Tubal Reversal in Canada

This is topic New with questions on the Tubal Reversal Message Board.

Posted by hopefulforfour (Member # 12046) on February 11, 2008 10:00 AM:

I am new here, well I have been reading for a while but just registered. I got a tubal (the rings, but not cut and burnt) in November 2005. The reason was that I had had 6 miscarriages. The last was at 3 months. Found out that it was low progesterone. But, my emotions got the best of me and I decided a few days after my last miscarriage to get a tubal. My miscarriage was on Sept 18, 2005 and I was getting my tubal on November 24, 2005. I regret it with every inch of my being. I would love to have one more baby. I have three ages 8,7 and 4. I should also say that I just turned 27 so age is in my favor I imagine.
My questions:
I am in Canada and was wondering why people are choosing to see Dr. Berger instead of getting it done in Canada. I am definitely getting the reversal but I am investigating the best options before I decide where to go.
Cost: For those in Canada, is it not cheaper to get it done here instead of with Dr. Berger? I am just wanting to know why you chose to go to the states as I will get a better idea of where I would like to go.
I just got the clamps (rings) so are there quite a few success stories with getting pregnant after? I know that if they are cut and burnt I am sure that the chances are not as great as the rings.
Also, my specialist that did the tubal told me that the rings would cut off circulation and would eventually make my tubes split apart. Is this true? Or has anyone heard of this?
Ever since my tubal I have had wicked pain at ovulation and right before my monthly. I am sure it is because of the clamps. My regular doc says he thinks I have endometreosis. I am actually going for an ultrasound today to check for that. I am sure that it is just the clamps. I wonder if surgery cost would be covered if the clamps are being a problem. Probably not!
Also, I have been reading about bmi. That is not a problem for me as mine is aroud 30. But, I am curious as to why that matters.
Thanks for taking the time to read.


Posted by in-Gods-hands (Member # 11795) on February 11, 2008 10:49 AM:

Well I do not live in Canada but the reason we choice to look to Dr.Berger for a TR is because of his studies in to this, his care of every woman that goes to him, and the fact that he is well known and only does TR's. I did not have the rings but I too have had the pain right before my AF and it is all because of the blood flow being cut off my doctor told me. So getting the TR would restore that. The getting pregnant after a TR if you had the rings I can not tell you. Our bodies are all different so it all depends on what your tubes are like after the TR I would think. Dr.B has things posted about this on his site. The BMI is important when it comes to putting someone to sleep and how much body fat the doctor has to go through to get to the tubes to repair them. This is what my doctor told me. I hope I was at lest a little help. If you want to come in to the waiting room part 42 and jump in and start asking ?'s the lady's will gladly answer. I will be praying for you. Miranda


Posted by Dr. Monteith (Member # 11996) on February 13, 2008 11:10 AM:

Hi- I thought i would jump in quickly.

The Chapel Hill Tubal Reversal Center is the only center in the United States which specializes in the reversal of tubal ligation. They don't do them periodically or on the third Thursday of every fourth month- instead every day, 5 days a week and every month of the year. The center keeps comprehensive statistics and follow-ups on patients for at least 12 months after the surgery so the success numbers are real and verified.

Also people really love to come to Chapel Hill to experience Tar Heel basket ball and to see the birth place of Air - his Highness- Micheal Jordan!

To have any permanent sterilization the tube must be separated. They can be ligated (tied), cut, and then they can be cauterized (fancy medical way of saying burnt)- this causes the tubes to close and separate. The rings and clips achieve the same result but through different mechanisms. These devices put so much pressure on the tube in a small area which causes the blood supply to stop to that area. This causes - avascular necrosis- or more simply, causes the tissue to that area to die and the tube separates and heals itself over. The benefit to the rings and clips is they are both very effective (low rates of failure and ectopic pregnancy) and minimal amounts of tubes are destroyed and reversal is theoretically easier.

Pain after ligation. Rarely do the devices cause pain after ligation. I have occasionally seen a rare patient in which the actual clips were the cause of the pain which resolved when the clips were removed.

It is possible you could have endometriosis but more commonly pain and cramps are due to other conditions such as adenomyosis- or just worsening periods as you get older (I am not calling you old-okay!). Patients after tubal ligation stop hormonal methods which usually make cramps and pain better- this is why some people have the perception that things got wore after the ligation. Some of the patients at the center have post tubal ligation syndrome and seek reversal for this reason.

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