubal reversal is the preferred approach for many women.

Why Tubal Reversal Instead of In-Vitro Fertilization (IVF)?

Tubal reversal should be the first choice for most patients who have undergone tubal ligation sterilization because it may be less expensive and more effective than IVF. One benefit of Dr. Rotman's technique of laparoscopic tubal ligation reversal compared to IVF is that patients may be able to have one or more pregnancies without the need for further treatment and expenses. His treatment:

• Avoids the possible complications from drugs used in IVF
• Reduces the risk of complications due to multiple pregnancies
• Costs generally less than even one IVF cycle
• Provides success rates as high as 79 percent for patients 35 and younger when both tubes are repaired

Additionally, Dr. Rotman performs this technique through laparoscopy, which means no big scars, no overnight hospital stays, and no long recovery. 

IVF has a much larger time commitment as it requires multiple visits for ultrasound to monitor egg production, a visit to retrieve the egg(s), and a visit to put the fertilized embryo back into the patient's womb. Multiple subsequent visits are required to confirm and monitor the pregnancy.