We Know: All About Tubal Ligation and Reversal


What is tubal ligation?

Tubal ligation is a surgical procedure performed to close the fallopian tubes. Often referred to as getting your "tubes tied," tubal ligation prevents the eggs from reaching the uterus, thus preventing fertilization. Essentially, tubal ligation is a method of female sterilization.


Why do women get a tubal ligation?

Women most often get a tubal ligation procedure to prevent pregnancy. While not recommended for everyday birth control, tubal ligation is most often performed on women who have already had the number of children they wish to have in their lives and want to continue their sex lives free of worries. The procedure can sometimes be reversed.


What occurs during a tubal ligation procedure?

After the woman is put under anesthesia, incisions are made near the navel. They are usually quite small and a laparoscope is inserted through them, enabling the the surgeon to clearly see what he or she is doing. Small instruments are then inserted to either burn, seal or clip the fallopian tubes shut. The incisions are then closed with stitches and the patient can usually go home the same day as the procedure.


What occurs during a tubal ligation reversal?

A tubal ligation reversal involves making small incisions near the naval and reattaching the fallopian tubes, inserting an implant to reconnect them or unclamping them. The procedure takes around two hours and requires a stay in the hospital for a night or two. After 4-6 weeks, the patient is fully recovered and pregnancy is once again possible. The rate of successful pregnancy after the procedure ranges from 60-80%.


What sorts of risk factors are associated with tubal ligation and tubal ligation reversal?

Tubal ligation and tubal ligation reversal are considered to be fairly minor surgery, but they are quite invasive and carry their own risk factors which include:

  • Infection

  • Bleeding

  • Continued fertility or infertility

  • Injury to organs near the fallopian tubes



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