Tubal Reversal Surgery & Fertility After 45 : What Are the Chances and Next Steps?

Yes, tubal reversal (recanalization) surgery is possible, and it can be done either via laparoscopy or open method, depending on your case. In this procedure, the blocked portions of the fallopian tubes are rejoined to restore the pathway for natural conception. However, before proceeding, it is very important to assess your ovarian reserve using an AMH test, as this helps determine your fertility potential and egg reserve.

If the AMH level is good, natural conception may be possible after surgery, with the best chances typically in the first 6 months. If the AMH is low, fertility may be limited, and alternative options might be discussed. Since your periods are regular, that is a positive sign, but age and ovarian reserve are key factors. It’s best to complete the AMH test first, review all reports with your doctor, and then decide the most suitable approach for achieving pregnancy safely and effectively.