What is you percentage of getting pregnant when you have your tubes tied and uterine lining brunt off? had the tubal done 5 years ago and the other done about a year ago..

Failure : Failure rate is about 2-10/per 1000 women after tubal ligation. The problem is that if pregancy occurs, there is an increased risk that it could be an ectopic pregnancy.

You : You have 2 basic options for achieving another pregnancy: surgical sterilization reversal and in vitro fertilization (ivf). Major problem is endometrial ablation you have a big problem though: the endometrial ablation. I assume this is what you mean by having the uterine lining burnt off. The uterine lining (endometrium) is essential for an embryo to implant. There have ben some pregnancies after endometrial ablation but the purpose of ablation is to destroy the entire lining. Often the surgery does not get all the tissue but you should assume that you would be a poor or impossible candidate for pregnancy. You would likely also be at risk of pregnancy complications if you have embryo implantation. If you wanted another baby but the uterine lining is ablated then you could use a gestational surrogate to carry the baby. Gestational surrogacy requires ivf to create the embryos. Sterilization reversal assumes that your uterus is functional you need to seek care from a reproductive surgeon or reproductive endocrinologist to determine the best option for you. Your dr. Will need to know the specific technique used to cut your fallopian tubes (ideally they would like to review the operation report), your general health and some reproductive fertility assessment tests. Sterilization reversal is one of the few reproductive surgeries that offers a high success rate. The surgery requires an operative microscope in order to remove the scar tissue around the ends of the tube that was cut and to sew them together. Not every surgeon is trained to perform microsurgery therefore you should seek out a surgeon with experience. Ivf does not require that your fallopian tubes be open. Ivf is a good option for situations in which the sterilization surgery removed a large amount of fallopian tube, the woman's age is older than 35-38 years or or there is also a male factor involved such that the sperm has a low potential for fertilizing the egg. You also need to consider other fertility factors like egg quality, sperm quality and pelvic factors (if reversal surgery were seriously considered). We often cannot reliably determine whether surgery or ivf would be the best option. We also need to look at the costs of both surgery and ivf with respect to the absolute costs and what insurance will pay for. Sterilization reversal surgery can cost almost as much as in ivf cycle because the surgery requires anywhere from 2-4 hours to perform in the operating room is very expensive part of the hospital. Gestational surrogacy also has issues like cost ($40k+), legal issues, surrogate medical and mental health. It is a very viable options but it requires good consultants to make sure the legal and other issues are handled properly. In conclusion, you may have options for achieving another child. The endometrial ablation is probably the issue most likely to prevent you from succeeding. Good luck.