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Reversibility

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

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Reversal of sterilisation is requested in more than 1% of previously sterilised women and in nearly 5% of those who made their original decision immediately after delivery. When a lady is counselled re: reversibility of the procedure, she should be told that she should consider the procedure irreversible.

The actual success of reversing the procedure is dependent upon:

  • the sterilisation technique previously employed - easiest when rings or clips were used
  • the length of tube destroyed
  • whether or not the fimbriae are intact
  • the proficiency of the surgeon

With modern microsurgical techniques and a good surgeon, a subsequent pregnancy may be expected in up to 70% of cases.

In vitro fertilisation is an alternative.

Reference

  1. The Faculty of Sexual & Reproductive Healthcare (FSRH) of the Royal College of Obstetricians & Gynaecologists. Male and female sterilisation. Sep 2014 [internet publication].

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