Getting Pregnant After Tubal Ligation W/O Reversal Surgery

Circumstances change. One day, you want your childbearing days in the rearview mirror, so you undergo a tubal ligation as a permanent form of sterilization.

Then, years later, you want to bless a new spouse with a baby. However, you may be afraid to have a second surgery to undo the process because of the costs and potential health risks.

IVF is the only reliable way to get pregnant after tubal ligation without reversal surgery. However, it comes at a higher cost with lower success odds.

You have to make a difficult choice if you want another infant. Natural at-home remedies are not a viable option.

Reversing Tubal Ligation Naturally

Researching ways to reverse a tubal ligation naturally without surgery is unlikely to lead to pregnancy. The procedure intends to be a permanent form of birth control.

Beware of what you read in online forums. Follow more reliable pathways instead.

2022 Stories

First, a word about recent pregnant after tubal ligation success stories in 2022 you might read elsewhere. These anecdotes are likely pure coincidence because the procedure is not 100% foolproof.

The overall ten-year failure rate for tubal sterilization is 18.5 per 1,000 procedures [1], meaning 1.85% of women become pregnant naturally without reversal surgery.

Approximately 650,000 women undergo the procedure annually, [2] meaning 1,200 new mothers could tell their pregnant after tubal ligation story each year simply because the operation failed. It is unlikely that they regrew their fallopian tubes naturally via a home remedy.

Home Remedies

Most home remedies do nothing to naturally improve your chances of becoming pregnant after tubal ligation without reversal surgery. On the other hand, these same home-based natural therapies may lower inflammation throughout the body.

Some people suggest (minus clinical evidence) that natural home remedies might benefit women with blocked fallopian tubes resulting from endometriosis, pelvic inflammatory disease, and other conditions. However, “blocked” is not the same as clamped, tied, cut, or burnt.

Un-Natural Ways

The reality is that there is little you can do at home to naturally improve your odds of becoming pregnant after tubal ligation sans surgery or undergoing IVF (see next section).

Compare the success rates and costs for both options and decide which road to take to help you have a baby despite your earlier permanent sterilization. Of course, keep in mind that any invasive medical procedure has risks and possible side effects.


The good news is that a reversal operation (anastomosis) has a reasonable success rate for conception and the ability to bring home a baby, which varies by maternal age.[3]

AgeConception %Baby %

< 35



36 – 39



40 – 42



43 – 47



However, the technique used in the past determines whether a reversal is likely to work. Free consultations at many clinics often include an analysis of your post-operative report and recommendations.


The bad news is that untying your tubes via surgery is expensive. The average charge in the USA is about $7,500. However, you can take steps to minimize these expenses.

IVF After Tubal Reversal

In Vitro Fertilization (IVF) is the only viable way to get pregnant after tubal ligation without reversal surgery. With IVF, a fertility specialist extracts eggs, combines them with sperm in a laboratory dish, and transfers embryos to your uterus.

You do not need to untie your tubes for IVF to work. However, the procedure costs much more per attempt, and the success rates trend lower.

Success Rates

You might guess that IVF success rates post tubal ligation are higher when compared to couples who did not have voluntary sterilization. After all, we know that the prospective mother was fertile in the past. However, the data does not support this conclusion.[4]

It turns out that maternal age is the only statistically significant factor predicting your likelihood of bringing home a baby via IVF within the first twenty-four months.

Maternal AgeBaby %

20 – 34


35 – 39


40 – 44



After tubal ligation, the average per-cycle IVF costs are slightly lower ($14,000) compared to couples with different infertility issues. The reason for the somewhat more affordable price point is that women able to give birth in the past are less likely to need optional services such as donor eggs.

However, be careful not to rely on health insurance to tip the IVF cost scales. While several states have mandates requiring coverage, they all exclude any person with earlier voluntary sterilization from the requirement.


In conclusion, IVF is the only reliable method to conceive after tubal ligation without having surgery. However, a reversal procedure costs less, requires only one treatment, and has a much higher success rate.

Natural at-home remedies are a waste of time and precious emotions. You cannot believe testimonies you find online because these women probably conceived after their original procedure failed.

Article Citations:

[1] NCBI Ligation Failure Rates

[2] Rocky Mountain Fertility Annual Surgeries

[3] NCBI Reversal Success Rates

[4] NCBI IVF Success Rates