Tubal Ligation Reversal

Care After

Tubal ligation is tying or blocking of the Fallopian tubes to prevent pregnancy. Tubal Ligation Reversal (TLR) is opening the tubes and reversing the tubal ligation procedure originally performed. It is usually done by microsurgery. A TLR is either done because the woman wants to get pregnant or because she may have a condition known as Tubal Ligation Syndrome, which is:

  • Irregular, heavy and painful menstrual periods.

  • Worsening premenstrual syndrome.

  • Tubal (ectopic) pregnancy.

  • Symptoms of early menopause, including:

  • Loss of sex drive.

  • Hot and cold flashes.

  • Anxiety.

  • Palpitations of the heart.

  • Trouble sleeping (insomnia).

  • Mood swings.

  • Vaginal dryness.

The pregnancy rate for TLR is 20-70% depending on the type of tubal ligation that was done, age, and how much damage was done to the Fallopian tubes.

RISKS AND COMPLICTIONS

  • Failure to reverse the original procedure.

  • Not getting pregnant.

  • Tubal (ectopic) pregnancy.

  • Bleeding.

  • Infection.

  • Injury to surrounding organs.

  • Blood clots of the legs and chest.

  • Problems with the anesthesia.

  • Allergic reaction to medication.

PROCEDURE

After arriving at the hospital, you will change into a long gown. An IV (intravenous) will be placed in your arm and a medication will be given to relax you. Then, you will be put to sleep and a Foley catheter will be placed in your bladder. Your caregiver will work to open your tubes with microsurgery technique.

AFTER THE PROCEDURE

  • You will be groggy for a couple of hours.

  • You will be given pain medication if needed. An antibiotic will be given to prevent infection.

  • The intravenous and catheter will be removed before you are discharged.

  • Have someone available to take you home.

  • Healing takes time. You will be tender and have some swelling and bruising around the cut (incision).

HOME CARE INSTRUCTIONS

  • Take all your medications as instructed. Change from prescription pain medication to over-the-counter medication on the advice of your caregiver.

  • Take showers instead of baths until advised otherwise.

  • Resume your usual diet.

  • Get plenty of rest and sleep.

  • Change bandages (dressings) as instructed.

  • Return to your caregiver for removal of sutures and follow-up visits as instructed.

  • Do not drive.

  • Do not lift anything over 5 pounds until your caregiver gives you permission.

  • Do not have sexual intercourse until your caregiver gives you permission.

  • Do not use tampons or douche.

  • Try to have help for the first 7 to 10 days for your household needs.

  • Take your temperature twice a day and write it down.

SEEK MEDICAL CARE IF:

  • There is swelling, redness or increasing pain in the incision area.

  • Pus is coming from the incision.

  • There is a bad smell coming from the incision or bandage.

  • The incision is breaking open.

  • You develop a rash or reaction to your medications.

  • You feel sick to your stomach (nauseous) and throw up (vomiting).

SEEK IMMEDIATE MEDICAL CARE IF:

  • An unexplained oral temperature above 102° F (38.9° C) develops.

  • You faint or pass out.

  • You develop leg pain.

  • You develop chest pain.

  • You become short of breath.

  • You develop increasing pain in your belly (abdomen).

  • You have burning or pain when you urinate.

  • You develop heavy vaginal bleeding and it is not time for your menstrual period.