Tubal Reversal

Tubal reversal (reanastomosis) is a procedure to reconnect the fallopian tubes following a tubal sterilization with the goal of restoring fertility. This is done by removing the damaged portion of the fallopian tube and rejoining the healthy portions to provide a newly opened tube through which the sperm and egg can pass. About 85 percent of the time the tubes are successfully opened, but this does not guarantee a pregnancy. About 50-65 percent of patients undergoing tubal reanastomosis will have a baby, if there are no other factors preventing pregnancy. Success rates are highly dependable on the type of damage done to the tubes during the initial procedure of tubal ligation.

Before a procedure it is important to obtain copies of the operative note describing your sterilization procedure. This is very important step since there are several ways to perform sterilization and some sterilization methods are not reversible. You will need to bring the operative report to your first doctor's visit. At this visit, you will have a complete history and physical examination, and speak with a doctor. The physician will recommend a laparoscopy to evaluate whether enough healthy tube is left to attempt tubal reanastomosis. At the time of laparoscopy a hysteroscopy can be done in order to asses the shape of the uterine cavity.

Unfortunately, most health insurance plans do not reimburse for tubal reanastomosis. You should contact your insurance carrier first. You may be reimbursed for the x-ray procedure or diagnostic laparoscopy. You will need to pay for your initial visit on the day you are seen. Costs will vary depending on the difficulty of your procedure, the length of time the surgery requires, and how long you must stay in the hospital.

Call Advanced OB/GYN Care at (860) 409-1933 to schedule an appointment with Dr. Marcovici!