What are my options if I had a tubal ligation in the past and I want to get pregnant?

Your choices are a surgical tubal reversal or In Vitro Fertilization (IVF). Surgery may have high tubal patency rates (at least one tube stays open 70% of the time) but has a higher chance of ectopic (tubal) pregnancy. IVF may get you pregnant faster. The decision is affected by your age and your partner’s sperm count and quality – we recommend getting a semen analysis for him whether he’s a new partner or you have children together. See a specialist (Reproductive Endocrinology and Infertility or REI MD) who offers both options to assess your individual situation.