Tubal Ligation Reversal

Steps Involved in IVF:

Procedure Description

Tubal ligation reversal is a surgical procedure aimed at restoring a woman's fertility after she has had a tubal ligation, commonly known as "having her tubes tied". Tubal ligation is a method of permanent birth control, where the fallopian tubes are cut, tied, or otherwise blocked to prevent pregnancy. However, circumstances can change, and some women may later decide that they want to have children. This can be due to various reasons such as remarriage, the loss of a child, or simply a change of heart about family planning.

The reversal process involves reattaching the separated segments of the fallopian tubes to enable the egg to once again travel from the ovary, through the tube, and to the uterus. Fertilization typically occurs in the fallopian tube, so its integrity is crucial for natural conception. However, it's important to note that the success rate for this procedure can vary based on factors like age, health, the method of the initial ligation, and the expertise of the surgeon.

Tubal ligation reversal isn't just about fertility restoration. For some women, the procedure can also alleviate symptoms of post-tubal ligation syndrome (although this condition remains somewhat controversial in the medical community). Symptoms can include hormonal imbalances, menstrual irregularities, or increased menstrual pain.

Procedure Duration

A tubal ligation reversal usually takes between 2 to 3 hours to complete, depending on the method of the original tubal ligation and any other existing health factors. It's performed under general anesthesia, ensuring the patient is pain-free throughout the procedure.

After the surgery, most patients spend a few hours in the recovery room before being discharged on the same day. Some may need to stay overnight for observation. It's important to have someone available to drive the patient home after the procedure.

Recovery time varies from person to person. While some women feel better within a week, it's common to experience some discomfort and need pain management for a few days post-surgery. Most patients can return to their regular activities within 2 weeks but should avoid strenuous physical activities or heavy lifting for about 4-6 weeks. Follow-up appointments with the surgeon will be essential to monitor the healing process and to check the reestablishment of tubal function.


  • Cost: Many destinations offer high-quality surgical procedures at a fraction of the cost in Western countries.
  • Expertise: Some countries specialize in fertility treatments and have renowned surgeons for tubal ligation reversals.
  • Advanced Technology: Certain destinations invest heavily in the latest medical technology and state-of-the-art facilities.
  • Personalized Care: Medical tourists often receive personalized care and attention in foreign hospitals, ensuring a more pleasant overall experience.

Potential Destinations

  • Thailand: Known for its advanced hospitals and highly-skilled surgeons.
  • India: A hub for fertility treatments with world-class facilities.
  • Mexico: Proximity to the U.S. and expertise in a variety of medical fields.
  • Turkey: Rapidly becoming a preferred destination for a range of medical treatments, including fertility procedures.

Risks & Considerations

  • Travel Concerns: Long flights post-surgery can increase the risk of complications.
  • Cultural Differences: Understand local customs and ensure the hospital staff speaks your language.
  • Legal Aspects: Consider legal implications and standards, which can differ from one country to another.

How to Choose the Right Doctor and Hospital

  • Accreditation: Ensure the hospital has international accreditation.
  • Surgeon's Experience: Research the surgeon's credentials, experience, and patient reviews.
  • Facility Tours: Virtual or in-person tours can provide insights into the quality of care and technology.
  • Referrals: Speak with previous patients or seek recommendations from trusted sources.

To receive a free quote for this procedure please click on the link: https://www.medicaltourism.com/get-a-quote

Patients are advised to seek hospitals that are accredited by Global Healthcare and only work with medical tourism facilitators who are certified by Global Healthcare Accreditation or who have undergone certification from the Certified Medical Travel Professionals (CMTP). This ensures that the highest standards in the industry are met. GHA accredits the top hospitals in the world. These are the best hospitals in the world for quality and providing the best patient experience. Click the link to check out hospitals accredited by the Global Healthcare Accreditation: https://www.globalhealthcareaccreditation.com

Frequently Asked Questions

What actually happens during hyperstimulation of the ovaries?

The patient will take injectable FSH (follicle stimulating hormone) for eight to eleven days, depending on how long the follicles take to mature. This hormone is produced naturally in a woman’s body causing one egg to develop per cycle. Taking the injectable FSH causes several follicles to develop at once, at approximately the same rate. The development is monitored with vaginal ultrasounds and following the patient’s levels of estradiol and progesterone. FSH brand names include Repronex, Follistim, Menopur, Gonal-F and Bravelle. The patient injects herself daily.

What happens during egg retrieval?

When the follicles have developed enough to be harvested, the patient attends an appointment  where she is anesthetized and prepared for the procedure. Next, the doctor uses an ultrasound probe to guide a needle through the vaginal wall and into the follicle of the ovary. The thin needle draws the follicle fluid, which is then examined by an embryologist to find the eggs. The whole process takes about 20 minutes.

What happens to the eggs?

In the next step, the harvested eggs are then fertilized. If the sperm from the potential father, or in some cases, anonymous donor, has normal functionality, the eggs and sperm are placed together in a dish with a nutrient fluid, then incubated overnight to fertilize normally. If the sperm functionality is suboptimal, an embryologist uses Intracytoplasmic Sperm Injection to inject a single sperm into a single egg with an extremely precise glass needle.  Once fertilization is complete, the embryos are assessed and prepared to be transferred to the patient’s uterus.

How are the embryos transferred back to the uterus?

The doctor and the patient will discuss the number of embryos to be transferred. The number of successfully fertilized eggs usually determines the number of eggs to be placed in the uterus. Embryos are transferred to the uterus with transabdominal ultrasound guidance. This process does not require anesthesia, but it can cause minor cervical or uterine discomfort. Following transfer, the patient is advised to take at least one days bed rest and two or three additional days of rest, then 10 to 12 days later, two pregnancy tests are scheduled to confirm success. Once two positive tests are completed, an obstetrical ultrasound is ordered to show the sac, fetal pole, yolk sac and fetal heart rate.


Built into this technology there is a microscope with a powerful camera that allows the uninterrupted monitoring of the embryo during its first hours of life. In this way, we can keep a close eye on the embryo, from the moment when the oocyte is inseminated and begins to divide into smaller and smaller cells, until it can be transferred to the uterus.

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