When there is one or more of blocked fallopian tubes , that is the thin thread like structures that carry egg towards the uterus, fertility is compromised. Opening the tubes through surgery is called as tubal recanalization
Common causes of blocked tubes is infections like pelvic inflammatory disease, tuberculosis (TB), endometriosis, previous surgeries. Sometimes people who have had tubes tied in a family planning program want to have a child . In that case also tubal recanalization might be required
We will consider several things before you both decide that the operation is right for you:
Husband’s semen quality
The type of surgery you had to get your tubes tied
Your overall health and the health of your ovaries, uterus, and remaining fallopian tubes, especially their length
It is a key hole surgery where a small lighted scope, called a laparoscope, through your belly button and into the pelvis area. This lets him look at your fallopian tubes and decide if reversal surgery is possible.If he decides it's OK to do the reversal, then the ends of the tubes are reconnected to the uterus, using very small stitches. Pregnancy Success Rates After Reversal
In general, pregnancy success rates range from 40% to 85%. When pregnancy does happen, it's usually within the first year.
You can have a detailed discussion with your consultant about going directly for IVF or undergo a tubal recanalization. Broadly , if you’re older than 35 years or husband’s semen parameters are lesser than optimal or the length of the tubes are too small, IVF will be considered first line management.IVF is also an option if you don't get pregnant after tubal reversal surgery.
We always believe in shared decision making at A4 fertility center. Our ultimate aim is to bring a new member to your family as quickly as possible.