Saturday, May 15, 2010
Dr. Berger's New Blog
http://tubal-ligation-reversal-by-dr-berger.blogspot.com/
Tubal ligation reversal by Dr. Berger restores the ability to become pregnant after tubal ligation. In this blog, Dr. Berger presents the most important issues about tubal reversal surgery that everyone should know if they are considering having another baby after having a tubal ligation.
Saturday, October 18, 2008
Chapel Hill Tubal Reversal Center Testimonials and Pregnancy Announcements
“Here is Bodie Thomas in his Berger Baby TR shirt. Thanks again for everything.” Jill S.
“I had my reversal in September, got a positive pregnancy test in January and on September 9th delivered a beautiful baby boy. I could never thank Dr. Berger enough for performing this surgery so that people like me can correct such a big mistake.” Delilah S.
“Thank you again for doing what you do, and for being such a Great Doctor and for allowing me the chance to have my little Zoe:” Stephanie K.
“Within a month and a half after my reversal surgery we were expecting our first Berger baby.” Krys and Pete H.
“Another Berger Baby!! Our life is now complete thanks to Dr. Berger! God Bless everyone at the Tubal Reversal Center.” Missy H.
Pregnancy Announcements - September 2008
Posted: 09.30.08
Name: Janette C.
Location: MA
Date of Tubal Reversal: May 25, 2007
Date of Pregnancy Test: January 10, 2008
Due Date: September 22, 2208
Remarks: On September 12, 2008 at 8:19 am I had a healthy baby boy name Tony. Thanks to Dr. Berger.
Posted: 09.30.08
Name: Erin T.
Location: Palmyra Ne
Date of Tubal Reversal: July 21,2008
Date of Pregnancy Test: 09/30/08
Due Date: June 6 2009
Posted: 09.30.08
Name: DeAnna P.
Location: VA
Date of Tubal Reversal: Dec. 3, 2007
Date of Pregnancy Test: 9/15/08
Remarks: The pregnancy was ectopic and ruptured resulting in an emergency surgery and the removal of my right fallopian tube and ovary.
Posted: 09.29.08
Name: Heather L.
Location: Butler Pa
Date of Tubal Reversal: 6-21-05
Date of Pregnancy Test: Sept 16
Due Date: May 30th
Remarks: I had my ultrasound today and the baby is in the uterus. After having a tubal pregnancy just this past May I was over joyed to have the baby in the right spot. I did have a TR baby boy in November of 06. This will be our last baby as it will make number 5 and Im not sure my uterus can hold up much longer with so many c-sections. Thanks once again for letting us extend our family!
Posted: 09.29.08
Name: Denita D.
Location: Bennettsville South Carolina Marlboro
Date of Tubal Reversal: July 23, 2008
Date of Pregnancy Test: September 25,2008
Remarks: I have a doctor appointment on October 15, 2008.
Posted: 09.25.08
Name: Joy J.
Location: Penn Yan New York
Date of Tubal Reversal: 10/30/08
Date of Pregnancy Test: 8/5/08
Due Date: 4/7/09
Remarks: Hi All: Just wanted to update you on my positive pregnancy. Since I last reported to you in August, I have had 2 ultrasounds and am now at 12 1/2 weeks pregnant … things are AWESOME. So far so good … the ultrasound shows the growth, heartbeat, etc are perfect. Good luck to everyone out there … it’s an awesome feeling thanks to Dr. Berger & his wonderful staff!
Posted: 09.24.08
Name: Wendy H.
Location: Lisbon Maine
Date of Tubal Reversal: 10/27/05
Date of Pregnancy Test: 01-12-08
Due Date: 09-22-08
Remarks: We would like to report our second reversal baby Payton Olivia she was born on September 10,2008 at 2:36 a.m. she was 8 lbs. 3 ozs. and was 19 inches long. She is our second miracle…..thank you to Dr. Berger and his staff yet again for making this possible to continue to add to our growing family!!!! Thanks again, Wendy H.
Posted: 09.24.08
Name: Erin W.
Location: Birmingham Michigan
Date of Tubal Reversal: June 11 2008
Date of Pregnancy Test: September 24, 2008
Due Date: June 3, 2009
Remarks: I had my first blood test today it was hcg 26 I go back in 1 week for another blood test and possible ultrasonic I will let you know ASAP
Posted: 09.23.08
Name: Carrie S.
Location: Bryson City NC
Date of Tubal Reversal: February 8 2008
Date of Pregnancy Test: September 22 2008
Posted: 09.23.08
Name: Holly K.
Location: Yulee Florida
Date of Tubal Reversal: 7/11/08
Date of Pregnancy Test: 09/23/08
Posted: 09.22.08
Name: Barbara Z.
Location: VA
Date of Tubal Reversal: 7/27/2007
Date of Pregnancy Test: 9/22/2008
Due Date: 5/26/2008
Remarks: I was scheduled to start Natural Cycle IVF with my next cycle, but to my surprise, acheived a pregnancy without any medical assistance other than the TR. With a dominant right ovary, and a short tube only on the left side, we didn’t have much hope for achieving a pregnancy naturally… but we did. Thank you! My OB confirmed the gestation sac’s location today.
Posted: 09.22.08
Name: Farrah H.
Location: Ooltewah Tennessee
Date of Tubal Reversal: 03/19/2008
Date of Pregnancy Test: 09/21/2008
Remarks: I have an appt with obgyn on 08/23/08
Posted: 09.22.08
Name: Staci K.
Location: Jeannette PA
Date of Tubal Reversal: January 22 or 23, 2008
Date of Pregnancy Test: September 18, 2008
Due Date: May 24, 2009
Remarks: Just want to say thank you to Dr. Berger. I am going for my Sonogram on October 3, 2008. I will let you know the results.
Posted: 09.19.08
Name: Dawn S.
Location: Smyrna DE
Date of Tubal Reversal: 05/06/2008
Date of Pregnancy Test: 06/20/2008
Remarks: thanks so much to you all. My due date is feb 25th, 2009. I just had my 8th ultrasound and the baby is doing great, HE was sucking his thumb in the picture. I can’t thank you enough for the gift we were given….
I’ll be mailing you a picture of our baby when he arrives.
Much love to you all…
Posted: 09.17.08
Name: Lori H.
Location: Clarksville Tennessee US
Date of Tubal Reversal: 10-12-06
Date of Pregnancy Test: 9/16/08
Due Date: 6/6/09
Remarks: Thank you again, Dr. B and all the staff. This will be our third BFP. The first as you recall was one month after TR and now we have our beautiful baby, now 13 months. We did have a m/c in 3/08, and now we will see what happens with this one.
Posted: 09.17.08
Name: Andrea R.
Location: Post Falls Idaho
Date of Tubal Reversal: July 30, 2008
Date of Pregnancy Test: September 16, 2008
Remarks: This is a very early (and much prayed for) pregnancy. I will be seeing my doctor for the required protocol, and will keep CHTRC updated!
Posted: 09.15.08
Name: Ashley P.
Location: Lake Helen FL
Date of Tubal Reversal: 7/23/08
Date of Pregnancy Test: 9/8/08
Posted: 09.14.08
Name: Sharon M.
Location: Charlotte NC
Date of Tubal Reversal: 07/29/2008
Date of Pregnancy Test: 09/14/2008
Posted: 09.13.08
Name: Michele W.
Location: Wellington Florida
Date of Tubal Reversal: May 6, 2008
Date of Pregnancy Test: September 11, 2008
Due Date: May 25, 2009 approx.
Remarks: I just found out I am pregnant on Thursday, September 11, 2008. I wanted to inform your office because I have some questions about pregnancy I would like answered. My hCG level was 111 on the test taken September 11, 2008. Additionally, I am having some vaginal bleeding and I am concerned. I do have another hCG test scheduled with my provider on Monday, September 15, 2008.
Please contact me at your earliest convenience. I did speak with a nurse at your office on Saturday, September 13, 2008 at approximately 2:00 pm.
Posted: 09.12.08
Name: Laura M.
Location: Rolla Missouri
Date of Tubal Reversal: 11-29-06
Date of Pregnancy Test: 08-04-08
Due Date: 03-29-09
Remarks: Hello–I had my TR for PTLS. We were not actively trying to conceive and I had actually undergone surgery for a procedure and was apparently a few days pregnant at the time. Oops! When I found out I was pregnant the beginning of August I went in that day for Hcg draws and repeated that three more times.
I also had two ultrasounds with the first showing a sac at 6w2d. I had a second ultrasound at 7w5d and we saw the baby with the heartbeat. I went in today for a regular checkup with my OB doctor and the heartbeat was heard via doppler and she did an in-office ultrasound where we saw the baby kicking and the heartbeat again. I will be 12 weeks on Sunday. While this wasn’t a planned pregnancy it is slowly growing on me and I am more happy/relieved reaching this many weeks and having no complications and then again today seeing the baby/heartbeat. Just thought I’d fill you guys in! Take care!
Posted: 09.12.08
Name: Jennifer M.
Location: Phoenix AZ
Date of Tubal Reversal: 06/12/08
Date of Pregnancy Test: 09/12/08
Due Date: 05/22/2009
Remarks: I took 2 HPT this evening, one regular, and one digital. We are really excited!! We are so grateful to Dr. Berger and the staff!!! I will be going to the Dr. on Monday to have bloodwork, we are keeping our fingers crossed that everything goes well and we have a healthy baby! Thank you so much!
Posted: 09.11.08
Name: Makesha S.
Location: Pembroke North Carolina
Date of Tubal Reversal: 10/16/2007
Date of Pregnancy Test: 02/2008
Due Date: 10/17/2008
Remarks: Hey you guys! Just wanted to up date you… I am 35 weeks pregnant with our TR son. I have been on meds to stop pre-mature labor which started on 9/18/2008. It has worked. We are still hanging in there! I actually went a couple weeks ago and had 3D-4D ultrasound photos taken of the baby and boy is he fat. He is not only a miracle performed through Dr. Berger but a healthy miracle. By doc’s opinion we are looking at a 9.5 pounder lil fellow easily. So, again… thanks to all of you and keep up the good work. As long as you guys continue to be obedient in the miracles God uses you for, you will continue to be blessed.
I will continue to keep you guys in my prayers asking God to continue to use you all for his works and to continue to bless all of you!!!! Thanks! I hope to be sending you guys pictures of the new Berger Baby shortly.
Posted: 09.11.08
Name: Celines R.
Location: Rocky hill Connecticut
Date of Tubal Reversal: 06/05/08
Date of Pregnancy Test: 08/08/2008
Due Date: unknown at this time I’m 5wks 2 days
Remarks: MY appt was yesterday @9:45am w. my doctor’s office called me today to do a vaginal ultra sound, for HCG# is 2700. I have a appt at 2:45 for the ultra sound. I did not get the due date: But she told me yesterday I’m 5wks and a day. Today being 5wks and 2 days.
Posted: 09.11.08
Name: Leah V.
Location: Hudson Wisconsin
Date of Tubal Reversal: 06/08/2008
Date of Pregnancy Test: 09/10/2008
Due Date: 05/13/2009
Remarks: The best way is via email or cell phone. Thanks.
Posted: 09.11.08
Name: Anegla W.
Location: 18407 PA Lackawanna
Date of Tubal Reversal: 9-26-07
Date of Pregnancy Test: 9-8-08
Remarks: Second pregnancy since my tubal.The first was in June. I miscarried July 1.. Hopefully all will go well this the round.
Posted: 09.11.08
Name: Leah V.
Location: Hudson Wisconsin
Date of Tubal Reversal: 06/17/2008
Date of Pregnancy Test: 09/10/2008
Due Date: 05/13/2009
Remarks: I am very nervous about having a tubal pregnancy. Can you give me more information?
Posted: 09.10.08
Name: Jackie S.
Location: New Jersey
Date of Tubal Reversal: 3-15-07
Date of Pregnancy Test: 6-9-08
Posted: 09.09.08
Name: Leticia D.
Location: Dinuba Calif
Date of Tubal Reversal: 3/24/08
Date of Pregnancy Test: June 22 08
Remarks: I became pregnant 1 month after the surgery but lost it at 6 weeks. I got pregnant again the next month but also lost it but this time it was at 3 weeks. The problem isn’t getting pregnant. Its holding it. Can you give me any info or point me in the direction to see what I need to do? Thanks Leticia D.
Posted: 09.08.08
Name: Helen M.
Location: Virginia Beach Virginia
Date of Tubal Reversal: 05/30/2008
Date of Pregnancy Test: 09/06/2008
Remarks: I just went to Doctor today to make an appt. because I was told once I get a positive test make one and don’t wait since there is a chance for tubal pregnancy. The nurse gave me a very had time saying they can’t do anything for me until I’m 8 weeks. I did get my blood work done today. The level was 38. She said it was too early to tell. I go back Wednesday. I asked her after that do I go back in two days? She said “no” but I read that I need to get blood work done until I reach 1500, right? What can I do about this? Can you right a letter or just tell me what to do because I don’t know and I’m scared if I don’t get the care that I need. The nurse is giving me a hard time - not my Doctor, I didn’t get to talk to her yet. Thank You in advance.
Posted: 09.08.08
Name: Dorothy S.
Location: Whick Kentucky
Date of Tubal Reversal: Feb. 27,2008
Date of Pregnancy Test: June 7,2008
Due Date: Feb. 21,2009
Posted: 09.08.08
Name: Lori G.
Location: Delmar Delaware
Date of Tubal Reversal: 07/16/2008
Date of Pregnancy Test: 09/08/2008
Posted: 09.08.08
Name: Amy S.
Location: Oneonta New York
Date of Tubal Reversal: 05/29/08
Date of Pregnancy Test: 9/8/08
Posted: 09.08.08
Name: Jaquetta B.
Location: Federal Way Washington
Date of Tubal Reversal: 01/14/08
Date of Pregnancy Test: 09/05/08
Due Date: Maybe May
Remarks: I am having some spotting. I was told this may be caused by the implantation process. I have a doctors appt. today Sept. 8th, 2008 at 15:40.
Posted: 09.08.08
Name: Alma M.
Location: Kennesaw GA
Date of Tubal Reversal: 1/4/2008
Date of Pregnancy Test: 09/08/08
Due Date: 05/19/09
Remarks: I have 2 positive pregnancy tests that I took today. All my other tests in the past 8 months have been negative, so I don’t think this is a fluke. I am making an appointment to get in for blood work ASAP. Thank you! Alma (Lori) M.
Posted: 09.07.08
Name: Jodi S.
Location: Endicott New York
Date of Tubal Reversal: July 31, 2008
Date of Pregnancy Test: September 2, 2008
Due Date: May 8, 2009
Remarks: HCG is slow rising after first tests, so going to have more tests, but at least I got pregnant on my own!!!!! Thank you Dr. Monteith and Dr. Berger.
Posted: 09.06.08
Name: Lalaneia M.
Location: Reynoldsburg Ohio
Date of Tubal Reversal: march 20,2008
Date of Pregnancy Test: June 25,2008
Due Date: March 2,2009
Remarks: Super double triple Yayyyyyy!!! Fifteen weeks now. Been offline for awhile and moved…busy. Thought I would check in and give the suuuper news!!
Posted: 09.04.08
Name: JAMIE B.
Location: SANTA FE NM
Date of Tubal Reversal: 07/28/08
Date of Pregnancy Test: 09/04/08
Remarks: As my email dated today to Julia I have had bleeding and pain since Monday. Last period may not have been an actual period. My OBGYN ordered blood tests. Took first one today. Will repeat on Saturday, Monday etc.
Posted: 09.04.08
Name: Shannon K.
Location: Christiansburg VA
Date of Tubal Reversal: 04/02/07
Date of Pregnancy Test: 09/02/08
Due Date: 5/14/08
Remarks: This is my 4th pregnancy since TR. The first 3 were chemicals and the last one I m/c at 7 weeks. I am very nervous; my first number was 50 and my second was 99.
Posted: 09.04.08
Name: Lorena Q.
Location: Texas
Date of Tubal Reversal: April 20, 2003
Date of Pregnancy Test: June 22,2008
Due Date: February 14, 2008
Posted: 09.03.08
Name: Jennifer A.
Location: Raeford NC
Date of Tubal Reversal: July 29 2008
Date of Pregnancy Test: Sept.3 2008
Due Date: May 11 2009
Posted: 09.03.08
Name: Tracy L.
Location: Weston WI
Date of Tubal Reversal: 6/18/08
Date of Pregnancy Test: 7/31/08
Due Date: 4/3/08
Remarks: We were prepared that our reversal may or may not have worked so you can imagine our surprise when I got pregnant on our first try! I am 38 and have 4 great kids ranging from 15 down to 1 1/2 years old. Hours after my tubal ligation I knew that it was a mistake and have been hoping for this moment ever since. Thank you Chapel Hill Tubal Reversal Center, we truly believe that only you could have done this for us! I am almost 9 weeks and so far, so good. Will keep you posted….
Thank you again,
Craig & Tracy L.
Posted: 09.03.08
Name: Melanie R.
Location: Lehigh Valley PA
Date of Tubal Reversal: April 2008
Date of Pregnancy Test: July ?
Due Date: March 26, 2009
Remarks: I filled this out when I first found out without knowing the condition of my pregnancy. I am now 11 weeks, it’s in the uterus and the heartbeat is strong! We waited until July to try and it worked our first attempt!
Posted: 09.02.08
Name: Tasha J.
Location: Texas Pflugerville
Date of Tubal Reversal: July 9th, 2005
Date of Pregnancy Test: June 11, 2008
Due Date: February 9, 2009
Remarks: This is my 3rd pregnancy since my reversal surgery. My first ended in an ectopic pregnancy, my second resulted in a healthy baby boy born June 2007. I am not sure if you want subsequent pregnancies reported or not, that is why I am a little late reporting this one.
Posted: 09.02.08
Name: Judith G.
Location: Old Orchard Beach Maine
Date of Tubal Reversal: 7-14-08
Date of Pregnancy Test: 9-2-08
Remarks: Thank You Dr. Berger
Posted: 09.02.08
Name: Carneysha M.
Date of Tubal Reversal: 06/03/08
Date of Pregnancy Test: 09/02/08
Remarks: Thank You Dr. B!
Posted: 09.01.08
Name: Wendee G.
Location: Columbus Indiana
Date of Tubal Reversal: 09/06/2006
Date of Pregnancy Test: 08/13/2008
Due Date: 04/20/2009
Remarks: This is our second TR baby, and awe want to Thank you so very much.
Sunday, October 12, 2008
Home Safely in Ireland
Greetings to Dr. Berger from Ireland!
We have arrived home safely and feeling great.
Thank you so much for the wonderful care and attention that you and your wonderful staff gave me while in your care at your Clinic.
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 and 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.
May God Bless you, Dr Berger.
Kind Regards,
Paula and Raymond B.
paulabeaulieu67@hotmail.com
Saturday, September 27, 2008
Chapel Hill Tubal Reversal Center Testimonials and Pregnancy Announcements
“My husband and I thank you so much for everything you did to make our family more complete.” Melissa and Corey C.
“Thank everyone at Chapel Hill Tubal Reversal Center for my little miracle baby. After having my tubes tied for 12 years, I wasn’t even sure it would work.” Pamela G.
“I had my tubal reversal surgery on October 9th, 2007 and was pregnant by November! I am happy to report that on August 7th, 2008 I gave birth to a beautiful baby girl” Lana G.
Pregnancy Announcements - August 2008
Pregnancies 4th Week August 2008
Pregnancy announcements for the fourth week of August 2008 at Chapel Hill Tubal Reversal Center include the first from a patient of our new surgeon Charles Monteith, MD. Melanie S. reports "I had my 1st ultrasound today and everything is looking good. My family would like to thank Dr Monteith and all the staff at Chapel Hill for everything they have done for us."
Pregnancies 3rd Week August 2008
Pregnancy announcements for the third week of August 2008 at Chapel Hill Tubal Reversal Center. Dawn Marie T. reports "This is my third pg since I had my TR, so far everything is going well. Yesterday I had an u/s which it showed a sac and a yolk sac in my uterus. I even got to hear the baby's heartbeat!"
Pregnancies 2nd Week Aug 2008
Pregnancy announcements for the second week of August 2008 at Chapel Hill Tubal Reversal Center. Staci K reports "I am also glad that I can still get pregnant! My Husband and I pray that this one will be a keeper!"
Pregnancies 1st Week Aug 2008
Pregnancy announcements for the first week of August 2008 at Chapel Hill Tubal Reversal Center.
Thursday, July 3, 2008
Pregnancy Testimonials June 2008
At age 45, Debbie reports the birth of her little miracle, Olivia Grace, following tubal ligation reversal performed by Dr. Berger at Chapel Hill Tubal Reversal Center. She says, “I’m hoping this will give other women in their 40’s hope that it can happen.”
Our 5 year tubal reversal anniversary is here. Baby #1 (Italia) is 4 and going to pre-school. Baby #2 (Jay) is three and into everything. Thank you, Dr. Berger.” John and Tracey S.
“Our second tubal reversal baby was born yesterday. I had the reversal at 39, had a healthy baby girl at 40, and a healthy baby boy at 44 1/2. Even doctors have marveled about me having two kids in my forties after having my tubes tied/untied.” Dana McC.
“We are pleased to announce the arrival of our Baby Girl, KaraLeena Alyssia!” Rich and Brenda M.
“My tubal reversal worked AGAIN. I am happy to say I now have two tubal reversal babies. Tubal reversal really does work and works well!” Becky K.
“We just want to thank you again for our tubal reversal miracle, Isabel Nicole. She was born on May 19, 2008 at 12:48 pm, just about a year after my OB/GYN told me that with my elevated FSH, I would NEVER be able to get pregnant spontaneously.” Laurie and Victor F.
Pregnancies 4th Week June 2008
Pregnancy announcements for the 4th week of June 2008 after tubal reversal procedures at Chapel Hill Tubal Reversal Center. Tia S. reports "I am excited and nervous! It's amazing to know that after 17 years, I can still get pregnant. My TL was 12 years ago and at 39 I just thought I might be too old for this."
Pregnancies 3rd Week June 2008
Pregnancy announcements for the 2nd week of June 2008 after tubal reversal procedures at Chapel Hill Tubal Reversal Center. Dawne S. says "I am absolutely thrilled about my positive pregnancy test particularly since I am 46 years old. I can not thank Dr. Berger enough for this wonderful chance to be a mother again."
Pregnancies 2nd Week June 2008
Pregnancy announcements for the 2nd week of June 2008 after tubal reversal procedures at Chapel Hill Tubal Reversal Center. Tonya S. says "This will be the best father's day present I will ever have for my husband."
Pregnancies 1st Week June 2008
Pregnancy announcements for the 1st week of June 2008 after tubal reversal procedures at Chapel Hill Tubal Reversal Center. These are the added comments made on the Pregnancy Report From received from Dr. Berger's patients this week.
Thursday, May 8, 2008
Dr. Berger Talks About Post Tubal Ligation Syndrome
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)”
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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!
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.