Yes, it is possible to conceive after the tubal ligation, but chance is very small. The rate of spontaneous reversal of tubal ligation is 0.5% to 1%, and may occur regardless of the surgery that was performed. The risk of pregnancy after ligation by the Pomeroy technique, the most used in Brazil, is one in 2,000 - much smaller than the contraceptive pill, which is two or three for every hundred.
Women who wish to become pregnant after the tubal ligation can undergo reversal surgery. The surgery is performed by laparoscopy and the uterine tubes are reattached through suture. Also removed is the area where the scar of the ligature was. Anesthesia may be spinal or epidural and usually the woman is discharged after 24 hours. The surgery is complex, lasting three to four hours.
Fertility is only restored 30 days after the operation. A large proportion of patients can become pregnant after 6 to 12 months. It is important to note that the probability of becoming pregnant is reduced by 15 to 20%. Even with this reduction, women under 35 are 80 percent more likely to become pregnant after surgery.
The success of this procedure depends on the current condition of the tubas. If they are sick, dilated or scarred, success is reduced. Despite this, this condition can only be checked during surgery.
The gynecologist should be sought to advise her on the tubal ligation and in case of desire for reversal.
