Tubal Reversal

Many patients regret having a tubal ligation. Fortunately, two major techniques exist that still allow patients to become pregnant. These two possibilities involve a surgical tubal reversal or alternatively in vitro fertilization (IVF).The technique that works best varies among couples.

In a traditional tubal ligation, a portion of the tube is destroyed by either cutting, tieing, clipping or burning the tube. Provided that this involves a relatively small portion of the middle section of the tube, surgery can be quite successful at reversing the occlusion so that pregnancy can occur.

Advantages to this approach include a high probably of success, lower costs, lower multiple pregnancy rates, the potential for future siblings, and the ability to conceive at home. The main disadvantage is the need to have a surgical incision.

Traditionally, this kind of surgery was done through a lower abdominal incision that is several inches long. Lately, a laparoscopic technique has been used by some to be able to use smaller incisions. This technique generally takes longer and it is unclear if this laparoscopic technique can match the success of the traditional lower abdominal incision.

Dr. Bachus, infertility specialist, uses the traditional approach, but is able to do it in a way that still allows for the surgery to be done as an outpatient in nearly all cases.

As mentioned previously, in vitro fertilization (IVF) can be utilized to bypass the obstructed fallopian tubes and create embryos outside of the body in the laboratory. These embryos can later be transferred by a simple technique into the uterus for implantation.

For pregnancy rates to equal that of a tubal reversal, most times a transfer of more that one embryo will be necessary and can result in a twin pregnancy. Some couples will require IVF over surgical reversal due to factors such as a particularly damaging technique that was used for the tubal ligation or other factors such as a poor semen analysis in the male partner.

It is a personal choice which technique will be best for each couple. For some, the technique of choice may be biased by the clinic as they will only be experienced at one or the other technique.

At the Rocky Mountain Center for Reproductive Medicine, Dr Bachus is very experienced in both techniques. This allows the ultimate choice to be made by the couple.

Our Services

We provide all services for the diagnosis and treatment of infertility including an outstanding IVF and donor egg program.

We also offer intrauterine insemination (IUI), medical treatment, and advanced laparoscopic surgery.

Office Hours

Monday-Thursday 8AM - 5PM
Friday 8AM - 1PM


Our patients can reach us for emergencies 24 hours a day by calling our main number.

If your situation is life threatening, dial 911 or go directly to your local ER.