Before a woman with tubal ligation surgery undergoes tubal recanalization of the fallopian tubes, a series of tests must be performed. These tests are based on the study of the couple's fertility.
By means of these procedures it can be evaluated if going through a new surgical operation can be effective for the patient, or on the contrary, it is much more efficient and less risky to go directly to an assisted reproduction treatment.
Fertility tests prior to reversal surgery for the woman are as follows:
- Hormone analysis and ovarian ultrasound: by means of these tests the doctor can check the patient's ovarian reserve and see if she has any hormonal problems that might prevent her from becoming pregnant naturally after the operation.
- Fallopian tube test: the patient must give the doctor a history of the surgical method used for tubal ligation in the past. If this method allows reversal, the doctor will study the condition of the tubes. A study of the functionality of the tubes may be done by hysterosalpingography. If the doctor requires it, he can also demand the study and visualization of the tubes by means of a laparoscopic procedure.
The study of the man will also be necessary, since if the couple does not have good semen quality, the woman will not be able to become pregnant after the reversal operation. The test of choice for the study of the male is the seminogram, where the quality of the spermatozoa in the ejaculate is analyzed.