What better-IVF or Tubal Ligation Reversal

Tubal ligation is a permanent contraceptive technique. It can be performed immediately following the delivery or as a separate procedure. As it is a permanent procedure, most women choose with it the earnest aim of avoiding future pregnancies.

What better-IVF or Tubal Ligation Reversal

But sometimes circumstances change, relationships shift, and some people might regret taking such a permanent and drastic approach towards fertilization. Some statistics say that about 14.3% of women who undergo tubal ligation want to reverse the procedure in the following years.

So what choice do couples who have already undertaken this procedure have?

The answer to this question depends on a lot of different variables, such as their age, reproductive capability, etc. In general, the alternatives are either surgery to reverse the ligation (tubal reversal) or in vitro fertilization (IVF).

Reversal of Tubal Ligation

It is a very sensitive procedure. In most cases, the operation is performed as an outpatient or short-stay surgery, using a tiny abdominal incision and micro-surgical procedures to reconnect the disrupted tubal segments. As with any surgery, risks include infection, poor tissue recovery, further injury to the fallopian tubes, uterus, or ovaries, as well as other adjacent tissues, and anesthesia difficulties. Furthermore, one must consider the post-operative recovery period and time away from work, usually brief but may be protracted.

Each patient must discuss these risks with their physician based on her unique circumstances. Keep in mind that any form of surgery will always cause some damage to the tubes, and the danger of ectopic (tubal) pregnancy is always present. If the reversal is effective, postpartum contraceptive choices must be reconsidered.

Not all tubal sterilizations can be reversed. Successful reversal is not possible if the remaining fallopian tube segments are not healthy due to earlier injury or concise parts.


In vitro fertilization is the primary method for conception in women with defective or obstructed fallopian tubes. During IVF, the actions generally occur in the fallopian tubes, such as fertilization and zygote formation, happen in the laboratory, creating a form of tubal bypass. IVF allows for the selection of the healthiest embryos for transfer, as well as a decision between numerous embryos. It is less intrusive than surgery, and the accompanying downtime after the operation is low.

Rates of Success

Tubal reversal is a reasonably efficient procedure in terms of cost per cycle. However, when looking at success rates each cycle, the rates after tubal reversal are relatively low: fewer than 5% in most samples. This suggests that numerous cycles are often required to attain success. Another issue is the time lapse between surgery and conception: with each year of unsuccessful conception after surgery, the likelihood of an ectopic pregnancy, if it occurs at all, increases dramatically.

Thus, the issue is the effect of rising age on the chance of successful pregnancy. Because many couples pursuing conception after tubal reversal do so in the setting of a new marriage or relationship after having completed their first kids. The woman is often at an age when fertility is naturally and drastically declining. As one ages, the chance of success-per-cycle decreases to ever-lower levels. If pregnancy does not develop within a reasonable period after tubal reversal, the only alternative option is to pursue IVF. If tubal reversal fails as the woman ages more, her odds of success with IVF are diminished, and the expenses of the operations are therefore coupled if the couple must resort to both.

To know more about your options and to avail the best fertility treatment in Delhi, contact World IVF Center, one of the best IVF hospitals in Delhi. Book your appointment today

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