Pomeroy surgery or tubal ligation is a surgical procedure performed by some women as a permanent method of contraception, as this involves binding the tubes to prevent the passage of the egg and that it is f
ertilized. However, approximately 15% of women who perform pomeroy want their fertility back before the first 14 years after tubal ligation.
Pomeroy and assisted reproduction
Thanks to assisted reproductive techniques these women have achieved pregnancy through in vitro fertilization, as well as having natural children with the reversal of pomeroy or rheanastomosis, the latter is a surgical intervention that consists of gathering the cut ends of the fallopian tubes by microsuptures and aims to recover permeability and get the egg and sperm to travel through them.
What is the best option to get pregnant?
Either option could help a woman with pomeroy have babies, however before starting with either process, it is important to make a diagnosis of both the patient and the partner, since while both are beneficial, they also have indications for patients that if they are not taken into account can lead to the failure of treatment.
In vitro fertilization
In the case of in vitro fertilization it can be performed in all types of patients, regardless of the ligature that they have practiced, time or age, taking into account that age can influence oocyte quality.
Tubal ligation reversal
It is a complex surgery and its success is very variable, since it should only be considered in young patients or with little time of having performed the tubal ligation, otherwise the percentage of effectiveness will be very low.