Tubal ligation is a surgical procedure to which many women who have already had children undergo to avoid pregnancy, however many of them end up changing their minds as the conditions for which they decided to perform pomeroy changed and want their fertility back. Circ
umstances change, we find cases of people remaking their lives and want to start a new family with children of their current partner, despite having tubal ligation, or on the other hand cases of women who performed pomeroy and want to regain
their fertility. Tubal ligation was long considered a permanent method of contraception.
Today thanks to advances in medicine there is a surgical procedure that allows to reverse the tubal ligation, which makes it one of the options that these women have to regain their fertility and achieve a natural pregnancy.
Tubal ligation reversal
Tubal ligation reversal or Reanastomosis is a surgical procedure that involves gathering the cut ends of the fallopian tubes by microsuptures and aims to regain permeability and get the egg and sperm to travel through them.
To better understand the subject it is important to be clear that the ovulation of the woman originates in the ovaries through a process called oogenesis, in which once the egg is matured, it descends through the fallopian tubes where it can be fertilized by a sperm.
In this sense fertilization takes place in the fallopian tubes, which are linked by pomeroy surgery to prevent the egg from passing into the tubes and fertilizing.
If the tubes are able to meet, it should be noted that 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.
Indications of tubal ligation reversal
Tubal ligation reversal is a surgical procedure that, while it can help many women regain their fertility, is not suitable for all cases, so it is necessary to undergo a series of diagnostic studies of both the patient and their partner.
Conservation of fimbria
Fimbria is a fringe-shaped structure that is located at the distal end of the fallopian tubes and hugs the ovaries, to receive the egg and channel it into the tubes, if they are in good condition the pacien could succeed in reversal.
Four centimetres of tubes
The patient must preserve at least 4 centimeters of the tube in order to restore tubal function
The age of the woman should be less than 40 years, since the older the patient has, the chance of getting a pregnancy naturally decreases