The choice between a tubal reversal and IVF depends on age, method of tubal ligation, finances, sperm quality, egg quality, and history of pelvic conditions. Information about the type of tubal ligation done will be needed before a decision can be made. During reversal, the damaged part of the tube is removed and the good ends are sewn back together. There must be enough length of tube to reattach it.

Tubal reversal works best for women in good health and in their late thirties or younger. The results are best from this surgery if it has been 10 years or less since the original tubal surgery, and only small sections of the tubes were damaged. A physical exam, tests, and review of the original tubal ligation are done to find out if the woman is a good candidate for this surgery.

Most health insurance does not cover the cost of a tubal reversal. Reversing a tubal ligation is a difficult decision. Use all the information available and ask appropriate questions before making a final decision.