Treatment options – Laparoscopic Surgery/Pelvic Surgery
If the fallopian tubes are blocked your physician may perform a laparoscopy to assess the degree of tubal damage. If the tubes are confirmed to be blocked, scarred, or damaged, surgery may correct the problem. However, women with severely damaged tubes are unlikely to have a successful pregnancy even with surgery. In these cases in vitro fertilization (IVF) offers a far better chance for successful pregnancy. Because very badly damaged tubes may fill with fluid (hydrosalpinges) and lower IVF success rates, your physician may recommend removal or clipping of the hydrosalpinges if you have decided to proceed with IVF.
Treatment options – Tubal Reanastomosis
A small percentage of women who have had their tubes tied for sterilization regret this decision and wish to have children in the future. Tubal reversal surgery requires open surgery on the abdomen. The surgeon removes the blocked portion of the fallopian tubes and then sutures the tubes back together with extremely fine sutures under the microscope.
The method of tubal ligation has significant influence on the success rate. The closer the ligation is to the uterus, the more likely the success. The length of the remaining undamaged tubal stumps after tubal ligation also has significant relationship with the chance of success. The longer they are the better the chances for successful reversal and pregnancy.
The risk of ectopic pregnancy is slightly increased following tubal reversal.