Tubal Ligation Reversal

Is Chapel Hill Tubal Reversal Center Too Good To Be True?

2012-01-28T14:45:00.000-08:00

Recently a new patient of Chapel Hill Tubal Reversal Center had a bad case of the "nerves" and posted on the Message Board that she became concerned on her trip to Chapel Hill, North Carolina that everything she heard and read about Dr. Gary Berger and Dr. Charles Monteith was too good to be true. Also, she wondered if she would even find such a place when she got here. Immediately the Message Board was deluged with testimonials about what a great place it was with the best fertility specialists and a friendly, caring and capable staff. The reputation of Chapel Hill Tubal Reversal is stellar and your scrutiny is invited.

Posted by QueenMommyof3 (Member # 13495) on January 23, 2012 03:38 PM :

So I have been preparing and taking all the steps needed to schedule my surgery with CHTRC however I can't help but feel nervous. I wonder if this place is to good to be true, will my payment be legit and safe will I be scammed out of thousands of dollars and never even have the surgery performed? I may just have cold feet and be looking for some reason to find a flaw (haven't found one as of yet). Does/has anyone else have/had these same concerns? I have been through every part of the website did a BBB search and though I have found no flaws I can not help but wonder. Am I crazy? Just wondering....

Posted by krisbaby (Member # 16083) on January 23, 2012 04:30 PM :

I just had my reversal surgery on Jan 16th and had a wonderful experience. All the staff are kind, caring, and genuine. My husband and I had checked out other places and never had any doubt that we were going to the right place. The staff at the hotel were very kind as well as the shuttle driver and the cab drivers. Overall our experience was wonderful and we are glad we chose CHTRC!!!

Posted by QueenMommyof3 (Member # 13495) on January 23, 2012 04:58 PM :

Thank you! I looked at other places as well and this place has been my number one from the start. I think its just nerves lol we have been going up and down with this for about two years and came close once to getting it done but lost the financial backing to do so. Now we have everything set in place and are really excited to go!

Posted by Lisa&Aaron (Member # 15648) on January 23, 2012 04:59 PM :

Every time I look at my 2 little girls, it STILL feels too good to be true, although I have to tell you that SIX poopy diapers in less than 2 hrs this morning brings me back to reality (my youngest is 9 days old/breast fed and poops TONS). You are in the BEST hands at CHTRC!!!! You cannot go wrong, I promise. There will be a lot of ladies commenting on your post, trust me

Posted by WendyH (Member # 15408) on January 23, 2012 05:13 PM :

Yep, sounds like nerves talking...but you cannot go wrong with CH. Their site is LOADED with legit info, and the reported pregnancies/births speak volumes. The testimonials are straight and true, and everyone from the hotel to the TR center is positively outstanding. I count on Dr. B's input still to this day, almost a year post-surgery. He is my 1st, 2nd and 3rd opinion in dealing with TR and OB issues...I'll take his word over my own OB's.

Just do it!!

Posted by twinkletoes (Member # 15897) on January 23, 2012 05:27 PM :

I had my TR a month ago. I can tell you that you are in good hands with CHTRC. The staff is wonderful and I know that everything will work out. I loved my experience and have no regrets. Good Luck to you!

Posted by Camellia-mom (Member # 15316) on January 23, 2012 05:35 PM :

Chapel hill Tubal Reversal Center is a professional legitimate place. I had a great experience. They come to the hotel and check on you the next day. In my case the pain meds made me itch really bad so they got me a different prescription. They even call to check your progress. Dr Berger will also answer any questions after the surgery (even months, years later).

Posted by QueenMommyof3 (Member # 13495) on January 23, 2012 05:48 PM :

Thank you ladies! You have all made me smile and are easing my nerves quite a bit I really appreciate it.

Posted by dolphinfoxx (Member # 15467) on January 23, 2012 06:50 PM :

QueenMommy, I felt the same nerves as you did. I looked up the BB, tried looking for any type of scams being reported on CH or the doctors and found nothing. I thought the same things as you and actually heard it from my ob/gyn too. He tried telling me my essure reversal would never mount to me getting pregnant (after I had it done). I just had my reversal July 19th and got my BFP on Nov 22nd (we had to wait a full cycle to ttc so we got pregnant within 3 months of trying).
I had an AMAZING experience at CHTRC. The staff, nurses, Dr. Monteith, and the hotel too were all so great. You really are in the best hands possible.
When my ob/gyn saw that the baby was in the uterus and had a heartbeat, he was speechless. He couldn't believe it. Let me tell you I LOVED seeing the look on his stunned face. I'm currently 13 weeks pregnant and everything is going great.
I hope your nerves go away and you can have the tr that you desire. You really won't be disappointed with CHTRC. Good luck to you!

Posted by saber (Member # 15576) on January 24, 2012 07:20 AM :

we looked into tr for over a year and everytime, chapel hill popped up. we felt the same, is it a scam, or they gonna take our money and run?? just like dolphinfoxx, we checked with the BB and they were rated A+!!!!! that was it, we called, got everything together, made our payment and drove the 9hrs. We were like oh wow when we say the hotel, and the next day off to chtr center, everyone were angels!!! never ever been treated with such kindess b4 in a dr settin/hospital setting. met Dr M the day of surgery(had a monday surgery) and he was awsome!!! this was may of 2011. he worked wonders on my tl which were cut tied and burned cuz in aug of 2011 we got a bfp. ended in m/c in sept tho.( i was 36 at the time) but we kept tryin and today we are 8weeks and going strong!!! and i turned 37 3 days after the bfp. u cant go wrong, i know seeing and hearin is sometimes to good to be true, but not in this case, they are WONDERFUL!!!!!! good luck to you and ur tr journey!!!

Posted by Nina M, RN (Member # 15473) on January 24, 2012 08:16 AM :

QueenMommyof3....CHTRC has been in business for a long time. Dr. Berger developed outpatient TR surgery and has done over 10,000 of these procedures. We are legit and pride ourselves on not only helping numerous women with infertility, but also are proud of the outstanding patient care we provide every day.

Nina M, RN

Posted by NJgirlinWI (Member # 12872) on January 24, 2012 09:57 AM :

It is NERVES!! But you are smart enough to think of it early. It hit me on our way to NC from Wisconsin. We had been driving for hours with 4 kids and all of the sudden I thought, "what the heck are we doing?" I told my DH that it has to be fake and how could he let me send thousands of dollars to someone who is probably in Cancun now on our stupidity!!! Well I settled down, arrived in Chapel Hill, had my TR and had a healthy Berger Baby 10 months later. Good luck and enjoy the ride

Posted by QueenMommyof3 (Member # 13495) on January 24, 2012 10:19 AM :

WOW Thanks so much! You ladies have helped a lot, I am really looking forward to going now and getting the surgery done I am going to find a kind distraction for now to settle these nerves though lol

Posted by Nina M, RN (Member # 15473) on January 24, 2012 10:28 AM :

We look forward to meeting you soon! Please call us if you need any reassurance!

Nina M, RN

Posted by Babymama1 (Member # 15541) on January 24, 2012 12:23 PM :

I felt the same way! I was worried it was a scam. I had my tr may 26 2011. I'm not pg yet but I'm very happy I went through with it. I feel like a woman again. This is a great place with great doctors n nurses! Great experience. Good luck!

Posted by Stephanie D, RN (Member # 460) on January 24, 2012 02:54 PM :

Thank you ladies for all of your wonderful feedback! We do strive to make this easy for you and realize what a leap of faith it is to come from so far away to have surgery.

We will take excellent care of you!

Posted by waitinwithhope2012 (Member # 16049) on January 24, 2012 08:40 PM :

QueenMommy, I had my tubal reversal surgery on January 9, 2012 and I am so impressed with the friendly and caring staff that helped make things go so smoothly. I decided in December 2011 that I wanted to have this done. I looked up many different places but CHTRC caught my eye and that was it for me! I scheduled my surgery the end of December and my husband and I flew out from good ol California and I could never be happier now! Dr. B was so kind and optimistic! I can't wait to get my BFP someday soon! Just go for it!! You won't be disappointed!

Posted by frawgymama (Member # 14653) on January 25, 2012 12:37 AM :
I have already recommended this place to people where I'm from:) My husband and I looked into our options for well over a year and kept coming back to CHTRC. Then realized my oldest sister in law had a reversal done there as well and was successful. I did a lot of research and reading and everything kept bringing me back here and I'm soooo glad it did!! I had my TR July 2010 and have nothing but good things to say about this place:) I met Dr. Monteith the day of my surgery but was immediately impressed. The nurses were so non judgemental, supportive, knowledgeable, and very nice.

We have since then gotten on BFP but sadly it ended in an ectopic pregnancy last week. My left tube burst and had to be removed but we are left with the right tube and will try again. I continue to say that any "health" issues I'm having have NOTHING to do with CHTRC. You will not regret going there! We had an amazing experience, the city is beautiful, the hotel is gorgeous and staff is wonderful:) Good luck, I wish nothing but early success!!!

Join Our Google Circle

2011-12-20T17:21:00.000-08:00

Google’s social platform, Google+, has a feature called “Circles” that allows users to connect with people of various different interests.

Join Google+ to connect with the doctors and staff at
Chapel Hill Tubal Reversal Center.

https://plus.google.com/117091157948419282144/

Essure Procedure Reversed

2011-03-31T14:40:00.000-07:00

The first Essure reversal baby's birth occurred on February 8th, 2011 following removal of Essure micro-inserts and bilateral tubouterine implantation performed by Dr. Berger and Dr. Monteith at Chapel Hill Tubal Reversal Center. The baby's mother, Michelle S. from Parker, Colorado writes, "We are so excited that we have our Essure Reversal baby that we never thought we could have. She is just everything that we had wished and prayed for. Thank you for making our dreams come true and giving us our sweet baby girl."

Chapel Hill Tubal Reversal Center in Chapel Hill, North Carolina, announces the birth of a baby born following successful completion of sterilization reversal of the Essure procedure, previously considered a permanent form of female birth control.

Julia Smith, RN, ASCA, Nurse Administrator at Chapel Hill Tubal Reversal Center posted:

Tubal Reversal Surgeons successfully reverse sterilization procedure.

FOR IMMEDIATE RELEASE
March 30, 2011

(Chapel Hill, NC) – Chapel Hill Tubal Reversal Center in Chapel Hill, North Carolina, announces the birth of the first baby born following successful completion of sterilization reversal of the Essure procedure, previously considered a permanent form of female birth control.

Three months following her successful Essure reversal procedure at Chapel Hill Tubal Reversal Center, Michelle, a patient of Dr. Gary Berger and Dr. Charles Monteith, became pregnant and gave birth to her baby Elizabeth on February 28th, 2011. "Essure does not have to be permanent and Essure removal and reversal are possible” explains Dr. Berger. “Michelle and her husband, Harrison, were willing to travel from Colorado to our tubal reversal center in Chapel Hill, North Carolina because of our experience as tubal sterilization reversal specialists.”

The Essure procedure involves placing a flexible coil or micro-insert into each fallopian tube at the junction of the uterus and the tube. Once in place, over a 3-month period, scar tissue grows into the coils blocking the tubes to prevent the sperm from fertilizing the egg. According to Conceptus, Inc., the manufacturer of Essure, Essure sterilization is permanent and irreversible due to this scarring. The procedure Dr. Berger and Dr. Monteith used to reverse the Essure method involved cutting the devices out of the uterine muscle and fallopian tubes and then implanting the remaining fallopian tube segments into the uterine cavity through a new opening in the uterus. This procedure is called tubouterine implantation.

Since Essure has only been available since 2002 – and most women who have had this sterilization procedure do not desire or seek reversal - there is currently not enough data on the outcomes of Essure reversal to provide pregnancy statistics. The tubal reversal surgeons at Chapel Hill Tubal Reversal Center, however, have subsequently performed additional Essure reversals and several other women are currently pregnant and due to deliver babies.

Chapel Hill Tubal Reversal Center is the only facility in the United States that is limited specifically to the practice of tubal reversal surgery. Additional information regarding Essure sterilization reversal at Chapel Hill Tubal Reversal Center, including profiles for Dr. Berger and Dr. Monteith, can be found on the website at www.tubal-reversal.net.

Tubal Reversal Success Rates

2011-02-09T14:15:00.000-08:00

Tubal reversal success depends on two main factors the type of tubal ligation and the age of the woman at the time of tubal reversal surgery.

The tubal reversal success rate can be as high as 80% for women who are under the age of 30 and also for women who have had tubal clip or tubal ring type tubal ligations.

The tubal reversal success can also be as high as 30-50% for women over the age of 40 or those who have had unknown types of tubal ligations. Even among women over the age of 40 or women with unknown types of tubal ligations approximately 1 out of 3 women will become pregnant.

More extensive information about the chances of tubal reversal success can be viewed on the website of the reversal center.

Tubal reversal success rates can be impressive when patients choose the best tubal reversal doctors in the United States. The success rate for tubal reversal can be as high as 80% for certain groups. Women interested in determining if they are a candidate for tubal reversal surgery and what their reversal success rate may be are encouraged to review the pregnancy statistics on the website of Chapel Hill Tubal Reversal Center and to call and inquire about their chances of tubal reversal success.

Source: http://www.tubal-reversal.net/blog/2011/tubal-ligation-reversal/tubal-reversal-success-rate.html

Tubal Ligation and Reversal Facts

If you have ever wondered if you are a candidate for tubal reversal surgery then you should send the operative report of your tubal ligation to Dr. Berger and Dr. Monteith for review.

You can also call (919) 968-4656 for a free Tubal Reversal Nurse Consultation.

Tax Returns Fund Tubal Reversal Surgery

2011-01-30T18:28:00.000-08:00

Chapel Hill Tubal Reversal Center will be having a busy surgical schedule in the spring of 2011 as couples use their income tax return money to pay for tubal reversal surgery. Fertility treatment, which includes reversal of tubal ligation, is an allowable medical expense that can be used for a tax deduction.

Tubal Reversal Message board member 'redcurlsk ' explains
"Your itemized expenses need to be more than your standard deduction for it to matter. The standard deduction for a Married filing jointly couple is $10,300. If you have itemized deductions that total more than this then you can itemize and use them. Your medical is only a portion of this amount because the allowable deduction is the amount over 7.5% of your adjusted gross income. For example - if your income is $100,000, then your allowable medical has to be more than $7,500, and then you can only deduct the amount over the $7,500. If your medical totalled $10,000, then you could use $2,500 of it. Medical can be Drs. Dentists, copays, prescription meds, glasses, contacts, and health insurance. There are some more, but these are the majors. You can also deduct travel to and from the Dr and the trip to CH. All of this goes into the number that is reduced by 7.5% of AGI. Other amounts that you can itemize and most people use are their mortgage interest, personal property tax, real estate tax, contributions, both cash and items that they give to Good Will, etc., and state withholding tax. Again there are some more, but these are the main ones. Employee business expenses sometimes come in handy here, but that is a whole other topic. Your best bet is to go to the IRS website and read about it. A lot of people don't get to use their medical expenses, but if you had your TR in 2006, then you really should check and see if it will help you out since this is probably the only time that your medical will be this high."
'stephg124ny' adds
"You have to itemize. You can claim your airfare, hotel, and food as well if you have receipts. It can be quite a good deduction."
http://forums.tubal-reversal.net/cgi-bin/ultimatebb.cgi/topic/5/23491.html

This is an older thread but the information is still relevant:
IRS Info - TR valid medical expense... in forum Tubal Reversal Cost and Financing at Tubal Reversal Message Board.

Posted by Susana (Member # 8255) on May 20, 2006 05:17 PM:

Hello ladies!

I had my TR on 4/24/06 and during my visit the subject of whether or not TR can be written off came up. My job deals with taxes and tax situations and I went on the IRS site and found Publication 502 which lists what is and isn't a valid medical expense and the following excerpt was noted:

Fertility Enhancement
You can include in medical expenses the cost of the following procedures to overcome an inability to have children.
* Procedures such as in vitro fertilization (including temporary storage of eggs or sperm).
* Surgery, including an operation to reverse prior surgery that prevented the person operated on from having children.

This could help a bit in offsetting the cost of the procedure. I know my husband was glad I found this out and my TR buddy AJ suggested I post it on the boards for everyone to see. (Thanks AJ!)

Good luck to all!

Posted by SandyJ (Member # 9696) on May 22, 2006 02:24 PM:

Great info Susana.

Posted by Sally, RN (Member # 7389) on May 22, 2006 02:44 PM:

Susana--I'm sure this is valuable information for many of the women who read the board. Thanks so much for posting it.
Sally, RN
CHSC

Posted by empty nested (Member # 7303) on May 22, 2006 03:30 PM:

You can only deduct a PART of your medical and dental expenses that is more than 7.5% of your adjusted gross income. (Combined income if you are married). If your medical and dental expenses are less than 7.5% of your adjusted gross income, you cannot claim the deduction on your taxes. All expenses must have been paid during the current tax year. If they were expenses that you were reimbursed for (example: medical flex plan dollars, or insurance) you may not include them as medical expenses.

To figure if the deduction would work for you you need to do the following:

1. figure the amount you paid for qualifying medical expenses after reducing the amount of payments you received from insurance and other sources. This total = X

2. figure out (estimate now) your adjusted gross income.

3. multiply your adjusted gross income by 7.5% (.075) to get total Y.

4. If total Y is more than the amount you figured in step 1 (X), you cannot claim a deduction. If it is less, subtract Y from X to figure out how much you can deduct.

It's a neat concept, but unless you have a very low income or very high medical bills it is difficult to claim.

Posted by Susana (Member # 8255) on May 22, 2006 06:57 PM:

Thanks for the calculation info!

Susana

Posted by KLJ (Member # 7534) on May 22, 2006 09:55 PM:

Can't you also claim milage and hotel cost?

Posted by empty nested (Member # 7303) on May 23, 2006 10:35 AM:

Yes you can. Milage, rental car or taxi, air fare etc...any means to get to your medical appointment. You can also claim a portion of your meal expenses.

Keep your receipts. I kept everything but still didn't qualify. This year I dumped over $8,000 into my medical flex benefits at work to be sure the government didn't get their share.

Sheila

We offer a free consultation with an experienced Tubal Reversal Nurse to women interested in a Tubal Ligation Reversal. By talking one-on-one with our nurses, you will understand why Chapel Hill Tubal Reversal Center is the best place to have your tubal ligation reversed

Call (919) 968-4656 To Speak With a Tubal Reversal Nurse

Discount on Surgery To Untie Fallopian Tubes

2010-12-22T01:49:00.000-08:00

Chapel Hill Tubal Reversal Center is offering a 10% discount for those scheduling surgery before January 1, 2011.

Women who wish to schedule surgery to have their tubes untied can now receive an additional 10% discount on top of the the already discounted all-inclusive cost for tubal reversal surgery performed by Dr. Berger $5900 and $54000 for surgery performed by Dr. Monteith. For a limited time only, Chapel Hill Tubal Reversal Center has announced a special 10% off coupon on Google Maps. For women looking to have their tubal ligation reversed in 2010, this coupon will allow them to save 10% off of their reversal surgery fee. Call (919) 968-4656 for more details about this special discount.

Chapel Hill Tubal Reversal Center is offering a 10% discount on the tubal reversal procedure if scheduling before January 1, 2011. Julia Smith Nurse administrator says Often women and couples will inquire when the discounted rate will be so that they are able to save on the expense.

Tubal ligation reversal does not have to be so expensive that the average couple cannot afford to have
fertility restored. Many who research the procedure are shocked in the variations in price between surgeons and centers.

Chapel Hill Tubal Reversal Center is able to offer this outpatient procedure at the lowest of cost all throughout the year. This is because this unique Center performs only tubal ligation reversal surgery and the repair of blocked fallopian tubes.

The Center performs surgery four days a week. Staff to patient ratio is kept high so that the patent is well taken care of. CHTRC makes it known that patient care and safety is the top priority.

Dr. Berger and Dr. Monteith not only perform the ligation reversals that are more common but also the Essure as well as Adiana reversal. This has been a blessing to those women who are having physical discomfort and do not want a full hysterectomy.

Chapel Hill Tubal Reversal Center offers a variety of payment arrangements, including a pre-payment plan, for women who come to have their tubes untied by Dr. Gary Berger and Dr. Charles Monteith. Dr. Berger and Dr. Monteith are well-known as the doctors with the most experience in repairing tied tubes. Their low-cost, one-hour operation has resulted in the birth of the most tubal reversal babies worldwide.

Over 8000 couples have traveled to Chapel Hill, North Carolina to have fertility restored and their tubes untied with the tubal ligation reversal procedure. The surgeons have a 98% repair rate and 2/3 of patients are pregnant within the first 12 months.The nurses and doctors of Chapel Hill Tubal Reversal Center make it simple for women wanting tubal ligation reversals.

Women who are interested in having another baby after a tubal ligation should have their tubal ligation operative reports sent to Dr. Berger or Dr. Monteith for review. At Chapel Hill Tubal Reversal Center, the tubal reversal doctors and nurses will contact patients within 24-48 hours of receiving these medical records. Even if someone is unable get a copy of their tubal ligation operative record, they can still schedule ligation reversal surgery. They can choose to have a diagnostic laparoscopy to make sure the tubes are reversible or they can rely on the fact the tubal reversal specialists are able to repair the fallopian tubes in over 98% of patients.

To inquire if you are a candidate for tubal reversal surgery, call a Tubal Reversal Nurse for a free telephone consultation at 919-968-4656.

How to conceive after tubal ligation?

2010-06-19T18:31:00.000-07:00

Deciding to have children is a big step just as the decision not to have them also is. Most times women will take precautions to prevent further pregnancies- including tubal ligation, which is when the fallopian tube is cut to prevent an egg from becoming fertilized. This is generally the most popular method and is considered to be a permanent form of female sterilization.

So, what happens when a woman changes her mind and decides she wants another child? The first question they want to know is how to conceive after tubal ligation?

Even though this is meant to be a permanent procedure it doesn't mean that the future is set in stone. In fact, a woman can opt to have it reversed. It is a procedure called tubal ligation reversal and it has proven to have a high success rate. The doctor usually performs them in the office in less than an hour.

Many women choose to have this procedure when they have changed their mind about more children, or if it has been changed for them. Sometimes this decision is their own doing and sometimes it is strictly based on life circumstances. Divorce, death and remarriage of a spouse or something as simple as just changing their mind can all lead to making this monumental choice.

If you decide to go this route there are a few things that you should know about the procedure. First of all, it is usually not covered by insurance which makes you responsible for the entire bill. Some insurance companies may cover a portion or the doctor’s office may have a payment plan of some kind. The good news is that without complications the recovery time is quick and as the months progress your chances of becoming pregnant should continue to improve.

There is another option, but it does not reverse the ligation. It is called an IVF, or in vitro fertilization. Here, a fertilized egg is placed in the woman's uterus. But it is not the preferred choice for the following reasons. The procedure is quite expensive and must be done for each cycle where a woman wants to try to get pregnant. If it doesn't take, which is common, then she must start over. That means more money each time she tries.

Source: www.tubal-reversal.net

June 21st 2010 (ezinearticles) How to Conceive After Tubal Ligation - What a Woman Must Know

Tubal surgery for blocked fallopian tubes

2010-02-15T17:01:00.000-08:00

With the invention of in vitro fertilization many years ago, some doctors are no longer performing tubal surgery on a regular basis. In fact, doctors are being trained and taught to do IVF but not getting information on how to do to tubal surgery. For women who have blocked fallopian tubes, this type of surgery can often be the only way that they can get pregnant. Because IVF is an expensive procedure that has a lower success rate than tubal surgery, women have a limit as to how many times they can attempt pregnancy with it.

However, tubal surgery provides a permanent fix for the problem of blocked fallopian tubes. This means that women can pay to have the surgery one time and continue to try to get pregnant each and every month. The cost of tubal surgery is considerably less than IVF also on average. Unless there are problems with scarring or adhesions after tubal surgery, women should continue to have open tubes and the ability to get pregnant.

This, of course, assumes that the woman and her doctor find the cause of her blockage and treat it so it will cause no further blockage. Since most often it is caused by a disease, and a sexually transmitted disease at that, taking care of the cause is usually done with a full antibiotic treatment.

Then, too, a woman needs to find a doctor who is experienced and knows what he is doing with regards to the surgical alternative. As training in this field is not a top priority these days, it is important to be selective in your choice.

If both of the fallopian tubes are blocked, the only way that a woman will get pregnant is either with IVF or tubal surgery. Finding a good doctor who understands and does tubal surgery on a regular basis is important because they can assess your particular situation to see if you would be a good candidate for the surgery.

For women who have blocked fallopian tubes, tubal surgery is a great option due to its relatively inexpensive price and its long-term potential to allow the woman to get pregnant. Blocked fallopian tubes do not always get symptoms, so if a woman is experiencing infertility for no known reason then she should see her doctor to have the situation assessed. The cause needs to be determined so that it can be treated appropriately and so there are no further episodes.

Tubal Ligation Side Effects

2010-02-07T14:00:00.000-08:00

Are you suffering from tubal ligation side effects? Of course, first off you would have to have had your tubes tied for this to be the cause of what is happening to you. As we can assume you wouldn't be questioning these things being side effects of tubal ligation if you hadn't had your tubes tied, then we can proceed with the knowledge that you did indeed have a tubal.

So what are these side effects you may be suffering from? While many women complain of much heavier bleeding, severe cramping, fatigue, loss of libido and hot flashes, these are not the only symptoms you may suffer. So just because yours doesn't fall in that list doesn't mean it's not one of the side effects of tubal ligation.

If you have gone to your doctor complaining and questioning your symptoms and that they may be related to having your tubes tied, you might have been met with skepticism. You might be told that your body is just getting older or these problems are a result of the stress in your busy life. Many women have been told flat out that there are no side effects to tubal ligation and that they need to seek counseling or take medications for depression.

However, there are the doctors who believe that the side effects of tubal ligation are really nothing more than what happens because a woman has gone off the birth control pill. Maybe that's the case for some of the women. The pill has been regulating their hormones, they get their tubes tied, and go off birth control pills only to no longer have it regulating their hormones which causes some changes to their bodies.

The problem with that assumption is the many, many women who suffer from tubal ligation side effects and had a tubal at or right after the birth of their last child. On the Chapel Hill Tubal Reversal Center message board, you can find case after case of this. This means going off birth control pills is not the cause of their tubal ligation syndrome.

Birth control pills can be the answer to these symptoms for some women. One woman's doctor finally prescribed the pill for her and told her that most women end up on birth control after their tubal in order to regulate their hormones. But that's not the only alternative.

The other alternative is having a hysterectomy. One source says that women who have had a tubal are over 3 times as likely to end up with a hysterectomy later on. Even then, you will suffer some other effects taking this course such as going through menopausal symptoms.

A last alternative is a ligation reversal. If you should choose this course, you will want to find a doctor or facility where ligation reversal is all that is done. After all, if you have cancer you want a cancer specialist taking care of you, not one who splits his time and knowledge into other fields.

The Chapel Hill Tubal Reversal Center even did a small population study on the results for women undergoing ligation reversal to counteract their tubal ligation side effects. In that study, there was a 90% success rate for relieving the symptoms of post tubal ligation syndrome. If you want to relieve yours, you should highly consider seeking out these doctors and having them do your ligation reversal.

Chapel Hill Tubal Reversal Center has a free online forum to discuss PTLS, join the conversation today on the Tubal Reversal Message Board

Chances of Getting Pregnant After Tubal Ligation Reversal

2010-01-17T14:52:00.000-08:00

When a woman wants to have a baby, she can have the most emotional and gut wrenching feelings in her heart day after day. However, when a woman has had her tubes tied and then realizes that she made a big mistake, the overwhelming sense of guilt and anguish can be too much to bear. She may have changed her mind due to a life change such as the loss of another child or even a new marriage. No matter what the reason, her primary goal becomes how to improve her chances of getting pregnant after having a tubal ligation.

She might go to her gynecologist who would possibly give her incorrect information that the only way she could get pregnant is by having an in vitro fertilization. Anyone who has ever checked into IVF knows that it's extremely expensive and it does not have an overly high success rate. In fact, women who have experienced infertility and have done IVF treatments will often tell you that they spent their life savings doing these treatments month after month. Some women are successful and end up having children. However, there are many others who spent tens of thousands of dollars only to end up with no baby.

It should be good news for women who have had a tubal ligation to know that there is a procedure called a tubal ligation reversal. This procedure is similar to a man's vasectomy reversal as the tubes are reattached so that in an egg can move down the fallopian tubes. Although they are not always successful, nothing is. However, once a woman has a tubal ligation reversal procedure, she has the ability to get pregnant each month which is unlike IVF. With IVF, a woman would only have the chance to get pregnant at the time she has the procedure. Once that month has passed, unless she wants to pay more money, her chances of getting pregnant are eliminated.

During a recent 8 year study conducted by the Chapel Hill Tubal Reversal Center, it was found that the pregnancy rate after having tubal reversal was much higher than that of IVF in every age group. Because a woman can get pregnant month after month once having had a reversal, the chances of getting pregnant continue to increase over time. Therefore, the chances of getting pregnant with a tubal ligation reversal surgery are much higher and more stable than those of IVF. If a woman wants to continue trying to have a child, it would be best for her to invest her money in having a tubal reversal surgery rather than repeated IVF unless there is some other medical reason why her doctor thinks she should do so.

Why She Chose Chapel Hill Tubal Reversal Center

2009-12-10T13:13:00.000-08:00

Roslyn, a Chapel Hill Tubal Reversal Center message board member since 2008, is scheduled for tubal reversal surgery later this month. She posts her impressions of the staff on the message board, describing the staff members as polite, caring, and patient. Read more comments from patients on the website and on the Patient Satisfaction page.

This is topic Why did you choose CH? in forum Questions about Tubal Reversal at Tubal Reversal Message Board.

Posted by WIMom27
I am about 90% sure I will be coming to Chapel Hill Tubal Reversal Center for my tubal reversal , but still have a few questions I'm trying to get figured out in my own mind. I would appreciate any of you ladies out there who are willing to share your reasons with me why you chose CH and how you have felt about your experiences with them. Thanks!

Posted by christbride
The message board was the main reason i decided on CH. This was the only place i could get "real" feedback on everyone's experience and not just testimonials they posted on their site and the only site that gave live statistics on their results. and it was much cheaper than local tr places. and this is his specialty and he does so many surgeries a day i figured he must know what he's doing. Dr. Monteith was interning at the time i had my tr done. it was successful. i have a 8 1/2 month old baby girl. definitely the best decision i made.

Posted by praying4more2009
I had a wonderful Experience with CH:)
When I started to do my research I just found myself drawn to this one.. maybe it was the online community and reading everyone's experience there and all the success stories. Everything I read was exactly what I got! Absolutely wonderful staff and service there. When I met Dr. Monteith I felt at ease..he was very understanding and also was honest about the fact that he did not know from reading my report if I had enough tube left without further testing..We chose to take our chances and I was happily surprised to have him tell me I had 5 &5.5cm left:)
What really made me decide on Ch was when I went to my own OBGYN and asked if he would reverse me and he said, 'yes i could, but I don't really recommend it at your age.. id suggest IVF.' I went home feeling deflated. The more I thought about it, I realized that yes my obgyn can do it..BUT he probably doesn't do them often.So maybe if I wanted the best chance, I should go somewhere that this is ALL they do. That was the biggest reason..they do TR everyday and that is ALL they do there. I had my TR done oct20-09

Posted by Hopeful1970
I came to CH after 7 years of trying to get a reversal done through the military. I had great care at CH. Dr. Monteith gave me my life back. I had my TR done on 11/23/09. I have 7cm on my left and 5.5cm on my right ( tubal length ). You will enjoy the experience.
Sabrina

Posted by Sally, RN
WIMom27--If you have any questions at all feel free to call our office and speak with any of the knowledgeable tubal reversal nurses . They will take the time that you need to get any questions answered. The message board is also a wonderful place for support and first hand information about how patients really feel about there care. December is a wonderful time to get your reversal done so you can have a happy new year in 2010.
Sally,RN

Posted by Erika J, RN
We are here to answer any questions or address any concerns you may have. You can contact us for tubal reversal questions at 919-968-4656.
Erika J.

Posted by GodisGood68
Hi, I have been on the message board since early 2008. The information and support we get from each other is phenomenal! The staff of Chapel Hill Tubal Reversal Center are very polite and caring. I'm having my TR Dec. 29th. Even trying to get all my bloodwork and medical information, they are very patient and polite every time I called or emailed with questions. When I told my GYN/OB my desires to have TR she did not know that I was looking at CH, and she referred them to me. How incredible is that!!! I am located in Bermuda. So, that is why I choose CH. Sorry for the long story, but I hope it answers your questions.
Roslyn

Is Pregnancy Possible After Endometrial Ablation

2009-12-02T00:46:00.000-08:00

Pregnancy After Endometrial Ablation And Tubal Reversal

Dr. Charles Monteith, a microsurgeon at Chapel Hill Tubal Reversal Center, explains that many women will have both a tubal ligation and an endometrial ablation procedure. Some of these women will regret their decision and wish to become pregnant. and that a successful pregnancy is possible after an endometrial ablation; however, there are unique risks of pregnancy in women who become pregnant after ablation. Women who are considering pregnancy after an endometrial ablation need to be carefully informed about these risks.

Both uterine artery embolization and endometrial ablation are procedures to treat heavy menstrual periods. Although they both decrease bleeding, each procedure is uniquely different.

The uterine artery embolization is done by a radiologist in a radiology procedure room and involves blocking the uterine arteries to decrease blood flow to the uterus and decrease blood loss during the menstrual period.

An endometrial ablation is a surgical procedure done by a gynecologist either in the office or the operating room and involves removing the endometrial lining of the uterus. This also helps to treat anemia by reducing or eliminating blood loss during menstrual periods.

Both of the above procedures are designed to treat anemia and heavy menstrual bleeding. They each do this through a different process and pregnancy is possible after either endometrial ablation or uterine artery embolization. The purpose of this series of articles is to explain the risks of pregnancy after endometrial ablation.

Pregnancy And Endometrial Ablation Procedure

The goal of the endometrial ablation is to permanently remove the endometrial cells that make up the lining of the uterus. There are many different types of ablation procedures:

Laser ablation
Roller ball electrocoagulation
Transcervical resection (actual removal of the lining)
Cryoablation – Freezing. (Her Option)
Thermal ablation -hot water balloon (Thermachoice)
Thermal ablation -hot water (HTA)
Microwave endometrial ablation (FemWave)
Electrocoagulation (Novasure)

Although there are many different endometrial ablation techniques, these procedures are all intended to have the same end result: removal of the endometrial lining and a reduction in the amount of bleeding during a menstrual period.

Menstrual Period And Endometrial Ablation

Most endometrial ablations are not very effective and will not remove 100% of the uterine lining. A significant number of women will continue to have menstrual periods immediately after or within five years of an endometrial ablation procedure. These are the women who are most likely to be able to become pregnant.

Endometrial Ablation: Tubal Ligation or Vasectomy?

Pregnancy is possible after an endometrial ablation procedure, and, because of the possibility of pregnancy, most doctors recommend a permanent form of birth control in women who undergo ablation procedures. The most common procedures during or after an endometrial ablation are vasectomy or tubal ligation. Some women who undergo endometrial ablations will use a hormonal form of contraception or rely on the protection sometimes afforded by older age.

Menstrual Period After Endometrial Ablation

Women who have a menstrual period after an endometrial ablation can become pregnant and pregnancies after ablation have been reported in the medical literature.

Some women will accidentally become pregnant after an endometrial ablation. The majority of these pregnancies have been among women who were not using birth control or not using a reliable form of birth control or among those who have had a failed tubal ligation or vasectomy. Some pregnancies have been among women who have intentionally had either IVF or tubal ligation reversal.

Pregnancy is most likely to occur in women who have resumption in their normal menstrual cycles because these are the women who still have enough lining to create a menstrual period and support a pregnancy.

Endometrial Ablation And Tubal Reversal: Is Pregnancy Possible?

Many women will regret their decision to have a tubal ligation and endometrial ablation and will inquire about reversal. Most manufacturers of endometrial ablation devices and most physicians who perform endometrial ablations do not recommend becoming pregnant after an ablation procedure. Pregnancy is not recommended because of the higher risk of miscarriage and pregnancy loss.

Pregnancy after endometrial ablation and tubal reversal is possible but there are unique considerations regarding pregnancy after an endometrial ablation.

Readers are welcome to visit our Tubal Reversal Blog and read personal stories about tubal reversal and pregnancy success. We also invite readers to visit our Tubal Reversal Message Board and participate in ongoing discussions about pregnancy after endometrial ablation and tubal reversal.

My Space Video Interview WithTubal Reversal Staff

2009-10-29T16:47:00.000-07:00

My Space video interview with Chapel Hill Tubal Reversal Center Staff
Meet the Chapel Hill Tubal Reversal Center Staff

CHTRC Webmaster | MySpace Video
Staff members at Chapel Hill Tubal Reversal explain their how they help make reverse tubal ligation safe, comfortable, and successful for women wanting a pregnancy after tubal ligation. Each staff member has expertise in caring for and performing outpatient tubes reversals. A high staff/patient ratio with one or two nurses devoted specifically to each patient’s care means women receive safe, personalized, professional care while they are joined by other couples who are at Chapel Hill Tubal Reversal Center to enable pregnancy after tubal ligation.

Tubal Reversal Surgeons Reverse Adiana Sterilization

2009-10-09T17:59:00.000-07:00

Doctors at Chapel Hill Tubal Reversal Center become the first to reverse tubal sterilization by the Adiana technique

October 9th, 2009 (Chapel Hill, NC) – Julia Smith, RN, Nurse Administrator at Chapel Hill Tubal Reversal Center in Chapel Hill, North Carolina, today announced the first successful tubal reversal procedure to repair the fallopian tubes in women who have undergone the Adiana method of tubal sterilization. This is the first pregnancy after Adiana reversal for the newly approved sterilization system.

Adiana sterilization was approved for use in the US by the FDA in July 2009. The procedure can be performed in a physician’s office and involves using radio frequency energy to remove cells in the lining of a small area of the fallopian tubes nearest the uterus. The device itself is then implanted in this prepared area. The Adiana system is similar to the Essure sterilization method in being a non-surgical female sterilization method which promotes scarring to create a tubal blockage.

Dr. Gary S. Berger and Dr. Charles Monteith performed the reversal during a one hour and ten minute tubal surgery procedure. The healthy fallopian tubes were separated from the blockage and tubal implantation was performed through a newly created opening in the back of the uterus. Since the Adiana and Essure sterilization methods involve a small segment of the narrowest part of the fallopian tube, long tubal segments remain after the reversal procedure which is a major factor in tubal reversal success rates. The pregnancy success rates can be found in the latest tubal reversal study available at http://press.tubal-reversal.net/2009/pregnancy-rates-by-age-and-tubal-ligation-method.html

Dr. Berger and Dr. Monteith performed the tubal reversal procedure on a 35-year old woman who underwent sterilization by the Adiana technique as part of an experimental trial to test the new sterilization procedure six years ago. Although she underwent tubal sterilization intending for the procedure to be permanent, the patient’s decision to reverse the procedure was promoted by the unexpected and sudden loss of a child.

Chapel Hill Tubal Reversal Center is the only facility in the United States that specializes in the practice of tubal reversal surgery and repair of blocked fallopian tubes. Patients travel from across the US and from abroad for surgery at the specialty facility with its highly trained and experienced surgeons and staff. Additional information regarding tubal reversal surgery, Adiana reversal and Essure reversal is available at Chapel Hill Tubal Reversal Center, including profiles for Dr. Berger and Dr. Monteith, can be found on the website at www.tubal-reversal.net.

Tubal Reversal Pregnancy Study Report 2009

2009-09-14T13:23:00.000-07:00

Study Shows Tubal Reversal Surgery is the Best Treatment to Have More Children After a Tubal Ligation

Dr. Gary S. Berger today reported the results of the largest study ever performed of tubal reversal surgery, involving over 5000 women. The prospective study concludes that tubal ligation reversal is more successful than IVF for couples wanting more children after a tubal ligation.

“A simple one-hour outpatient tubal reversal procedure is more successful and costs less than half than the widely used and more complex IVF treatment,” said Dr. Berger, Medical Director of Chapel Hill Tubal Reversal Center.

“With increasing divorce and remarriage rates, many couples want to start second families, even after women’s tubes have been tied. Most people, including infertility specialists, think of tubal ligation as a permanent method of birth control,” continued Dr. Berger. Tubal ligation reversal repairs the fallopian tubes to allow pregnancies to occur naturally again.

The Tubal Reversal Pregnancy Report 2009 compared pregnancy statistics from Chapel Hill Tubal Reversal Center with the latest IVF statistics in the US. Pregnancy and birth rates were higher after tubal reversal than after IVF for every age group.

The study involved 5,046 women who had tubal reversal surgery performed by Dr. Berger between July 2000 and June 2008. This is the largest and most detailed long-term study ever performed regarding tubal reversal surgery results.

At the conclusion of the study interval, 66 percent of the tubal reversal patients had reported pregnancies. The pregnancy rate ranged from 80 percent for women under 30 to 31 percent for women 40 and older. The highest pregnancy rate (90 percent) was among women under age 30 following reversal of a clip method of sterilization.

Dr. Berger, one of the pioneers of tubal reversal surgery, is a reproductive surgeon who specializes in and limits his practice to outpatient tubal ligation reversal. Eliminating the need for hospitalization was one of the main factors in the lower cost of the surgical procedure.

Tubal Reversal Pregnancy Study Report 2009

Tubal Reversal Informed Decision And Recovery

2009-08-16T14:06:00.000-07:00

Chapel Hill Tubal Reversal Center (http://www.tubal-reversal.net) -- Dr. Berger discusses the issue of informed decision about tubal ligation reversal with his patient during her recovery just after her tubal reversal surgery. As a nurse herself, she points out how helpful it is to have a full understanding of the tubal reversal process to make an informed decision about it and why she chose tubal reversal vs IVF

Transcript of Video Interview With Dr. Berger

Dr. Berger: And briefly because of their ages they were told no you can’t and that was really not their place. That is not a decision that a doctor makes for somebody else. I mean that is a personal decision based on the concept of informed consent. Then I suggested we talk a little bit about it because to me that is a really important issue. And informed consent is not just the signing of a piece of paper where someone just sticks a piece of paper in front of you. It is a process of when someone calls or starts to seek information. We try to provide very comprehensive information about everything that we can think of that is related to tubal ligation reversal. All of the pros and cons, how it’s done, what are the various options. I mean in the terms of surgery the various types of surgical procedures, alternative treatments which involves in vitro fertilization or some variation of that.

Tubal Reversal Patient: Your website is excellent as far as finding out. I mean, I am a researcher. I will read something to death before I make a decision. And you do offer a lot of information on your website. And everyone was so knowledgeable too. I mean, I did have questions pop up and it was very easy to have questions answered. Even at home if I did think of something it was easy enough to find it on the website or to find someone that could answer it. And that is being accessible too and that is a really good thing.

Dr. Berger: That’s right it is pretty important and we have nurses generally we have two nurses. Well, during working hours we have a lot of nurses who work here. But, outside of work hours we have two nurses carrying cell phones and myself. And I try to be readily available by email. I check email everyday even multiple times throughout the day. But it’s interesting to me too like you are here this is now and we are sitting in the second stage recovery room. And I think I finished your operation around 11:00am.

Nurse: 11:07am

Dr. Berger: And it is now 12; 35pm, so this is within an hour and a half of surgery. I think one of the things that is important to me that I really try to ensure for patients is that not only is the surgery safe but I do everything I possibly can to make sure it is comfortable.

Tubal Reversal Patient: Nods head and answers yes.

Dr. Berger: Because one of the worst things about surgery is that it can be real painful and that’s one of the disadvantages of a surgical procedure and the recovery time it takes. I find it interesting and the reason I asked if you’d be will to talk about it because as a neonatal intensive care nurse you see things from both the patients perspective and as a nursing professional.

Tubal Reversal Patient: Some of the wonderful things you have are the pictures you have and the books in the waiting room and there are people who are wondering are really real and yes they are they are right in the books and that is a wonderful thing. And it really boosts you up a bit.

Dr. Berger: And that is the joy of the whole thing. And obviously, I want know I mean there are various reasons for it. And when it comes back to the issue of informed consent frankly I don’t see how anyone could undergo tubal reversal surgery unless they have a realistic idea of that the success is going to be. That is in the potential benefits and the potential risks. Well if we do not follow up on all the patients that have surgery and find out what the outcomes are how can provide that information? And I don’t know how to say it the sad thing or kind of disgraceful thing is that no one else does this. It does take a lot of effort admittedly. You have to be committed to maintaining that contact which is different then most surgical procedures where once the patient is recovered from surgery and they are no longer a patient. But, to me it’s the only sensible thing to do. It’s exciting to know what is happening. Intellectually, it is gratifying. And it adds useful information to the medical field but it’s absolutely essential for the patients when they are trying to decide what to do. If they don’t have that how could they really decide between IVF or tubal reversal or to go to this place or have a tubal reversal someplace else? These things seem just common sense.

Tubal Reversal Patient: And they are able to decide what to do. When I went to work and told them what I was going to do and they asked if it was going to work and I was able to give them that information because it was right there on the website and plus in speaking with you. I know everyone’s situation is different and every patient that comes through your door has a little bit of a different scenario why they chosen this and what’s going on in their lives and you are right in what you said informed consent is a very personal thing. But the question is will it work for me? And what are the benefits and what are the risks involved to me is I do this? Not just physically but emotionally and it is a big undertaking for anybody. And I really do feel like I was very prepared by you the staff and your website.

Dr. Berger: (To partner) And how about you? How do you feel about it?

Tubal Reversal Patients Partner: The full disclosure of knowing both sides of it it is not a used car sales pitch. It’s here what we offer and here’s the good, here’s the bad and you make the decision on your own. There’s no sugarcoating of anything to get business. You definitely give out the impression of you want people to come in knowing what they are getting into and that they are completely aware of every aspect and every side of it.

Dr. Charles Monteith, Tubal Reversal Surgeon

2009-07-29T19:48:00.000-07:00

Interview with Dr. Charles Monteith
Tubal Reversal Surgeon at Chapel Hill Tubal Reversal Center

Charles Monteith, M.D. speaks about his education, training, and certifications. Dr. Monteith says he currently performs tubal reversals eight to twelve a week and the reasons women mention for wanting to have their tubes reversed. He says these include a new partner, or people have just changed their minds and decide they want to have more children. He adds a lot of women have experienced changes in their bodily functions after tubal ligation, and that patients refer to this as Post Tubal Ligation Syndrome.

Transcript of Video Interview With Dr. Monteith

Interviewer: Can you tell us about your medical school and residency training?

Dr. Monteith: I went to medical school in San Francisco, University of California in San Francisco and finished my MD degree there and then subsequently returned to the University of North Carolina, Chapel Hill to do my obstetrics and gynecology residency.

Interviewer: How long have you been performing reproductive surgery?

Dr. Monteith:I have been performing Gyn. surgery since 1997 but as of a year and a half ago dedicated myself exclusively to working with Dr. Berger and doing tubal reversal surgery.

Interviewer: And before you started working with Dr. Berger did women frequently ask for tubal reversal procedures was that something that something that came in your practice prior?

Dr. Monteith: As a generalist I did not see a lot of women that requested tubal surgery. However, our practice was a majority of young pregnant women. So I didn’t get a fair assessment of how many women were out there that wanted to have tubal ligations reversed. However I did have a partner that did perform exclusive GYN services she fairly often had requests or inquiries about tubal reversal surgery.

Interviewer: What made you pursue a certification in tubal reversal?

Dr. Monteith: I think I had had practiced high risk obstetrics and gynecology for a good seven years after I finished my residency and just one day I realized I needed to change what I was doing or I wasn’t going to last very long doing it. The way medicine has become is very high volume very stressful and little time with patients. I felt like I really wasn’t helping people to the best of my ability. Patients would come they would go. They would their insurance and have to go find another provider. People would come with job movement in the middle of pregnancy or leave in the middle of pregnancy and I just found that I didn’t get a lot of personal fulfillment out of it. I especially like my role as a tubal reversal provider because I like I’m being with a physician is supposed to be. I’m using my skills to help people to the best of my ability. And I especially feel because it’s not a widely offered service that I’m doing even better for a lot of women.

Interviewer: How many reversals do you perform each week?

Dr. Monteith: On average about eight to twelve a week currently.

Interviewer: What are some of the reasons women mention for wanting to have their tubes reversed?

Dr. Monteith: It seems like the most common reason is basically none of us can predict the future and most commonly it seems women find themselves in new relationships. Usually it is bad marriages, separations and divorce. And they find themselves with a new partner and just very strongly they would like to have children together. A close second to that would be to people that have just changed their minds and decide they want to have more children. And then a lot of women have experienced changes in their bodily functions after tubal ligation.

Interviewer: Are you referring to Post Tubal Ligation Syndrome?

Dr. Monteith- Ah yes, what most patients refer to as Post Tubal Ligation Syndrome.

Interviewer: And how frequently do you hear that as a condition that women feel they have developed?

Dr. Monteith- We hear it very commonly. There are probably a lot of women who come through here that never voice it or share it. But, at least in my experience here, I see a patient at least once a day if not every other day that has experienced worsened menstrual symptoms or bodily functions after a tubal ligation procedure.

Interviewer: And how much follow-up or are you able to follow-up after the surgery to see if that has improved?

Dr. Monteith: I am in the process of doing that now. Last year, we did a small case study on five women that had tubal ligations and experienced Post Tubal Ligation Syndrome. This summer it will be a full year and thus far in talking with them it seems at least about 70% of them have gotten better. Very frequently I am amazed that women post on the message board how much improvement they feel after they have reversal surgery.

Interviewer: How much contact do you have with patients after their reversal surgery?

Dr. Monteith: Most patients come from long distances so there is not a lot of direct contact but the most amazing thing is our tubal reversal patients seem to keep close contact by email and through electronic means. So, we hear from a large number of our patients.

Interviewer: What’s the best part of tubal reversal surgery and what you’re doing currently?

Dr. Monteith: The best part is really just using my skills to help a woman, a couple or a family to achieve what they would otherwise not be able to achieve and that is to add more children to their family or their relationship. Or to improve their perceptions about their body.

Interviewer: What do you like about Chapel Hill Tubal Reversal Center?

Dr. Monteith: The thing I like the most about this center and I come from my experience of working a large university and also from working at a large good quality hospital in Raleigh is that this center works with amazing efficiency. We take great care of patients. The staff seems to be real happy and motivated. And we are all dedicated to doing just one thing and that’s tubal surgery. And it feels good to work in a place with such high efficiency for the betterment of patients.

Interviewer: How does Chapel Hill compare to the in patient care of a hospital?

Dr. Monteith: There about the same as some of the best hospitals I have worked at and probably even better. Mainly because we are all focused on one thing and the staff really knows their jobs. And we are all dedicated to making that one goal happen, and that’s safe outpatient tubal repair surgery.

More Information about Dr. Monteith

The Cost Of Tubal Reversal Surgery

2009-07-20T17:24:00.000-07:00

For many women and couples who are looking into tubal reversal surgery the cost is a big issue. In these hard economical times everyone is trying to cut corners. There are some surgeons that are very expensive and some do charge less for the tubal reversal surgery.

One of the biggest things to watch for when comparing the prices for surgery is that the price may be lower until you add in the other expenses. What many have been doing is stating a low price and then after adding in the price of the anesthesiologist and the hospital stay, which ends up being very expensive. Many do not realize this until they think they have all the money saved for the surgery and then go to a consult with the surgeon who will be performing the tubal reversal surgery and then are told the added in charges.

Read the rest of this article

Good Financial News for Tubal Reversal Surgery
Women desiring tubal reversal often find themselves being financially creative. The cost of tubal ligation reversal can range from $5400 to over $25,000, depending on where the operation is perform. Chapel Hill Tubal Reversal Center keeps the cost for tubal reversal to the absolute minimum to help women be able to afford the operation that will allow them to have more children. Many women wanting a baby after a tubal ligation share their ideas on the Tubal Reversal Message Board for overcoming the financial obstacles to having this life-giving procedure.

Tubal Ligation Side Effects

2009-07-17T15:17:00.000-07:00

If you have been doing research about having your tubes tied before having the surgery, then you are smart. Most women, however, don't do any research. They just know it's the most popular form of permanent birth control and just go for it. After all their doctors have told them it's popular and completely safe. Unfortunately, many of them find out later, after the symptoms start, about some tubal ligation side effects called Post Tubal Ligation Syndrome.

But let's say you are looking for information ahead of the surgery and you have run across mention of post tubal ligation syndrome. Doesn't sound like much fun, does it? So you are probably wondering just who is at risk of suffering from this condition and what causes it. If you have already had your tubes tied and are suffering it, you may also want to know what can be done to relieve the problem which is below.

Who is at risk?

Risk factors that some study has been done on resolve down to two things - what type of tubal ligation you have and your age.

In an interview at the International Pelvic Pain Society conference with Dr. Ahmed El-Minawi, Ph.D., we learn that women who have had what he calls more destructive forms of having their tubes tied are the ones at higher risk to suffer from ptls. The methods which cause the most damage to the mid-segment of the fallopian tubes such as with the Pomeroy or Irving-type procedures fall in this category. Also included are the coagulation methods with a bi-polar coagulation, or as we laymen call it, cauterization, being the more destructive.

Additionally, women who are in the 20s when they have their tubes tied are at greater risk of having menstrual disorders. That's from one study which looked at women who had tubal ligation vs. those who did not and who ended up in the hospital with menstrual disorders. Women in their 20s were 6 times more likely to go. To put it another way, that's 600% over the normal population.

While looking at the above two paragraphs might make you think, "Hey, I'll just wait till I am 30." and to be sure to get rings or clips to tie your tubes, that just is no guarantee that you won't get post tubal ligation syndrome. Why? Well, that leads to the next part.

What causes post tubal ligation syndrome?

This part I have to start with a warning. We really don't know what causes ptls at this point in time. It really needs research, real studies, by researchers who don't go into these studies with the idea that ptls doesn't exist. I've read some of the abstracts and conclusions of studies already done and even when a study shows that something is going on, it's discounted on various grounds. As the old saying goes, "I'll see it when I believe it." Personally, I have just read too much from women who are suffering from post tubal ligation syndrome not to believe something is going on.

So the present theories, including from one doctor who was involved in this field for ten years, is that when the tubes are tied, the blood supply to the ovaries is damaged. It can even be cut off entirely which can cause ovarian isolation which leads to atrophied ovaries. When either of these happen, your body isn't going to get the right amounts of the hormones you need. Or you can get the right amount of one and not enough of another leading to hormonal imbalance.

The other theory is that even when the blood supply is just fine, damage is done to the receptor cells which can lead to this failing of the hormones again. These cells carry the messages about the hormones. Messages don't get through; hormones don't get through, at least not in the right amounts.

Basically, the main theory that however it is done, the hormones get all messed up which lead to a woman suffering a whole host of problems which make up the symptoms of post tubal ligation syndrome (check other articles about the list). This is why many women upon complaining to their doctor of their new symptoms end up on birth control pills. It's either that or a hysterectomy in most cases which leads to its own list of problems.

But if you really want to do away with ptls, your best chance of recovery lies in having a tubal reversal. Dr. Berger of the Chapel Hill Tubal Reversal Center began collecting statistics (only tubal doctor I know of who does this) when he realized how many women were coming to him for tubal reversals in order to relieve their symptoms of ptls. He can now say he has a 90% success rate in helping women recover from post tubal ligation syndrome.

What this means is that if you do go ahead with having your tubes tied and you end up in the unlucky 37% or so that have post tubal ligation syndrome, if you choose, you do have a way out. But please check more into ptls before you go ahead with your tubal ligation first.

Tubal Ligation Reversal Surgeons - What To Look For

2009-06-19T18:53:00.000-07:00

For those who are looking for the right tubal reversal surgeon the choice is not always easy to make. Reading what other patients have to say can be very helpful and insightful.

Posted By Debby Verville Jun 19, 2009 at 10:53 AM

For those who are interested in tubal reversal surgery many wonder what to look for in the surgeon. Many patients who actually write back and forth on message boards have shared what experiences brought them to choosing the physician that was right for them.

Tubal reversal surgery like most surgeries is something that when it is time to choose the physician you as the patient want to be 100% sure with the decision you have made. Being confident with your decision will not only put you at ease but you will have an understanding of what to expect in the long run.

For many who go through a surgery knowing that you can get in touch with the staff and surgeon should something arise means a great deal. This is one thing that the surgeons and staff at Chapel Hill Tubal Reversal Center pride themselves in. They believe that every question is important. If it weren’t important then why would someone ask it?

When searching for the surgeon to perform tubal reversal surgery one of the best things that can be done is to talk to previous patients. This can be done by checking to see if the surgeon has a website. If they have a website look to see if they have a message board. In the message board look to see what the patients are saying and who may be asking questions and who and how they are being answered. Does the staff take the time to interact with the people asking questions? If so, are the answered in a friendly tone? Are the questions answered in a way that can be understood by someone not in the medical community?
What type of pregnancy rates after surgery do the patients have? Is there any data to show the actual results? Any tubal reversal surgeon can proclaim that all of the patients that have been through surgery have had successful pregnancy but is there any evidence to back this up?
Will the surgeon be honest with the patient in what to expect? The last thing people need is a surgeon to fill them with unrealistic expectations. Why have people believing something that may not happen? This is a ploy used by some just to make money.
Do the staff and surgeons care about what they do? This is something that many of the former patients can answer. Dr. Berger and Dr. Monteith’s patients have written about this many times and continue to do so.

Is Tubal Reversal After Age 40 Possible?

2009-05-29T16:44:00.000-07:00

Sandra Wilson asks "Is Tubal Reversal After Age 40 Possible?"

Sandra says most doctors have negative views about the likelihood of women becoming pregnant in the forties, especially if they have had a previous tubal ligation. The commonly recommended treatment is donor egg (using the eggs from a woman in her twenties) IVF.

Data from a study of tubal reversal patients at Chapel Hill Tubal Reversal Center, however, shows that pregnancy is possible for women in their forties using their own eggs and conceiving naturally after a tubal ligation reversal.

Of the 4025 tubal ligation reversal procedures done by Dr. Berger of the Chapel Hill Tubal Reversal Center from 2001 to 2007, 13% were for women wanting a pregnancy after 40. Of these 506 women, his 2007 study shows that 41% became pregnant following their tubal reversals.

Women age 40 and older, however, do have a higher miscarriage rate (approximately 50%) than younger women (35%). Nevertheless, this study shows that tubal reversal is a reasonable treatment option, and it is considerably less expensive than the complex treatment of donor egg IVF.

Full text of Sandra's article:

There are a great many women who, after reaching the age of 40, then decide that they want to have more children although they have undergone tubal ligation. Today tubal ligation reversal to allow for pregnancy after 40 is becoming an increasingly common procedure. In one tubal reversal center alone during the period of 2001 to 2007, the surgeons carried out 4,025 tubal ligation reversals and 13% of these were for women over 40.

However, any woman who has undergone the original procedure to have her tubes tied must be aware that there are certain factors that need to be taken into consideration when thinking about having it reversed. The chances of a woman conceiving naturally once she is over 44 are greatly reduced. In fact, there is only a 5% chance of women over 44 conceiving naturally in the general population.

What these women who are seeking a tubal ligation reversal for a pregnancy after 40 need to be aware of is that not only are the chances of them becoming pregnant reduced, they also at a much greater risk of miscarrying when they do get pregnant. This concern along with related risk of chromosomal abnormalities means a woman seeking a tubal ligation reversal after 40 should be very aware of all the potential problems and be sure she considers all the alternatives.

For a woman who is trying to become pregnant when over 40 and after a tubal ligation reversal, there are certain things to do that can improve their chances. Below we look at just a few of these things.

It is important that before a woman tries to get pregnant after the reversal that she allows her body time to heal properly. One needs to remember that abdominal surgery has been carried out, so not only do the tissues but also the muscles of this part of the body need time to recover and repair.
By ensuring that your body has healed properly, you are providing it with the strength it needs to carry a new child. Therefore, it is a good idea for the woman to allow one complete menstrual cycle to take place before attempting to conceive after undergoing tubal ligation reversal surgery.
Another thing the woman should do which will help when it comes to a pregnancy after 40 is to track her menstrual cycle. The most effective and efficient way of doing this is by using an ovulation prediction kit, which you can purchase from your local drug store or online. By knowing when ovulation is taking place, the couple can then determine when is the best time to make love to improvetheir chances of conceiving the child they want together.
Lastly, once the woman thinks she is pregnant, she needs to follow closely the pregnancy protocol that her surgeon has established to ensure a healthy pregnancy and to be sure that the potential problems, such as ectopic pregnancy, have not happened.

Of the 4025 tubal ligation reversal procedures done by Dr. Berger of the Chapel Hill Tubal Reversal Center from 2001 to 2007, 13% were for women wanting a pregnancy after 40. Of these 506 women, his 2007 study shows that 41% became pregnant following their tubal reversals. Check out the blog at his website and learn more about the concerns for women becoming pregnant after 40 following a tubal reversal.

Pregnancy After Tubal Reversal Surgery

2009-05-18T15:19:00.000-07:00

Sometimes, you get thrown a curve. Some time back you had your tubes tied but now you've changed your mind and have had or will have a tubal reversal so you can conceive another child. Once the operation is done, all you have your mind on is trying to conceive and have a pregnancy after tubal reversal surgery. However, you shouldn't get ahead of yourself. Here are a few tips and facts to help you out while trying to conceive.

Begin by realizing it takes time to get pregnant. During the time that nature is taking its course, you will find some of the following tips pertinent but let this one fact here help you maintain a positive mindset. During a 2007 study of his tubal reversal patients, Dr. Berger found that the vast majority of them got pregnant within 13 months. Yes, this does mean that there are a few who take longer. But I hope it will help you to know most do have a pregnancy after tubal reversal surgery within about a year.

Before you begin trying to conceive, let your body heal after the tubal reversal. You had abdominal surgery and all those muscles and tissues need to heal. After all, you want your body strong enough to carry that new child. Dr. Berger says to wait at least one cycle before working on that pregnancy after tubal reversal surgery.

Don't rush into having a HSG done to check if your tubes are still blocked. Not only are many HSGs done incorrectly or the results read wrong, you are taking a chance on messing up that tubal reversal. When a HSG is done, it washes "stuff" or debris from the uterus up into the fallopian tubes. This debris can actually cause an infection and/or tubal blockage. It would be a shame to mess up repaired tubes like that and defeat the purpose of working on that pregnancy after tubal reversal. However, when you do get one done, relay it to Dr. Berger so he can read them and provide you with a proper reading if that is possible.

This next tip is rather simple and one your tubal surgeon will probably relay to you as a way of tracking your cycle. Get an ovulation predictor kit. Use it to know when you ovulate so you will know the best time to work on trying to conceive.

Now this last tip is more to relay a fact to you so you will know what may happen and to try to keep you from becoming very upset. MedicineNet.com states that about 50% of all pregnancies end in miscarriage. The general population of women don't always know when this happens for a couple reasons that are related. They don't track their cycle as carefully as you do and the miscarriages can happen very close to menstruation beginning. They just think Aunt Flo came a little early this month. You, however, will be aware of miscarriages that do happen. This is not to say you won't be successful quickly when you are trying to conceive, but it could take a little longer just because this is what can happen.

As a matter of fact, some of Dr. Berger's and Dr. Monteith's patients do achieve a pregnancy after tubal reversal so quickly, it's like they couldn't have even started working on trying to conceive. They get pregnant within just a month or a couple weeks following the surgery. So don't let the above information overly concern you but do let the tips help you through to that wonderful new baby you will be holding one day following your tubal reversal from the Chapel Hill Tubal Reversal Center.

More information on Trying to Conceive After Tubal Reversal Surgery

Tubal Ligation Reversal After Age 40

2009-03-04T15:41:00.000-08:00

The tubal reversal doctors at Chapel Hill Tubal Reversal Center have writen a series of articles about the concerns of women over the age of 40 who are considering options for becoming pregnant after tubal ligation.

Tubal Ligation Reversal After Age 40 | Introduction
Monday, 26 January 2009 11:36 PM
This series of articles will discuss adoption, in vitro fertilizaiton (IVF), and tubal ligation reversal. Statistical data and patient submitted stories will also be presented during this series.

Tubal Ligation Reversal After 40 | Pregnancy and Infertility
Friday, 30 January 2009 10:44 AM
This article on the Tubal Reversal Blog from Chapel Hill Tubal Reversal Center discusses the impact of age upon pregnancy or infertility. Dr. Charles Monteith discusses his experiences practicing high risk obstetrics and the concept of advanced maternal age.

Tubal Reversal After Age 40 - Adoption
Tuesday, 3 February 2009 9:27 PM
This is the third article in a blog series dedicated to women over the age of 40 with tied tubes and who are considering alternatives to become pregnant. This article provides a brief overview of adoption. We discuss the benefits and some of the risks of the adoptive process. Readers are encouraged to leave comments on the Tubal Reversal Blog and/or the Tubal Reversal Message Board.

Tubal Reversal After 40 - Benefits
Saturday, 7 February 2009 1:45 AM
This is the fourth in a series of articles for women 40 and wanting to become pregnant after tubal ligation. This article describes the multiple benefits of tubal reversal compared with IVF (in vitro fertilization).

Tubal Reversal After 40 | Risks
Wednesday, 11 February 2009 5:14 AM
The tubal ligation reversal experts of Chapel Hill Tubal Reversal Center provide a detailed list of the risks of tubal ligation reversal surgery in part four of a series of articles dedicated to women over the age of 40 who may be considering tubal ligation reversal. Using their extensive patient database, they provide estimates of the risk of each occurrence so patients can evaluate whether tubal ligation reversal is the right choice for them.

Tubal Ligation Reversal After 40 | Tubal Reversal Process
Friday, 13 February 2009 8:24 AM
This is the fifth article in a series devoted to women over the age of 40 considering tubal ligation reversal surgery or other alternatives for having more children after a tubal ligation. This article describes the process involved in scheduling an outpatient tubal ligation reversal at Chapel Hill Tubal Reversal Center.

Tubal Ligation Reversal After 40 - IVF Overview
Tuesday, 17 February 2009 10:23 PM
The tubal reversal doctors at Chapel Hill Tubal Reversal Center provide an overview of the process of in vitro fertilization (IVF), egg retrieval and intrauterine insemination and also discuss the application of these reproductive techniques in comparison with tubal ligation reversal.

Tubal Reversal After 40 : IVF Risks
Tuesday, 24 February 2009 12:57 PM
IVF is widely accepted as a treatment for infertility for many causes including blocked or tied fallopian tubes. To maximize the pregnancy rate, it is a common practice to implant multiple embryos. This leads to the risk of multiple gestation, which occurs in 1 of 3 IVF pregnancies. The recent birth of octuplets in the US is a dramatic example of the risks of IVF.

Tubal Reversal After 40 - IVF Benefits
Friday, 20 February 2009 12:06 AM
This blog article from the tubal reversal doctors at Chapel Hill Tubal Reversal Center describes the unique medical situations in which IVF has demonstrated benefits in assisting couples dealing with infertility. When the only cause of infertility is a tubal ligation, then tubal ligation reversal is the better treatment option for most couples.

IVF or Tubal Reversal?

2009-01-07T15:47:00.000-08:00

Pregnancy After Tubal Ligation: IVF or Tubal Reversal?

A Chapel Hill Tubal Reversal patient, Cyndi, describes to Dr. Monteith how she was trapped in an abusive marriage and had a tubal ligation. After divorcing and meeting her current partner, Steven, she wanted to have another child with him. She then describes being talked out of tubal ligation reversal and into IVF by an infertility specialist, only to discover that IVF is illegal for unmarried couples in the state of Arkansas.

The following replies are from those posted at IVF or Tubal Reversal in forum After Tubal Reversal at Tubal Reversal Message Board:

Posted by cindy0714 (Member # 13204) on January 06, 2009 08:13 PM:

This story is so familiar. My husband and I were also told our chances would be better through IVF than tubal reversal. IVF failed and broke our hearts. Now here we are 4 years later at CHTRC. I will be having my TR in March. Good Luck to you Cyndi.

Posted by magdvn (Member # 12680) on January 06, 2009 11:30 PM:

I was told by a fertility specialist that IVF was a better option for us since I was almost 40 and would most likely only want one more child. My husband and I were led to believe that since I had had no problem getting pregnant in the past and he had no abnormal tests that we were almost assured to get pregnant. After $15,000 and no pregnancy (and no frozen embryos to try again) we were very disappointed.

We decide to have TR done because at least then we could try every month instead of a one time deal. I wish we would have done the TR much earlier and instead of IVF.

Merill

Posted by pam mills (Member # 617) on January 07, 2009 05:32 AM:

Thank you ladies for your input. As your stories confirm, this issue is more common than we like to think. Many people are not even aware that tubal reversal is an alternative to IVF. I am so happy that you have found your way to Chapel Hill Tubal Reversal Center and I look forward to meeting you when you arrive in Chapel Hill.

Pam Mills, CRNA

Posted by Martha, LPN (Member # 12781) on January 07, 2009 09:03 AM:

Thank you for this blog Dr. Monteith. We get frequent calls where we explain to women that with tubal reversal surgery, once the tubes are repaired, the chance of pregnancy can occur each month naturally. With IVF, medications must be administered by injection and a minor surgical procedure is performed each time pregnancy is attempted. Compared with current national IVF statistics, tubal reversal surgery at Chapel Hill Tubal Reversal Center has a higher pregnancy rate and it is more affordable than IVF.
Martha
Martha

Posted by BirthdayBaker Judy (Member # 10176) on January 07, 2009 05:13 PM:

Just wanted to add a bit of my story for those over 40. I was 41 when I had my TR and 42 with my perfectly normal PG and delivery.
Judy
TR 10/16/2006
PG --1st try BFP 2/22/07
Delivery 11/2/07 baby boy 10# 7oz and 22.5 inches.
Vaginal delivery -- no pain meds.

Baby Joey is approx. 27# and 33" today at 14 months old. He's walking, reading words, knows colors, and numbers but isn't forming and using words just yet. He was tongue tied at birth and it took us 6 months to find a DR that would fix the issue. (This is a common family birth defect for me.)
I wish you all our same success.

Posted by mommeeof3 (Member # 11929) on January 07, 2009 06:33 PM:

I think tr and ivf are both wonderful. I did tr first to end up with ectopic and after months of ttc that's all I got. To me with ivf you have 2 be a good candidate 4 it. I did it once transferred 2 eggs and I am currently 15weeks pregnant with twins.I don't regret either decision that I made cause the tr was about being whole again and that's how I feel WHOLE! We try and we get errors. I wish you all happiness with your decisions.

More information about IVF vs Tubal Reversal

Tubal Ligation Reversal Videos

2008-12-06T03:39:00.000-08:00

Find out if tubal reversal surgery is right for you. Tubal reversal surgery is often the best option if you want to become pregnant after a tubal ligation. Tubal ligation reversal is the most successful treatment for most women wanting more children after they have had their tubes tied. Chapel Hill Tubal Reversal Center now has 10 videos about tubal ligation reversal. Watching these videos will give you insights into how Dr. Berger performs outpatient tubal ligation reversal. Dr. Berger's staff explain how Chapel Hill Tubal Reversal Center ensures the most successful tubal reversal surgery in the safest, most comfortable and affordable center with outstanding and personalized patient care.
Tubal Ligation Reversal by Dr. Berger	Tubal Ligation Reversal Cost
Is Tubal Reversal Right For You?	Virtual Tour of Chapel Hill Tubal Reversal Center
Tubal Ligation and Reversal Facts	Tubal Reversal Restores Hope
Why Women Want More Children After Tubal Ligation	Tubal Reversal Surgical Techs
Chapel Hill Tubal Reversal Center Staff	Best Tubal Reversal Doctor

Chapel Hill Tubal Reversal Center Testimonials - October 2008

2008-11-09T12:19:00.000-08:00

Baby Testimonials

"Dear Dr. Berger and Staff - Thank you so much for our little miracle, Lane Matthew. We are forever grateful to you and your staff for making our dream a reality" Sherry and Lonnie G.

"I cannot tell you the number of women that I have run into since you did my TR in June 07 that have regretted their TL decision and are completely surprised that the chance to have the tubal ligation reversed exists." Jennifer M.

"Dr. Berger performed my tubal reversal 3 years ago and now we have 2 beautiful children." Basilio and Melissa O.

"I had my tubes reversed in October of 2006. It took a while trying, but it was well worth the wait. We had our beautiful baby girl on July 23rd, 2008." Jennifer B.

"Thank you for all that you did to help us complete our family. Less than 1 year after my tubal reversal, I gave birth." Stacy S.

Patient Satisfaction at Chapel Hill Tubal Reversal Center

Dr. Monteith And His Wonderful Team Of Nurses
Saturday, 1 November 2008 9:32 AM
"Dr. Monteith and his wonderful team of nurses gave me my life back again and my dream of having a ton of kids! I know after 10 days from surgery I feel like I haven’t felt in years. I am so much happier, so much more energy, heck everything looks and smells better and I swear I feel like I have been reborn." Catrina F.

TR Referral
Friday, 31 October 2008 12:11 PM
"I would refer your practice to anyone I know looking to have a TR done. I would like to thank everyone that made this an easy process for me. 24 hours after surgery I barely felt any pain." Carolyn O.

Superior Treatment at Chapel Hill Tubal Reversal Center
Monday, 13 October 2008 1:50 AM
"I wanted to thank everyone for the truly superior treatment that we received during the time that we were at Chapel Hill Tubal Reversal Center. This experience was much more than I had expected. Typically, whenever you are dealing with any type of medical procedures, doctor’s offices, or clinics, there are good things and there are bad things (unfortunately more bad than good). This experience was nothing but positive for my husband and me. Everyone on the staff was welcoming, informative, and comforting. I wish that more people knew about tubal reversal as an option for them and what a positive experience it can be. Thank you, Dr. Berger, for having such a wonderful staff and offering this option to so many couples out there." Rebecca and Jason B.

Home Safely in Ireland
Sunday, 12 October 2008 7:33 AM
"I am so happy that I made the decision to come all the way from Ireland to Chapel Hill Tubal Reversal Center for my reversal surgery. The whole experience was such a positive one. We met many people on our journey home that I shared this experience with regarding the quality of care that I received during the whole procedure." Paula B.

Thank You Chapel Hill Tubal Reversal Center
Thursday, 9 October 2008 12:45 PM
A patient of Chapel Hill Tubal Reversal Center and a member of the message board writes in to thank the Chapel Hill Tubal Reversal Center staff: "Thank You, Thank You, Thank You!! I am just in awe.... EVERYONE at Chapel Hill Tubal Reversal Center.....was the BEST!! My husband and I were so nervous and anxious and it was a WONDERFUL journey! Dr. Berger was just amazing and all of the WONDERFUL staff.... My husband and I just can't Thank You enough! I would highly recommend your facility to anyone who would even be considering tubal reversal. You have an amazing staff and facility! Thanks Again! Amy and Scott Tubal reversal-10/6/08".

Tubal Reversal Experience
Wednesday, 8 October 2008 9:10 AM
"My experience at Chapel Hill Tubal Reversal Center last Friday for my TR was outstanding. We are thrilled to have had Dr. Monteith help us with the opportunity to conceive a child again."

Pregnancy Announcements

Posted: 10.30.08
Name: Selenes M.
Location: 06706 Connecticut New Haven
Date of Tubal Reversal: 3/6/06
Date of Pregnancy Test: 10/26/08
Due Date: June 28th, 2009
Remarks: Thank you Dr. Berger and staff for making my dreams turn into reality. My fiance and I couldn’t be any happier.. This is TR baby # 2 on the way!! Our First TR baby is almost 2 and we couldn’t be any happier to welcome our next little bundle of joy!! With Sincere gratitude and I want to thank you from the bottom of my heart!! Only God makes Miracles but he also allows man to create that and you, Dr. Berger, are an Angel.. God Bless you and your staff and may you continue to make peoples lives happier and just so fulfilling… Sincerely, Selenes

Posted: 10.30.08
Name: Reilda E.
Location: Lenoir NC
Date of Tubal Reversal: 07/02/08
Date of Pregnancy Test: 10/27/08
Remarks: I went to the ER on 10/27/08 b/c I was hurting in my left ovary about all day. They did blood work, u/s & said I was pregnant. The HCG levels were 121. The DR stated I was about 1-2 weeks preg. So I went on 10/29/08 & had another HCG done. The results were preg with a HCG of 32. My obgyn said it could be a miscarriage. I am going again on 10/31/08 to have another HCG done to see what it is. Could it be that I am having a miscarriage or is it too early to tell? Could the HCG levels fluctuate that much & still be okay? Thanks, Reilda

Posted: 10.30.08
Name: Ana M.
Location: Farmersville Texas
Date of Tubal Reversal: 3/13/07
Date of Pregnancy Test: 10/28/08

Posted: 10.30.08
Name: Joesie G.
Location: Gulfport Mississippi
Date of Tubal Reversal: Sept. 25,2007
Date of Pregnancy Test: Oct. 28,2008
Due Date: no clue - estimated July 13 2009
Remarks: i took a first Positive pregnancy test on 10/28.I had blood test done today & HCG is 56, on monday I have a follow up to check my HCG level. I am thankful to Dr. Berger & the staff for giving us this blessing.We look forward to our new Bundle of JOY

Posted: 10.29.08
Name: Danielle V.
Location: 92253 CA
Date of Tubal Reversal: 2005
Date of Pregnancy Test: 10/28/08
Due Date: 07/05/09
Remarks: I still can’t believe we are on Tubal Reversal baby #2 - we are so happy.

Posted: 10.29.08
Name: Maricel R.
Location: Elizabeth NJ
Date of Tubal Reversal: AUG, 28,2008
Date of Pregnancy Test: OCT, 28, 2008
Due Date: JUL 06, 2009
Remarks: I just want to thank Dr. Monteith and staff.

Posted: 10.29.08
Name: LaTrina B.
Location: north Augusta South Carolina
Date of Tubal Reversal: April 18, 2007
Date of Pregnancy Test: October 26, 2008
Remarks: This is my second pregnancy after my tubal ligation reversal. I had a positive test on Feb. 7, 2008, but it was tubal. Have not scheduled appointment yet, but i will make appointment ASAP.

Posted: 10.29.08
Name: Kimberly H.
Location: Elizabethtown North Carolina
Date of Tubal Reversal: 06-25-08
Date of Pregnancy Test: 10-23-08
Due Date: 07-05-09

Posted: 10.29.08
Name: Mary Beth B.
Location: Winfield West Virginia
Date of Tubal Reversal: June 16, 2008
Date of Pregnancy Test: October 24, 2008
Remarks: I have had two quantitative HCG levels so far, the first was 448, the second was 1441. I will repeat the level on Thursday 10/30/08. I will keep you posted on results and progress.

Posted: 10.28.08
Name: Mary F.
Location: Sunnyvale California US
Date of Tubal Reversal: 2003
Date of Pregnancy Test: 10/28/2008
Due Date: 07/10/2009
Remarks: This is our 4th TR baby. First ended in MC then BG 2004, then BB 2006 and this is a big surprise. DH was supposed to get vasectomy but put it off. I hope he gets over the shock soon b/c he’s not happy.

Posted: 10.27.08
Name: Jennifer W.
Location: ODD W,V.A
Date of Tubal Reversal: Feb.07 2008
Date of Pregnancy Test: October 24th
Due Date: may - june not sure yet
Remarks: I was very shocked that this would happen soon. My husband and I are very excited.We are very grateful. Now we are just praying for a healthy child.They are saying that i am between 2 and three months. But i was at the hospital for stomach issues and they done a test on sept. 21st, they done a pregnancy test it was negative. So i calculated i am 5 weeks. They say my hcg levels are very high,high enough to show I am that far along. I told them it was not possible. They then stated it may be twins. That could be why my levels are so high. So we will just wait and see. Thank You all very much!!!

Posted: 10.27.08
Name: Melanie K.
Location: Souderton Pennsylvania
Date of Tubal Reversal: March 11, 2008
Date of Pregnancy Test: October 25, 2008
Remarks: I am having a miscarriage with this pregnancy.

Posted: 10.27.08
Name: Katina F.
Location: Norfolk Virginia
Date of Tubal Reversal: 9/6/2005
Date of Pregnancy Test: 10/14/2008
Due Date: 05/2009
Remarks: This is my 1st pregnancy after tubal reversal. On Sun 10/12 I took a home pregnancy test (positive) & on 10/14 I went to the hospital & got an official pregnancy test (positive). I started spotting the afternoon of Tue 10/14 On Thur 10/16 the spotting had not stopped so I phoned the hospital to see what I should do, they referred me immediately to the ER. At the ER I was given an ultrasound & they were unable to find a fetus. My blood was drawn for a quantitative level test of hcg and I was sent to xray for another ultrasound with a more powerful xray machine. The quantitative test showed my hcg level was over 22,000 (which (I was told) means if a baby was in the womb, they would definitely see it) & the xray showed an abnormality on my right side. Overnight at 2 am on Friday 10/17 I went into surgery to have the fetus removed laparascopically. The doctor reported to my husband and I that when they looked inside they saw I’d bled quite a bit, therefore the doctor made a large incision in my lower abdomen & made the decision to remove the right tube & the right ovary. The right tube was not open & that’s the tube the baby tried to flow through & apparently there was damage to my ovary as well. I return for a follow up appointment on Oct 31.

Posted: 10.26.08
Name: Denice R.
Location: MA
Date of Tubal Reversal: 4/17/07
Date of Pregnancy Test: 10/26/08
Remarks: This is the fourth pregnancy since TR. I had 3 recurrent miscarriages. I am trying acupuncture to support this pregnancy.

Posted: 10.24.08
Name: Carolyn C.
Date of Tubal Reversal: February 2007
Date of Pregnancy Test: Sept 1st

Posted: 10.22.08
Name: Meb G.
Location: Addis Ababa Ethiopia
Date of Pregnancy Test: 11/08/2008

Posted: 10.21.08
Name: Randee P.
Location: Myrtle Beach S. Carolina
Date of Tubal Reversal: 05/07/07
Date of Pregnancy Test: 10/21/08

Posted: 10.20.08
Name: Cindy S.
Location: Chattahoochee Florida
Date of Tubal Reversal: 7/03/08
Date of Pregnancy Test: 10/18/08
Due Date: 7/2009

Posted: 10.20.08
Name: Joddi W.
Location: Folsom California
Date of Tubal Reversal: 5/16/05 and 11/2006 (second was to repair blocked tubes)
Date of Pregnancy Test: 10/17/08
Due Date: 6/26/08
Remarks: My OB doctor does not want to see me until November 10th. Do you feel this is fine or should I be seen sooner. He knows about my prior reversal surgery and by Nov. 10th I will be approx. 8 weeks. I feel like I should see him sooner. He also does not want to repeat any betas. My first one was on 10/18 and the level was 84. I’m having another one today only because I demanded to have it. Should I call my OB and insist he does more betas or see me sooner? Please let me know what pregnancy monitoring you suggest. Thank you.

Posted: 10.17.08
Name: Rachael P.
Location: Hopewell Jct NY
Date of Tubal Reversal: 07/14/2008
Date of Pregnancy Test: 10/17/2008
Due Date: 06/29/2009

Posted: 10.17.08
Name: Jenny M.
Location: 77493 TX
Date of Tubal Reversal: 3-17-08
Date of Pregnancy Test: 10-17-08
Due Date: 6-1-08
Remarks: 2.5 - 3 months ago my OB-GYN of 11 years told me that he thought my tubal litigation reversal was unsuccessful and that he felt my only option was IVF. I met with the IVF specialist 4 weeks ago and we were waiting on my next cycle to begin everything. Little did we know, I was already pregnant. I go to the DR next week to find out if it’s a viable one, so far I feel great! THANKS!!

Posted: 10.15.08
Name: Polly B.
Location: Adams New York
Date of Tubal Reversal: 1/10/07
Date of Pregnancy Test: 10/7/08
Due Date: 6/18/09
Remarks: This is our second pregnancy since surgery. We had a healthy baby girl in January.

Posted: 10.14.08
Name: Tisha A.
Date of Tubal Reversal: July 17, 2008
Date of Pregnancy Test: October13, 2008
Remarks: Thank You so much for everything!!!!!

Posted: 10.13.08
Name: Christina.
Location: Mineral Ridge OH
Date of Tubal Reversal: 5/15/06
Date of Pregnancy Test: 10/4/08
Remarks: I found out I was pregnant 3 hours before I was rushed to surgery once again for an ectopic pregnancy on the left. Hence, I have not entered a due date.

Posted: 10.13.08
Name: Suzannne F.
Location: Metter GA Candler
Date of Tubal Reversal: June 27,2008
Date of Pregnancy Test: October 10,2008
Due Date: June 12, 2009

Posted: 10.12.08
Name: Christine A.
Location: Berryville VA
Date of Tubal Reversal: July 2, 2008
Date of Pregnancy Test: October 9th, 2008
Due Date: June 18, 2008

Posted: 10.11.08
Name: Kristi B.
Location: Lake Park Minnesota
Date of Tubal Reversal: May 22, 2007
Date of Pregnancy Test: Feb 5, 2008
Due Date: October 10, 2008
Remarks: Just wanted to give a quick update. A healthy baby boy was delivered at 9:19 am on September 23rd weighing in at 7 lbs. 8 oz. and 20 inches long. His name is Kallen Paul. Thank you so much for making this dream 2 years ago a reality today!

Posted: 10.10.08
Name: Eva P.
Location: Jackson New Jersey
Date of Tubal Reversal: 7/16/2008
Date of Pregnancy Test: 10/9/08
Remarks: Can you please call me? I have a few questions. Thank you very much.

Posted: 10.10.08
Name: Dayna B.
Location: Allen TX
Date of Tubal Reversal: March 23, 2005
Date of Pregnancy Test: October 10, 2008
Due Date: June 19, 2009
Remarks: First blood test will be later today! Thanks again Dr. Berger and staff! You make dreams come true!

Posted: 10.10.08
Name: Jennifer C.
Location: Mt. Sterling Kentucky
Date of Tubal Reversal: 9-10-2007
Date of Pregnancy Test: 8-15-08
Due Date: May 22, 2009
Remarks: Actually spoke to you all on the phone, and gave a positive report. But as an update, I had an ultrasound today to hear the heartbeat. The heart rate was 165. We’re praying for a successful pregnancy. Thanks for everything!

Posted: 10.10.08
Name: Melodie M.
Location: Silver City New Mexico
Date of Tubal Reversal: May 2007
Date of Pregnancy Test: October 10, 2008
Due Date: June 6, 2009

Posted: 10.09.08
Name: Cassey S.
Location: Amarillo TX
Date of Tubal Reversal: Aug. 22,2008
Date of Pregnancy Test: Oct.9, 2008
Remarks: I am supposed to go for blood test tomorrow to confirm. Wish me luck and thank you guys do much for just being able to have the chance to get even this far.

Posted: 10.08.08
Name: Shara C.
Location: Belhaven North Carolina
Date of Tubal Reversal:
Date of Pregnancy Test: October 7, 2008
Due Date: June 6, 2009
Remarks: I had my tubal reversal approximately 9 years ago and during that time have become pregnant twice only to miscarry around six weeks. We’re at that point now and I’m praying things go well. I’ll keep you informed as time goes on. Thanks, Shara S.

Posted: 10.08.08
Name: Loretta S.
Location: Bridgeport WV
Date of Tubal Reversal: 6/2/08
Date of Pregnancy Test: 8/21/08
Remarks: I reported my positive pregnancy test on Aug. 21. I just wanted to inform you that the pregnancy was ectopic and I was given two sets of shots to end it.

Posted: 10.08.08
Name: Gabriela C.
Location: Rioverde San Luis Potosi Mexico
Date of Tubal Reversal:
Date of Pregnancy Test: 8/oct/08
Due Date: 8/jul/09
Remarks: This is my second pregnancy because my first was 2 years ago but I couldn’t have the baby cause I had a spontaneous abortion.

Posted: 10.07.08
Name: Cassandra H.
Location: Houston Texas
Date of Tubal Reversal: March 11,2008
Date of Pregnancy Test: October 07,2008
Due Date: June 20,2009
Remarks: I was only able to have one tube reversed and able to get pregnant 6 months after. I really want to say Thank You to the staff and Dr. Berger for everything they have done. Please pray for me that this doesn’t end in an ectopic pregnancy. Thanks again! Caey H.

Posted: 10.07.08
Name: Bunni C.
Location: Onawa Iowa
Date of Tubal Reversal: November 2007
Date of Pregnancy Test: Oct. 7th 2008
Remarks: Just a home test. I will go to the Doctor asap.

Posted: 10.05.08
Name: Laura M.
Location: Appleton WI
Date of Tubal Reversal: 2nd tr April 24 or 25 2006???
Date of Pregnancy Test: 10/03/08
Due Date: unsure was never told
Remarks: I’m having some issues of cramping and left side pain. Had ultrasounds done on Fri evening and Sat morning. Still on Sunday some left side pain lower area. I’m assuming near ovaries. Dr said they feel it will be ectopic or miscarriage. 760 were my numbers Monday morning another blood test to see if levels go up. I’m praying they will. After do many no’s than a yes I pray it will work but it doesn’t look good since I have pain. they did find a cyst or two and some endometriosis that is back.

Posted: 10.06.08
Name: Kizzy B.
Location: McLeansboro Illinois
Date of Tubal Reversal: April 19, 2006
Date of Pregnancy Test: 09/30/08
Due Date: 06/09
Remarks: After a year and a half of trying everything to get pregnant and a miscarriage in Dec 07, We had pretty much given up. We did fertility meds and IUI neither worked. I took the test by mistake I miss calculated my days, thinking I was late and I really wasn’t but got a positive anyway. So now all we can do is keep praying and hoping the numbers keep going up. THANKS

Posted: 10.06.08
Name: Maria L.
Location: Revere Massachusetts
Date of Tubal Reversal: 08/26/08
Date of Pregnancy Test: 10/05/08
Due Date: 06/13/09 per computer
Remarks: I did a pregnancy test on Sunday twice and both times came out positive. I have already called my obgyn and am waiting to see when I can go in.

Posted: 10.06.08
Name: Mary W.
Location: Galion Ohio
Date of Tubal Reversal: 6-21-06
Date of Pregnancy Test: 10-3-08
Due Date: unsure
Remarks: After I reported the miscarriage in July, I learned I was again pregnant in August which also ended in miscarriage. I am pregnant yet again. Regardless of how this pregnancy goes, I am meeting with a maternal fetal medicine specialist at OSU later this month. This is the 4th pregnancy since my reversal. I will let you know how this turns out. I am following up with bhcg levels appropriately. Thanks.

Posted: 10.03.08
Name: Angela E.
Location: Chesnee South Carolina
Date of Tubal Reversal: May 2008
Date of Pregnancy Test: Oct 1 2008
Due Date: June 1 2009
Remarks: I am so excited.

Posted: 10.02.08
Name: Rhonda B.
Location: Royston Georgia
Date of Tubal Reversal: 8-20-08
Date of Pregnancy Test: 10-2-08
Due Date: 6-14-08
Remarks: This was our first month TTC!!! Thanks sooo much Dr. Monteith!! You and your staff are amazing! I go this afternoon to have bloodwork! I will keep you updated on my progress!

Posted: 10.02.08
Name: Martha L.
Location: Miramar Florida
Date of Tubal Reversal: 3/23/2007
Date of Pregnancy Test: 10/1/2008
Due Date: 06/8/2008Remarks: Hello Dr Berger and Staff. This is my second TR pregnancy. I had TR 3/07 and was pregnant 04/07. AJ was born 12/17/07 I’m now pregnant again. Again I have low progesterone. 1st # is 42 and progesterone at 5.7 I’m on progesterone gel as of today. Praying baby will stick like AJ did..Thank you for another miracle!!Lots of Love and good wishes to you :Martha B.

Posted: 10.02.08
Name: Amelia "Dawn" H.
Location: Morrisdale Pennsylvania
Date of Tubal Reversal: 4-11-08
Date of Pregnancy Test: 10-2-08
Due Date: 6-12-09
Remarks: Thank you all so much! I went for my first blood draw today and will go again Saturday and Monday to get an idea on what the numbers are like. I just want to personally Thank Dr. Berger for giving us this chance to have another child. We are all very excited and are all hoping for the best. Thanks again! Dawn H. PS. I just had my HSG on Sept 13th ovulated on the 18th-20th of this month and got my first positive HPT then confirmed by bloodwork at the ER. My first number is 16.3

Posted: 10.01.08
Name: Kiaffa L.
Location: Lapeer MI
Date of Tubal Reversal: 06-14-06
Date of Pregnancy Test: 4-28-08
Due Date: 12-31-08

More information on Tubal Reanastomosis

Tubal Reanastomosis

2008-11-02T15:32:00.000-08:00

1. Tubal Reanastomosis For International Patients
International patients choose Chapel Hill Tubal Reversal Center for tubal reversal surgery, often referred to as tubal reanastomosis. They travel from other continents across the world because Dr. Berger and Dr. Monteith have the best doctor reputations as tubal ligation reversal specialists. With their low cost tubal reanastomosis procedure, tubal reversal patients do better financially coming to Chapel Hill than having their operation performed closer to home - and they get better results. Chapel Hill Tubal Reversal Center has the best pregnancy statistics, patient safety record, and patient satisfaction reports of any international medical clinic or hospital. It is no wonder that people are willing to travel around the world to get the best medical care when it comes to reversing tied tubes.
http://www.tubal-reversal.net/blog/2008/tubal-ligation-reversal/tubal-reanastomosis-international.html
2. Tubal reversal illustrations - anastomosis and implantation
Other terms used to describe this procedure are: microsurgical tubal reanastomosis microsurgical tubal reversal microsurgical tubal repair Microsurgical tubal anastomosis Tubotubal Anastomosis After opening the blocked ends of the remaining tubal segments, a narrow flexible stent is gently threaded through their inner cavities or lumens into the uterine
http://www.tubal-reversal.net/tubal_anastomosis_implantation.htm
3. Abbreviations on the Tubal Reversal Message Board
Tubal reversal or tubal reanastomosis are commonly abbreviated as TR. Many other abbreviations are also used on the Tubal Reversal Message Board that may not be familiar to new members. This list explains the abbreviations and acronyms that members frequently use on the message board
http://www.tubal-reversal.net/message-board-abbreviations.htm
5. Tubal Ligation Reversal by Dr. Berger
Complete and accurate information about tubal ligation reversal from the tubal reversal doctors with the most experience reversing tied tubes. ... Center is the only medical facility exclusively for tubal ligation reversal. ... Berger - is widely known as the tubal reversal doctor with the most experience reversing tied tubes. ... Monteith is also a certified
http://www.tubal-reversal.net/
6. Tubal Reversal Pregnancy Study 2007 - Study Method
During the follow-up study interval after tubal reversal surgery, 2,775 pregnancies were reported by 1,889 women. In order to analyze all pregnancies and their outcomes, each pregnancy was considered an individual case.
http://news.tubal-reversal.net/pregnancy-study-2007-method.htm
7. Sterilization Reversal Surgery - Conceive Magazine
The procedure to reverse a tubal ligation is called tubal anastomosis , or tubal reanastomosis. The success of tubal sterilization reversal depends in part on what type of surgery was originally performed. The most commonly used method of tubal ligation is called the Pomeroy procedure (a ligation-resection method). In this method, part of the fallopian tube
http://press.tubal-reversal.net/conceivemagazine-sterilization-reversal.htm

Factors for Choosing Your Tubal Ligation Reversal Doctor

2008-10-30T08:18:00.000-07:00

Factors for Choosing Your Tubal Ligation Reversal Doctor

Determining which tubal ligation reversal doctor is best for you comes down to different factors. Using a patient satisfaction website such as RateMDs.com will give you an opportunity to learn how other women have rated the surgeon they used on some of these factors.

Taking a further look at the referenced site above, we can find that physicians are rated on staff, being punctual, helpfulness and knowledge. These determine the patient satisfaction score each doctor is given. You should consider looking at the most rated doctor.

Not only is that site available to see patient satisfaction with a doctor, there are several others as well. However, RateMDs.com does rank number one in a Google search for "rate doctors" so you may find it the best resource.

There are other ways as well to determine those factors for choosing your tubal ligation reversal doctor. You can begin with a simple search around his own website. He does have a website, does he not?

There you should be able to learn:

1) his training and background,
2) how many surgeries of this type he has performed,
3) how often he does the surgery which leads back to number 2,
4) his personal statistics for success and pregnancy after tubal reversal,
5) about his surgical facility, and
6) the cost for this operation.

Additionally, there should be many testimonials from women who have had him or her perform their operation.

Does he have a message board or some other way available for you to discuss questions and concerns with other women? That is another good way to learn about how previous patients feel about the surgeon. Do they stick around afterwards and participate on the message board?

As you look around the Internet for information about tubal reversal, see whose name keeps coming up. When you read other women's stories about their tubal ligation reversals, what kind of reports are given about different doctors?

These are just a few of the ways you can find out the patient satisfaction with a doctor you may be considering. Please do your research. You may find that your local doctor does not provide you with the best choice, unless that doctor is Dr. Gary Berger of Chapel Hill Tubal Reversal Center.

National Infertility Week - What About Infertility Because of a Tubal Ligation?

2008-10-20T12:48:00.000-07:00

During National Infertility Week, starting today October 20th, a lot of attention in the media will be given to the treatment of In Vitro Fertilitzation (IVF). This is a technologically advanced treatment for most causes of infertility. But what about those couples who want to have a baby but can't because of a previous tubal ligation? There are hundreds of thousands of infertile couples in this group in the US. Is IVF the best treatment for them? Let's compare the two treatments to see which might be the best one for women whose tubes have been tied.

Tubal reversal is a method of rejoining the fallopian tubes where they were cut. The preparation is minimal for the surgery and includes reviewing your tubal ligation operative records. The operation takes about an hour and is done as outpatient surgery at Chapel Hill Tubal Reversal Center. This cuts the cost in half or less than if done as an in-hospital operation.

Now let's look at IVF in comparison. There are hormonal shots that you have to get in order to stimulate your body's egg production and also to keep it from going into ovulation prematurely. These can take from one to two weeks or longer and are just the preparation part.

Next will be the removal of your eggs. Of course, the doctor will need to be sure of the right time to do so and will do this by monitoring with hormonal blood tests and ultrasound exams to be sure to catch the eggs at the right time. Your system has been stimulated to produce many more eggs than normal. You will get another shot before ovulation is due. Then, when all is ready, the doctor will use a needle to remove the egg.

Now, comes the part you have been taking all those shots for. You will have the fertilized eggs implanted into your body. This will happen after some time in the lab where the fertilization and the beginning development of the embryo takes place. You will most likely get several fertilized eggs, which actually have begun developing into embryos, placed back into your uterus. You will get more injections at this point as well.

This is when you hold your breath hoping everything will go OK. Of course,this will depend upon things like how skilled your doctor is and how careful he was in implanting the embryos among other things. If it doesn't work, you may have had some extra embryos frozen.

Before you make a decision to have IVF done, you should probably take a look at the success rates. Most commonly the success rates of any one cycle are given as 20 - 30% that you will be successful. You have a higher likelihood of success with more eggs implanted but don't want to go overboard as that could lead to some problems as well. You will find that three embryos is about the most any doctor will implant. Still, one in every three pregnancies that occur after IVF is a multiple pregnancy. Babies conceived as a result of IVF are more likely to be born prematurely and have health problems later in life.

Getting back to the option of tubal reversal, the success rates will vary depending upon your chosen surgeon. This makes choosing the best tubal reversal doctor and center a matter of utmost importance. At the Chapel Hill Tubal Reversal Center - the only facility where they publish their specific pregnancy rates after a tubal reversal, you will see that it is an overall 70%. Your potential success rate will depend upon several things including your age, tube lengths left for repairing, and type of ligation procedure used. The good news is that once the surgery is done, you get to try over and over again to "make a baby" every month without having to pay any more money.

And that's the last thing to cover. One session, or cycle, of IVF will cost on average $10,000 to $12,000 with most patients being told to expect to undergo at least three cycles. That's $30,000 or more for most couples who start treatment by IVF. The average cost of a tubal reversal varies widely, but at Chapel Hill Tubal Reversal Center it ranges between $5400 and $6900 depending upon which option you choose. So with a higher success rate, lower cost, and the opportunity to become pregnant month after month, what do you think tubal reversal now? It may not be as well known or advertised as IVF, but during National Infertility Week, it should certainly be recognized as the best treatment for women wanting to become pregnant again but who are infertile because they had their tubes tied in the past.

Chapel Hill Tubal Reversal Patients Discuss Relief From PTLS

2008-10-19T17:58:00.001-07:00

Chapel Hill Tubal Reversal Message Board offers a forum for TR patients to discuss how TR has helped relieve the symptoms of Post Tubal Ligation Syndrome. Many patients notice relief even with the first menstrual cycle after TR. Often, patients note even greater improvements over time. Chapel Hill Tubal Reversal Center hosts a PTLS blog as well as information on the condition on their website.

This is topic Best period ever! in forum Post Tubal Ligation Syndrome on the Tubal Reversal Message Board:

Posted by Flutist29 (Member # 12785) on October 18, 2008 10:12 AM :
This seems strange to write about, but I can't help it! I had my TL on 1/10/05 and have had horrible, horrible periods ever since then. So many things changed in my life, I can't believe it. Anyways...I had TR surgery on 10/8 and am now going through my first period since the TR. It is amazing how much better I feel already. My DH said to me this morning, "WOW, your skin looks so much better." I have had basically no cramping and my right hip isn't killing me like it used to. My bleeding is actually at a normal flow! The only thing I could complain about if I wanted to was that I had a headache Thursday and Friday. That's it! I still can't believe! I should have had this surgery 3 years ago! I would have saved myself a bunch of pain and sorrow.

Posted by MS_LICIA (Member # 9456) on October 18, 2008 12:36 PM :
lol....good for you !!! I myself, have found relief in many ways after having my TR, so I'm w/ya !!!

Posted by justnotme (Member # 12842) on October 18, 2008 04:05 PM :
flutist29- thanks sooo much for posting this. I just got over a 7 day AF!!!ugh!!! I also get wicked pains shooting down my legs and lots of other PTLS symptoms. I'm scheduled for Oct 29th. I can't wait to report the same things. My and my DH were just talking earlier today that we sure hope and pray that this helps me. I can't help but feel so optimistic, which I am generally anyways, that this IS going work. Thanks again for even more hope for me and other women that this will erradiacate our PTLS!! So happy for you.

Posted by MOMZILLA (Member # 12256) on October 18, 2008 07:12 PM :
I have had one period after another since the TR that is better, less crampy, lighter and I no longer have that crazy flooding....I was even late this month and even though my cycle was longer..it was not heavier when it arrived...what a great relief it has been to have normal periods again...

Posted by momto10 (Member # 11808) on October 18, 2008 07:32 PM :
I know what you mean. My PTLS didn't go fully away until last month, 9 months post TR. I finally had a FULL cycle that was 100% normal!!! YEAH!!! Now time to get down to business, TCC.... LOL Gwen

Posted by Ericka Pamplin (Member # 1953) on October 19, 2008 12:00 PM:
It's always great to hear the relief of PTLS that our patients experience after having the tubal reversal. I'm sure your stories will be encouraging to others that are feeling the same way!

Dr. Monteith's Blog on PTLS (Post Tubal Ligation Syndrome)

Should You Have an HSG after Tubal Ligation Reversal?

2008-10-15T17:08:00.000-07:00

The Chapel Hill Tubal Reversal Center gets asked a lot about HSG by women after tubal reversal surgery. They are questioning whether their tubes are really open, regardless of the checking Dr. Berger does during the surgery, and want to do this procedure. However, there are concerns about this being done too quickly.

First off, you may be wondering just what a HSG or hysterosalpingogram is. Maybe your doctor mentioned getting it done or you have heard of it elsewhere. An HSG is essentially a real time x-ray procedure done under a fluoroscope. It is done as an outpatient procedure that doesn't take very long.

You will lie on your back on a table. A speculum is placed into your vagina. If you have had a pap smear done, you are familiar with this type of device. Your cervix is cleaned and then opened slightly. A cannula, or flexible tube, that is inserted through the cervix is used to introduce an iodine based "contrast" material which will show up on the x-ray. As this contrast material shows up as an opaque material, the doctor can watch the flow as it moves through your uterus, up through your fallopian tubes and spills out of them into the abdominal cavity.

Your doctor may have you move from your back to one side and then to the other in order to get the "dye" to flow into your fallopian tubes. Some doctors may even try to force the material past any blockages by adding a lot of the material into your uterus.

Some women experience only very mild cramping during the HSG whereas others say it very painful. Some have also reported feeling as if they were going to pass out. It is highly suggested you take at least 600mg of ibuprofen one hour before the procedure is done. If you do have problems with pain, it is also highly suggested you discuss this with your doctor before the procedure is done.

One suggested reason for the pain by women who have had this done is due to "debris" being within your uterus. This is why you should have this done after menstruation but before ovulation. This allows most of the debris from a cycle to be removed first. You do not want it done after ovulation as it is possible it could interfere with potential pregnancy.

Some possible risks include a risk of infection which might damage your tubes requiring removal, fainting (as mentioned above), iodine allergic reaction or spotting. If the spotting continues past one or two after the procedure or becomes heavy, the patient should notify her doctor. If you have an allergy to iodine or seafood, a non-iodine version of the procedure should be done. Be sure to tell your doctor if you are allergic.

As for minimizing the risk of infection from the procedure, Dr. Berger of Chapel Hill Tubal Reversal Center says you should use a betadine vaginal douche the evening before and the morning of the procedure. You should also get a prophylactic antibiotic prescription from your doctor.

If you want to do this procedure after tubal reversal, Dr. Berger recommends waiting at least six to 12 months. Using his own tubal reversal statistics, he has found that 70% of women will conceive within 12 months of having the surgery. The mean time to conception is 10 months.

Too often, however, even given all the above, he finds the procedure does not give conclusive results. The dye may not make it into the fallopian tubes because of a spasm or mucus or calcium deposits. Or not enough dye is used meaning it will not spill into the abdominal cavity even if it makes it past the tubal anastomosis site. The radiologist, however, may mistakenly interpret this as meaning there is a blockage.

So if you are considering doing a HSG after tubal reversal, it is much better to wait till at least a year past your tubal reversal surgery. Most of Dr. Berger's patients will conceive in less than a year proving that the tubes are open. That means you don't have to go through a potentially risky, expensive, and painful procedure that may be inconclusive.

Patient Satisfaction Messages

2008-09-24T16:58:00.000-07:00

Chapel Hill Tubal Reversal Center has added a new section to its website that displays patient satisfaction messages. Patient satisfaction and safety are the highest priorities at Chapel Hill Tubal Reversal Center. Patients often send messages about their satisfaction with the care they have received.

This one is patient satisfaction message from a nurse who recently had her tubes reversed by Dr. Berger. "I can't say enough about Dr. Berger and his staff. He's the most gifted man I've ever seen, and all at his clinic were professional, compassionate and caring. Everyone has a job to do, and they do it in the perfect rhythm. You're done before you know it, and what Dr. Berger gives each of us is nothing short of a miracle. I've worked in the medical field most of my life, but Dr. Berger is the best surgeon I've ever seen. He gave me a chance at a miracle, and I don't intend to disappoint him."

Reversing tied tubes - YouTube Videos

2008-09-12T18:29:00.000-07:00

Reversing Tied Tubes
Tubal reversal doctors are reproductive surgeons who specialize in reversing tied tubes. There are few such specialists available in the US or other countries because of the lack of advanced training programs in reverse tubal ligation surgery. Fortunately, Chapel Hill Tubal Reversal Center has two tubal reversal doctors with the most experience in the operation called tubal anastomosis and who limit their practice to reversing tied tubes.

Chapel Hill Tubal Reversal Center has a YouTube channel with informative videos about tubal ligation reversal. These include the actual tubal anastomosis operation, facts about tubal ligation and reversing tied tubes, cost, a virtual tour of Chapel Hill Tubal Reversal Center, meeting the nurses and surgical technicians, and discussions by Dr. Gary Berger about why he specializes as a tubal reversal doctor and the reality of hope that he offers couples wanting to have children. These are "must watch" videos for anyone thinking about having their tubes untied.

Tubal Reversal You Tube Channel

YouTube Videos from Chapel Hill Tubal Reversal Center

Tubal Ligation Reversal "The Operation"

Dr. Gary Berger is the leading authority on tubal reversal. His technique of outpatient tubal ligation reversal has been featured on Discovery and other television networks. Watch how Dr. Berger restores fertility after a tubal ligation through a comfortable and affordable one-hour outpatient procedure. Order the free full-length video of The Operation.

Tubal Ligation and Reversal Facts

Chapel Hill Tubal Reversal Center nurses discuss important facts regarding reverse tubal surgery with Dr. Gary Berger and Dr. Charles Monteith. These include how to determine if reversing tied tubes is the best option, success rates following tubal reversal surgery, and the fact that Chapel Hill Tubal Reversal Center is the only facility dedicated solely to the practice of tubal ligation reversal.

Virtual Tour of Chapel Hill Tubal Reversal Center

Dr. Gary Berger discusses the mission of Chapel Hill Tubal Reversal Center during this virtual tour of the world's first and only Tubal Reversal Center. Educating patients about the benefits, risks, and success rates of reversing tubal ligations allows patients to informed decisions. Chapel Hill Tubal Reversal Center is the only facility where collecting and providing detailed, accurate information with prospective patients is part of the mission.

Is Tubal Reversal Right For You?

Tubal Reversal Center Patient Care Coordinator – Jennifer Okun, RN - answers important questions that will help you decide if reversing tubal ligation is right for you. Tubal anastomosis is the most effective option for most women who desire more children after a previous sterilization. Although untying tied tubes may not be right for everyone, listen as Jennifer Okun, RN, provides information you can use to help determine if tubal reversal surgery is the best option in your situation.

Why Chapel Hill Tubal Reversal Center?

Tubal Reversal nurses explain what sets them apart from other facilities, and why choosing Chapel Hill Tubal Reversal Center means choosing the best medical facility in the world for repairing tubes that have been tied. Chapel Hill Tubal Reversal Center is dedicated exclusively to performing tubal reversal surgery. Medical Director, Dr. Gary Berger is widely recognized as the tubal reversal doctor with the most experience. Exceptional patient care, complete and accurate pregnancy statistics, and a low cost outpatient procedure that has produced the most tubal reversal babies born worldwide are just a few of the reasons that patients travel from all over the world to have Dr. Berger perform their sterilization reversal.

Why Tubal Reversal?

Dr. Gary Berger specializes in helping families have children after a tubal ligation. He is the only doctor with a practice limited to reversing tied tubes. Dr. Berger has dedicated his career to repairing tubes that have been tied, clipped, and/or burned. Listen as Dr. Berger discusses why this special branch of reproductive surgery is important to him and how he restores fertility through his one-hour, outpatient microsurgical tubal anastomosis procedure.

Tubal Reversal Cost

Chapel Hill Tubal Reversal Center Business Office Manager, Ericka Pamplin, explains the fee options available to women who are interested in surgery at the only center dedicated to tubal reversal surgery. Three fee options, including a pre-payment plan and financing options, make the outpatient procedure affordable and available to women interested in having children after a previous tubal ligation.

Meet Our Staff

Staff members at Chapel Hill Tubal Reversal Center introduce themselves and explain their roles in the tubal reversal process. Each member of Dr. Gary Berger’s team has expertise in caring for and performing outpatient tubes reversal. A high staff/patient ratio with one or two nurses devoted specifically to each patient’s care means women receive safe, personalized, professional care and are joined by other couples who are there specifically for the same purpose.

Tubal Reversal Surgical Techs

Two surgical technicians at Chapel Hill Surgical Center describe what they do that makes tubal sterilization reversal safe and effective. Listen as they describe the benefits of working with Dr. Gary Berger where personalized care is easier to ensure in the small, private, outpatient setting than in a large hospital and how a higher clinical staff to patient ratio than in a hospital allows staff to concentrate all of their attention on the safety and comfort of tubal reversal patients.

The Reality of Hope

Meet Dr. Gary Berger and listen as he discusses his belief that tubal reversal surgery provides hope to women who have changed their mind after a tubal ligation and now desire to have more children. Dr. Berger and his team at Chapel Hill Tubal Reversal Center understand that reversing tied tubes is more than just surgery; it is hope for a new beginning. Providing hope – realistic hope – is part of the philosophy Dr. Berger brings to his patients.

Order Your Free Full Length Video of Tubal Ligation Reversal "The Operation"

Pregnant After Tubal Reversal Surgery With Dr. Monteith

2008-08-22T16:55:00.000-07:00

The good news is in! Dr. Charles Monteith began performing tubal reversal surgery full-time at Chapel Hill Tubal Reversal Center on July 21, 2008. One month later, a patient from his first day of surgery has reported a positive pregnancy test! Dr. Monteith has been training in tubal reversal surgery with Dr. Gary Berger since January 2008 and became certified as a tubal reversal surgeon in July.

This is topic Monteith's First BFP!!! in forum After Tubal Reversal at Tubal Reversal Message Board.

Posted by pam mills (Member # 617) on August 20, 2008 01:15 PM:
Yes ladies, it is official, Dr Monteith has received news that one of his patients has reported a BFP!!!

Posted by Amy1234 (Member # 5192) on August 20, 2008 01:16 PM:
No way!!!!!!!!
Wow! Congrats!!!
Amy

Posted by albmdb (Member # 12062) on August 20, 2008 01:21 PM:
Thats awesome!!!!!
Congrats

Posted by wantsababyin08 (Member # 12798) on August 20, 2008 01:28 PM:
WOW that is amazing! Congrats Dr Monteith.. Dr Berger must have taught you well!

Posted by Dr. Monteith (Member # 11996) on August 20, 2008 01:35 PM:
I think I am more excited than the patient. I thought it would at least be 6 months before such an event...I never thought it would have been only 4 weeks.
Just imagine how I felt when I had to go home and tell my wife I helped get another woman pregnant!
Actually, she understands and was happy just as well happy.
I hope every patient can have such news....

Posted by HisWill (Member # 12511) on August 20, 2008 01:40 PM:
EXCELLENT!!! Woo hoo! Sorry about the caps, but way excited! Congrats! Hey preggo lady, if you are a message board poster, you'd better get to postin! LOL!
Dr. Monteith, that's too funny about telling your wife! I love it, and God Bless your great work!
Blessings,
Andrea

Posted by SharonVS (Member # 11315) on August 20, 2008 01:45 PM:
That's GREAT! Congratulations Dr. Monteith, and congratulations to the lady with the BFP!!...

Posted by Kathy, ST (Member # 8285) on August 20, 2008 01:48 PM:
Congratulations to our BFP patient of Dr. Monteith and to Dr. Monteith!
Kathy

Posted by Matt, ST (Member # 7398) on August 20, 2008 01:50 PM:
Congratulations to Dr. Monteith and to the patient. That is wonderful!
Matt Murphy,ST

Posted by MS_LICIA (Member # 9456) on August 20, 2008 01:52 PM:
WOW......Congrats Dr. Monteith & Patient......I'm sure there will be many, many more !!! [Big Grin] [celebration]

Posted by Jennifer K. (Member # 7884) on August 20, 2008 01:55 PM:
Congratulations to both the patient, her family and Dr. M. Have a happy, healthy 9 months!
Jenn

Posted by Toots (Member # 12733) on August 20, 2008 02:14 PM:
This is great! Congratulations to the lucky lady. I had just posted a question on here yesterday about this. I'm so excited for everyone! I can't wait to see Dr. Monteith in October.
Great work Dr. M..Congrats!

Posted by klinger13 (Member # 12439) on August 20, 2008 02:18 PM:
Woo-hoo...This is so exciting!!!
Congratulations Dr M & the mommy-to-be!!!
Amanda

Posted by hopefulin2008 (Member # 11297) on August 20, 2008 02:19 PM:
Congrats to Dr. M and to the patient.... I cant wait until one day when I have my Monteith Miracle....
Jennifer

Posted by danelle76 (Member # 11177) on August 20, 2008 02:20 PM:
Congrats Dr. M and the new mommy to be!!! I too thought the wife comment was too funny! Happy and healthy 9 months!

Posted by newdreams_2008 (Member # 12660) on August 20, 2008 05:35 PM:
Congrats to Dr.M and BFP patient!!! This is very exciting! The 1st in a long line of successes! Dr.M, I will see you in Nov. and will shortly thereafter be added to that BFP list!

Posted by Julia Smith, RN (Member # 10) on August 20, 2008 10:38 PM:
We are all eager to start hearing from ladies who are pregnant after surgery with Dr. Monteith, so this is a great beginning!
Julia Smith RN

Posted by USMCMP Wife (Member # 9691) on August 20, 2008 10:42 PM:
Let me started with a BIG GIGANTIC WELCOME Dr. Monteith and CONGRATULATIONS for your 1st timer to get some a BFP. I will tell you you are working with the best Dr. B gave us RJ and I got my 1st BFP 2 months after the TR and then mc and then a 2nd BFP and now we have RJ I am 42 right now and RJ is 14months & 20days old so mircles do happen and you picked the right job to do it is such a blessing when someone can get back what we lost and thank you to for doing something as special as Dr. B does. CONGRATULATIONS to the family that is having their blessed event right now.
Hugs,
RJ & Heidi

Posted by debjim (Member # 8607) on August 21, 2008 08:55 AM:
YEAH! Congrats to all!

Posted by Sandra Coleman (Member # 7823) on August 21, 2008 12:16 PM:
Congrats Dr. Monteith and what a great sense of humor. I had my laugh for the day.
Sandra

Posted by CalifMom (Member # 7194) on August 21, 2008 12:39 PM:
Congrat's Dr. Monteith and his first pregnancy outcome..Kari

Posted by Brenna RN (Member # 12821) on August 21, 2008 02:02 PM:
Congratulations! What wonderful news!
Brenna

Posted by caroljean776 (Member # 12436) on August 21, 2008 02:16 PM:
That's awesome...I hope she comes on and announces herself soon!

Posted by cass3 (Member # 10682) on August 21, 2008 02:30 PM:
When did Dr.M start? That was fast!! Congrats to the lady with with the baby. LOL Good luck.
Cassey

Posted by wantsababyin08 (Member # 12798) on August 21, 2008 02:49 PM:
I believe that he started on his own July 21st... I may be wrong with the exact date.

Posted by Tawnee1972 (Member # 11007) on August 21, 2008 02:54 PM:
It was July 21st...I had surgery that day too! Dr. Berger assisted, but Dr. M was indeed the doctor that did surgery.
Congratulations to the new mommy to be.

Posted by Webmaster (Member # 1) on August 21, 2008 08:09 PM:
Yes Dr. Monteith's first official day as a tubal Reversal Surgeon was Monday, July 21st 2008

Posted by Ericka Pamplin (Member # 1953) on August 22, 2008 10:14 AM:
Congratulations!!
Ericka

Pregnant After Tubal Reversal Surgery With Dr. Monteith

2008-08-22T16:38:00.000-07:00