Frequently Asked Questions
TUBAL REVERSAL SURGERY IN LOS ANGELES, CALIFORNIA
IS IT POSSIBLE TO GET PREGNANT NATURALLY AFTER TUBAL LIGATION?It is not possible to conceive naturally anymore - unless you are open to corrective surgery to address the damage caused by the tubal ligation procedure.
HOW TO GET TUBES UNTIED?There is no way to untie your tubal ligation since your tubes were never tied in the first place! Imagining that a straight oviduct can be twisted into a knot result in a common misunderstanding while searching for a proper remedy. You might wrongly assume there is a way to untie your tubes. All contemporary methods of tubal sterilization cause permanent tubal damage and, in the majority of cases, remove a tubal segment. There are no over-the-counter or prescription medication or any other natural way to restore tubal function. Fallopian tubes will also never become untied on their own. Only another operation can fix the damage inflicted by tubal ligation. The other option is to completely give up natural fertility and use In-vitro fertilization (IVF) instead of your tubes.
I AM REGRETTING THE INITIAL STERILIZATION - NOW WHAT?You did your female sterilization procedure during your most recent cesarean section or shortly after birth. While initially blocked Fallopian tubes where desired, you might now deeply regret your choice. You might have a second marriage or a new partner with a desire for more children.You might be wondering: is it possible to reverse the tubal ligation surgery? You might ask yourself: where can I perform the tubal ligation reversal near me? What is the cost of tubal ligation reversal? Well, look no further! We do have the necessary skills and micro-surgical equipment to fix your tubal ligation in California!
TUBAL LIGATION REVERSAL COSTSHow much does it cost to get your tubes untied and how to save on the costs? Patients are pleasantly surprised to learn about low-cost financing options at our tubal reversal center. The monthly payment plans start at $150, making the operation affordable to anyone looking for tubal reversal surgery with a limited budget. Tree of life Center microsurgical tubal reversal experts operate at a premier surgical facility in Westlake Village, Calabasas, or Beverly Hills, California. Since the introduction of IVF, few fertility clinics in California still offer tubal reversal surgery as a low-cost IVF alternative.
INSURANCE COVERAGE FOR TUBAL LIGATION REVERSAL SURGERY?While many of you try to find insurance that covers tubal reversal surgery, this is impossible since your sterilization was a voluntary procedure and is not an infertility condition. Thus, to our knowledge, no health insurance plan will cover tubal reversal surgery. While Medicaid will usually pay for the sterilization procedure, it will not pay or consider the repair justified. In some limited circumstances, your health care provider might combine the process with another medically necessary surgery. This way, the surgical facility and anesthesia fee might be a covered benefit.Do not look for any other places to get your fallopian tubes untied and do not think you will get a cheaper tubal reversal in Mexico. In our center for tubal reversal, you will have your tubal repair performed by American physicians board-certified in reproductive medicine directly in Los Angeles, California. Not only can we fix your fallopian tubes, but we provide you with a state-of-the-art fertility assessment. We will scan your ovary and uterus during our initial office appointment. In case you do not become pregnant, we will provide you with credit towards IVF or Invocell in our fertility center.
HOW IS TUBAL LIGATION REVERSAL PERFORMED?Creating an incision at the bottom of your abdomen is the first step during the tubal ligation reversal operation. The mini-laparotomy incision is smaller than a typical cesarean section incision and very low on the belly. It needs to be just large enough to lift your uterus out of the abdomen. It is generally 2-3 inches in length. Such small incision is sufficient to allow exposure of your tubes.The surgeons then use magnifying glass loops or a microscope to see all details of your fallopian tubes. Next, we need to remove the ligated (cut, burned, clipped, tied) part of the oviduct. Finally, the new ends get reunited with microsurgical sutures. We typically place four microsurgical stitches to reconnect the tubal segments. The new connection is also known as tubal anastomosis. The instruments used are delicate, small, and explicitly designed for microsurgery. Using these tools creates minimal tissue trauma, enables a perfect anastomosis, and reduces scar formation after surgery.Following the reversal, we flush the tubal anastomosis with blue dye (methylene blue or indigo carmine) into the uterus. The blue color confirms that your “untied” tubes are open again, and the dye flows out from the fimbriated ends. The uterus is then pushed back into the abdomen. The skin cut heals within a few days. We never use staples and always close your incision to look beautiful with sutures. We make the scar almost invisible. The recovery time is similar to a cesarean section, and it might take about 4-6 weeks for complete recovery.Alternatively, we can perform tubal ligation reversal with laparoscopy. Laparoscopy uses 3-4 tiny keyhole openings on your stomach. A camera and special laparoscopic instruments get introduced into the abdomen. In some cases, a robotic device (DaVinci Robot) can perform this procedure.Dr. Jovanovic is a specially trained and certified DaVinci robotic surgeon. The laparoscopy and robotic surgery may avoid the need for a mini-laparotomy incision.The patient recovery after laparoscopy is faster than using the slightly larger mini-laparotomy method. However, the laparoscopic or robotic procedure prolongs the surgery time and utilizes more expensive equipment. Given that fixing your previous tubal ligation is not a covered health insurance benefit involving laparoscopy will significantly increase your surgery costs. Most of our patients do not have unlimited budgets and opt for a more affordable solution and don’t mind a small abdominal incision above the pubic hairline.
ARE YOU A CANDIDATE FOR TUBAL LIGATION REVERSAL?Not everyone is the right candidate for correcting the previous tubal ligation. The ultimate goal is not just to fix tubal ligation, but to achieve pregnancy! The remaining fallopian tubes might have more or less irreversible damage. The extent of tubal damage depends on the method of sterilization. Therefore, it is imperative to review your ligation method. Some doctors perform female sterilization by removing the entire tube. Complete tubal removal is also known as a salpingectomy. Fortunately, a minority of doctors in the United States utilize this method for female tubal sterilization. We will review your operative report before scheduling you for the surgical procedure. Please look for any operative images that might have been handed to you by your obstetrician/gynecologist. This valuable information will help us estimate the likelihood of an excellent tubal reversal outcome. Our goal is to maximize your success rates for pregnancy.Tubal sterilization methods utilizing a clip, fallopian rings, or sutures cause the least tubal damage—unfortunately, the complete removal of makes any fixing impossible. Tubes burned (fulgurated) with electricity suffer from thermal damage spreading well beyond the heated spot. Some OB/Gyn doctors repeatedly fulgurate in multiple places. Extensive fulguration may render your tubes irreparable.Essure reversal is another procedure, more challenging than a typical repair. Patients with Essure stents require a more complicated surgery since no typical tubal ligation took place. Instead of going through the stomach, the surgeons use the vaginal approach and enter the uterus from the inside. The surgeons identify the spots where the tubes originate from the womb. The orifice gets plugged with small metal coils. The plugs cause scar formation, and the tubal lumen gets permanently occluded. There is no way to remove the coils and unplug the tubes. An attempt to remove that section would remove a part of the womb. The only solution is to have the salpinx reimplanted into the uterus into a different spot. Because of all this, the Essure reversal requires additional surgery time, stent placement, and provides lower pregnancy success rates. The costs are usually higher, and most patients will consider doing IVF or Invocell instead of Essure reversal. If you have tied your tubes without any visible belly-button or cesarean section incision, you might have undergone Essure tubal sterilization.To avoid surprises in the operating room, we stress the importance of reviewing your initial surgery report. We do not want to put you in the situation of having your abdomen cut and not being able to repair your tubes. We will review your records free of charge and provide you with expert opinion. We will determine if you are the right candidate for tubal reversal. Once we complete our infertility specialists review, you will be able to make informed decisions on how to proceed.
IS SEMEN ANALYSIS NECESSARY?We will recommend the male partner to perform a semen analysis. In the case of a male factor fertility problem, the tubal repair alone might be insufficient to restore your fertility as a couple. Under such circumstances, undergoing invasive surgery that will not help becomes a terrible decision. We strongly recommend checking your partner and ensuring that he has sufficient sperm to father children naturally. In some cases, you might be single, and we will not insist on a semen analysis.
WHAT ABOUT RISKS?Any surgery bears risks of infection, bleeding, and damage to surrounding organs. There is also the risk of medical complications during anesthesia. Your overall medical fitness plays a role when addressing your risks. Since the uterus gets lifted out of the abdomen, the chances of injuring surrounding organs are low (see the photo at the top of this page). Your vital organs remain protected inside of your abdomen. Maintaining a healthy body weight reduces complications risks and reduces the operating time. The tubal ligation reversal surgery typically lasts about 90-120 minutes.Ectopic pregnancy is a complication that is associated with tubal ligation reversal surgery. You need to schedule an early transvaginal obstetrical ultrasound as soon as pregnancy is confirmed. The ultrasound ensures that the pregnancy is in the uterus and not in the tubal anastomosis. In some cases, the sperm can pass the anastomosis site, but the fertilized egg gets stuck on its way back. The wrong implantation spot causes a pregnancy outside of the uterus, also known as ectopic pregnancy. Tree of Life Center provides early obstetrical ultrasound services to patients who have a positive pregnancy test after tubal reversal.
SUCCESS WITH TUBAL LIGATION REVERSAL SURGERYThe success rates after the tubal reversal surgery will significantly depend on your age. Ideally, tubal ligation reversal surgery is performed in younger women when pregnancy rates are naturally higher. However, some older patients do not respond well to hormonal stimulation and make poor candidates for IVF In such cases, tubal reversal surgery might be the preferred solution. A considerable advantage is that successful tubal reversal operation allows one to attempt conception for many months or years to come. In contrast, IVF provides you one shot per treatment cycle. While the success rate per IVF attempt might be higher, tubal ligation reversal surgery allows multiple natural attempts from a single intervention - thus adding up chances.You might also consider adding fertility treatments, including intrauterine insemination and ovarian stimulation. We can provide this treatment in our fertility clinic If you do not become pregnant after 6-12 months, we recommend a hysterosalpingogram (HSG) to ensure your tubes are still open. In some cases, scar tissue can re-occlude the anastomosis site. The success rate may also vary between different tubal reversal centers.We suggest you take advantage of our initial consultation since each situation might be different. We want you to make informed decisions and lose no time to conception.
WHAT IS THE COST OF A TUBAL LIGATION REVERSAL?Tree of Life Center can perform microsurgical tubal reversal surgery for an affordable all-inclusive package price of $6,800. The package includes the surgical facility fee, general anesthesia, and all visits and labs. Most affordable payment plans start at $150 monthly. This pricing is very competitive and comparable to some centers outside of the United States that claim to offer cheap tubal reversal.Our fertility specialists both perform tubal reversal surgery and maintain high success rates in any other area of reproductive medicine. We can treat and advise you on how to increase your pregnancy chances after successful reversal surgery. The surgery takes place in Encino, Beverly Hills, or Westlake Village in a premier outpatient surgical center. We will help you during your post-operative period so that you can increase your chances of success. We are also experts in any kind of in vitro fertilization at Tree of Life Center If for whatever reason, you do not become pregnant after surgery, we will help you with a discount on the in vitro fertilization treatment option. Some patients also learn about the invocell alternative to tubal reversal surgery and might consider it instead.Please call us to discuss further your options and suitability for microsurgical tubal reversal surgery. We will offer you a courtesy review of your medical records. Please ensure that you collect all your files and any surgery pictures before scheduling your consultation.