Tubal Ligation-Understanding fallopian tube function and tubal ligation

Tubal ligation is performed for birth control.  The fallopian tubes carry the egg from the ovary to the uterus.  During this several day passage, sperm swim into the fallopian tubes and fertilization of the egg takes place in the fallopian tube.  The fertilized egg (embryo) then moves down the fallopian tube, arrives in the uterus and, if it attaches to the uterine wall (implants) a normal pregnancy begins. 

Tubal ligation or "having tubes tied" blocks the fallopian tubes preventing the egg and sperm from passing through it.  Tubal ligation procedures are performed in several different ways including removal of a piece of the fallopian tube; burning a piece of the fallopian tube; placement of a tight surgical band or clip on the fallopian tube; or Essure.  Interestingly, in a tubal ligation, the tubes are never actually "tied"… in a knot.  The surgery to correct or reverse this blockage is called tubal reanastomosis or tubal reversal.  Our reproductive surgeons have years of experience performing delicate microsurgical procedures.

When the tubes are severely damaged (such as a cut and multiple burn technique) and tubal reversal surgery is unlikely to succeed, IVF is the “treatment of first choice.” For more information, Please see our IVF Website.