in vitro fertilisation (ivf)

How to treat infertility after tubectomy operation - Tubal Ligation Reversal vs IVF

  • 4.6   (5 Votes)
Medically Reviewed by Dr. Deepika Tiwari - MBBS on 10 Jan 2019 - Written by Dr. Neha Gupta - MBBS - Grammatically Approved by Dr. Kavita Jaggi Agrawal - MBBS

It is possible to get pregnant after tubectomy operation with tubal ligation reversal vs IVF procedure. Couples think that whether tubal reversal or IVF is better for treating infertility issues. The tubal reversal and IVF pros and cons need to be considered before opting for any of them.

Women who have previously had a tubal ligation or got their tubes tied often consider either in vitro fertilization or a tubal reversal to get pregnant or to conceive. IVF involves inserting a fertilized egg directly into the uterus. As such, the process completely bypasses the fallopian tubes. 

A tubal reversal, on the other hand, reopens the fallopian tubes so that you can try getting pregnant naturally or try to conceive naturally without going for infertility treatment. Some doctors believe the best candidates for tubal reversal are people under 40 who had a tubal ligation immediately after childbirth so that they need not opt for infertility treatment.

test tube baby, IVF

A number of factors will influence the success of each option, including age and health profile. Discussing the pros and cons of a tubal reversal and IVF with a doctor should always be the first step before going for the infertility treatment.

In a Tubal Reversal, a small incision is made near the pubic hairline. A laparoscope, or thin, lighted tube, connected to microscopic instruments is inserted and used to remove the clips or rings used to block the fallopian tubes and to reconnect the tubes to the uterus. Here is some difference between Tubal Reversal and IVF:

1. Tubal Reversal:

  • It is more cost effective than in vitro fertilization or test tube baby.
  • It only requires one procedure: a one-time opening of the fallopian tubes. In vitro fertilization often involves multiple cycles and medication to achieve a pregnancy via test tube baby.
  • Further pregnancies are now possible. With a tubal reversal, the patient may now have future pregnancies without further intervention.
  • If the patient has no other infertility concerns, pregnancy can be achieved through sexual intercourse. Beats multiple visits to the doctor, medications, and procedures!

2. In Vitro Fertilization:

test tube baby, Infertility Treatment

  • It leaves less to chance and may have a better success rate depending on your health and age.
  • Health conditions make it necessary: the fallopian tubes cannot be opened, egg quality is poor, or ovulation cannot be induced with medications then you can opt for the test tube baby.
  • Doctors will monitor your progress and enhance your chances of getting pregnant on a schedule.

Know more about Blocked Fallopian Tubes. Also, Explore Best IVF Centre in Delhi  If you are looking for fertility treatment.

Dr. Neha Gupta

Written by

Infertility Specialist, IVF Specialist

Dr. Neha Gupta is an Obstetrician and Gynaecologist in Gurgaon. She has been practicing for many years now. Her rich experience in Normal Vaginal Delivery, Intrauterine Insemination (IUI), In-Vitro Fertilization (IVF), Hysterectomy and Tubectomy makes her the most preferred names in Gurgaon. She has acquired MBBS in 2004, DNB from National Board of Examinations in 2009 and MS - Obstetrics and Gynaecology from Maulana Azad Medical College in 2009. She is a member of the Royal College of Obstetricians and Gynaecologists, London. Dr. Neha Gupta has an expertise in Intrauterine Insemination and is practicing at Fortis Memorial Research Institute in Gurgaon. You can get the contact details of Dr. Neha Gupta at


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Gargi Mishra

After tubal reversal as I didn't have any other infertility problem, I was able to conceive naturally. I am now gifted with a baby boy and enjoying my life to the fullest.

May 18, 2018, 3:52 p.m. 4.5


Anju Kaur

I opted for tubal reversal as I had some problem with my fallopian tubes. After this, I was able to get pregnant without any further operation.

Dec. 28, 2017, 1:04 p.m. 4.5


Sakshi Panwar

My sister went through tubal reversal but couldn't conceive naturally. Then she opted IVF and now she has a 3 year old boy.

Aug. 24, 2017, 5:04 p.m. 4.5


Phinni Manalo

Infertility treatment like IVF or In-vitro fertilization is opted by many couples who choose to get the tubes tied and later on face challenges in conceiving. Test tube baby can also be a option after tubal ligation.

Aug. 24, 2017, 5:02 p.m. 4.5


Mahesh Kumar

I'm 33 so my doctor asked me to go for tubal reversal rather than opting for IVF. I don't understand why I have been recommended tubal reversal. I think I need to change my doctor.

Aug. 24, 2017, 4:07 p.m. 5.0

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