There are many factors that influence the outcome and determine the appropriateness of this surgery. For instance, a tubal ligation that involves fulguration, or “burning” of the fallopian tubes, is not as easily reversed when compared to a tubal ligation in which a clip has been placed on the fallopian tube.
Prior to surgery, a detailed analysis of the type of tubal ligation previously performed, the likelihood of surgical success, and the best course of action is determined and discussed with the individual or couple. Patients and their partners should complete an infertility evaluation prior to surgery to assure no other infertility factors would compromise outcome. For example, a semen analysis may unveil a previously unknown severe low sperm count in a male partner. Ovarian reserve declines with a woman’s age. Decreased ovarian reserve is associated with lower probability of a live birth. An ovarian reserve evaluation should be done on the female partner to ensure the likelihood of success after tubal reversal surgery.