Is it possible to get pregnant after a tubal or Pomeroy ligation?

The percentage of women who can become pregnant after a tubal ligation reversal is estimated to be between 50% and 60%, depending on factors such as the technique used, the woman’s age, and the conditions of the reproductive system. Tubal ligation, also known as Pomeroy, is a surgical procedure performed by women who are looking for a definitive solution for birth control. However, over time, some women may decide to reverse this procedure and regain the possibility of becoming pregnant. Tubal ligation reversal is an option that some consider to restore fertility and, consequently, try to have children after they have undergone this procedure.

What is tubal ligation or Pomeroy technique?

Tubal ligation or Pomeroy technique is a surgical procedure used for permanent contraception in women. This procedure involves cutting and sealing the fallopian tubes, preventing sperm from reaching the egg to fertilize it. The Pomeroy technique, one of the most common, is performed through an incision in the abdomen, where a section of the fallopian tubes is cut and sealed, blocking their passage. This method makes a natural pregnancy almost impossible, as the eggs cannot travel from the ovaries to the uterus.

Although tubal ligation is considered irreversible, some women may regret it later, raising the question: is it possible to get pregnant after a tubal or Pomeroy ligation?

Is it possible to get pregnant after the Pomeroy technique?

Although tubal ligation with Pomeroy is considered a permanent form of contraception, there are cases in which it is possible to become pregnant after tubal ligation. In some women, the fallopian tubes can be rechanneled naturally, allowing sperm to pass into the egg. However, these situations are rare.

Can a woman with Pomeroy get pregnant?

Yes, it is possible, although rare. In some cases, tubal ligation reversal may be an option, in which a surgeon reconnects the fallopian tubes to restore fertility. However, not all cases of reversal are successful, and the chance of pregnancy depends on several factors such as the amount of tissue remaining in the tubes and the woman’s age.

Testimonials of women who have had surgery and become pregnant

Although tubal ligation with the Pomeroy technique is considered definitive, many testimonies of women operated on show that, in some cases, they can become pregnant. The stories of women who became pregnant after tubal ligation can be inspiring, but they also serve as a reminder that every case is unique. If any woman regrets having tubal ligation, she should consult a specialist to explore the options available.

Factors Influencing Pregnancy After Tubal Ligation

There are several factors that determine the possibility of pregnancy after a tubal ligation with the Pomeroy technique, such as:

• Woman’s age: The quality of the eggs decreases with age, which can influence the chances of pregnancy, even after a tubal ligation reversal.
• Scar tissue: If there is significant scarring in the tubal area, this can make it difficult to reverse and reduce the chances of pregnancy.
• Ligation technique: The technique used, such as the Pomeroy method, can influence the chances of natural recanalization occurring.

What is tubal ligation reversal?

Tubal ligation reversal is a surgical procedure that involves reconnecting severed fallopian tubes. Reversal may be a viable option for some women who want to get pregnant after a tubal ligation. However, its success depends on several factors, including the condition of the tubes and the skill of the surgeon.

What are the chances of pregnancy after tubal ligation reversal?

Success rates vary, but generally between 50% and 60% of women can get pregnant after a successful tubal ligation reversal.

Alternative: In vitro fertilization (IVF)

If tubal ligation reversal isn’t a viable option, many women opt for in vitro fertilization (IVF). In IVF, eggs and sperm are combined in a laboratory and the resulting embryo is implanted in the woman’s uterus. This option may be less invasive and more effective than reversal in some cases, especially when the Pomeroy technique has been performed many years ago.

Frequently asked questions about tubal ligation and pregnancy

Final considerations

Deciding to try to get pregnant after having a Pomeroy tubal ligation is an important decision that should be made with the guidance of a fertility specialist. Women who wish to reverse the procedure should consult with a professional to evaluate the options available and the chances of success.