Thursday, June 20, 2013

Frequently Asked Questions on Tubal Reversal


Can my tubal ligation be reversed?

Most women with prior tubal ligation or prior sterilization can have their Fallopian tubes a chance to be opened again. Surgical operative and pathology report is very important in tubal ligation reversal, you must have kept a copy of it. Why is it important? The pathology report may give an estimate of the length of tube that was removed and the surgical operative report will describe the type of tubal ligation that was done. These reports will be reviewed by the doctors and you will be contacted to discuss your probability of undergoing a successful tubal reversal.

How can I schedule a tubal reversal appointment?

After the tubal reversal doctor/ physician have reviewed your prior operative and pathology reports and you’ll have discussed the potential success of a tubal reversal, then let the doctor know the date that you would like to have your surgery scheduled.

Are there risk associated with tubal reversal?

Even if the tubal reversal surgery goes well perfectly, and the tube is open all the way through, there is no guarantee that the tube will work correctly. The Fallopian tube has tiny hair-like cells called cilia that help to move the fertilized egg into the uterus. There is no way to control the function of the cilia at the time of surgery. Smoking does decrease the ability of the cilia to work correctly, as well as decreasing fertility rates in general.

The risks associated with the surgery may include injury to the bowel, bladder, or a blood vessel. There is the possibility of infection or of complications associated with anesthesia. The major risk associated with tubal reversal is a tubal pregnancy which occurs in approximately 10% of pregnancies after tubal surgery. When detected early, a tubal pregnancy may be treated medically and avoid the need for additional surgery. When a patient becomes pregnant, it is important that she contact her obstetrician-gynecologist who will perform serial blood pregnancy tests and an ultrasound examination to determine the location of the pregnancy. Our staff will always be available to assist you if you have questions following your surgery.
What tests do I need before my tubal reversal surgery is done?
Generally, a hematocrit or complete blood count (CBC) is required prior to surgery. It is recommended that a semen analysis be performed on your husband.

What is the expected recovery period following tubal reversal?

5-10 days are the most common period patients can get back to normal activities or get back to work again after performing tubal reversal.

What is the success rate after a tubal reversal?

Women who make the best candidates for tubal ligation reversal are those whose tubal ligation included either the removal of a small section of the Fallopian tubes, or those whose tubal ligation was achieved by clips or rings placed around the tubes to prevent eggs released during ovulation from traveling through the Fallopian tubes.

Overall, success rates for tubal ligation reversal can vary from 20 percent to 70 percent.

To know more about the process, please visit this page to get started: http://rosenfeldmd.com/getting-started/