The first step towards accomplishing your goal of tubal reversal is scheduling a consultation with one of our physicians (in person or via a phone consult). It is useful if you can obtain a copy of the operative report describing your tubal ligation for the physician to review at the time of consultation. At the time of consultation, the physician will determine your eligibility for the procedure, and may order specific tests to ensure that a tubal reversal is possible. For example, if your current partner had not initiated any prior pregnancies, a semen analysis is advisable to determine that sperm production/function is normal. Additionally, if uncertainty exists regarding the exact position along the tube whereupon the tubal ligation was performed, a hysterosalpingogram (HSG) (special x-ray of the uterus and fallopian tubes) may be ordered prior to scheduling surgery (often not necessary). 

After eligibility for a tubal reversal is confirmed, surgery can be scheduled. To optimize surgical outcome, tubal reversals are scheduled in the first half of the menstrual cycle, before ovulation, typically between days 7 and 12 of the cycle. For patients with less flexible schedules and those traveling from out of town, birth control pills may be initiated on day 3 to 6 of the cycle (to suppress ovulation), and the tubal reversal surgery can then be performed at anytime while the patient is taking the pill. Patients who are awaiting scheduling are instructed to call with their menses to schedule surgery and a preoperative visit. The preoperative evaluation is performed one to seven days prior to surgery. During the preoperative visit, patients undergo a physical exam along with a pelvic ultrasound evaluation. Additionally, preoperative blood work is obtained and final instructions are given for surgery. 

Patients are instructed not to eat or drink anything after 11:00 pm the night prior to surgery