Tubal Reversal or IVF

Many women have had a tubal ligation and then seriously consider becoming pregnant again, Many fertility doctor will say in vitro fertilization (or IVF) is the best or only option.
For most women, however, tubal reversal surgery is actually the better option. Once their tubes are repaired, there is the chance that they could become pregnant naturally each and every month.
With IVF, they have to be injected with medication and have a minor surgical procedure performed each time they attempt to get pregnant. Based on current national statistics, the pregnancy rate for IVF is approximately 27% and costs between $8,000 to $20,000 for each treatment cycle.
At Chapel Hill Tubal Reversal Center, the cost for the surgery is $5900 and pregnancy rates are approximately 75%! In almost all cases, tubal reversal is the most successful and cost-effective alternative for pregnancy in women who have been previously sterilized and now desire to have another baby.
You can read more on getting a tubal reversal or IVF on the website at http://www.tubal-reversal.net/tubal-reversal-vs-ivf.htm.

Tubal Reversal VIP Questions

Here is a list of questions to ask when considering how to choose a doctor to perform your tubal reversal surgery and the types of responses you should expect. For more information or assistance, please send me an email (JuliaS@tubal-reversal.net) or call me at (919) 656-8204.

Question: What credentials does the doctor have that demonstrate expertise in tubal reversal surgery?

Answer: You can check on line to see if the doctor is a Fellow of the American College of Obstetricians and Gynecologists and a member of the Society of Reproductive Surgeons. Doctors with both of these credentials are recognized by their peers as experts with the training and experience best suited for tubal reversal surgery.

Question: How many tubal ligation reversals has the doctor performed?

Answer: The more experience the doctor has, the better! Dr. Berger performs 4 tubal reversals everyday, 5 days a week, yet he also maintains a personalized atmosphere where each patient receives one-on-one nursing care. Having performed more than 6000 tubal ligation reversals, Dr. Berger has the most experience with this outpatient procedure of any reproductive surgeon in the world. Patients come to him from across the US and abroad to have their tubes repaired. He is considered by many to be the best tubal reversal doctor.

Question: Does the doctor perform tubal reversals on an outpatient basis?

Answer: The answer to this question should be "yes", since outpatient surgery not only reduces cost but also avoids risks of hospitalization, such as possible infection with hospital acquired bacteria.

Question: What are the doctor's success rates following tubal reversal surgery, based on the patient's age and type of tubal ligation?

Answer: The answer to this question should be based on accurate statistical data. If you are 40 and had a monopolar tubal coagulation, you do not want to be quoted the success rate for 23 year olds with tubal ligation by Hulka clips. Ask for information about the outcomes of surgery for women in your age group and with your method of tubal ligation. Ask to see the statistics that the doctor has regarding his patients' outcomes. At Chapel Hill Tubal Reversal Center we keep an extensive information database and can give you detailed statistics about pregnancy rates for our patients taking into account age, tubal ligation method, and many other factors. A weekly pregnancy report is also provided on our Tubal Reversal Message Board. We are committed to providing accurate and up to date information.

Question: How long does tubal reversal surgery normally take?

Answer: Tubal reversal performed by Dr. Berger usually takes an hour or less. Minimizing operating time is important, since longer anesthesia and surgery times are associated with increased complication rates and recovery from surgery.

Question: Is it better to have my tubal reversal in an outpatient center or a hospital?

Answer: Chapel Hill Surgical Center is the only medical facility dedicated exclusively to tubal reversal surgery and is licensed by the North Carolina Division of Facility Services. Personalized care is easier to ensure in this small private outpatient setting than in a large hospital. We have a higher clinical staff to patient ratio than in a hospital, and we concentrate all of our attention on the safety and comfort of tubal reversal patients. To get an idea about our commitment to patient safety and comfort, read some of our patients' testimonials.

Question: What is the expected recovery time following tubal reversal?

Answer: Most patients are able to return to work and other normal activities within 5 to 10 days.

Question: Does the doctor perform procedures other than tubal reversal surgery?

Answer: It is important that the doctor limits his practice to tubal reversal surgery. If he is also performing other gynecology or obstetrical cases, his schedule is less predictable. If the doctor is also delivering babies, you may find your procedure has to be rescheduled to accommodate a pending delivery. Having surgery in a facility limited to tubal reversal surgery also means that you will be sharing your experience on the day of surgery with other women and couples who are there for the same reason – and not for another type of surgical procedure or illness.

Question: Will you be following up with me to assist me when I have questions or concerns following my tubal reversal? Is there message board or e-mail availability for general questions? Will there be any charges for my follow-up care?

Answer: You should expect to be given a 24-hour pager or telephone number for the physician as well as the nurse or anesthesiologist before you leave the facility. You will also want to know that a member of the staff will check on you at intervals after surgery. Ongoing follow-up is how a doctor and his staff determine patient outcomes, such as how your recovery is progressing, and whether you have had complications that need to be addressed. Since questions and concerns can arise at any time following surgery, Dr. Berger and our nursing staff will be available for on-going support and information to help you conceive as well as to monitor your early pregnancy. Both Dr. Berger and his staff moderate the interactive message board to respond to questions and also answer phone and e-mail questions in the evening, on weekends, and on holidays. There is no additional cost for this follow-up care.

Tubal Reversal a better option than IVF

Survey finds Tubal Reversal is a better option than IVF.

AN OPERATION to reverse sterilisation of women over 40 who want another baby is significantly more successful and tens of thousands of dollars cheaper than IVF, an Australian study has found.

The study, published yesterday in the Medical Journal of Australia reports live births after tubal reanastomosis were successful in 40 per cent of women aged between 40 and 47, compared with an in vitro fertilisation (IVF) success rate of just 5 per cent for women aged 40 to 42 and 2 per cent for older women.

The direct cost of a reversal is $4850 per treatment, and $11,317 per live birth, compared with about $6940 per cycle of IVF treatment, and $97,884 per live birth for women aged 40 to 42, increasing to $182,794 for older women.

The study, titled Live birth following day surgery reversal of female sterilisation in women older than 40 years: a realistic option in Australia? said tubal surgery was a "better option" and "highly cost effective" compared with IVF for women over 40.

Source: Sydney Morning Herald More information

Spell Checking on the Tubal Reversal Message Board

The New Spell Checker we installed on the Tubal Reversal Message Board has been well received.

Thanks to Naka for this script.

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Posted by Webmaster (Member # 1) on August 16, 2007 05:14 AM:

A spell checker has been added to the reply & new topic forms.

Dr. Berger, Pam Mills CRNA and I am interested to hear your response to this addition.

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Posted by RondaK (Member # 10655) on August 16, 2007 06:51 AM:

This is a wonderful thing for us spelling challenged individuals.

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Posted by Kelli (Member # 5125) on August 16, 2007 08:14 AM:

Oh my, this is great! Thanks! -Kelli

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Posted by Peach (Member # 6668) on August 16, 2007 08:20 AM:

I just used it and found it to be a great help... i just didnt change my spelling on much.. but it helps a lot. Thanks!!!

Janice

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Posted by jamilah (Member # 8731) on August 16, 2007 08:22 AM:

Thanks that wasa good idea.

Jamilah

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Posted by pam mills (Member # 617) on August 16, 2007 09:01 AM:

Thanks for your input, I think it's a wonderful addition to an already superior web site.

Pam Mills, CRNA

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Posted by KPJ (Member # 7043) on August 16, 2007 09:04 AM:

It definitely will help with those nasty typos I'm so guilty of... LOL. I won't have to keep going back and proof-reading to edit now... LOL.

KUDOS
Kattie

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Posted by Mary-MI (Member # 10150) on August 16, 2007 09:13 AM:

I think its a wonderful thing... if i can remember to use it LOL Thanks Dr. B and staff, you keep making these wonderful changes

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Posted by jarz (Member # 9286) on August 16, 2007 10:54 AM:

that is exactly what we needed I should say I needed.

Thanks,
Jo

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Posted by empty nested (Member # 7303) on August 16, 2007 12:22 PM:

The only change I would recommend is that it not only give you the option to change the word you misspelled, but you have the option to delete the word all together without closing out of the program and doing it manually.

Example : I jus twas metioning that yesterday.

Both "jus" and "twas" will be highlighted seperately. So you have to correct the first one by typing "just" and the second one by typing "was" instead of being able to type "just was" in the first error and deleting the second one.

Just something I noticed. I am very glad to see that this option is now available thought. Lord knows I need it!!

Sheila

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Posted by Sweetpea (Member # 2742) on August 16, 2007 07:14 PM:

YAY!
I feel smarter already!

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Posted by Rita-D (Member # 11221) on August 16, 2007 07:18 PM:

Thanks!!! Know we can all use those big words we wanted to and just coulden`t spell....lol

Rita

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109 Conner Drive Suite 2200, Chapel Hill, NC 27514 (919) 968-4656