What Happens During Microsurgical Tubal Reconstruction?

Tubal ligation is a procedure in which the fallopian tubes are severed or blocked which prevents the movement of eggs through the fallopian tubes. Since the eggs can’t meet the sperm, fertilization can’t occur. This procedure is a method of permanent birth control for women, but it can be reversed in certain circumstances. For women who have had tubal ligation , but have changed their minds about childbirth, microsurgical tubal reconstruction may be a solution. Many patients exploring this surgery consider going through IVF instead. Here are some concepts to consider in weighing the best path forward.

Accessing Services

This procedure is not covered by Provincial Health Plans and patients will need to secure a private practitioner to perform the surgery. Wait times, finding a doctor, and potential travel can be a challenge. Many patients who opt for tubal reconstruction in the belief that it is more cost effective than IVF. In fact, IVF treatment is very similar in cost. In cases where patients who have undergone tubal reversal, and in the end have to utilize IVF, the cost can be almost double. Most importantly, when discussing the surgery with your doctor, it is very important to review potential success related specifically to your case. Your age, the technique in how your tubes were “cut”, and other potential medical conditions (scarring or endometriosis) could all play a factor in your future success.

Undergoing Tubal Reconstruction

Microsurgical tubal reconstruction is performed laparoscopically, which makes it a minimally-invasive procedure that will have fewer risks than conventional, open surgery. Using special surgical tools, the doctor will carefully reconnect the fallopian tubes to restore ovulation. Patients who will be more likely to consider this surgery are those who have had tubal ligation within the past few years, women who are under the age of 35, and women who do not have other reproductive issues. Patients outside of these categories should consider IVF as an alternative treatment option.

Recovering from Your Surgery

You will not be able to become pregnant immediately after surgery. In fact, it can take up to two years in some cases for you to conceive following microsurgical tubal reconstruction. Since age is a major component in pregnancy, you should take this into consideration when looking at desired timelines. Patients can move forward with an IVF cycle in a matter of 6 weeks.

If you want to weigh all your options for advanced reproductive care in Toronto, call ReproMed for a consultation. You can reach us at (972) 494-5438. Our multidisciplinary team of specialists provides care for patients from all walks of life seeking care for infertility in Canada.

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