Tubal ligation is a permanent method of birth control that a woman should choose only when it is clear that she will not want any more children. However, if she changes her mind and wants to become pregnant again after having her tubes tied, there is an option to have in vitro fertilization (IVF) treatment. This assisted reproduction method allows the eggs to be obtained directly from the ovary with a follicular puncture. The eggs are then fertilized in the laboratory with the sperm of the couple or of an anonymous donor. After several days in culture, the embryos obtained are transferred to the uterus so that implantation and pregnancy can take place. Therefore, with IVF it is possible to achieve a gestation without the need for the fallopian tubes.
