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Is it possible to get pregnant with tubes tied?

Mar 2013
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Practicing since : 1998
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can my get pregnant while her tube is still tied We are trying for a baby and can she with her tubes tied
Posted Wed, 27 Mar 2013 in Pregnancy
Answered by Dr. Aarti Abraham 6 minutes later
Thank you for your query.
In order to assist you better, I would request a few details :
1. Age of both partners.
2. Previous history of children born to both partners
3. How long back, and if possible, if you have details, by what method were the tubes tied ?
4. Any other medical / personal history ?

Please write back at the earliest with these, so that I can guide you better.
Take care.
Above answer was peer-reviewed by
Follow-up: Is it possible to get pregnant with tubes tied? 6 minutes later
We had twins 11 in a half of year ago a single baby 10 in a half year ago and the last child was 8 in a half year ago my wife is 34 will be 35 this year I'm 30 and i will be 31 this year
It has been 8 year's since we had a baby and that's when she got her tubes tied
Answered by Dr. Aarti Abraham 34 minutes later
Hello again,
Thanks for the details.

Tubal ligation reversal surgery is surgery to reopen, untie, or reconnect a woman's fallopian tubes so she can become pregnant.
This is the surgery you would have to undergo in order to get pregnant again.

In general, good results for tubal reversal are obtained in women who had only small parts of their fallopian tubes removed, or whose tubes were closed using rings or clips. Some surgeons say the best candidates for tubal reversal are women younger than age 40 who had sterilization surgery immediately following childbirth, a procedure called postpartum tubal ligation.

Before surgery, you will need a complete physical exam for you and your partner to determine if pregnancy can be achieved after a tubal reversal. This may include blood and imaging tests to make sure your ovaries are normal. You will need a test called a hysterosalpinogram (HSG), to check the length and function of your remaining fallopian tubes. An HSG can be doing using XXXXXXX and X-ray or saline and air along with ultrasound. Ovarian function and ovarian capacity is assessed using various blood tests and ultrasound.

Nobody wants to perform a surgery for untying your tubes only to discover other causes of infertility.

A sperm count and semen analysis is recommended for a male partner to rule out any infertility problems.

If you are under 35 and in good fertile health, your tubal reversal success rate will likely be high.

Within a year of having a tubal reversal, success rates typically range from about 50 to 80 percent. With each month of trying to conceive after a tubal reversal, success rates are lower. Younger women, especially women under 30, are more likely to have higher tubal reversal success rates. After women hit age 37, the tubal reversal success rates start to decline. Younger women under age 35 have a 70-80 percent chance of getting pregnant within a year after tubal reversal. Women over 40 have about a 30 percent chance of getting pregnant the first year after tubal reversal.

If your doctor used a Hulka clip or Falope Rings, you may have a higher tubal reversal success rate. When a doctor performs a tubal ligation with clips or rings, it makes it easier to reconnect the tubes during a tubal reversal.

If your tubes were cut or burned during your sterilization procedure, your tubes might be damaged or too short to reconnect. This can lower your tubal reversal success rate.

Other factors that affect tubal reversal success rates include:

Keep in mind that the risk of ectopic pregnancy is higher for women who get pregnant after a tubal reversal. Discuss this risk with your doctor and how it will impact your health.

The bottom line is some women have low tubal reversal success rates even if they are in good health. That’s when in vitro fertilization (IVF) becomes a viable option to get pregnant.

If you are over 35, or if you or your partner is struggling with fertility problems, talk to your doctor about IVF to see if this may be a better option for you.

Healthy women under 30 with at least 5 cm (about 2 inches) of tube and who have children with their current husband, have a 90% or better chance of having another child after tubal reversal.

To summarize, and to give you the success rates of tubal reversal surgery :
90% in healthy couples with:
- Age less than 30
- Tubes 5 cm or more in length
- Previous children together
70% overall with good length tubes if husband has previous children.
60% overall with good length tubes if husband has no children but has a good sperm count.
50% decrease after age 40
Pregnancies are uncommon after age 43.
IVF, egg donors or adoption may be better with:
- Low sperm count
- Short tubes
- Excess weight gain since your last pregnancy
- Age greater than 43

I hope the picture is clearer to you .
Please consult a fertility expert to have an exact idea of your success rates after various tests done.
Take care, and feel free to ask for further clarifications.
All the best.
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