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Tubal ligature and pregnancy

Ovoclinic Madrid Nicole

There are many reasons why a woman may have had a tubal ligation in the past. Although the most common is still to avoid pregnancy. However, there are women who over the years return to the idea of ​​being mothers. In the following article we explain how it would be possible to be a mother after a tubal ligation.


Tubal ligation, also known as “tubal union” or “tubal sterilization,” is a type of permanent birth control method. During this process, the fallopian tubes are cut, tied, or blocked to permanently prevent pregnancy.

This procedure is carried out laparoscopically, under general anesthesia and it is a minimally invasive surgery that allows hospital discharge on the same day.


The most common technique (and the least indicated) to be able to be a mother is the reversal of the tubal ligation; a surgery to detach and rebuild the fallopian tubes, allowing a natural pregnancy again. However, there are a number of risks (inability to get pregnant, ectopic pregnancy, infections, bleeding or injury to nearby organs) that make other options such as assisted reproduction techniques be considered. As long as the tubal ligation has been performed before the age of 40, the chances of achieving pregnancy increase compared to if it is done at an older age.

In Vitro Fertilization (IVF) is the assisted reproduction treatment for these patients, and consists of the union of the egg and sperm in the laboratory. After this union, the embryos are obtained which are then transferred to the patient’s uterus.

Following the indications of the medical team, another option could be egg donation, treatment with high success rates, where fertilization is carried out with the eggs of an anonymous donor with sperm from the partner or from an anonymous donor (double donation). The donated eggs are generally younger, and therefore of better quality. At Ovoclinic, a careful selection of donors is carried out, only 34% of the candidates for donation are suitable after carrying out a series of psychological, gynecological, genetic tests, etc. In addition, we collaborate with Ovobank, the first egg bank in Europe, which allows us to optimize egg donation treatments by not having waiting lists to find the ideal donor.

Embryo adoption is another common solution after a tubal ligation, as there are people who, for some medical or other reason, decide to donate their embryos to other couples. These embryos are vitrified in liquid nitrogen and would only need to be devitrified once the time for embryo transfer arrives.

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