Anne Borkowski, MD

Reproductive Endocrinologist
Infertility Specialist

4250 Dempster St.
Skokie, IL, 60076

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Tubal Reversal Surgery

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 and how the tubes were tied. In general, IVF produces higher per cycle 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 per cycle 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.

Dr. Borkowski performs many other surgical procedures, such as fibroid removal, using laparoscopy. This greatly reduces pain and recovery time. The majority of these procedures are performed on an outpatient basis reducing cost.