If your tubes have been tied there is no way you can conceive naturally. You have two options:
You can have them 'untied': "The process to “untie” tubes is officially called a “microsurgical tubal reanastamosis”, or tubal reversal for short" (center4fertility.com). It is apparently a 90 minute outpatient procedure with some clinics claiming up to 98% success rates.
I suspect that the rate of ectopic pregnancies is higher than normal after this procedure has been performed (that is a guess on my part). A good gynecologist would be able to explain this more comprehensively. IVF would be the only other option.
Good luck, Steve :)
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