 [ Symptoms ] can acid reflux disease be treated with diet and lifestyle changes [ Disease ] if you have not gotten pregnant in 18 years after surgical sterilization you are probably fine is it possible there have been a few cases where cauterized tubes have miraculously re opened but those are very very rare i would buy that 99 assurance that you cannot get pregnant if you are truly worried about that less than 1 then make your partner use a condom