Texas Fertility Center

Tubal Reversal Success Rates

IVF and tubal reversal candidates have one shared goal: a healthy pregnancy

Having your tubes tied need not prevent you from ever having children of your own. Tubal reversal success rates offer hope to anyone having second thoughts about what they presumed was a permanent decision.

Before you decide to undergo surgery to restore fertility, however, you should have an in-depth conversation with an experienced fertility surgeon. Are you a good candidate for tubal reversal? Was your fallopian tube removed or severed? Is there a viable length of tube left for the surgeon to reconnect?

Most importantly, will maternal age be a factor? Once you decide to move forward with tubal anastomosis, you will want to know the likelihood that the procedure will lead to pregnancy.

Considering tubal reversal approaches and prognosis

The American Society for Reproductive Medicine, ASRM, provides a breakdown of tubal reversal success rates by surgical procedures, comparing traditional open surgery with newer microsurgical techniques performed by Texas Fertility Center surgeons.

  • After two years, women younger than 40 had a 70 percent chance of achieving a pregnancy after tubal reversal using a non-microsurgical technique, according to ASRM.
  • In the same time period, more than 90 percent of women younger than 40 reported a pregnancy after microsurgical reversal of tubal sterilization.
  • In another study, pregnancy rates following mini-laparotomy or laparoscopic tubal reversal range from 60-80 percent.

The statistics for tubal reversal success rates are favorable. With an experienced fertility surgeon leading the procedure, chances are good that you will be able to get pregnant. At Texas Fertility Center, we always emphasize that you only have one chance to restore fertility with tubal reversal. You should insist on a board certified reproductive endocrinologist who is also a highly skilled reproductive surgeon extensively trained and practiced in microsurgical techniques.

Tubal reversal success rates vs. IVF success rates

Our fertility surgeons advise patients considering a tubal reversal to weigh the pros and cons of IVF versus tubal reversal. Depending on your age and reproductive health and your partner’s sperm health, IVF will have a higher success rate per cycle, but the advantage of a successful tubal reversal is sustainability. You have the opportunity to get pregnant each month, with the potential for multiple pregnancies when your natural fertility is restored.

You should also consider the risk of an ectopic pregnancy, in which the embryo implants in the fallopian tube rather than the uterus. The chances for ectopic pregnancy, according to ASRM, range from 2-10 percent. With IVF, the chance is 2 percent.

The decision to have a tubal reversal sets in motion your plans to start or expand your family, and we want this to be a positive experience. Contact us at Texas Fertility Center to consult with a reproductive surgeon who is instrumental in maintaining our high standards for tubal reversal success rates.

Meet Dr. Anthony Propst


Harvard Trained Fertility Micro-Surgeon

Harvard Trained Fertility Micro-Surgeon

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