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Doctor insights on: Unexpected Pregnancy After Tubal Ligation

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I have a question about ectopic pregnancies after a tubal ligation. Higher risk than before?

I have a question about ectopic pregnancies after a tubal ligation. Higher risk than before?

Yes: It is a relative risk. Risk of pregnancy is tremendously decreased for obvious reason. But if it happens the risk of ectopic is higher. If a period is missed immediately do a pregnancy test. If positive called your ob/gyn asap. ...Read more

Dr. Michael Kleerekoper
4 Doctors shared insights

Pregnancy (Definition)

When your due date arrives, you will be more than ready to have your baby! Most women deliver the baby somewhere between 37 and 42 weeks. According to the American College of Obstetricians and Gynecologists, only 5% of babies arrive on the exact due date. Approximately 7% of babies are not delivered by 42 weeks, and when that happens, it is referred to ...Read more


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Can you tell me some experience in pregnany with a tubal ligation?

Can you tell me some experience in pregnany with a tubal ligation?

Tubal reversal: The success rate of pregnancy after this procedure ranges from 40-85%, depending on age, type of initial tubal ligation, length of the remaining fallopian tubes, amount of scar tissue in the pelvis, and the surgeon's skill. ...Read more

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I had a c-cection 4 months ago and also had a tubal ligation I missed my period last month and also had negative pregancy test is this normal?

I had a c-cection 4 months ago and also had a tubal ligation I missed my period last month and also had negative pregancy test is this normal?

Normal.: Irregular periods after a pregnancy are very common and due to irregular ovulation - nothing to do with your tubal ligation. Chance of becoming pregnant with your tubes tied is 0.3% (1/300). If still in doubt, see your gynecologist and repeat another pregnancy test in a week. ...Read more

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Spotting after a light 8 day period (that came early) sore breast for a week, tubal ligation almost 5 yrs ago...Pregnacy test said neg. What's going on?

Spotting after a light 8 day period (that came early) sore breast for a week, tubal ligation almost 5 yrs ago...Pregnacy test said neg. What's going on?

Irregular periods: Irregular periods are one of the most common problems obgyns treat. If this is one time problem it usually resolves on its own. If this is a recurring problem you should be evaluated. Infections ; hormonal changes can cause spotting. If there is a concern for pregnancy then do a home pregnancy test. There are many options available to help regulate the menstrual cycle. Schedule a visit. ...Read more

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Possibility of pregnancy after tubal ligation?

Possibility of pregnancy after tubal ligation?

Very very low: I do not know the percentage, but spontaneous regrowth and recanalization can be possible.
If yo want to get pregnant then surgically it can be reconnected by your OBGYN ...Read more

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What are signs of pregnancy after tubal ligation?

Post tubal pregnancy: You should see your gynecologist and have a urine or serum pregnancy test done. A pregnancy subsequent to tubal ligation is at very high risk for a ectopic pregnancy and this will require laparoscopic intervention and could be dangerous if not caught in time. ...Read more

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How likely is pregnancy following a tubal ligation?

Much less than: 1% but not 0, tubals can fail depends how it was done, who did it, some have a higher failure rate than others if u think u are preg u need evaluation asap as u must make sure it is not ssuck in the tube. ...Read more

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Can you tell me about pregnancy after a tubal ligation?

Test tube pregnancy: A reproductive endocrinologist would have to determine, if the tubes can be reconnected. If that is possible, they may give you chances for a tubal pregnancy between 20 and 50 %. It may be cheaper and more effective to go with test tube fertilization. ...Read more

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What are the main signs of pregnancy after a tubal ligation?

What are the main signs of pregnancy after a tubal ligation?

Preg symptoms tubal: The pregnancy symptoms after a failed tubal can be somewhat different than a normal pregnancy. Frequently, spotting is associated due to abnormal implantation. ...Read more

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Can you tell me any experience in pregnancy with a tubal ligation?

Can you tell me any experience in pregnancy with a tubal ligation?

Rare: Tubal ligation significantly reduced the change of pregnancy but it still does happen. It isn't common, I do not have the exact percentages just know it is possible ...Read more

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I have had a tubal ligation done eight years ago I was wondering is it possible still get pregnant? Because I seem to be having pregnancy symptoms.

Tubals can fail: Not very often but easy to check a urine preg test, if - and u are still worried see your gyn for a blood preg test which will be + a few days before the missed period and if u are preg- hopefully not - your obgyn needs to follow u closely since u would be more at risk for a tubal (ectopic pregnancy) due to the fact you had a tubal and the tubes were damaged by the tubal. ...Read more

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Hi. Pregnancy possibility if you had a tubal ligation and used plan b?

Hi. Pregnancy possibility if you had a tubal ligation and used plan b?

Life is full of...: Life is full of possibilities. Thus, the answer to, "Is it possible for..." is usually yes. That said, women with tubal ligations do not get pregnant, unless they are very unlucky. Couples who use Plan B sometimes still get pregnant. Plan B is for emergencies, and emergencies should not happen at all or should happen rarely, such as once every year or two. ...Read more

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I am having pregnancy symptoms with a tubal ligation. Could it menopause? I am only 26.

Symptoms: Hi. No symptom is specific for any one condition or disease, and likewise, no condition or disease can be diagnosed by a symptom. Pregnancy after a BTL is vanishingly rare, so that should not be assumed based on symptoms. 26 is very young for menopause, but certainly not impossible. However, pregnancy and menopause symptoms have little, if any, overlap. Not a bad idea to talk with your gyn. ...Read more

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Possibility of a healthy pregnancy after 4 years of having tubal ligation? I heard (even from dr's and nurses), its highly possible.

Less than 1%: Tubal ligation is considered permanent sterilization and theoretically has less than a 1% chance of pregnancy thereafter (since that was the goal of the ligation). Options for conception, therefore, include tubal "reversal" and ivf (which bypasses the blocked tubes). If a woman does conceive on her own after a ligation, there's an increased risk of tubal pregnancy. ...Read more

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I'm 39 and had a tubal ligation 14 years ago. I have a lot of pregnancy symptoms. Could these be possible or premenopausal symptoms instead?

I'm 39 and had a tubal ligation 14 years ago. I have a lot of pregnancy symptoms. Could these be possible or premenopausal symptoms instead?

Trust the test: Home pregnancy tests are very accurate. They are the same tests used in a doctors office. They can detect a pregnancy 7-10 days after conception. The best time to take one is when you miss your period. If you doubt the result you can repeat it in 1-2 days. If you were pregnant the hormone level would rise enough for detection. ...Read more

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I had a tubal ligation 2 yrs ago. I am late for my cycle this month and they r usually normal. I am ruling out pregnancy because of the tubal.?

I had a tubal ligation 2 yrs ago. I am late for my cycle this month and they r usually normal. I am ruling out pregnancy because of the tubal.?

Several causes: Bilateral tubal ligation is over 99% effective, but not 100%. If missed period, not unreasonable to rule out pregnancy. However there are far more likely reasons for you to have missed your period, depending on your age - stress, illness, excessive exercise, wt loss, thyroid, perimenopause, etc. If pregnancy test normal and you miss more than ne eriod, see your clinician for further evaluati ...Read more

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What are the odds of pregnancy post tubal ligation 4.5yrs ago? Anything to do besides surgery to increase these odds? I'm in good health and am 27yo.

What are the odds of pregnancy post tubal ligation 4.5yrs ago? Anything to do besides surgery to increase these odds? I'm in good health and am 27yo.

Yes: Unlikely you would get pregnant without significant assisted reproduction. These days, it is probably more successful and less invasive and maybe less expensive to go through ivf rather than tubal reconnection. You definitely need a consult with a fertility specialist (reproductive endocrinologist). ...Read more

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What are the chances of having an ectopic pregnancy after a tubal ligation?

What are the chances of having an ectopic pregnancy after a tubal ligation?

It depends: I see two ways to answer your question. The overall number of ectopic pregnancies following a tubal ligation is 7 per 1, 000 procedures (under 1 percent). However, if someone conceives after she has had a tubal ligation, the chance of that pregnancy being ectopic is as high as 50 percent. ...Read more

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Had tubal ligation with rings done 2 years ago? Is pregnancy possible? How reliable are the fallopian rings?

Had tubal ligation with rings done 2 years ago? Is pregnancy possible? How reliable are the fallopian rings?

Pregnancy with tubal: Yes- Pregnancy is possible although not likely. During the tubal ligation the tubes are tied off. The egg still ovulates and sperm can still theoretically get by the tubes occlusion. It happens, but is very rare. For the "Falope" ring the failure rate is 17.7/1000 procedures according to one study by Peterson, et. Al. in the Am J Obstet Gynecol. Apr 1996;174 (4):1161-8; discussion 1168-70. ...Read more

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I'm 42 and has laser tubal ligation surgery 10 years ago. What are my chances of a reversal and successful pregnancy? Thanks.

Alternative: You may try to have the tubal ligation reversed. Alternatively you could have eggs harvested, fertilized in-vitro and embryos implanted in your uterus. ...Read more

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What is the possability and risks of pregnancy occuring after both a tubal ligation with a uteral ablation! How rare is it and can it occur twice?

Much less than 1%: Endometrial ablation is not a sterilization procedure and cannot be relied on for pregnancy prevention, though it probably reduces the risk. Most methods of tubal ligation have failure rates of less than 1%, so one can get pregnant after having both and lightning can strike twice! ...Read more

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I had a Tubal ligation 4 1/2 years ago and I haven't had my cycle in 2 months. I took 2 pregnancy test & they both were negative. Can I be pregnant?

I had a Tubal ligation 4 1/2 years ago and I haven't had my cycle in 2 months. I took 2 pregnancy test & they both were negative. Can I be pregnant?

Pregnancy: I think you should go back to the Gynecologist and discuss whether or not you can recover pregnancy. If the answer is yes, that's OK. If not you must listen more carefully to the Gynecologist.

Hope all stays well for you. ...Read more

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Can I become pregnant two months after tubal Ligation? Not sure if I was cut, tied or burnt. Pregnancy test is Neg, still feeling pregnancy symptoms

Can I become pregnant two months after tubal Ligation? Not sure if I was cut, tied or burnt. Pregnancy test is Neg, still feeling pregnancy symptoms

Not if ligation was: Done correctly. Did you miss a period? If you did, you may wish to repeat the pregnancy test, use first morning urine and follow the instructions in the kit carefully. ...Read more

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What are the possibilities of being pregnant 6 weeks post tubal ligation? The required intercourse wait time was not obeyed. I'm having pregnancy sym

What are the possibilities of being pregnant 6 weeks post tubal ligation? The required intercourse wait time was not obeyed. I'm having pregnancy sym

Small: There is a possibility that you were already very early pregnant when you had the tubal ligation or that your tubes were not completely occluded (how high this is depends on how the tubal was done) but over all the risk of a failed tubal is 1 in 400. Failures are more frequent if the tubal was done immediately after a delivery either vaginally or by c-section. Check a test and repeat it in a week ...Read more

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I had an ectopic pregnancy 11 years ago and a tubal ligation almost two years ago. Is it possible I could be pregnant again or worse another ectopic?

I had an ectopic pregnancy 11 years ago and a tubal ligation almost two years ago. Is it possible I could be pregnant again or worse another ectopic?

Yes: You can still get pregnant but the odds are extremely low. And yes it can be ectopic again but again chances are very low. ...Read more

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What is a better medical choice with tubal ligation to obtain a pregnancy; IVF or tubal reversal?

Depends: There are a number of factors in making that decision including what type of tubal ligation you had, how many years ago it occurred, and what your fertility is like now according to labs that would show how your ovaries function. If you are making that decision, you should have a consultation with a reproductive endocrinologist to see if he/she thinks you are a good candidate for either. ...Read more

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I am 42 years old had a tubal ligation 15 years ago last period was aug 20 2012 could it be pregnancy?

I am 42 years old had a tubal ligation 15 years ago last period was aug 20 2012 could it be pregnancy?

It is doubtful...: The chance of getting pregnant after successful tuboligation is very very slim, but could happen. The easiest way to tell is to do a home pregnancy test (hpt). If negative, check again in 5-7 days. If still negative then, it is likely negative--as these hpts are quite good. At age of 42 is a bit early to start menopause, but it does happen...Consult doc. Good luck. ...Read more

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I had a tubal ligation cut tied and burned eight years ago and I took a home pregnancy test it showed positive can I b pregnant?

I had a tubal ligation cut tied and burned eight years ago and I took a home pregnancy test it showed positive can I b pregnant?

Yes: Tubal ligation is very effective at preventing pregnancy but no contraceptive method is 100% effective. After a tubal ligation if you become pregnant there is a chance it could be a tubal pregnancy and that needs to be addressed sooner rather than later. You should see your doctor in order to follow the pregnancy and confirm its location. ...Read more

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Had a tubal ligation in 2008 now I am late by a month have all the signs of pregnancy. Took home pregnancy test was negative, what should I do?

Missed period: It is not uncommon for women to miss a period from time to time. If it continues to be a pattern then it is worth a visit to the obgyn to discuss irregular cycles. Home pregnancy tests are very reliable. ...Read more

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Are getting your tubes cut then burned the best procedure when getting a tubal ligation when avoiding future pregnancy? What is the % success rate?

Are getting your tubes cut then burned the best procedure when getting a tubal ligation when avoiding future pregnancy? What is the % success rate?

Essure: I recommend essure over other options. It is a simple office procedure that can be done with no incisions and no recovery. In experienced hands it can be done in less than a minute under local anesthesia. It has the highest success rate and lowest complication rate of any method. ...Read more

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Tubal ligation 2 yrs ago. Lmp april 29.normal. Passed 2wks w- symptoms of pregnancy. Plus positive test with faint line. Bleeding started tues. Post test?

Tubal ligation 2 yrs ago. Lmp april 29.normal. Passed 2wks w- symptoms of pregnancy. Plus positive test with faint line. Bleeding started tues. Post test?

Confirm: Tubal ligation has a failure rate of 1 in 300. Most are due to something called a tubal fistula. Basically anytime you tie, clip or burn part of a tubal structure it might form an abnormal opening associated with the procedure. This is also a cause of vasectomy failure. Confirm your home test with a blood pregnancy test as the rate of tubal pregnancy is quite high here. ...Read more

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Been having a few pregnancy symptoms last night after sex lost some blood now no bleeding at all tubal ligation over a year ago could I be pregnant??

Been having a few pregnancy symptoms last night after sex lost some blood now no bleeding at all tubal ligation over a year ago could I be pregnant??

Pregnancy: There is a very very small chance that a pregnancy occurs after a tubal ligation. However pregnancy symptoms do not occur in the day after intercourse. Unsure what the postcoital spotting was related to. Recommend seeing your doctor. You might discuss evaluating your BTL with a hysterosalpingogram to ensure occlusion of the tubes for reassurance. ...Read more

Dr. Victor Beshay
734 Doctors shared insights

Tubal Ligation (Definition)

Sterilization procedure for women. It may involve a small incision in in the belly botton to fulgrate the tubes or tie them and remove ...Read more