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What Factors Affect Tubal Reversal Success

Sep 2, 2008
Knowing about tubal reversal success is probably a key piece of information you are wanting to know. That is, if you have decided you want another child and to get your tubes untied. If you are wanting to do it for relief of post tubal ligation syndrome problems, then maybe the tubal reversal pregnancy success rates aren't quite as important.

So if you are one of those wanting to know about tubal reversal success, you will probably want to also know what success depends upon. A successful outcome depends upon three basic things. These are the method of tubal ligation, your age and the length of the fallopian tubes left after the surgery which, of course, depends upon what happened in your tubal ligation in the first place.

For the remainder of this article, and to discuss those three areas and how they affect tubal reversal success, we will use the published statistics from the Chapel Hill Tubal Reversal Center website. Now those statistics mostly apply just to Dr. Berger's patients as he has done more than 7000 reversals. You should understand that these may not readily apply to whoever you go to locally that says they will do the reversal, simply because they do not have the experience of Dr. Berger and are not under his tutelage. But these statistics are all we have to work with.

Let's begin with the tubal ligation method used and its affect upon success. In order from best to worse are: rings or clips, ligation/resection, coagulation/cautery, and then fimbriectomy. It's not unknown for a doctor to use more than one method or to be fairly brutal with the method used such as burning the tubes all along their length. For the rings/clips, you have 76% chance of becoming pregnant. With the fimbriectomy, it goes down to 56%. But that is still a better shot than one course of IVF in most cases.

As you might guess, your age plays a big role in your success as well. Face it. A 45 year old woman is just not going to have as good a chance as a 25 year old woman. This bears out in the tubal reversal success rates as well. If you are 29 or younger, your chances of getting pregnant are 82%. If you are 30 to 34, it's 76% and at 35 to 39 it's 67%, The statistics show if you are over 40, the success rates fall to 41% but you do need to know that a couple of women in their 50s are included in that last figure.

Looking at the length of the fallopian tubes left after removal of any damaged tube portions and the anastomosis, you will find the longer the tube, the higher the rate of success. Women with a 7.5 cm or longer tube had a 80% chance of becoming pregnant while women with less than 2.5 cm of tube left had about a 38% chance.

However, you should realize that becoming pregnant and staying that way are two different things. Also of note is that you have a 10% greater chance of having an ectopic pregnancy after having a tubal reversal. If you check out the statistics on this page, http://news.tubal-reversal.net/pregnancy-study-2007-pregnancy_outcomes.htm, you will be able to see how getting pregnant translated to actually having a child.

These statistics should give you some good information about tubal reversal success to base any decisions you need to make on. Using the following resources will indubitably answer the rest of your questions and allow you to dig further into the statistics.
About the Author
That tubal reversal success statistics are located at http://www.tubal-reversal.net/ You can learn how the tubal reversal surgery is done. Browse the forum.
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