A tubal ligation reversal is a procedure to restore fertility after a woman has had a tubal ligation — a procedure that cuts or blocks the fallopian tubes to prevent pregnancy. During a tubal ligation reversal, the blocked segments of the fallopian tubes are reconnected to the remainder of the fallopian tubes. This may allow eggs to again move through the tubes and sperm to travel up the fallopian tubes to join an egg.

Sterilization procedures that cause the least amount of damage to the fallopian tubes are the most likely to allow successful tubal ligation reversal. Examples include sterilization with tubal clips or rings.

Procedures that cause scarring to seal off the fallopian tubes, such as the Essure or Adiana systems, generally aren't reversible. In cases where tubal ligation reversal isn't recommended, in vitro fertilization (IVF) may be an option. IVF involves retrieving eggs from the ovary, fertilizing them in a lab and implanting them in the uterus.

Jan. 31, 2015