skip to content

The Journey to Parenthood After Tubal Ligation: Why IVF is Your Best Bet



For many people, the decision to undergo tubal ligation, commonly known as getting your tubes tied, is a significant and often permanent choice to prevent pregnancy. However, life is full of surprises, and circumstances can change. Some people may find themselves reconsidering their decision, especially if they desire to expand their families after undergoing tubal ligation. In such cases, there is often a misconception that tubal reversal surgery is the most viable option. In this article, we’ll discuss the challenges associated with tubal reversal and explore why In Vitro Fertilization (IVF) is the more effective and safer choice for those who want to have a baby after getting their tubes tied.

The Reality of Tubal Reversal

Tubal reversal, also known as tubal reanastomosis, is a surgical procedure aimed at reconnecting the fallopian tubes after they have been previously cut, tied, or sealed during a tubal ligation. The procedure is technically demanding, and not all women are candidates for it. Here are some key points to consider regarding tubal reversal:

  1. Limited Success Rates: The success of tubal reversal largely depends on various factors, such as the type of ligation method used, the length of the remaining fallopian tube, and the age and overall health of the woman. According to the American Society for Reproductive Medicine (ASRM), success rates can range from 40% to 85%, with lower chances if the tubes were initially cut or sealed.
  2. Risk of Ectopic Pregnancy: Even if the reversal is successful, there is a higher risk of ectopic pregnancy, where the fertilized egg implants outside the uterus. Ectopic pregnancies can be life-threatening and may require surgery to remove the embryo.
  3. Availability of Skilled Surgeons: Tubal reversal surgeries require highly specialized skills and equipment, and not all gynecologists perform these procedures. Finding a qualified surgeon can be challenging. The surgery can also be invasive and may require a significant recovery time. 
  4. High Cost: The cost of tubal reversal surgery can be substantial, often significantly higher than an IVF cycle, and it is rarely covered by insurance. Patients may end up investing a significant amount of money without a guaranteed outcome.

Why IVF is a Better Option

In Vitro Fertilization (IVF) is a well-established and effective method for achieving pregnancy, especially for women who have undergone tubal ligation. Here are some reasons why IVF is a superior choice:

  1. Higher Success Rates: IVF boasts higher success rates compared to tubal reversal. It can offer success rates of up to 40% or more per cycle, depending on factors like age and overall health.
  2. Bypassing Tubal Damage: IVF completely bypasses the fallopian tubes, making it a suitable option for women whose tubes may be damaged or compromised due to previous ligation procedures.
  3. Lower Risk of Complications: IVF carries a lower risk of complications compared to tubal reversal, which can result in ectopic pregnancies or other surgical complications.
  4. Fewer Surgical Risks: IVF is a minimally invasive procedure that involves an egg retrieval and embryo transfer. It does not require major abdominal surgery, reducing the risk of postoperative complications, time spent under anesthesia, and recovery period.
  5. Customized Treatment: IVF can be tailored to individual circumstances, allowing for a more personalized approach to fertility treatment.
  6. Multiple Attempts: IVF offers the option of multiple attempts if the first cycle is unsuccessful, increasing the chances of achieving a successful pregnancy over time.


While the desire to have a baby after getting your tubes tied can be overwhelming, it’s essential to consider the most effective and safe options available. Tubal reversal surgery is not without its risks and uncertainties, and success rates vary. In contrast, In Vitro Fertilization (IVF) offers a more reliable and efficient path to parenthood. IVF allows you to bypass any tubal damage or complications and offers a higher likelihood of achieving a successful pregnancy. If you find yourself in this situation, consult with a Mate advisor who can provide guidance and support tailored to your unique needs and circumstances. Parenthood is a precious journey, and with the right approach, it can still be within reach after tubal ligation.


Stephanie Parker

American Society for Reproductive Medicine (ASRM). (2020). Tubal Reversal.

American College of Obstetricians and Gynecologists (ACOG). (2020). Ectopic Pregnancy.

Mayo Clinic. (2019). Tubal Ligation Reversal.

Verywell Family. (2021). What Is Tubal Ligation Reversal Surgery?

American Society for Reproductive Medicine (ASRM). (2020). In Vitro Fertilization (IVF).

related articles