Treatments & Options - Reversals - Success Rates

Curious to know more about how successful a tubal reversal or vasectomy reversal might be? In this section, we share the most up-to-date success rates on reversals. Talk to your doctor to learn more.

Tubal reversal success rates
While tubal ligation is a permanent procedure, a tubal reversal allows many women to get pregnant and have children. Overall, if you are under 35 and in good fertile health, your tubal reversal success rates are more likely to be high. Within a year of having a tubal reversal, 50 to 80 percent of couples are able to get pregnant.

Types of tubal reversals
Tubal reversal surgery may be most successful if your doctor used the Hulka clip, the most common procedure for tying tubes. If you had Falope Rings (sometimes called bands) with precise application of the ring, the success rate for tubal reversal surgery is also good. With Falope Rings, a "knuckle" of the tube is picked up and a small tight plastic ring placed over it so that the middle portion is obstructed.

Age affects tubal reversal success
Younger women, especially women under 30, are more likely to have higher tubal reversal success rates. After a woman hits age 37, tubal reversal success rates start to decline.

  • Women under age 35 have a 70 to 80 percent chance of getting pregnant within a year after tubal reversal.
  • Women over 40 have about a 30 percent chance of getting pregnant in the first year after tubal reversal.

Vasectomy reversal success rates
Following vasectomy reversal, 20 to 75 percent of men are able to conceive. Vasectomy reversal success rates depend on the type of procedure used, as shown below:

  • 50 to 70 percent of men have children after vasovasostomy (VV)
  • 20 to 40 percent of men have children after vasoepididymostomy (VE)

Most couples take about a year to get pregnant after a vasectomy reversal. Although a few couples conceive after several months, others may take several years to conceive and bring home a baby. Also, vasectomy reversal success rates are higher in couples that have already achieved a healthy pregnancy together.

Before your partner opts for a vasectomy reversal, talk with the doctors about your health, your fertility risk factors, and the odds of conceiving. Your age and reproductive health play a major role in whether you can conceive after a vasectomy reversal.

Time is also an important factor. When the reversal is done closer to the time of the original vasectomy, vasectomy reversal success rates are higher.  Some research shows that men undergoing vasectomy reversal 15 years or more after a vasectomy will have a lower chance of success than men who do it earlier.