What Factors Affect Tubal Reversal Success
Posted by: Sandra Wilson in Family, tags: FamilyKnowing about tubal reversal success is probably a key piece of information you are wanting to know. That is, if you have decided you want another child and to get your tubes untied. If you are wanting to do it for relief of post tubal ligation syndrome problems, then maybe the tubal reversal pregnancy success rates aren’t quite as important.
If you have done any looking around you may already know that success after reversing your tubal will generally depend upon three things provided you are healthy otherwise. Those three major determining factors are the method used to tie your tubes, what your age is at the time of the reversal and what length of tubes are left after any damage has been removed and the tubes sutured back together.
For the remainder of this article, and to discuss those three areas and how they affect tubal reversal success, we will use the published statistics from the Chapel Hill Tubal Reversal Center website. Now those statistics mostly apply just to Dr. Berger’s patients as he has done more than 7000 reversals. You should understand that these may not readily apply to whoever you go to locally that says they will do the reversal, simply because they do not have the experience of Dr. Berger and are not under his tutelage. But these statistics are all we have to work with.
Let’s begin with the tubal ligation method used and its affect upon success. In order from best to worse are: rings or clips, ligation/resection, coagulation/cautery, and then fimbriectomy. It’s not unknown for a doctor to use more than one method or to be fairly brutal with the method used such as burning the tubes all along their length. For the rings/clips, you have 76% chance of becoming pregnant. With the fimbriectomy, it goes down to 56%. But that is still a better shot than one course of IVF in most cases.
Here’s the big factor - age. If you are still in your 20s, you have an 82% success rate to work with. However if you are over 40, it goes down to 41%. But then you know that the older you get the harder it is to get pregnant anyway.
Looking at the length of the fallopian tubes left after removal of any damaged tube portions and the anastomosis, you will find the longer the tube, the higher the rate of success. Women with a 7.5 cm or longer tube had a 80% chance of becoming pregnant while women with less than 2.5 cm of tube left had about a 38% chance.
One more statistic I feel I should present in all fairness is that you do have an increased risk of ectopic pregnancy after tubal reversal success. However, this is only 10%. You should take it into consideration.
Using our resources below will let you see more of the statistics available regarding tubal reversal success. See where you fit on the tables of statistics linked below. You can also browse through the other resources to find answers to all your questions regarding tubal reversal.
Entries (RSS)