Getting pregnant after a tubal ligation is possible but requires additional surgery or procedures such as in-vitro fertilization IVF. A tubal ligation is a procedure that cuts and iterrupts the fallopian tubes. It is usually done if a woman never wants to have any more children.

If you decide to try to try getting pregnant after a tubal ligation, you do have some options and courses of actions you can take, but they are very expensive and some involve major surgery.


A tubal ligation is a procedure that will interrupt the patency of the fallopian tubes, as a preventative measure against future pregnancies. This can be done by cutting, burning, or tying with a band or suture. The decision to undergo this procedure should be regarded as a permanent decision, as conception is tremendously hindered as a result of this process.  Even still, if you decide to try to become pregnant after you have had a tubal ligation, you do have some options and courses of actions you can take.

What are the options?

  1. Tubal ligation reversal (Tubal reanastomosis)
  2. In-vitro fertilization (IVF)

Unfortunately, both of these options are very expensive. The tubal ligation reversal requires that you go back into surgery to have your fallopian tubes rejoined. This may not be possible if the remaining tubes are not long enough to rejoin, and could still prevent pregnancy if there has been any damage to the tubes. In-vitro fertilization requires that you take hormones to increase the likelihood of eggs releasing from the ovaries, and then the eggs will be removed from her body with a needle and implanted directly into the uterus through the vaginal walls. 

What are the chances?

Either way you go, your chances of being able to conceive are not high. With a tubal ligation reversal, at best you have a 60% chance of it working well enough to naturally conceive. Using in-vitro fertilization has a typical success rate between 10-25%, and will vary depending on the clinic that performs the procedure. This success rate applies to each embryo transfer procedure. The chances are even less if there has been any damage to the fallopian tubes either as a result of the original tubal ligation, or the reversal of the tubal ligation.

What are the risks?

As with any procedure, there are risks. With a tubal ligation reversal procedure, there is an increased risk of ectopic pregnancy. This is because scarring and narrowing of the tubes once they have been rejoined may make the egg too large to pass all the way through the tube before becoming fertilized. The in-vitro fertilization process will carry an increased risk of ovarian cancer, because of the increased hormones that a woman must take to stimulate the release of many eggs in one cycle.

No matter the reason you had your tubal ligation, and no matter the reason for deciding to try to have another child, all you can do is hope. Even though your chances are small, and several risks are involved in trying become pregnant after having a tubal ligation, you are not alone in the world. Many women who undergo the procedure later decide to have another child of their own. If you discover that you cannot have another child after your tubal ligation, you could always try to adopt one of the many children who need a good home. You do not have to give birth to a child to be a mother. All that matters is that you love, care for, and nurture the child, and you can do that no matter what.

Getting pregnant after a tubal ligation involves certain risks including a significantly increased risk of an ectopic pregnancy. If you had a tubal ligation and you feel you are pregnant, call your doctor right away to make sure the pregnancy is not in the fallopian tube (ectopic pregnancy).