Tubal reversal surgery is often sought by women who had their tubes tied as a means of birth control. Sometimes tubal reversal is possible depending upon where the tubes were tied. In general, IVF produces higher higher success rates. If surgery is attempted, the tubal reversal should be performed by a skilled microsurgeon.

Tubal disease can be caused by previous surgery, pelvic inflammatory disease, endometriosis, or it can be congenital. Depending upon where the tube is damaged (blocked) IVF is often the treatment of choice.

The eggs are ovulated into the fallopian tube where they meet with the sperm at the end of the tube where fertilization occurs. The pre-embryo is then carried to the uterus. Blockage of the tube prevents these events. The tubes are very delicate and scarring can occur after surgery. In general, the success rates with in vitro fertilization are higher than those after tubal surgery.

The first step is the hysterosalpingogram which allows us to assess whether or not, and where, the tubes are blocked. Each case is individually evaluated and we always recommend the procedure(s) most likely to result in pregnancy in the most cost effective manner.

• Male Factor
• Endometriosis
• PCOS
• Ovarian Factor
• Cervical Factor
• Tubal Factor
• Uterine Factor
• Unexplained