Can tubal reversal be an alternative to IVF? Cohort study

Introduction: Tubal reversal is the surgery done after tubal sterilization. Mostly, sterilization at a younger age or a new partner makes women request tubal reanastomosis. In the literature, pregnancy and ectopic pregnancy rates after tubal reversal is about 65% and 5.6%, respectively.Material and Method: In our study, data from the files of patients who had tubal reversal operations between 2015-2021 years in Sanliurfa Training and Research Hospital were collected retrospectively. Demographic features, surgical and pregnancy outcome data of patients were collected. This study investigated the pregnancy rates and associated factors with pregnancy rates after tubal reanastomosis operations. Results: In our study, 112 patients with tubal reversal operations were recorded. 25 out of 112 patients had spontaneous pregnancy after the tubal reversal operation. Age at a tubal reversal was a significantly important factor between a pregnant and non-pregnant group. According to age, below 40 years seems an ideal age factor for pregnancy. In our study, pregnancy rates were lower than in the literature.Conclusion: Tubal reversal operation can be an alternative to IVF below 40 years of age.