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The Center for Fertility and Gynecology

Tubal Reversal Offers the Freedom to Change Your Mind

If you underwent tubal ligation (tying of the fallopian tubes) for medical reasons or personal beliefs, you might not think that parenthood is an option for you.

But at The Center for Fertility and Gynecology in Los Angeles, CA, our doctors can perform tubal reversal to restore your ability to get pregnant.

What makes tubal ligation reversal a great option for patients who have previously undergone sterilization surgery?

3 Benefits of Tubal Reversal

Quick Surgery

Most reversal surgeries can be completed in under three hours. Our doctors use tiny, precise incisions and the least invasive tools to ensure the surgery is as comfortable and low-risk as possible. 

Minimal Recovery

Patients can expect to return to their regular activities within a week of their surgery. In most cases, they can try to get pregnant just one month after the procedure has been completed. 

High Pregnancy Rates

At our clinic, the success rate of tubal ligation reversal is approximately 90 percent. Approximately 70 percent of patients are able to get pregnant within a year of surgery

A Closer Look at the Procedure

The tubal reversal procedure involves reconstructing the fallopian tubes to remove the blockage.

A Solution for Patients with Previous Tubal Ligation

Tubal reversal, also known as microsurgical tubal reanastomosis, is a procedure performed on women who have previously had their tubes "tied" in a surgical sterilization procedure. 

Although many patients who have undergone tubal ligation are good candidates for tubal reversal, several factors may affect your ability to get pregnant, including: 

  • Age
  • Condition of your fallopian tubes
  • Sperm quality

If our doctors feel that tubal ligation reversal will not increase your likelihood of getting pregnant, we will recommend an alternative fertility treatment.

Tubal Reversal

When patients change their mind about starting a family, The Center for Fertility and Gynecology can perform a tubal reversal.

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Visit The Center for Fertility and Gynecology Today

Dr. Michael Vermesh and Dr. Tannaz Toloubeydokhti
Dr. Michael Vermesh and Dr. Tannaz Toloubeydokhti

Our Los Angeles doctors have extensive experience performing reproductive surgeries including tubal ligation reversal. By carefully screening every candidate, we can guide patients towards a procedure that will substantially increase their chances of parenthood. Dr. Michael Vermesh and Dr. Tannaz Toloubeydokhti are members of various renowned organizations, including: 

  • The American College of Obstetricians and Gynecologists
  • American Society for Reproductive Medicine
  • Society for Reproductive Endocrinology and Infertility

We serve patients from Tarzana and Bakersfield to around the globe. To find out if tubal ligation reversal is right for you, request a consultation online or call us:

(818) 881-9800

Send Us a Message

Life-Changing Treatments

Kierra S.

Kierra S.

2018

My experience was amazing to say the least. Dr.Vermesh and his team made our process great. We are expecting twins and couldn’t be more excited.
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Courtney W.

Courtney W.

2018

I can honesty say that this is best doctor’s office!!! I switched over from different ivf doctor and Dr.Vermesh was kind and patient. His staff are very professional and polite. I am currently pregnant after my first cycle. My husband and I can’t thank him enough for giving us excellent care!!!
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Tubal Ligation Reversal vs. IVF

For some patients, tubal ligation reversal is a better option than in vitro fertilization (IVF). The procedure is fairly quick and more natural because it eliminates the need for medications and hormones. Because the effects are permanent, tubal ligation reversal allows you to have more than one child following the same procedure, making it a more economical alternative for many families.

Because we offer both procedures at our Los Angeles center, we can recommend the best option for your needs. 

Our Delicate Surgical Technique

Our practice uses advanced tools and methods to repair the fallopian tubes without injuring other organs or healthy tissue:

  • Microsurgical techniques
  • Highly precise instruments
  • Eyelash-sized sutures
  • Surgical magnification glasses (loupes)

This minimally invasive approach delivers a much faster recovery than traditional techniques, which require a one to three-day hospital stay with a four to six-week recovery.

To ensure minimal scarring, we also create a very small incision on the lowest part of the abdomen. We can complete the entire procedure through this five to seven-centimeter incision. In addition to repairing the fallopian tubes, we can assess the health of the uterus, ovaries, and fimbria. 

Your Consultation with Our Doctors

We can help you decide if the reversal process is right for you based on your medical history and overall health

For your consultation, we recommend that you bring a copy of your operative report from your tubal ligation (sterilization surgery). Your tubal ligation records can also be faxed or emailed to our office.

After reviewing your records, we will schedule your consultation. During your consultation, our doctors will review the risks, benefits, side effects, potential complications, and outcomes. It is important that you understand the potential risks and benefits before our doctors schedule your surgery. We serve patients from Bakersfield and Tarzana, as well as international patients, so if you are visiting us from out-of-town, we can also conduct the consult over the phone.

In some cases, we may recommend a semen analysis prior to the surgery. Semen analysis allows us to identify male infertility. In women 35 or older, we will check the follicle-stimulating hormone (FSH) levels to ensure that fertility has not declined.

If you do not qualify for this procedure due to a complete absence of tubes, low sperm count, or other factors, our doctors may recommend an alternative procedure such as IVF or IVF with intracytoplasmic​ sperm injection (ICSI). 

The Procedure

Tubal reversal (also called tubal reanastomosis) is an outpatient procedure that takes about 90 minutes to three hours, but you can expect to be at our out-patient surgical center for a little over two to four hours from start to finish. The procedure is low-cost and offers a quick recovery, low risk of complication, and has an impressive success rate

Surgeons and surgical tools

Surgery

This highly effective procedure is performed through a very small incision in the lowest part of the abdomen. Through this small incision, our doctors can access the abdomen, locate the blockage or ligation in the tubes, open the tubes, reconnect them using circumferential stitches, and allow the patient to resume her natural fertility. We use a combination of scalpels, surgical scissors, and electrocautery to complete the necessary repairs.

Blue dye in beaker

Dye Test

We will then conduct a dye test to determine whether our surgery was successful. Our doctors will inject a blue dye through the uterus and upwards towards the tubes. If the dye spills out of the end of each tube, we can confirm that the tubal ligation reversal was successful. 

Sutures and surgical tools

Sutures

Once we confirm the success of the surgery, we will return the uterus to its natural position and suture the tissue and skin back together with absorbable stitches.

What to Expect During Your Recovery

After waking up from surgery, you will stay for a short observation. Most patients are discharged from our outpatient surgery center in two to four hours after tubal ligation reversal. You should plan on resting and taking it easy, but you can typically resume normal activities within one or two weeks.

Upon discharge, you will also receive a prescription for pain medication and instructions regarding diet and activity. 

Recovery Timeline

Day 1

Most surgeries can be completed in two to three hours, but the length will depend on your anatomy and build.

Day 2

You should be able to return to your normal diet and remove wound dressings at this time. 

Week 1-Week 2

Most patients can resume normal activities. 

Month 1

After one month following surgery, you can try to conceive.

Your Results

In almost every case, one or both tubes are successfully reconnected. This is clearly demonstrated by a dye test, during which dye is inserted into the uterus. If the dye flows through the fallopian tubes without leaks or stops, the procedure was successful.

At our reproductive center, the pregnancy rate one year after surgery is approximately 70 percent.

If pregnancy does not occur within six months, an x-ray study (HSG) will show if the fallopian tubes are still open. If your tubes are blocked, you may need to explore other options including IVF.

When pregnancy occurs, it is important to have a physician actively determine its location as soon as possible, since tubal reversal has been linked to an increased risk of tubal pregnancy. You should also stay in touch with our Los Angeles office during your entire pregnancy. 

Dozens of Positive Reviews

Vitals User

2016

I liked there honesty and attention. My most memorable moment was when the doctor showed me my embryo for the first time and I listened to my baby heartbeat. There was no dislike. I recommend Dr. Vermesh MD Any day. Yes I'll choose him for my next pregnancy.

Vitals User

2019

Amazing Dr and Facility
We tried to get pregnant for a year with no issues known or found. Went to the top Doctors on both east and west coasts and no one could help. One appointment with Dr. Vermesh and we are happily expecting. He is absolutely incredible and his staff are amazing! If you are having a hard time, look no further, he’s the best out there!

Determining the Cost of Tubal Reversal

At The Center for Fertility and Gynecology in Los Angeles, our doctors can perform your microsurgical tubal reversal for the price of $6,900.00.

This fee of $6,900.00 includes:

  • Pre-operative examination including pre-operative blood work
  • Surgical fees for surgeon and assistant surgeon
  • Operating room fees
  • Anesthesia fees
  • Post-operative follow-up visit

Additional fees may include:

  • Fees for patients with BMI (body mass index) of 25 or above 

For a personal estimate, contact our office and schedule a consultation.

Financing Options

We want every patient who has undergone tubal ligation to have options, so we work with various third-party lenders, including:

  • Prosper Healthcare Lending
  • New Life Fertility Finance
  • United Medical Credit
  • CapexMD

The Center for Fertility and Gynecology

Dr. Toloubeydokhti and Dr. Vermesh
Dr. Toloubeydokhti (left) and Dr. Vermesh (right)

The Center for Fertility and Gynecology has been providing comprehensive fertility services since 1987. We use innovative techniques to achieve some of the highest pregnancy rates nationwideDr. Michael Vermesh and Dr. Tannaz Toloubeydokhti are proud to be affiliated with a range of prestigious organizations, including:

  • The American College of Obstetricians and Gynecologists
  • American Society for Reproductive Medicine
  • Society for Reproductive Endocrinology and Infertility

For more information about our practice, serving patients from Tarzana and Bakersfield to around the world, contact us online or call (818) 881-9800 today.

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