Tubal reversal surgery, also known as microsurgical tubal reanastomosis, has been a common surgical therapy for decades. Until in vitro fertilization (IVF) became routine and successful, tubal reversal surgery was very common.
Over the last 5 years, or so, the success rates for IVF at highly successful programs have nearly reached that of tubal reversal surgery in the best candidates. Because of this tubal reversal surgery has become much less common nationally. Therefore, it is important that any woman considering tubal reversal surgery also be counseled about the benefits and drawbacks of IVF as compared to tubal reversal surgery. In the most ideal circumstances, every woman considering surgery would be counseled at a program that offered both options with high success rates. Reproductive Medicine and Surgery Center of Virginia is Such a Place.
Despite some benefits of IVF, there are a number of excellent reasons a woman with a previous tubal ligation may desire a tubal reversal surgery rather than undergoing IVF. In the case of a patient desiring more than one child, tubal reanastomosis is more cost-effective. Many patients prefer to conceive "naturally" rather than requiring the technological complexity of IVF. Although considered quite safe, unresolved issues remain regarding the possibility of increased risks of some birth defects related to babies conceived from IVF. Increased incidence of multiple gestations is also more easily avoided with tubal reanastomosis.