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Yes. Although there are procedures to reverse a female sterilization, the operation is complex and expensive and the success rate depends on several factors (such as the surgeon's experience with the reversal procedure, age of the client, the type of sterilization the client received, average tubal length, and site of anastomosis).
Although some studies have reported high success rates, the live birth rates are lower than the "success" rates reported because "success" is often defined as an intrauterine pregnancy and includes both births and miscarriages. Only a small fraction of the total number of women who request removal are likely to have a successful reversal procedure.
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Reversing sterilization is a complex and expensive procedure.
Rouzi et al. found that age and average tubal length were significant factors in predicting success of sterilization reversals. Other predictive factors are the type of sterilization procedure and surgeon's experience.
Siegler et al. reviewed the literature and found that although the overall pregnancy rate from seven studies was 67.7%, the live birth rate was only 54.4%. Glock et al. looked at sterilization reversals in women over age 40 and found a live birth rate of 14.3% and a spontaneous abortion rate of 23.8%.
- Ross J, Hong S, Huber D. Voluntary sterilization: an international fact book. New York: AVSC International, 1985.
- Rouzi A, Mackinnon M, McComb P. Predictors of success of reversal of sterilization. Fertility and Sterility 1995;64(1):29-36.
- Siegler A, Hulka J, Peretz A. Reversibility of female sterilization. Fertility and Sterility 1985; 43(4):499-510.
- Dubuisson J, Chapron C, Nos C, Morice P, Aubriot F, Garnier P. Sterilization reversal: fertility results. Human Reproduction 1995;10(5):1145-51.
- Glock J, Kim A, Hulka J, Hunt R, Trad F, Brumsted J. Reproductive outcomes after tubal reversal in women 40 years of age or older. Fertility and Sterility 1996;65(4):863-5.
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