Fallopian Tubes

Fallopian Tube Repair

The tubal reversal doctors at Chapel Hill Tubal Reversal Center are specialists in fallopian tube repair. Although most of patients come to Chapel Hill Tubal Reversal Center for tubal ligation reversal, others come for fallopian tube repair after a tubal infection or pelvic inflammatory disease (PID), ectopic pregnancy, or previous surgery involving the fallopian tubes.

Fallopian Tube Anatomy

The fallopian tube begins within the muscular wall of the uterus (interstitial segment), leads away from the uterine wall (isthmic segment), becomes wider (ampulla), extends to the widest area near the end of the tube (infundibulum), and ends next to the ovary (fimbrial segment).

The fallopian tube has several important functions that include:

• Capturing the egg at ovulation
• Providing the proper environment for fertilization
• Transporting the fertilized egg to the uterine cavity

When fallopian tubes have become damaged, pregnancy difficult and sometimes impossible to achieve.

Fallopian Tube Disease

When a fallopian tube is damaged and completely closed, sperm cannot reach an egg to fertilize it, and the egg cannot reach the uterine cavity. Common causes of fallopian tube damage are:

• Pelvic inflammatory disease (PID)
• Other abdominal infections
• Ectopic pregnancy
• Prior pelvic surgery

Diagnosing Fallopian Tube Disorders

The possibility of fallopian tube damage should be suspected when a woman is either unable to become pregnant or has a history of multiple ectopic pregnancies. The diagnosis of a damaged fallopian tube usually is made from an x-ray procedure called a hysterosalpingogram (HSG). During an HSG, a radio-opaque dye is placed into the cavity of the uterus and pictures are taken as the dye flows into the fallopian tube. If the dye does not travel freely from the uterine cavity and through the fallopian tube into the abdominal cavity, then fallopian tube damage is suspected.

Fallopian Tube Repair

Fallopian tube damage due to infection of the tube may result in a swollen, club-shaped tube called a hydrosalpinx. In this situation, the fimbrial end of the tube is closed by scar tissue. This is easily diagnosed by a HSG when the dye is seen to fill the fallopian tube but becomes trapped within it at its swollen fimbrial end. This is the most common type of tubal disease that results in patients seeking fallopian tube repair.

Repairing Hydrosalpinx

A hydrosalpinx can be repaired by the technique of microsurgical salpingostomy. In this procedure, the fimbrial end of the fallopian tube is opened and folded back where it is sutured in place to keep the tube open. Any scar tissue responsible for closing the end of the tube is removed. Pregnancy success rates after microsurgical salpingostomy are approximately 40%. There is an increased risk of ectopic pregnancy after repair of a hydrosalpinx, particularly if the internal lining of the tube has been damaged extensively. It is the internal lining, rich in cilia, that help move the egg down the tube to arrive in the uterine cavity.

Fallopian Tube Repair at Chapel Hill Tubal Reversal Center

The tubal reversal doctors at Chapel Hill Tubal Reversal Center, Dr. Gary Berger and Dr. Charles Monteith, are reproductive surgeons who are specialists in tubal ligation reversal and fallopian tube repair. They perform more than 800 tubal reparative surgeries each year for women from throughout the United States and around the world. Their vast experience in repairing fallopian tubes allows women with fallopian tube damage to become pregnant naturally as opposed to the more expensive and complicated treatment of in vitro fertilization.

Challenging Tubal Ligation Reversal: Uchida Tubal Ligation

Tubal Reversal Experts

The tubal ligation reversal experts of Chapel Hill Tubal Reversal Center are experienced at sterilization reversal. Many women who have had their ‘tubes tied’ will come to our center to have their ‘tubes untied’. Unfortunately, a ligation reversal is not as easy as ‘untying’ the tubes- we wish the process was that simple.

We employ a microsurgical approach to repair and reattach the ends of the tubes. This process is called tubotubal anastamosis, and provides a patient with an excellent chance of becoming pregnant naturally. We specialize in ligation reversal and in reversal of difficult tubal ligation procedures.We would like to present the story of one of our patients who had an atypical sterilization procedure.

Reversal of an Unusual Sterilization Procedure

The patient’s name is Ofralinda. She and her husband, Juan, came to us from Texas. Ofralinda is 35 and she works as an OSHA compliance officer. Her husband is in construction. Ofralinda desired a tubal ligation reversal in order to have more children. She had a rare and atypical sterilization procedure termed the Uchida procedure.

Uchida Sterilization Procedure

A Japanese physician, Dr. Uchida, first described this method of sterilization in 1961. This method involves removing a large segment of the fallopian tube and suturing (sewing) the cut end of the fallopian tube into the wall of the uterus. Dr. Uchida first published information about his method of sterilization after having performed over 50,000 procedures without any pregnancy failures. This is an effective but also complicated method of surgical sterilization. Most modern physicians have never performed or seen a Uchida sterilization. We have seen several patients who have presented with a Uchida sterilization procedure and we have had success with reversal of this method.

Uchida Sterilization Reversal

Ofralinda had a 60-minute outpatient tubal ligation reversal. Her surgery went well. We found her tubes to be short (due to the large amount of tube removed with her initial Uchida sterilization) but otherwise healthy. We were able to successfully repair both of her fallopian tubes. She has since been discharged back to her home and we wish her well. We would like to hear a report of a successful pregnancy from her within the year.

Sterilization Reversal at Chapel Hill Tubal Reversal Center

We specialize in tubal ligation reversal. Our tubal ligation reversal specialists perform over 800 reversal procedures every year on women from across the world. We regularly have patients from as far away as Hawaii, Alaska, and the Caribbean. Occasionally, we will have patients from Australia, Asia, and Europe.

Most tubal ligation procedures are reversible. The pregnancy rates after reversal are generally higher than after in vitro fertilization (IVF) and we specialize in difficult tubal reversal procedures.

More Information on Fallopian Tube Repair

National Infertility Awareness Week | Affordable Treatment for Tied Tubes

National Infertility Awareness Week (October 19-25th) brings to mind the expense of advanced infertility treatments, often in the tens of thousands of dollars. During this time of economic uncertainty, this is bad news for most couples who desperately want to have children but require medical treatment to do so. There is one bright ray of light, though, and that is the topic of this article – affordable treatment for tied tubes. This is a problem that hundreds of thousands of women face when they regret that their decision to have their tubes tied. Even though the percentage of women who regret having a tubal ligation is low, the actual numbers are high because over 10 million women have had a tubal ligation in the US.

If you done any research online, you have probably learned that tubal reversals can cost as much as $30,000 when the doctors and hospital bills are all included in the price.

For an affordable tubal reversal in the best price range quoted above, you may have read about Dr. Gary Berger and Dr. Charles Monteith at Chapel Hill Tubal Reversal Center. They are the world’s leading tubal reversal doctors, yet they offer the surgery for under $6000 as an all-inclusive fee that covers everything. Do your own research to learn for yourself about the reknown tubal reversal facility in Chapel Hill, North Carolina.

One of the main obstacles for most couples wanting children after a tubal ligation has been performed is that most insurance companies do not consider this to be an elective procedure that is not “medically necessary”. That is true also of the alternative treatment, in vitro fertilization or IVF, which is even more expensive and less successful for most couples than having the tubes untied.

If you need some form of financing to afford having the operation, there are companies that do finance medical treatments. The one that Dr. Berger’s clinic uses is Medical Resource Partners. You can also choose a pre-payment plan at Chapel Hill Tubal Reversal Center. These options help many couples to start or expand their family.

This plan allows you to save up the total tubal reversal cost in any increments you can afford and over how ever long it takes before scheduling your procedure for reversing tied tubes. If you wait till you have the full amount saved to make the appointment, you can get an even lower price.

About the Author:
You will find a very affordable tubal reversal by visiting Dr. Berger’s resources at http://www.tubal-reversal.net/ Even if you do not use available financing you get the world’s best tubal reversal doctors at a very good price.

Tubal Reversal Surgery Is Possible After The Essure Tubal Ligation Procedure

Essure is a permanent birth control device that has recently become available as an alternative to traditional tubal ligation methods. The spring-like device is inserted through the uterine cavity into the tubal openings using a hysteroscope. Because of the scar formation, it cannot be pulled out of the tube. It is advertised by the manufacturer as a permanent method of birth control. In this respect, it is similar to other tubal ligation methods that are considered by most doctors to be permanent.

Dr. Gary Berger of Chapel Hill Tubal Reversal Center has successfully repaired the tubes following an Essure procedure. Dr. Berger accomplished this by cutting the Essure device out of the uterine muscle and implanting the remaining fallopian tube into the uterine cavity through a new opening in the uterus in a procedure called tubouterine implantation. The reason Dr. Berger removed the device was that part of the metal spring projects into the uterine cavity. If a pregnancy were to occur with the device in place, this could be harmful to the pregnancy.

To our knowledge, Dr. Berger is the only surgeon that has performed a tubal reversal surgery to reverse the Essure ligation method.

Read Dr. Berger's Blog on Reversing Tubal Essure

Dr. Monteith is Joining Dr. Berger as a Tubal Reversal Surgeon

Dr. Monteith is joining Dr. Berger as a tubal reversal surgeon at Chapel Hill Tubal Reversal Center. Dr. Charles Monteith graduated Summa Cum Laude from Xavier University and received his Medical Degree from the University of California at San Francisco. Following a Howard Hughes Research Fellowship in molecular biology, he completed his residency in obstetrics and gynecology at the University of North Carolina at Chapel Hill in 2001. Since then he has been a Clinical Assistant Professor of Obstetrics and Gynecology at the University of North Carolina Medical School. Dr. Monteith is board certified in obstetrics and gynecology and has extensive experience in laparoscopic surgery and high risk obstetrics.

Explaining his decision to join Dr. Berger in practice, Dr. Monteith says, “My interest in tubal ligation reversal comes from my love of outpatient surgery and the desire to learn skills which are becoming a dying art. My hope is to be able to continue to practice tubal reversal surgery and to keep it as an option for patients who have had prior tubal ligation and desire to become pregnant.”

Like all of Dr. Berger's staff Dr. Monteith can be contacted via the tubal reversal message board. Here you can read Dr. Monteith's most recent posts

As this thread from the Tubal Reversal Message Board shows Dr. Monteith as well as being an excellent surgeon also has quite a sense of humor:

Posted by Dr. Monteith (Member # 11996) on February 04, 2008 09:00 AM:

I answered your questions under the threads of scheduling and posting with Dr. Montieth

Posted by sweeet_mommie (Member # 11471) on February 04, 2008 06:50 PM:

Dr.Monteith thank you so much for responding to my questions and your responces were very helpful. We are very happy to know that there is hope for us. We never thought that we would want another child considering we have 5, 4boys 11,10,8 and 6 and 1girl 6. We were very scared when they told us twins and that is why we had my tubes tied, well that was a mistakeand at the time my Doctor didnt think it was a good idea but went along with it considering I was only 23 years old in 2001. Tell me something how likely (is it if there are twins on both sides of the family), are we likely to have twins again? Thank you for you help and another thing the most thing I am afaid of is getting surgery, in 2006 when I lost my right tube I was so scared of be put to sleep. any suggestions?
thanks again
luquesua

I am considering getting my TR maybe late spring.

Posted by Dr. Monteith (Member # 11996) on February 04, 2008 09:08 PM:

Twins do run higher in some races of people. Certain tribes from Africa have very high twin rates- can be as high as 1 in 50 pregnancies. In general, the chances of having a twin pregnancy is about 1 out of 200 pregnancies.

If you and your husband are Nigerian then I would be worried you would have a higher chance of a twin pregnancy- for the most part I have not been impressed that twin rates have been higher when patients come to me in the USA and say twins run in both families. I would say your risk of twin pregnancy would be about 1 out fo 200. If you have to take clomid about 10 out of 200 and if you have IVF about 1 out of 3!

General anesthesia is very safe when it is done in a low risk patient in a controlled situation. The only problems I have seen is in emergency surgery when everyone is rushing and the patient is high risk- say 300lbs, poor airway, heart disease, trauma, etc.

Posted by sweeet_mommie (Member # 11471) on February 05, 2008 05:46 PM:

Dr.Monteith another question I have is the TR is it done vaginal? How long after surgery can we try to conceive?

Posted by Dr. Monteith (Member # 11996) on February 05, 2008 11:04 PM:

The reversal is done through a small incision- about 4 inches- just above your pubic hair line. We ask that you wait until you leave the office before you try to conceive! (the real answer is when you feel up to it- about 2-4 weeks).

Posted by mommyof4wantingmore (Member # 11914) on February 06, 2008 04:06 AM:

What a great sense of humor Dr. Monteith! I read almost all of the posts on here, but that has to be the best reply of the day!! LOL Sorry if I butted in on the thread but that was GREAT!!
-Donielle

DH-34
Me-32
DS-14
DD-6
DS-5 (soon)
DS-2
TL-7/05
TR-Goal is Summer 2008!

Posted by sweeet_mommie (Member # 11471) on February 06, 2008 07:10 AM:

thanks Dr. that information was very helpful, we will be scheduling my appointment for April wil you be there assisting Dr. Berger?

Posted by in-Gods-hands (Member # 11795) on February 06, 2008 08:17 AM:

I am with Donielle that was the best one yet. I liked that. Miranda

More Information on Dr. Monteith

PTLS Post Tubal Ligation Syndrome

Posted on the Tubal Reversal Message Board by a potential patient of Dr. Berger at Chapel Hill Tubal Reversal Center:

I believe I am a victim ot PTLS in forum New Message Board Members at Tubal Reversal Message Board
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Posted by Gialisa40 (Member # 8182) on May 29, 2005 09:58 AM :
I have had terrible PTLS symptoms that have only gotten worse. I was wondering does it matter how long you have had your tubal, can you still get it reversed? Will reversal help at any age? What if you are close to menopause? My doctor told me what he was doing couldn't be reversed, it was cut and burned. Is that true?
I appreciate any help or information anyone has to offer.
Thanks, Gialisa40
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Posted by Digger (Member # 7585) on May 29, 2005 11:00 AM :
The time length that you had your TL doesn't matter.My Dr told me mine couldn't be reversed either but Dr B DID reverse it.At times it the tube is too short or severely damaged it may not be reversed.Dr B will request your records from the TL to determine that and if you don't have access to those recors(which I didn't)he can do laproscopy to look before he does the TR.I wish you the best of luck!
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Posted by rkandlm (Member # 6776) on May 29, 2005 11:01 AM :
Gilalisa, My symptoms got worse and worse! It does not matter, from what I have heard, how long since your TL. Dr. B. can fix almost everything! Mine were cut and burned, and I still came out with 5.5 & 6 cm. I had my TR on 11-5-04, and I am now 22W 3D pregnan. After the TR, and before my BFP, all my symptoms went away. All I know for sure is how I went back to normal, and felt a ton better! Bonus.....I now get to be a mom again!YEA!
Hope this helps some, Lisa
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Posted by Rachel RN (Member # 1386) on May 29, 2005 12:36 PM :
Dear Gialisa, I'm sorry you have been having so much trouble with PTLS. Although most patients come to Dr. Berger for TR because they want more children, many women report either significant or total relief from PTLS symptoms following TR surgery. Many have reported reduction in cramping, bleeding, and number of days their periods last, as well as fewer mood swings and other problems. To my knowledge, there is not much data on this (maybe because so many doctors are still denying the existence of PTLS) but Dr. Berger is collecting these reports. Dr. Berger is able to repair the tubes in at least 95% of cases. Your age and length of time since TL are not factors in a successful repair (pregnancy rates, of course, ARE related to age). I suggest that you obtain a copy of the operative report from your TL procedure (from the surgeon who performed it, or the hospital where you had it done) and send it to Dr. Berger. He'll review it and a nurse will call you within a day or so to discuss everything. I hope to be taking care of you in the Recovery Room soon! Rachel Heller, RN
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Posted by tfaith (Member # 8133) on May 30, 2005 05:51 PM :
Gialisa,
You are not alone. I am a 44 year old woman with PTLS symptoms and broke down and cried when I found this site a week ago. No one believed me before. I had been told the only way I could find relief was to have a hysterectomy. My fear of only trading symptoms kept me from doing it. My reports have already been turned in and now I am waiting to have my FSH levels tested. As long as I am not on the verge of menopause I will be having a TR in the attempt to diminish my PTLS symptoms. I still have regualar cycles so feel confident Dr. B. can help me too. I already feel a heavy weight has been lifted, because now I have hope. You are younger than me and I am pressing on, and so can you. BTW - I had also been told that my tubes were burned but my report did not reflect that, so maybe your tubes weren't either.
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Posted by CL (Member # 6765) on May 31, 2005 11:12 PM :
Gialisa40, I can only tell you that my PTLS has gotten worse and in 9 days, I will be having my TR. I am looking foward to my first AF after that to see what happens. I am looking forward to having more energy and getting rid of the mood swings that have developed in the last month. The mood swings is what pushed my husband into getting my TR immediately. Of course, part of this happened because the good Lord helped us to sell our house to make all of this possible. All I can say, is that the day I found this site and discovered that I wasn't crazy and had a OB/GYN doc say that they call it PMS, not PTLS and walked out on me when I asked her morally and ethically didn't she feel obligated to tell her patients what could happen from a TL.
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Posted by taalah (Member # 8162) on May 31, 2005 11:20 PM :
I thought i was the only one having these symptoms and my gyno recommended me taking everything out and i am only 33 gosh i thought i was tripping out again but i suspected it was hormone related to my tl its like i morphed into a different woman will most of this go away when you have your tr and put your body back the way god intended it
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Posted by CL (Member # 6765) on June 01, 2005 01:03 AM :
taalah, I certainly hope so as I do not want to take birth control pills, prescription medication and have more test run to figure out how to deal with these symptoms. I guess in 9 days when I have the procedure and my body is put back together, I will find out. It certainly will be nice to have energy again instead of sitting around the house because that is all you can do. CL
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Posted by colette catalino (Member # 8184) on June 01, 2005 06:31 AM :
This is the first I've heard of PTLS. Since my TL 2 years ago and the return of my periods year ago I have experienced the worsest mood swings, abdominal pain, nausea and cramping not to mention feeling like I am pregnant every month from the abdominal bloating, breast tenderness, nausea and back cramps. After the third cycle I began to think I have excess scarring from the procedure or an artifact was left behind during the surgery. I want this craziness to end. How common is PTLS and does it continually get worse?? Confused and nutty....
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Posted by Gialisa40 (Member # 8182) on June 01, 2005 07:24 AM :
Yes Taalah,
I agree we should be the way God intended us to be. I kept waiting for my husband to have a vasectomy and he wouldn't, 6 kids later, I said I have to do something. Now with these symptoms I am sorry I did. For women we have a monthly cycle and our whole body undergoes changes constantly, we need our estrogen production. Men don't need to produce sperm, except when you want to conceive, which I think we have enough. My brother had a vasectomy and he had no negative symptoms. I just thought I would show the comparison of how much more we are affected by sterilization then men are.
Gialisa40
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Posted by Gialisa40 (Member # 8182) on June 01, 2005 07:29 AM :
Please CL let us know how you feel after.
Thanks so much for sharing! It is so good to know I am not alone.
Gialisa40
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Posted by mommakat (Member # 8204) on June 02, 2005 02:12 PM :
Hello everyone
I didn't know about ptls until I looked into this sight 3 years ago (wanting to get a reversal so my DH and I could have a baby together). I realized then that was exactly what I was experiancing. Not only did I have terrible mood swings (sometimes rageful)but I never knew when to expect my periods (typically 19-30+ days), which by the way were always very painful the first day. After my tr my cycles became very regular, I don't have the mood swings or even the pain anymore!!!
I had my tl Oct. 26th, 1994 after my youngest daughter was born and my tr on October 20th 2004. I have 3 children from my 1st marriage -ages 10, 12, & 14 and am remarried 1 1/2 years now with hopes of another bundle of joy soon.
-Kathleen
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Posted by tfaith (Member # 8133) on June 02, 2005 04:02 PM :
I wish I had found this site years ago, but am grateful for finding now.

Has anyone who was 40+ gone through the TR and found relief from PTLS? Ironically I found this site while researching pre-menopausal symptoms as my PMS keeps getting worse and I am approaching the age. But two things that have remained constant is that my AF's are still very regular and I still feel ovulation.
Thanks,
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Posted by taalah (Member # 8162) on June 02, 2005 11:11 PM :
congrads cl hope your tr goes well and wish you all the luck. i agree with some now let the men carry the procedures from here on because woman have enough to deal with already with everyday hormone problems.
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Posted by little j (Member # 7744) on June 03, 2005 07:04 PM :
Hellow girls,I'm 27 and I have 3 boys ages6,8,and 9 and I've been wanting to have a TR,How has this exprerience been for those who got it done?
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Posted by CL (Member # 6765) on June 05, 2005 12:14 PM :
Gialisa40, I will be glad to let you know how I am feeling.
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Posted by dephany (Member # 6570) on June 05, 2005 01:26 PM :
is ther anyone on line right now who i can talk to about there surgery send back a reply
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Posted by hopeann (Member # 7733) on June 06, 2005 01:10 PM :
Hey Ladies, I had my TR in January. Each month my cycle has been better. This month it was almost the same as before my TL. My period would be about 2 days with mild cramping, after the TL it would last for about 7 days with nausea and heavy cramping. I used to have a bad headache about a week before I was to start, but I believe my body is working this out because my headache is moving around during the month. I would believe it will deminish as well. I wish doctors would give people the information that ptls is possible. I am greatful to have the opportunity to fix my body and let it work as it is supposed to. Dr. Berger and his staff are the most professional and caring office I have met in any field of health care. Thank you Dr. Berger and Staff for all you do. Hope

More Information on PTLS

Tubal Reversal Procedure Talking Points

The page Tubal Reversal Procedure Talking Points discusses various issues regarding tubal reversal microsurgery, such as the use of loupes vs microscope, choice of suture material for the fallopian tubes, and the advantages of using a tubal stent. Although some doctors may have different opinions about how tubal reversal surgery is best performed, there is one way to know for certain what works the best and that is by documenting the pregnancy and birth rates after the reversal surgery. Dr. Berger is the only tubal reversal doctor who documents and publishes actual pregnancy and birth statistics based on long term patient follow-up.

Question : How can I know what techniques work best for tubal reversal procedures?

Answer : Some doctors may have different opinions about how tubal reversal surgery is best performed. There is only one way to know what works the best and that is by documenting the pregnancy and birth rates after the reversal surgery. This requires long term patient follow-up. Dr. Berger follows-up with all of his patients, records the outcomes of every reversal procedure, and publishes documented statistics about pregnancy after tubal reversal as well as weekly pregnancy reports for his patients. Chapel Hill Tubal Reversal Center provides complete and accurate information about the success of tubal reversal.

More Questions and Answers about Tubal Reversal Procedure

Testimonials After Tubal Reversal Procedures from Dr. Berger's Patients

"I had my tubal reversal surgery by Dr. Berger in September, 2002. I have had 2 sons after my tubal reveral so far and have just found out I am expecting another baby in April." Misty R.

"Our Berger baby girl arrived just 10 short months after having the reversal procedure." Geni W.

"I want to announce the arrival of our new baby girl. We are so happy we traveled to Chapel Hill Tubal Reversal Center have the reversal done. I had the tubal reversal procedure performed September 21, 2006 and we found out we were pregnant the day after Thanksgiving." Elizabeth S.

"Kate just turned one. Turns out we got her an extra special present! Positive HPT today...we are THRILLED." Steph C.

"It will never be lost on me what miracles these little TR boys are. Thank you, Dr. Berger and staff for helping to make our dreams come true." Renee and Jack L.

"We are so grateful to Chapel Hill Tubal Reversal Center for the great work you do to allow families like ours to follow their hearts and bring a new life into their homes." Jennifer McN.

"My son Dylan is a Dr. Berger miracle. I had my tubal reversal surgery in January of 2006 and Dylan was born on January 22nd, 2007." Maria M.

"My tubal reversal baby boy is here thanks to the wonderful Dr. Berger and staff at Chapel Hill Tubal Reversal Center." Andrea P.

"I got pregnant 2 months after my tubal reversal. Thank you Dr. Berger - I had a great pregnancy, full term, and fast delivery." Phoebe R.

"Our 3 year old tubal reversal daughter, Hally, has changed our lives and I still appreciate everything Dr. Berger did to bring so much joy into our lives." Peggy L.

"I had my baby 4 days after my Tubal Reversal Anniversary. Thank you, Dr. Berger - without you we wouldn't have our little miracle! " Dawn T.

"Kiaira is such a happy baby. Dr. Berger made our dreams come true with his tubal reversal procedure." Rosemary and Manuel M.

"We now have a new son thanks to the awesome skill of Dr. Gary Berger, the best tubal reversal doctor." Dana and Phillip A.

"We just wanted to say thank you, Dr. Berger and to all of the staff, for making our dream of having a family come true! We just added our second tubal reversal Berger Baby to our family only 16 months after our first Berger Baby." Scott and Kim H.

"Our new family addition arrived after tubal reversal surgery performed by Dr. Berger. I am a new mom again at 41." Tim and Amy F.

"Another miracle tubal reversal Berger Baby is born. Jayden is my husband's first child and to see the look on his face was priceless. Thank you all for this miraculous gift." JoAnn and Travis R.

"In October we will be delivering our 2nd Berger baby, then our family will be complete. We couldn't be more happy with our decision to take the leap and go see Dr. Berger for our TR surgery." Sheila P.

"My son is proof that tubal reversal works. My Berger Baby just turned one year of age - we are truly blessed thanks to you, Dr. Berger." Crystal W.

"We are so happy to report the arrival of our baby boy. We thank Dr. Berger and his wonderful staff for helping us realize the dream of having our fourth child." Misti D.

"Dr. Berger helped us create our miracle through tubal reversal surgery. He made our family so happy and complete." Angela P.

"Thank you, Dr. Berger, for giving us this miracle of life. I want to thank you for doing a wonderful job letting us have something so beautiful between Rodger and me." Heidi F.