Post Tubal Ligation SyndromeSometimes, tubal ligation reversal is desired not for the purpose of having children, but to reverse the effects experienced by many women of post tubal ligation syndrome. The symptoms of post tubal ligaiton syndrome may include:
- irregular, heavy, painful periods, and other menstrual issues
- symptoms of early onset menopause
- severe or worsening of premenstrual syndrome
- loss of libido
- ectopic pregnancy
- vaginal dryness
- hot flashes
- cold flashes
- trouble sleeping
- mood swings
What Are The Success Rates of Tubal Ligation Reversal?Several factors play a key role in the success rate of tubal ligation reversal. These include:
- the type of tubal ligation procedure originally performed
- the age of the woman at the time she seeks tubal ligation reversal, women over 40 should discuss their personal chances of achieving success with their health care provider before choosing tubal ligation reversal
- the amount of damage caused by the original tubal ligation procedure directly correlates to the possible success of the tubal reversal procedure.
Women who make the best candidates for tubal ligation reversal are those whose tubal ligations included either the removal of a small section of the fallopian tubes, or those whose tubal ligation was achieved by clips or rings placed around the tubes to prevent eggs released during ovulation from traveling through the fallopian tubes.
Overall, success rates for tubal ligation reversal can vary from 20 percent to 70 percent.
Tubal Reversal ProceduresBefore your health care provider can advise you about the potentialfor successful tubal ligation reversal, you will need to provide him with all the facts and records from your tubal ligation procedure. The type of tubal ligation procedure used will determine the best procedure for tubal reversal, and have a major impact on your chance of success.
The tubal ligation reversal procedure uses microsurgery to rejoin the two remaining sections of the fallopian tubes. Certain factors have a direct effect on the potential for a successful tubal reversal procedure. Because the fallopian tube's diameter varies from one end to the other, the best chance for success occurs when the diameters of the two remaining sections of fallopian tube are almost identical. In cases where the two remaining ends of the tubes are of different diameter (for example, a narrow end of tube close to the uterus is being connected to a wider end near the end of the fallopian tube), success rates for pregnancy are lower.
The ideal candidate for tubal ligation reversal is a woman who has nearly equal diameter of the remaining ends of the tubal sections, and whose tubes are at least three to four inches long following reversal of the tubal ligation. (Before tubal ligation the fallopian tubes are approximately eight inches long.)
The decision to undergo tubal ligation reversal should be carefully weighed against the potential for successful in vitro fertilization. Women who have little chance of successful tubal reversal should be advised to consider in vitro fertilization.
You should discuss your personal situation with your health care provider to determine your best option for achieving successful pregnancy either by tubal ligation reversal, or in vitro fertilization.
Birth Control. Healthywomen.org. http://www.healthywomen.org/columns/contraceptionasktheexperts/questionsandanswers. Accessed 08/24/09.