Could i come out pregnant even though i have my tubes tied. i have two girls and 15 years ago i tied my tubes i remarried and want to come out prenant what r the suggestions?

There : There are two options. One is to have a surgery to try to put your tubes back together. The other option is to do in-vitro fertilization which does not require a surgery. There are pros and cons of each approach. The first question is whether or not it is possible to do the surgery. This depends on the method used to "tie" your tubes. Some techniques are more destructive than others. Getting your hands on the report of the operation and perhaps even the pathology report is important. An experienced surgeon that does this surgery can then review the report and let you know what the prognosis is for success. Assuming that the surgery has a reasonable chance of success, the question then becomes one of time to pregnancy, cost and number of children wanted and your ovarian reserve. In general the time to pregnancy is longer for surgery vs ivf. The cost is usually less for surgery compared to ivf. If you want multiple children over time then surgery is a better option. If you want only one more child then ivf might be a better option. Finally, your age and ovarian reserve (the number of good eggs you have left) is very important. If you are older and running out of eggs then ivf might be a better option than surgery. The best thing to do is to make an appointment to see a reproductive endocrinologist and bring your operative report. They will be better able to counsel you after reviewing that and perhaps testing your ovarian function.