Sunday, May 25, 2008

Pregnancy Testimonials April 2008

“I had a tubal ligation and was told I would never have children again. Little did I know then that 9 years later I would have 2 more beautiful babies.” Lisa and Robert B.

“Our TR baby #2, Ethan Michael arrived safe and sound. Special thanks for giving us a chance to have these two precious gifts.” Kelli and Mike F.

“Noah is our first tubal reversal baby. We are planning on one more.” Monique and Emil B.

“My husband told me that our first child together was the best thing that ever happened to him.” Sean and Leslie B.”

One month after my surgery I was pregnant. Dr. Berger, you truly are a miracle worker.” Christine A.

“I told my testimony at church and to anyone else who would listen to me about Dr Berger and how the Lord took me to Chapel Hill.” Hollie R., RN, BSN

Pregnancy Announcements by Dr. Berger's Tubal Reversal Patients

Posted: 04.29.08

Name: Kristin M.
Location: Milwaukee Wisconsin
Date of Tubal Reversal: September 6, 2007
Date of Pregnancy Test: April 29th, 2008
Remarks: I am really surprised that I got pregnant. I remember the doctor saying that I only had a little bit of my tube left. I am curious to know how long my tubes were again (I forgot).

Posted: 04.28.08
Name: Wanda D.
Location: Wayne West Virginia
Date of Tubal Reversal: 2-15-07
Date of Pregnancy Test: 4-26-08
Due Date: 2-14-08
Remarks: Thank you Dr. Berger you have made all my dreams come true
it’s been over a year since my TR and I was about to give up hope words could never express how grateful i am to you also to all the nurses you all are wonderful-thank you from the bottom of my heart.

Posted: 04.27.08
Name: Stephanie A.
Location: Jermyn PA
Date of Tubal Reversal: 10/25/07
Date of Pregnancy Test: April 26, 2008
Remarks: Thank you for this wonderful opportunity. God was good when he pointed me in the direction of Dr. Berger!!

Posted: 04.26.08
Name: Michelle N.
Location: Fitchburg Massachusetts
Date of Tubal Reversal: 3/12/07
Date of Pregnancy Test: 4/19/08
Due Date: Dec.? 2008
Remarks: My husband Daniel and I are so happy that we are pregnant. This will be are 4th BFP since my tr on 3/12/07 I hope this is the one. I just went for my u/s today and it showed the sac but it was empty. From what I understand it still is early I’m just 5 wks pg. now so I hoping this little bean will show up. I will keep you posted. Again Thank You Dr. Berger and staff if it wasn’t for you all I wouldn’t have this chance to have the opportunity to have a child again. Michelle

Posted: 04.26.08
Name: Carmen M.
Location: Fayetteville North Carolina
Date of Tubal Reversal: 5-15-07
Date of Pregnancy Test: 4-25-08
Remarks: I don’t remember if this was normal but I have constant cramping and I would like to know if it was ok.

Posted: 04.26.08
Name: Lina T.
Location: Gering Nebraska
Date of Tubal Reversal: 03/22/05
Date of Pregnancy Test: 04/25/08
Due Date: December 30,2008
Remarks: I had my tr in March 2005. I did try clomid and IUD twice. Both were not successful. I have not used clomid or ovulation packets for over 6 months. Just left it in God’s hands. I am 43 years of age and I am always 26 days on my cycle. I did have it confirmed that one of my tubes is blocked from scar tissue so I only have my left one open. I missed my cycle and have not been feeling very well for the last week or so. I bought a pregnancy test and it was positive. I bought 4 more and they are all positive. I did this yesterday late afternoon. By the time I took the test the Dr’s office was closed so I did not get a chance to call but I am planning on calling Monday morning.

Posted: 04.25.08
Name: Camille G.
Location: Dededo Guam
Date of Pregnancy Test: April 25, 2008

Posted: 04.24.08
Name: Elizabeth J.
Location: New Britain CT
Date of Tubal Reversal: april/2005
Date of Pregnancy Test: april13/2008
Due Date: December 19/2008
Remarks: After 3 miscarriages I am pregnant again I am very scared this time but at the same time I am positive. I had prolactin levels high and I was using dostinex in the middle of treatment I get pregnant.

Posted: 04.24.08
Name: Tina C.
Location: Eaton OHIO
Date of Tubal Reversal: July 22, 2005
Date of Pregnancy Test: April 24, 2008
Due Date: January 2, 2009
Remarks: We did our first IUI on April 12th. Took a digital test this morning and got “pregnant”. Took 2nd digital test at lunch today (just to make sure - lol) and got another “pregnant”. Had beta done today and I will know numbers tomorrow.

Posted: 04.23.08
Name: Vrushali C.
Location: Jamnagar Gujarat India
Date of Tubal Reversal: 21/11/2008
Date of Pregnancy Test: 05/04/2008

Posted: 04.23.08
Name: Jenelle K.
Location: South Dakota
Date of Tubal Reversal: July 28, 2006
Date of Pregnancy Test: April 22, 2008
Remarks: This is my second TR Baby. I couldn’t be happier. Dr. Berger is amazing!

Posted: 04.22.08
Name: Jessie M.
Location: Manalapan NJ
Date of Tubal Reversal: 6/12/02
Date of Pregnancy Test: 4/22/08
Due Date: 12/30/008
Remarks: We weren’t even trying and surprise!! Thanks Dr. Berger! We are truly in 7th heaven!!! (PS this will be our 7th child)

Posted: 04.21.08
Name: Lisa D.
Location: Monclova Ohio
Date of Tubal Reversal: 5/1/07
Date of Pregnancy Test: 4/19/08
Due Date: January 19th???, 2009
Remarks: I’m not entirely sure how this happened!!! LOL - I must have ovulated right after my period stopped??? I don’t really ‘feel’ pregnant yet, the only reason I tested was because I thought I started bleeding/spotting again 2 days after my cycle stopped. Then it stopped after 2 days and started again 2 days later. I’ve never ever had spotting or any kind of break thru bleeding-except when I was pregnant. Also, I was having pain on my right side that was strong enough to wake me from sleep Friday night. We did the hpt and that line came of fast. We aren’t talking a faint line, like I would have expected on CD16!!!(if any line at all) My Dr. sent us to the Hospital since I was having pain on Rt. side. The pain went away and my hcg level was 549. Although it was too early to see anything, they did an ultrasound anyway. Nothing. I test today for 2nd level. I still have some spotting, not like I did on Saturday. Just playing the waiting game and praying for our miracle. Funny how life changes in a moment! Thanks!!

Posted: 04.21.08
Name: Annie C.
Location: Cape Coral Florida
Date of Tubal Reversal: 03/31/04
Date of Pregnancy Test: 03/25/08
Due Date: 11/30/08
Remarks: This is my 6th pregnancy after tr, 4mc and 1 ectopic, I lost my left tube, so I kind of gave up and here I am pregnant and hoping that this one stays. Thank you Dr. Berger and everyone else at Chapel Hill Tubal Reversal Center. Annie C.

Posted: 04.21.08
Name: Nicole M.
Location: Rome Georgia
Date of Tubal Reversal: 6/9/07?
Date of Pregnancy Test: 2/16/07
Due Date: 10/16/07
Remarks: I’m now 14wks pregnant, this makes berger baby #2 for me!! Thanks Dr Berger!! Nicole M.

Posted: 04.21.08
Name: Shawna D.
Location: Candor New York
Date of Tubal Reversal: 10/24/07
Date of Pregnancy Test: 04/18/08 04/20/08 04/21/08
Due Date: 12/17/2008
Remarks: We were pregnant in February and it ended in an ectopic pregnancy. We will have our first blood draw tomorrow we will keep you posted. Our fingers are crossed for the best. Thank you so much Dr. Berger for making this possible for us - it is a dream come true.

Posted: 04.21.08
Name: Dawn S.
Date of Pregnancy Test: 04/17/08

Posted: 04.21.08
Name: Kandy D.
Location: Vossburg MS
Date of Tubal Reversal: 10/17/03
Date of Pregnancy Test: 03/27/08
Due Date: 12/06/08

Posted: 04.19.08
Name: Jennifer G.
Location: Deer Park Texas
Date of Tubal Reversal: 02/17/06
Date of Pregnancy Test: 04/15/08
Remarks: I have had 2 miscarriages and one ectopic (lost my right tube). We weren’t trying because my HSG showed scar tissue even though I did see with my own eyes the dye go all the way through. We weren’t TTC since I was told I didn’t ovulate without Clomid (I have never test positive for ovulation with test sticks or a fertility monitor without being one Clomid). We are in total shock and of coarse overjoyed and scared at the same time. My 1st HCG number at CD 31 was 21 at CD 33 39 (that was 45 hours apart). I will keep you updated.

Posted: 04.18.08
Name: Alida W.
Location: Albany Georgia
Date of Tubal Reversal: November 1, 2008
Date of Pregnancy Test: April 13, 2008 & April 14, 2008
Due Date: December 6, 2008
Remarks: I used ovulation test sticks (7 stick packs), monitored daily temperature and monitored my cycle. In March (period began 3/1) the peak ovulation day was never indicated. In April I had what appeared to be a very brief (2 1/2 days) period beginning 4/1. Noticed swollen and tender breast on 4/10. Began my usual ovulation stick test on 4/11. On the morning of 4/13 I took both an ovulation test and a pregnancy test and the pregnancy test came up positive. Noticed some spotting that day. Had a quantitative analysis done at ob/gyn on 4/14 which confirmed the pregnancy. Monday 4/14 Progesterone 3.87 and HCG 144.1. Due to the low numbers I was put on Progesterone suppositories and pelvic rest. Wednesday 4/16 Progesterone 22.25 and HCG 176.8. Today, Friday 4/18 HCG 299.00. I continue daily spotting and remain on Progesterone suppositories. I am scheduled for another quantitative analysis on Monday 4/21.

Posted: 04.18.08
Name: Holli B.
Location: VA Virginia Beach
Date of Tubal Reversal: 9/27/07
Date of Pregnancy Test: 4/16/08
Due Date: 12/24/08

Posted: 04.17.08
Name: Nellie B.
Location: West Palm Beach FL
Date of Tubal Reversal: 1/21/2008
Date of Pregnancy Test: 4/10/08
Remarks: Doc, I am a Jan ‘08 girl on the Tubal Reversal Message Board and this is my second cycle since tr and I got a bfp today. THANK YOU!!!! I am scheduled for a dr. appt on monday. Is that too long to wait to get bloodwork done? Today is Thursday and I am 13/14dpo based on my o pain. please give me a call or email me. thank you. thank you. thank you.

Posted: 04.17.08
Name: Tricia B.
Location: Manning Iowa
Date of Tubal Reversal: 01/28/08
Date of Pregnancy Test: 04/17/08
Due Date: 12/22/08
Remarks: Thank you Dr. Berger and staff!!!!!!!!!!!!!

Posted: 04.15.08
Name: Jennifer A.
Location: Fresno California
Date of Tubal Reversal: 10/12/07
Date of Pregnancy Test: 4/15/08
Remarks: Optimistically cautious. This is my second BFP since my second tubal reversal. The line was definitely darker than the previous pregnancy and immediately! Praying for a healthy and safe pregnancy. Thank you Dr. Berger!

Posted: 04.15.08
Name: Juanita F.
Location: Capitol Hgts Mayland
Date of Tubal Reversal: 10/19/2007
Date of Pregnancy Test: 03/18/2008
Due Date: 11/17/2008

Posted: 04.15.08
Name: Yvette C.
Location: Newport News Virginia
Date of Tubal Reversal: July 1 2007
Date of Pregnancy Test: april 15, 2008
Due Date: Dec 21 08

Posted: 04.13.08
Name: Cindy G.
Location: Kuna Idaho
Date of Tubal Reversal: April 2006
Date of Pregnancy Test: Feb 17
Remarks: I did not believe I could be pregnant because I had a period only 2 weeks prior to a positive pregnancy test. The reason that I took the pregnancy test is because I had all the signs of an ectopic pregnancy. I was right. The pregnancy was ectopic and my tube (right) had already ruptured. I had surgery and lost both the baby and the right tube. Took me a while to report this to you, but I thought you should have the info for your statistics.

Posted: 04.12.08
Name: Pamela “Michele” W.
Location: Dunnellon Florida
Date of Tubal Reversal: 2-02-02
Date of Pregnancy Test: 4-12-08
Due Date: 12-17-08
Remarks: It took us awhile but we finally did it. I can’t thank Dr. Berger and all of the CHTRC staff enough.

Michele and Rick W.
Posted: 04.12.08
Name: Tracy C.
Location: Atlanta Georgia
Date of Tubal Reversal: 11/08/2007
Date of Pregnancy Test: 04/12/2008
Due Date: 12/23/2008
Remarks: I’ll be going for a beta on Monday.

Posted: 04.10.08
Name: Shannon K.
Location: Christiansburg VA
Date of Tubal Reversal: 4-02-07
Date of Pregnancy Test: 4-02-08
Due Date: 12-14-08
Remarks: My first numbers were 24hcg and progesterone 18, since then approximately a week they are 156 hcg, and I am taking progesterone supplements due to the 2 blighted ovums.

Posted: 04.08.08
Name: Kim F.
Location: Dumfries Virginia
Date of Tubal Reversal: 11/20/07
Date of Pregnancy Test: 4/1/08
Due Date: 12/13/08
Remarks: First betas from 4/7/08 is 126. prog 35. Hoping and wishing for double/triple numbers! Kim

Posted: 04.08.08
Name: Michele D.
Location: PA US
Date of Tubal Reversal: 2/5/08
Date of Pregnancy Test: 4/8/08

Posted: 04.07.08
Name: Mary A.
Location: High Point North Carolina
Date of Tubal Reversal: Feb. 07
Date of Pregnancy Test: 4-1-08
Due Date: Dec. 15, 2008
Remarks: I had an ultrasound done today and the Dr. saw the gestation sac in my uterus!! They want to do another ultrasound on the 17th just to make sure it grows. :)

Posted: 04.07.08
Name: Joyce J.
Location: Belleville Illinois
Date of Tubal Reversal: 8/31/07
Date of Pregnancy Test: 4/4/08
Remarks: Although my husband and I were extremely excited to find the pregnancy test positive on Friday, April 4th, I did start having some mild pains on my right side. The next day I had no pain at all, but Sunday morning I wasn’t feeling so well. I got up and went to church but I started to have some intense pain. I went directly to the ER. They did an ultrasound and found a mass in my right tube. The doctor could not verify that it was a sac and decided to do some exploratory surgery to find out exactly what it was. It was in fact an ectopic pregnancy in the tube which had to be terminated. Thankfully, there was no damage to the tube or any surrounding tissue. We felt that God had already given us a name for this child, Moriah Grace, and we will be holding a memorial service for her this next Sunday. Thank you Dr. Berger and staff. This is not the way we wanted things to turn out, but we now know that I can in fact get pregnant. We do so appreciate the gift you have given in restoring my body. Blessings, Tim and Joyce J.

Posted: 04.07.08
Name: Mary O.
Location: Mission Texas
Date of Tubal Reversal: December 13, 2007
Date of Pregnancy Test: March 6, 2008
Due Date: December 2008

Posted: 04.07.08
Name: Sandy R.
Location: Good Hope Georgia
Date of Tubal Reversal: Feb. 19-08
Date of Pregnancy Test: 03-30-08
Due Date: 12-11-08

Posted: 04.05.08
Name: Susan H.
Location: Lynchburg VA
Date of Tubal Reversal: June 15,2006
Date of Pregnancy Test: April 5, 2008
Due Date: Dec 15?
Remarks: This is my second pregnancy since my reversal - the first baby was born April 2007. I had trouble last time getting my OBGYN to do HCG testing because they didn’t feel it was necessary. I have 4 girls… say a prayer for a boy!! :)

Posted: 04.05.08
Name: LaShelia N.
Location: Winter Haven Florida
Date of Tubal Reversal: 01-18-08
Date of Pregnancy Test: 03-04-08
Remarks: I need to know what is the next step should I go to the hospital or wait on a doc appointment

Posted: 04.04.08
Name: Lynn T.
Location: Eldersburg MD
Date of Tubal Reversal: 6/5/2006
Date of Pregnancy Test: 4/3/2008
Due Date: 12/15/2008
Remarks: We are so happy this is our 2nd TR baby, our son Timothy was born 6/23/07. We never thought we would have such good blessing because my tubes are 2.5cm L and R.

Posted: 04.04.08
Name: Xamayta G.
Location: Columbia PA
Date of Tubal Reversal: July 2005
Date of Pregnancy Test: April 4th 2008
Due Date: December probably
Remarks: Two things that were different this time around. Had an HSG done and it opened the left tube, and purchased some PreSeed Gel.

Posted: 04.03.08
Name: JoAnn J.
Location: Chandler Az
Date of Tubal Reversal: 10/09/2006
Date of Pregnancy Test: 3/15/2008
Due Date: 11/27/2008
Remarks: Had M/C on 2/21/2008 one week after a + HPT. first number 59, second (a week later) 6. started feeling funny so tested on 3/15 and got a bfp. 3/19 hcg 141 3/21 hcg 318 3/26 hcg 2549 u/s on 3/31 showed gest sac, fetal pole and h/b of 97 they say I am measuring 6 weeks but at the u/s i had a m/c exactly 5 weeks 4 days before. Also found something odd on my ovary that doesn’t look like a cyst, going for another u/s in week to check it and baby again, they seem to think the heart is too slow for 6 weeks along even though I explained that I could be no further than 5 w 4 d. What do you think, is that a slow heart rate?

Posted: 04.03.08
Name: Mandi M.
Location: La Salle Illinois
Date of Tubal Reversal: 11-29-07
Date of Pregnancy Test: 3-31-08
Due Date: 12-13-08
Remarks: I had took a pg test and it came back positive and i was having a lot of pain in my belly so we decide for me to go to the hospital and they gave me a test and it came out neg. but then they did a blood test and it came out pos. with the hcg at 33 they did an vaginal ultrasound and they believe everything looks good i have another one to go have done 4-24-08. I want to thank you for everything that you guys have done.

Posted: 04.02.08
Name: Karen M.
Location: Owego New York
Date of Tubal Reversal: 1/10/08
Date of Pregnancy Test: 4/02/08
Remarks: I just took two pregnancy tests this morning. I turned my fertility monitor on and I am CD36 and it was flashing m for my next cycle. I looked on my posts, and I was either 12 or 13 DPO so I tested. I haven’t seen an OB yet, but I did have an appointment scheduled for the 11th of this month to meet my new Ob and start talking about fertility options. After the excitement settled this morning, I called his office and they moved my appointment up to this Friday at 2.

Posted: 04.02.08
Name: Amy P.
Location: Coral Springs FL
Date of Tubal Reversal: 10/29/07
Date of Pregnancy Test: 4/2/08
Due Date: 12/8/08
Remarks: My previous pregnancy was ectopic and not discovered soon enough, so I ended up losing my right fallopian tube in surgery on 1/30/08. I will be seeing a different OB/GYN since my previous one really dropped the ball, but at least I know a lot more about the condition now.

Posted: 04.01.08
Name: Lisa L.
Location: Chesnee SC
Date of Tubal Reversal: Sept 2007
Date of Pregnancy Test: 4/1/2008



Thursday, May 8, 2008

Dr. Berger Talks About Post Tubal Ligation Syndrome

Dr. Berger gives helpful advice to women with symptoms of Post Tubal Ligation Syndrome that may help with them with insurance coverage for testing and treatment.

Post Tubal Ligation Syndrome (PTLS)

PTLS Diagnosis and Tests

An email message received today about Post Tubal Ligation Syndrome (PTLS) from a patient who is scheduled for tubal reversal next month prompted this blog topic. I thought it would provide helpful information to others with similar concerns.

“My problem is horrible PTLS. I had my tubes tied in 05 at the time of my 3rd C-section. I understand that PTLS is not widely accepted or recognized in the medical community as a true syndrome or diagnosis, but could I expect to see something supporting that diagnosis in any blood work or hormone tests? Would it be normal to see abnormal hormone levels to some degree in support of this diagnosis or is it possible that all my levels would be ok but that the disruption in the flow of blood between ovaries and uterus could cause all of my symptoms and simply not show changes in hormone levels? Also, are there specific hormone tests I can have my ob/gyn check?

I only came across all this info on the net while desperately searching for answers to my growing list of symptoms that I never thought were related. This is very nerve wracking and exhausting. Three years is a long time and I look forward to this journey coming to an end and new one beginning, but I have so many questions and I was hoping you could steer me in the right direction so I can have any other diagnostics tests that may be helpful to my cause.”

Dr. Berger’s Response

One of the reasons that PTLS is not recognized as a true syndrome by most physicians is that there is no specific diagnostic test that is correlated with symptoms. If you search through the medical literature, you will find many studies with conflicting results. For example, you can do a search using Google Scholar for “hormones post tubal ligation syndrome” to review results from some recent medical studies.

Diagnostic Codes

There is no diagnostic code for Post Tubal Ligation Syndrome in the International Classification of Diseases (ICD). Without a specific diagnostic code, insurance companies do not provide reimbursement for testing or treatment. The International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) does have other diagnostic codes that can be used, depending upon the symptoms being experienced:

  • ICD-9-CM #625.0 Dyspareunia - Painful sexual intercourse.

  • ICD-9-CM #625.3 Dysmenorrhea - Painful menstruation.

  • ICD-9-CM #625.4 Premenstrual tension syndromes - Distressing physical, psychologic, or behavioral changes that occur during the luteal phase of the menstrual cycle. Symptoms of PMS are diverse (such as pain, water-retention, anxiety, cravings, and depression) and they diminish markedly 2 or 3 days after the initiation of menses.

  • ICD-9-CM #626.2 Menorrhagia - Excessive menstruation.

  • ICD-9-CM #626.6 Metrorrhagia - Irregular uterine bleeding.

  • ICD-9-CM #627.0 Premenopausal menorrhagia

  • ICD-9-CM #626.8 Disorders of menstruation, other

Insurance Coverage

Insurance companies do not recognize PTLS as a medical entity. Depending upon the symptoms you have, your doctor could use one or more of these diagnostic codes. The specific tests that may be appropriate will depend on your symptoms. For example, if you have pelvic pain, then ultrasound examination would be appropriate as part of an evaluation for pain. Abnormal menstrual bleeding would appropriately involve hormonal assays (FSH, LH, estradiol, progesterone). Based on the results of any preoperative testing, a diagnostic code could be listed on your operative report as a preoperative and postoperative diagnosis. This might influence the insurance company regarding possible reimbursement for tubal reversal surgery. Read your insurance policy carefully. If it specifically states that tubal reversal is not a covered benefit, no matter what information is sent to the insurance company, there will be no reimbursement. If the policy does not specify that tubal reversal is excluded, then there may be a possibility of getting reimbursement from your insurance carrier.

More Information about Post Tubal Ligation Syndrome

Post Tubal Ligation Syndrome is written about on many pages of the Chapel Hill Tubal Reversal Center website. There are also many discussions about PTLS on the Tubal Reversal Message Board. Another excellent source of information is Post Tubal Ligation Syndrome News.

13 Responses to “Post Tubal Ligation Syndrome (PTLS)”


  1. Julia Smith RN Says: May 3rd, 2008 at 6:08 pm We hear from many women who describe a variety of problems and symptoms, with an onset that seemed to coincide with having their tubes tied. Dr. Berger began studying PTLS when it became clear that a certain percentage of our patients were mentioning similar symptoms. Many of the women contacted him after their surgeries to say the TR had helped them dramatically -even if pregnancy was their primary goal.

  2. Charles Monteith MD Says: May 3rd, 2008 at 9:38 pm As a Ob/Gyn generalist, I was never impressed that I saw many patients who suffered from PTLS. Since joining the staff of Chapel Hill Tubal Reversal Center, however, it has become apparent to me that certain women do have worsening menstral periods and other symptoms after tubal ligation. Many of these patient state they have marked improvement after reversal surgery.

  3. Rhonda Brown RN Says: May 5th, 2008 at 5:36 am We hear from women on a daily basis reporting many of these symptoms and seeking information on how they can get relief from PTLS. It saddens me when I hear from most of them that they have been told that nothing was wrong with them. It is apparent that something is going on and I am glad when I hear patients reporting relief from many of the symptoms after they have tubal reversal surgery. I am glad to see this information because I thnk that it will help answer many questions that alot of women have as well as let them know that there may just be hope out there for them after all.

  4. Sally Muncy RN Says: May 5th, 2008 at 5:57 am I think that many of our patients just feel grateful to know that someone truly believes the symptoms that they are having are real. For the first time they feel that their feelings are validated and that they are not going out of their mind as some have stated. Thanks to Dr. Berger and his study we will learn more about PTLS and help even more women who wish to have their tubes untied.

  5. Ericka Pamplin Says: May 5th, 2008 at 6:31 am With Dr. Berger’s study and ongoing reports from woman reporting relief, it would be awesome to see a code specifically for PTLS developed. Maybe this would prompt insurance companies to provide coverage for the tubal reversal.

  6. Matt Murphy ST Says: May 5th, 2008 at 6:43 am I’m so glad that tubal ligation reversal surgery is not only allowing people to have kids again but also is helping to relieve the pains and discomforts of Post Tubal Ligation Syndrome.

  7. Pamela Mills CRNA Says: May 5th, 2008 at 6:53 am This is such an important topic. We hear about PTLS symptoms so often from our ladies. Our tubal reversal message board is full of patients telling others how much better they feel after tubal reversal surgery. It appears it is nothing short of a miracle for some!

  8. DrHertz Says: May 5th, 2008 at 7:11 am It is truly impressive to hear from women how their often their post tubal ligation symptoms are dismissed by other doctors, despite the history of the start of their problems with tubal ligation. It is gratifying to know we have something to offer these women and that many have reported feeling better after the tubal reversal procedure.

  9. jgokun Says: May 5th, 2008 at 8:32 am I have talked to women for several years now that complain about PTLS. Often their local doctors tell them “It’s all in your head” and want to put them on antidepressants. This is really unfortunate, since most of these women are sure all of their symptoms started after their tubal ligation. Luckily, Dr. Berger has been able to help many women relieve their PTLS symptoms by performing the tubal reversal surgery for them. Patients often report total relief of symptoms within a couple months after their reversal with Dr. Berger.

  10. Myrna White Says: May 5th, 2008 at 8:37 am We do hear from more and more women about having PTLS symptoms before having a tubal reversal. It is a great relief to hear from those who have had tubal reversal surgery and the symptoms of PTLS have disappeared.

  11. Stephanie Duncan RN Says: May 5th, 2008 at 1:14 pm The education about post tubal ligation syndrome is fantastic! I hope that in the near future insurance companies and physicians will acknowledge this syndrome as they do other medical conditions.

  12. Sarah Meachem RN Says: May 7th, 2008 at 10:58 am I always feel such empathy for our patients who have suffered from PTLS symptoms for a long time and have never been able to find any answers about or relief from PTLS. I think it is wonderful that tubal reversal surgery has the ability to relieve PTLS symptoms and help women to feel normal and healthy again.

  13. Kathy Scrone ST Says: May 8th, 2008 at 8:00 am It takes the expertise of Dr. Berger to address and study the post tubal ligation symptoms that are such a viable complaint he hears from his patients. His research is ongoing from this study of similar adverse symptoms that one day will be accepted in the medical community.