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Tubal Reversal Surgery

Learn more about the differences between tubal reversal surgery and IVF

You’re not alone if you’ve had tubal ligation, or have had your “tubes tied,” and now want to have another baby. Many individuals and couples have been in the same situation. Often tubal reversal surgery comes to mind as the first option to restore fertility. However, this delicate and complex surgical procedure isn’t always the best option for patients. That’s why Texas Fertility Center no longer offers tubal reversal and instead recommends in vitro fertilization (IVF).

Tubal reversal surgery involves precise microsurgery

A tubal ligation, also referred to as sterilization, severs the fallopian tubes so that an ovulated egg cannot travel along this path. This prevents the egg and sperm from meeting as well as keeps the fertilized egg from traveling to the uterus for implantation. When performing a reversal procedure, a surgeon will work on the fallopian tubes to attempt to repair them.

The delicate structure of the fallopian tubes makes this surgery quite difficult. Even in the most skilled hands, the procedure may not be successful. Further complicating the matter is the fact that there are different types of tubal ligation.

  • Tubal coagulation (burning)
  • Rings
  • Clips
  • Hysteroscopic tubal occlusion

The surgeon must consider the type of tubal ligation a patient has had and tailor the already-complex tubal reversal surgery to address it.

This type of surgery isn’t always successful

Even after having tubal reversal surgery, it’s not uncommon for patients to still need in vitro fertilization (IVF) to welcome a baby. As a result, it’s possible to pay for and undergo a surgical procedure only to be disappointed later. If the procedure is unsuccessful, IVF is the option that our Austin fertility surgeons recommend to address the tubal fertility issues. As a result, our doctors typically suggest that tubal ligation patients move straight to in vitro fertilization.

Our goal is to help you have a healthy baby. Contact us to learn more about your options for conceiving after tubal ligation.

Meet Dr. Anthony Propst


Harvard Trained Fertility Micro-Surgeon

Harvard Trained Fertility Micro-Surgeon

Dr. Propst Discusses Robotic Fertility Surgery



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