Tubal ligation reversal is a surgical procedure aimed to restore tubal patency after female fallopian tube sterilisation, offering hope to those who wish to conceive again. By reconnecting the fallopian tubes, this procedure provides an opportunity for natural conception. Whether your circumstances have changed, or you’re considering expanding your family, tubal ligation reversal could be the solution you’re looking for.
At Rylon Clinic in London, we specialise in advanced fertility treatments, including tubal ligation reversal. Our expert team at our private fertility clinic in London combines cutting-edge surgical techniques with personalised care to give you the best chance of success. With a patient-focused approach, we ensure that every aspect of your treatment is tailored to your individual needs and goals, from the initial consultation to recovery and follow-up support in the longer term.
Whether you’re exploring your options for the first time or seeking a trusted clinic closer to home, Rylon Clinic is here to help you take the next step toward achieving your family planning goals.
What is tubal ligation reversal?
Tubal ligation reversal is a surgical procedure designed to restore tubal patency for individuals who have previously undergone female sterilisation, also known as "having your tubes tied." During the procedure, a specialist reconnects or repairs the fallopian tubes, allowing eggs to pass through the tubes and enabling natural conception.
This procedure is an option for individuals whose circumstances or family goals have changed and are now looking to conceive again. Success depends on factors such as the type of sterilisation initially performed, the remaining length of the fallopian tubes, and overall reproductive health.
Can tubal ligation be reversed in the UK?
Yes, tubal ligation can be reversed in the UK, though it is not typically available through the NHS. Most patients seeking this procedure opt for private clinics, where they can access highly specialised surgeons, advanced surgical techniques, and personalised care. Rylon Clinic in London offers tubal ligation reversal as part of its comprehensive fertility treatment programme, providing expertise and support throughout your journey.
If you’re considering this procedure, a consultation with a specialist can help determine if tubal ligation reversal is the right choice for your specific needs and circumstances.
Who is a candidate for tubal ligation reversal?
Tubal ligation reversal is a promising option for many individuals seeking to restore their fertility, but not everyone is an ideal candidate for the procedure. Several factors influence eligibility, including age, overall health, and the type of sterilisation procedure that was initially performed. Understanding these factors can help determine whether reversal is the best option for you.
Method used
One key consideration is the method used during the original tubal ligation. Procedures that left more of the fallopian tube intact, such as those using clips or rings, are more likely to result in a successful reversal. However, if a significant portion of the tubes was removed or damaged during sterilisation, the chances of a successful reversal decrease. This is something a specialist will assess during an initial consultation, often using imaging tests to evaluate the condition of the remaining tubes.
Age
Age is another important factor, as fertility naturally declines with time. Tubal ligation reversal is typically most effective for individuals under 40, though successful pregnancies are still possible for some patients over this age range [1]. Your overall health, including any conditions that may affect fertility- such as endometriosis or a history of pelvic infections will also play a role in determining your suitability for the procedure.
Contraindications
There are situations where tubal ligation reversal may not be possible or recommended. For instance, if the remaining fallopian tubes are too short or scarred to be reconnected, other fertility options, such as in-vitro fertilisation (IVF), may be a more viable alternative. IVF bypasses the fallopian tubes entirely, offering a high success rate for many patients.
At Rylon Clinic, we carefully evaluate each patient’s unique circumstances to provide clear, expert guidance on the best path forward. Whether tubal ligation reversal or an alternative fertility treatment is recommended, our team is here to support you every step of the way.
Success rates of female sterilisation reversal
The success of female sterilisation reversal, often referred to as tubal ligation reversal, depends on several factors, including the patient's age, the time elapsed since the sterilisation procedure, and overall reproductive health. Understanding these factors can help patients set realistic expectations and make informed decisions about their fertility journey.
Age plays a significant role in the likelihood of success, as fertility naturally declines with time. Women under 35 generally experience the highest success rates, with 70-80% able to conceive naturally after the procedure [1]. While success is still possible for women in their late 30s and 40s, the chances of conception may be lower (around 30-40%) [1], reflecting the natural decline in egg quality and ovarian reserve.
The time since sterilisation may also impact success. In cases where sterilisation occurred more than a decade ago, the condition of the fallopian tubes may be less favourable for reversal due to potential scarring or changes in the reproductive system. However, modern surgical techniques and careful evaluation of the fallopian tubes can often optimise outcomes.
Overall reproductive health is another crucial factor. Conditions such as endometriosis, pelvic inflammatory disease, or a history of uterine fibroids may affect fertility, even after a successful reversal. A comprehensive assessment of your reproductive health by our specialists ensures that any underlying conditions are addressed as part of your care plan.
At Rylon Clinic, we combine advanced surgical expertise with personalised care to maximise your chances of success. While success rates vary depending on individual circumstances, many patients are able to conceive naturally following tubal ligation reversal. Our team is here to guide you through the process, ensuring you receive the highest standard of care and support as you work toward your family planning goals.
Tubal ligation reversal on the NHS
Tubal ligation reversal is not commonly offered on the NHS, as the procedure is typically considered elective surgery. The NHS prioritises medical treatments based on necessity, and since tubal ligation is generally performed as a permanent form of contraception, reversals are not routinely funded. This means that most individuals seeking tubal ligation reversal will need to explore private healthcare options.
Will the NHS untie my tubes?
In rare circumstances, the NHS may consider funding tubal ligation reversal if there is a clear medical need. For example, if the sterilisation procedure caused significant complications or if there are unique health concerns related to the initial surgery. However, these cases are exceptional, and patients often face lengthy referral processes and waiting lists, with no guarantee of approval.
Private options for tubal ligation reversal
For those who wish to undergo tubal ligation reversal without delays, private clinics such as Rylon Clinic provide a more accessible alternative. Private care offers timely appointments, advanced surgical techniques utilising robotic technology, and personalised treatment plans tailored to your fertility goals.
If you're considering tubal ligation reversal and would like to explore your options, Rylon Clinic can provide expert guidance and support, helping you take the first step toward restoring your fertility.
Cost of private tubal ligation reversal UK
The cost of tubal ligation reversal in the UK varies depending on the clinic and specific services included. On average, patients can expect to pay between £7,000 and £10,000 for the procedure but this will vary depending on the individual’s circumstances, the experience of the surgeon and clinic location.
It's important to note that these costs typically cover the surgery itself, anaesthetist and surgeon fees, and in-patient care. However, additional services such as pre-operative consultations, post-operative follow-ups, and specific diagnostic tests may incur extra charges. Some clinics also offer optional procedures, like HyCoSy tubal testing post-operation, which can add to the overall cost.
As discussed previously, tubal ligation reversal is often considered an elective procedure, so it is not usually available through the NHS. Therefore, individuals seeking this surgery will need to consider private healthcare options. It's advisable to consult with individual clinics to obtain detailed information on pricing and any additional costs involved.
The benefits of UK expertise
Choosing a trusted UK clinic, such as Rylon Clinic, ensures you receive truthful medical advice and high-quality care in a regulated healthcare system. For example, our experienced team offers personalised treatment, advanced surgical techniques, and comprehensive aftercare to support your recovery and maximise your chances of success. In private clinics in the UK, patients benefit from clear communication, flexible payment plans, and continuity of care, ensuring every aspect of the process is seamless and stress-free.
What to expect during tubal ligation reversal
Tubal ligation reversal is a delicate surgical procedure designed to reconnect the fallopian tubes, restoring the possibility of natural conception. Knowing what to expect before, during, and after the surgery can help you feel more prepared and confident about your treatment journey.
Before the procedure
Your journey begins with a consultation, during which your surgeon will review your medical history, discuss your fertility goals, and evaluate the feasibility of the procedure. This may involve imaging tests, such as ultrasound tubal check (HyCosy), to assess the condition of your fallopian tubes and overall reproductive health.
During the procedure
Tubal ligation reversal is typically performed under general anaesthesia and can take between 1.5 and 3 hours, depending on the complexity of the case. The surgeon carefully removes any clips, rings, or scarred sections of the fallopian tubes by robotic technology and reconnects the healthy ends using fine sutures. Advanced microsurgical techniques and precision tools are often employed to maximise success rates while minimising damage to surrounding tissue.
The surgery is usually performed robotic-assisted, which allows for faster recovery and less scarring compared to traditional open surgery.
After the procedure
Following surgery, you will be monitored in the recovery area before being discharged, often on the same day. Some patients may experience mild discomfort, cramping, or fatigue, which can be managed with prescribed pain relief. It is essential to rest and avoid strenuous activities during the first week to allow your body to heal.
Most patients can return to light activities within one to two weeks, but full recovery typically takes around four to six weeks. Your doctor will provide detailed aftercare instructions, including how to care for your incision site, recognise signs of complications, and when to schedule follow-up appointments.
How quickly after the procedure can I start trying to conceive?
How quickly you can start trying to conceive after tubal ligation reversal depends on your recovery and the advice of your surgeon. Typically, patients are advised to wait for four to six weeks after the procedure to allow the body to heal fully and ensure that the fallopian tubes have properly reconnected.
Your doctor will conduct a follow-up appointment to assess your recovery and confirm that there are no complications, such as scarring or infection, which could impact your fertility. Once cleared, you can begin trying to conceive naturally.Additional tests such as HyCosy may be recommended to ensure optimal tubal patency before attempting conception.
Regular follow-ups ensure the fallopian tubes remain functional, and any issues, such as ectopic pregnancy risks, are promptly addressed. For some patients, additional fertility support, such as ovulation tracking, may enhance the chances of success. At Rylon Clinic, we provide personalised guidance and support during the recovery process, ensuring you are physically ready and confident to begin your fertility journey.
Potential complications of tubal ligation reversal
Tubal ligation reversal is generally a safe procedure when performed by experienced specialists, but as with any surgery, complications can arise. Understanding the potential risks allows patients to make informed decisions and take necessary precautions during recovery.
Common complications
Infection: As with any surgical procedure, there is a risk of infection at the incision site or internally. This is typically managed with antibiotics and proper post-operative care.
Bleeding: Minor bleeding is common during and after the procedure, but excessive bleeding may require additional medical attention.
Scarring: Scar tissue can develop around the fallopian tubes, potentially affecting their function and reducing the chances of conception.
Specific risks to tubal ligation reversal
Ectopic pregnancy: One of the most significant risks is an ectopic pregnancy [2], where a fertilised egg implants outside the uterus, usually in the fallopian tube. This requires immediate medical intervention and may impact future fertility.
Tube damage: If the fallopian tubes are severely scarred or shortened from the initial sterilisation procedure, the success of the reversal may be limited. In some cases, this could lead to another surgery or alternative treatments like IVF.
Adhesion formation: Internal adhesions, or bands of scar tissue, can develop after surgery, potentially affecting reproductive organs and causing discomfort.
Minimising risks
Choosing a skilled and experienced surgeon significantly reduces the likelihood of complications [3]. At Rylon Clinic, our specialist uses advanced techniques after comprehensive counseling to ensure precision and minimise risks during and after the procedure. Additionally, thorough pre-operative assessments help identify any underlying conditions that may increase the likelihood of complications.
Patients are also provided with comprehensive aftercare instructions to support smooth recovery and prevent issues such as infection or adhesion formation. Regular follow-ups ensure any complications are identified and managed promptly, helping you move forward confidently on your fertility journey.
Why choose Rylon Clinic for tubal ligation reversal?
Rylon Clinic is a trusted provider of advanced fertility treatments, offering personalised care and state-of-the-art surgical options to help you achieve your family planning goals. Our team of experienced specialists is dedicated to delivering the highest standard of care, ensuring you feel supported at every step of your journey.
Expertise in advanced fertility treatments
At Rylon Clinic, we combine cutting-edge techniques with a patient-centred approach to maximise your chances of success. Our specialists are skilled in microsurgical procedures, such as tubal ligation reversal, ensuring precision and safety throughout the process. With a deep understanding of fertility and reproductive health, our team tailors every treatment plan to your unique needs and circumstances.
Personalised and compassionate care
We understand that every patient’s journey is different. That’s why we take the time to listen to your concerns, discuss your options, and create a treatment plan that aligns with your goals and medical history. From your initial consultation to post-operative care, we prioritise clear communication and compassionate support to make your experience as smooth as possible.
State-of-the-art facilities
Our clinic is equipped with advanced technology and modern facilities, providing a safe and comfortable environment for your procedure and recovery. We prioritise minimally invasive techniques to reduce recovery time and improve outcomes, ensuring you can return to your daily life and fertility journey with confidence.
By choosing Rylon Clinic for your tubal ligation reversal, you’re placing your care in the hands of experts who are dedicated to your success and wellbeing.
Take the first step toward restoring fertility
If you’re considering tubal ligation reversal, taking the first step toward restoring your fertility can feel both exciting and overwhelming. At Rylon Clinic, we are here to guide you every step of the way, offering expert advice, personalised care, and state-of-the-art treatments to help you achieve your family planning goals.
Booking a consultation at Rylon Clinic is simple and convenient. We offer both in-person appointments at our London clinic and virtual consultations, giving you the flexibility to choose the option that works best for you. During your consultation, Mr Naji will take the time to understand your unique circumstances, explain your options in detail, and create a personalised treatment plan tailored to your needs.
Our commitment to patient-centred care ensures that you are supported throughout your journey, from the initial consultation to post-surgery follow-up. Whether you’re exploring the possibility of reversing sterilisation or seeking clarity on your fertility options, our team is here to provide compassionate and professional care.
Take the first step toward expanding your family and book your consultation online today. Contact Rylon Clinic to learn more about how we can help you achieve your goals with confidence and peace of mind.
References
Erica Hersh (2018) Tubal Ligation Reversal: Cost, Success Rates, Procedure, and More. healthline.com. https://www.healthline.com/health/pregnancy/tubal-ligation-reversal
Almeida (undefined) Fimbrial ectopic pregnancy following tubal anastomosis. JSLS : Journal of the Society of Laparoendoscopic Surgeons. https://pubmed.ncbi.nlm.nih.gov/22643512/
Xu et al. (2024) Risk factors for tubal patency and their impact on pregnancy rate after partial salpingectomy and end-to-end anastomosis. Zhejiang da xue xue bao. Yi xue ban = Journal of Zhejiang University. Medical sciences.
Author: Mr Osama Naji
Mr Naji offers a “one-stop” gynaecology clinic for instant detection of various gynaecological cancers as well as providing all the diagnostic and treatment services needed under one roof.
Mr Naji provides advanced gynaecology scanning which is essential when conducting any gynaecology consultation, he is bilingual in English and Arabic and has an NHS base at the highly reputable Guy's and St Thomas' Hospital in London.
He is passionate about raising awareness of various subtle signs and symptoms of gynaecological conditions that are often overlooked by patients.
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