Dr. Berger has started a new Blog here on blogspot at:
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.
Showing posts with label surgery. Show all posts
Showing posts with label surgery. Show all posts
Saturday, May 15, 2010
Wednesday, December 9, 2009
Wanting to reverse your tubal ligation?
You are not alone in wanting to reverse your tubal ligation. Let's take a quick look at the facts presented by the CDC from their 1995 CREST study.
In this study, we learn that tubal ligation was done 1 1/2 to 2 times more often than a vasectomy as time went on from 1973 to 1982 and continued at that rate to the time frame of this study in 1995. I found this a surprising fact considering that in 1965, tubal ligation and vasectomy were equally as common.
Taking both forms of sterilization into account, the CDC considers 41% of women in the age group of 15-44 as being surgically sterile. Of these, 26% chose to have a tubal ligation because either the woman or the man in the relationship wanted no more children.
The number of women in this age group that had their tubes tied calculates out to 3,978,000 women. This figure remains pretty constant year in and year out.
Now, we get to the part of you finding out if you are alone in wanting a tubal ligation reversal or one among very few who want this. According to the CDC, almost 25% of women with tied tubes want a tubal ligation reversal. Turning to the calculator again, that comes out to 994,500 women. Almost a million women in any one year are wanting to reverse their tubal ligation. That's just in the U.S. alone. Many more women feel this way around the world.
So you can see you are far from being alone in your desire. Good thing you can get your tubes untied through another surgery called, as mentioned above, tubal ligation reversal. Once you know this, you move on to the next step toward having another pregnancy by researching your options.
There are things you do need to learn in order to help you make the best decision for you which will result in your end goal of a child. With the Internet at your fingertips you have many resources for your research.
The best place to begin and end your search, however, is the Chapel Hill Tubal Reversal Center's website at http://www.tubal-reversal.net/ Here you will find a message board where you can meet other women wanting the same thing as you as well as tons of information about tubal ligation reversal. Check it out today.
In this study, we learn that tubal ligation was done 1 1/2 to 2 times more often than a vasectomy as time went on from 1973 to 1982 and continued at that rate to the time frame of this study in 1995. I found this a surprising fact considering that in 1965, tubal ligation and vasectomy were equally as common.
Taking both forms of sterilization into account, the CDC considers 41% of women in the age group of 15-44 as being surgically sterile. Of these, 26% chose to have a tubal ligation because either the woman or the man in the relationship wanted no more children.
The number of women in this age group that had their tubes tied calculates out to 3,978,000 women. This figure remains pretty constant year in and year out.
Now, we get to the part of you finding out if you are alone in wanting a tubal ligation reversal or one among very few who want this. According to the CDC, almost 25% of women with tied tubes want a tubal ligation reversal. Turning to the calculator again, that comes out to 994,500 women. Almost a million women in any one year are wanting to reverse their tubal ligation. That's just in the U.S. alone. Many more women feel this way around the world.
So you can see you are far from being alone in your desire. Good thing you can get your tubes untied through another surgery called, as mentioned above, tubal ligation reversal. Once you know this, you move on to the next step toward having another pregnancy by researching your options.
There are things you do need to learn in order to help you make the best decision for you which will result in your end goal of a child. With the Internet at your fingertips you have many resources for your research.
The best place to begin and end your search, however, is the Chapel Hill Tubal Reversal Center's website at http://www.tubal-reversal.net/ Here you will find a message board where you can meet other women wanting the same thing as you as well as tons of information about tubal ligation reversal. Check it out today.
Thursday, November 20, 2008
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 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
Repairing Hydrosalpinx
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
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
Saturday, October 18, 2008
Chapel Hill Tubal Reversal Center Testimonials and Pregnancy Announcements
“We would like to report the birth of our second reversal baby. Payton Olivia. She is our second miracle. Her older sister is also a miracle Berger baby.” Wendy H.
“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.
“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
Many of Chapel Hill Tubal Reversal Center's patients have traveled from all over the world, Paula B. came from Ireland to Chapel Hill, NC to have Dr. Berger perform her tubal ligation reversal surgery. Upon returning safely home after her reversal, she sent this patient satisfaction message:
Greetings to Dr. Berger from Ireland!
Greetings to Dr. Berger from Ireland!
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
Chapel Hill Tubal Reversal Center Testimonials - August 2008
“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.
“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, 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.
Insurance Coverage
More Information 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.
Monday, April 14, 2008
Pregnancy Following Tubal Reversal Surgery
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(Tubal Reversal News - April 15th 2008) Chapel Hill Tubal Reversal Center reports pregnancies as soon as a month after tubal reversal surgery as well as a year or more after surgery.
Tubal reversal surgery enables women to conceive naturally and has a higher pregnancy rate and a higher birth rate than IVF. For most women desiring another child after tubal sterilization, tubal reversal is the best treatment. Most people are not aware that tubal ligation - usually considered a permanent method of birth control - can be reversed through low cost, one hour outpatient surgery. Even many doctors think mistakenly that treatment by in vitro fertilization (IVF) is needed for women who want another baby after having a tubal ligation. Chapel Hill Tubal Reversal Center reports pregnancies as soon as a month after tubal reversal surgery as well as a year or more after surgery. The results from a study that Dr. Berger conducted demonstrates clearly that tubal reversal is more successful than IVF for most women wanting their fertility restored after having their tubes tied.
This is from the Tubal Reversal Message Board.
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Posted by Pennylane (Member # 12121) on March 14, 2008 12:45 PM:
I am currently 32 years old and I'm scheduling my reversal for this July and I'll be 33. I was just wondering if there was anyone out there who is my age and had TR with a pregnancy right away?
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Posted by Sally, RN (Member # 7389) on March 14, 2008 02:23 PM:
Pennylane--I am sure there are many women who are your age, had their TR and became pregnant right away. I hope they will chime in to let you know. We will look forward to meeting you in July.
Sally,RN
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Posted by mom4ever (Member # 11204) on March 14, 2008 03:08 PM:
Hi Pennylane - I had my reversal last July and I am 33 years old. I also became pregnant the same month and am now expecting my son in the next couple of weeks!
Good luck to you.
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Posted by mamasoup8 (Member # 11212) on March 14, 2008 05:52 PM:
Hi Pennylane, I'm 34 years old, had my surgery in November, and am now due in October. Good luck!
-Traci
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Posted by Pennylane (Member # 12121) on March 14, 2008 10:15 PM:
Thank you for your replies, it really makes me feel good! I am hopefull that I will get pregnant right away. Please keep your fingers crossed for me.
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Posted by debjim (Member # 8607) on March 15, 2008 07:19 AM:
I am 36 had mine in 2006. Had Tr baby #1 at 35 just found out we are expecting #2, I will be 37 when he/she is born.
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Posted by Raddmd (Member # 11476) on March 15, 2008 08:38 AM:
Pennylane,
I had my TR 8/27/07 and I was 36,I am now 37.I had my TL 12/19/91.Good luck to you,you will love Dr Berger and his staff!They are wonderful!
Donna
DH 33
DD 18
DS 17
DS 16
18
------------------------------------
Posted by Crecia (Member # 6023) on March 15, 2008 10:36 PM:
I was 32 when I had my TR last year on 4/10/07 and became pregnant in June and found out I was pregnant with my son on my 33rd birthday in July. Just gave birth to my son on 3/12/08. Hope this help.
Crecia
------------------------------------
Posted by shoegirl (Member # 9481) on March 16, 2008 01:29 PM:
Pennylane: I was 32 when I had my TR, I got pg 4 months later. I was 33 when I had my son. I got pg again when he was 4 months old only to mc at 14 weeks. Us 30 somethings arent shriveled up yet!! Good Luck to you!
------------------------------------
Posted by busymom4 (Member # 12267) on April 08, 2008 10:52 AM:
Pennylane,
I am 33 and considering TR. It is encouraging to here everyone's experience with positvie pregnancies. Did any of you have ectopics or mis. before you got pregnant? The odds seem very high? I have never had any trouble getting pregnant but am scared about losing a baby.
Thanks
Tammy
------------------------------------
Posted by HopesAndDreams (Member # 11754) on April 08, 2008 11:37 AM:
Hi Tammy,
I just wanted to let you know that I too am 33 and I go for my TR on Friday. I will be 34 in July. My first pregnancy when I was 19 was an ectopic. It was tucked away in the tube and I had to have "hip to hip" surgery to have it removed. My OB/GYN did an excellent job and saved the tube and it healed just fine. But to answer your question, having a TR only slightly increases your risk of EP. I was a very healthy 19 year old girl and still ended up with an EP. You will find that it "seems" like there is an increase in MC on here because women are on here looking for support during their hard times. Many, many go on to have full term births. Stats show that the average woman has miscarriages that go undetected because the average woman does not test until she has missed AF. After TR women test earlier to avoid a ruptured EP. Sorry so long, but I hope this helps...
Dawn
------------------------------------
Posted by PaulnJenn (Member # 10984) on April 08, 2008 12:41 PM:
Here are the stats on on going births, ectopic and m/c.....
http://news.tubal-reversal.net/pregnancy-study-2007-pregnancy_outcomes.htm
Jenn
------------------------------------
Posted by PaulnJenn (Member # 10984) on April 08, 2008 12:50 PM:
I had my TR done in November of 07. I am 34. I have NEVER had any complications before TL. Never had a MC or ectopic. Since November, I have had two losses.
I have said it many times that I do not regret my TR. The chance is there to have another baby but most important to give my DH his first child. I am not sure why I had the losses. Sometimes I chalk it up to being older than 18. Other times, the early testing. Getting TR is a very personal decision and it is a very difficult journey once down this path. I do know that I have hope that my difficult journey will be rewarded eventually.
Good Luck to you all!
Jenn
TR-11/19/07
Metho-01/14/08
Chemical-03/23/08
------------------------------------
Posted by ojzmom (Member # 12208) on April 13, 2008 09:59 AM:
Pennylane I wonder the same thing. I just had my TR done 4/1/08 and am 32yrs old. My tube lenghts are short. 3.0, 3.75 and I am hoping I get pregnant right away. I mean the short tubes scares me and the longer it takes the older I get!
------------------------------------
Posted by sillypuddha (Member # 11649) on April 13, 2008 01:33 PM:
Pennylane--I just wanted to say congrats on your upcoming TR. I can't say enough wonderful things about Dr. B and his amazing staff!! The whole TR experience was incredible. I was so nervous, but everyone at CH are so great! I am 32 now, will be 33 in July. I had my TR on 11/29/07 (R 3.5, L 5.0), got my first BFP on 1/18/08, and am currently 16 weeks today, and due on 9/28/08! It is all so surreal, and such a miracle to me. The pregnancy is going great--had a few rough spots in the beginning, but all is wonderful now. Good luck to you, and rest assured that you are in the best of care! Lots of sticky babydust to you! BTW--the recovery is pretty quick, and no more PTLS symptoms for me instantly!!
Krys
------------------------------------
Posted by Rhonda Brown, RN (Member # 9485) on April 13, 2008 08:18 PM:
Dear Pennylane,
As you can see many different women have many different stories to offer with all different types of situation. This message board offers lots of support and information to women. The staff at Dr. Berger's office is available to answer any questions that you have. We also have lots of information on the website in regards to what to expect before, during and after surgery. There is also information on pregnancy statistics based on age, type of ligation and tubal length remaining after surgery. Please let me know if you have any other questions or if I can assist you with anything. I look forward to meeting you in July.
Rhonda
------------------------------------
Posted by Karen M (Member # 11869) on April 14, 2008 02:51 PM:
Hi Penny, although I am a little bit younger I am 27 and I had my tubal reversal surgery in January and became pregnant on my 2nd cycle in March. I was nervous and scared as well, but the surgery went very well and recovery is not bad at all. You will be in the best hands possible when you are at Chapil Hill, and you will have the most support you could ever imagine through this journey of yours. I know one thing that helped me in becoming pregnant so fast is I bought the ClearBlue Easy fertility monitor. It is a bit pricey, and you can get it on Ebay for a fraction of the cost, but its well worth it.
Best wishes and good luck!!!
Karen M
TL 2002
TR Jan 10, 2008
EDD December 10, 2008
(Tubal Reversal News - April 15th 2008) Chapel Hill Tubal Reversal Center reports pregnancies as soon as a month after tubal reversal surgery as well as a year or more after surgery.
Tubal reversal surgery enables women to conceive naturally and has a higher pregnancy rate and a higher birth rate than IVF. For most women desiring another child after tubal sterilization, tubal reversal is the best treatment. Most people are not aware that tubal ligation - usually considered a permanent method of birth control - can be reversed through low cost, one hour outpatient surgery. Even many doctors think mistakenly that treatment by in vitro fertilization (IVF) is needed for women who want another baby after having a tubal ligation. Chapel Hill Tubal Reversal Center reports pregnancies as soon as a month after tubal reversal surgery as well as a year or more after surgery. The results from a study that Dr. Berger conducted demonstrates clearly that tubal reversal is more successful than IVF for most women wanting their fertility restored after having their tubes tied.
This is from the Tubal Reversal Message Board.
------------------------------------
Posted by Pennylane (Member # 12121) on March 14, 2008 12:45 PM:
I am currently 32 years old and I'm scheduling my reversal for this July and I'll be 33. I was just wondering if there was anyone out there who is my age and had TR with a pregnancy right away?
------------------------------------
Posted by Sally, RN (Member # 7389) on March 14, 2008 02:23 PM:
Pennylane--I am sure there are many women who are your age, had their TR and became pregnant right away. I hope they will chime in to let you know. We will look forward to meeting you in July.
Sally,RN
------------------------------------
Posted by mom4ever (Member # 11204) on March 14, 2008 03:08 PM:
Hi Pennylane - I had my reversal last July and I am 33 years old. I also became pregnant the same month and am now expecting my son in the next couple of weeks!
Good luck to you.
------------------------------------
Posted by mamasoup8 (Member # 11212) on March 14, 2008 05:52 PM:
Hi Pennylane, I'm 34 years old, had my surgery in November, and am now due in October. Good luck!
-Traci
------------------------------------
Posted by Pennylane (Member # 12121) on March 14, 2008 10:15 PM:
Thank you for your replies, it really makes me feel good! I am hopefull that I will get pregnant right away. Please keep your fingers crossed for me.
------------------------------------
Posted by debjim (Member # 8607) on March 15, 2008 07:19 AM:
I am 36 had mine in 2006. Had Tr baby #1 at 35 just found out we are expecting #2, I will be 37 when he/she is born.
------------------------------------
Posted by Raddmd (Member # 11476) on March 15, 2008 08:38 AM:
Pennylane,
I had my TR 8/27/07 and I was 36,I am now 37.I had my TL 12/19/91.Good luck to you,you will love Dr Berger and his staff!They are wonderful!
Donna
DH 33
DD 18
DS 17
DS 16
18
------------------------------------
Posted by Crecia (Member # 6023) on March 15, 2008 10:36 PM:
I was 32 when I had my TR last year on 4/10/07 and became pregnant in June and found out I was pregnant with my son on my 33rd birthday in July. Just gave birth to my son on 3/12/08. Hope this help.
Crecia
------------------------------------
Posted by shoegirl (Member # 9481) on March 16, 2008 01:29 PM:
Pennylane: I was 32 when I had my TR, I got pg 4 months later. I was 33 when I had my son. I got pg again when he was 4 months old only to mc at 14 weeks. Us 30 somethings arent shriveled up yet!! Good Luck to you!
------------------------------------
Posted by busymom4 (Member # 12267) on April 08, 2008 10:52 AM:
Pennylane,
I am 33 and considering TR. It is encouraging to here everyone's experience with positvie pregnancies. Did any of you have ectopics or mis. before you got pregnant? The odds seem very high? I have never had any trouble getting pregnant but am scared about losing a baby.
Thanks
Tammy
------------------------------------
Posted by HopesAndDreams (Member # 11754) on April 08, 2008 11:37 AM:
Hi Tammy,
I just wanted to let you know that I too am 33 and I go for my TR on Friday. I will be 34 in July. My first pregnancy when I was 19 was an ectopic. It was tucked away in the tube and I had to have "hip to hip" surgery to have it removed. My OB/GYN did an excellent job and saved the tube and it healed just fine. But to answer your question, having a TR only slightly increases your risk of EP. I was a very healthy 19 year old girl and still ended up with an EP. You will find that it "seems" like there is an increase in MC on here because women are on here looking for support during their hard times. Many, many go on to have full term births. Stats show that the average woman has miscarriages that go undetected because the average woman does not test until she has missed AF. After TR women test earlier to avoid a ruptured EP. Sorry so long, but I hope this helps...
Dawn
------------------------------------
Posted by PaulnJenn (Member # 10984) on April 08, 2008 12:41 PM:
Here are the stats on on going births, ectopic and m/c.....
http://news.tubal-reversal.net/pregnancy-study-2007-pregnancy_outcomes.htm
Jenn
------------------------------------
Posted by PaulnJenn (Member # 10984) on April 08, 2008 12:50 PM:
I had my TR done in November of 07. I am 34. I have NEVER had any complications before TL. Never had a MC or ectopic. Since November, I have had two losses.
I have said it many times that I do not regret my TR. The chance is there to have another baby but most important to give my DH his first child. I am not sure why I had the losses. Sometimes I chalk it up to being older than 18. Other times, the early testing. Getting TR is a very personal decision and it is a very difficult journey once down this path. I do know that I have hope that my difficult journey will be rewarded eventually.
Good Luck to you all!
Jenn
TR-11/19/07
Metho-01/14/08
Chemical-03/23/08
------------------------------------
Posted by ojzmom (Member # 12208) on April 13, 2008 09:59 AM:
Pennylane I wonder the same thing. I just had my TR done 4/1/08 and am 32yrs old. My tube lenghts are short. 3.0, 3.75 and I am hoping I get pregnant right away. I mean the short tubes scares me and the longer it takes the older I get!
------------------------------------
Posted by sillypuddha (Member # 11649) on April 13, 2008 01:33 PM:
Pennylane--I just wanted to say congrats on your upcoming TR. I can't say enough wonderful things about Dr. B and his amazing staff!! The whole TR experience was incredible. I was so nervous, but everyone at CH are so great! I am 32 now, will be 33 in July. I had my TR on 11/29/07 (R 3.5, L 5.0), got my first BFP on 1/18/08, and am currently 16 weeks today, and due on 9/28/08! It is all so surreal, and such a miracle to me. The pregnancy is going great--had a few rough spots in the beginning, but all is wonderful now. Good luck to you, and rest assured that you are in the best of care! Lots of sticky babydust to you! BTW--the recovery is pretty quick, and no more PTLS symptoms for me instantly!!
Krys
------------------------------------
Posted by Rhonda Brown, RN (Member # 9485) on April 13, 2008 08:18 PM:
Dear Pennylane,
As you can see many different women have many different stories to offer with all different types of situation. This message board offers lots of support and information to women. The staff at Dr. Berger's office is available to answer any questions that you have. We also have lots of information on the website in regards to what to expect before, during and after surgery. There is also information on pregnancy statistics based on age, type of ligation and tubal length remaining after surgery. Please let me know if you have any other questions or if I can assist you with anything. I look forward to meeting you in July.
Rhonda
------------------------------------
Posted by Karen M (Member # 11869) on April 14, 2008 02:51 PM:
Hi Penny, although I am a little bit younger I am 27 and I had my tubal reversal surgery in January and became pregnant on my 2nd cycle in March. I was nervous and scared as well, but the surgery went very well and recovery is not bad at all. You will be in the best hands possible when you are at Chapil Hill, and you will have the most support you could ever imagine through this journey of yours. I know one thing that helped me in becoming pregnant so fast is I bought the ClearBlue Easy fertility monitor. It is a bit pricey, and you can get it on Ebay for a fraction of the cost, but its well worth it.
Best wishes and good luck!!!
Karen M
TL 2002
TR Jan 10, 2008
EDD December 10, 2008
Monday, February 11, 2008
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
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
Friday, October 5, 2007
Tubal Reversal Procedure Scheduling
Scheduled For Tubal Reversal Procedure In Three Weeks
Having chosen Dr. Gary Berger as her tubal reversal doctor, a member of the Chapel Hill Tubal Reversal Center Message Board seeks support from other members and shares her feelings of nervousness. Patients and staff provide input on what to expect before and after a tubal reversal procedure and share their own stories of success following surgery with Dr. Berger.
Posted by Steffp (Member # 11579) October 04, 2007 11:14 AM:
I committed to the TR Procedure two days ago and it is happening in 3 weeks.. I am a nervous reck!! I am 29 and getting married on Oct 20th. This is the honeymoon. I hope thinks go good but I guess I can use someone who understands. Can anyone help?
Posted by wweigand (Member # 11323) October 04, 2007 11:27 AM:
Steff, everything will be fine! You will be sore for your honeymoon tho. But hopefully well worth it. Good luck and long, healthy tubes!!! Dont be nervous. I was also a nervous wreck but the staff at CH are WONDERFUL!! They really make you feel welcome. So much so, that I told my husband, I want to move to NC. I said if everyone is as nice as the staff at CH, I would love to move down there. Wendy![[Smile]](https://lh3.googleusercontent.com/blogger_img_proxy/AEn0k_tjd0I98x8g3MeQjg77F6JUW5kbJXslML35ixGEoL8Mcn2mPUa7B7iyZa5YkvKen6nstgtUS4UWWb8Bk-mC51mweQwoS_sihEQcw03Asg=s0-d)
Posted by Tanya from VA (Member # 9507) October 04, 2007 11:36 AM:
Welcome to CH and hopefully the best life-changing experience you will have. This is a great place for support and you will find everyone here really understands.
Try to relax - the surgury isn't very hard as far as recovery. Like Wendy said - your going to be sore for several days but it's very managable and you will feel better everyday. The CH staff is just awesome and they will answer your questions and assist in anyway they can.
The journey ttc can be filled with ups and downs. Try to pick up a copy of Taking Charge of Your Fertility and do some reading. Most ladies here have never had any issues ttc but after surgury many find ourselves stuggling for longer than we expected. This book is just PACKED with useful information - even if you get a BFP the next month you won't be sorry you picked it up.
Good luck to you! Crossing my fingers for long healthy tubes and a quick BFP for you!!
Tanya
TR 9-7-06
edd 5-21-08
Posted by Steffp (Member # 11579) October 04, 2007 11:48 AM:
I just regret my past decision so much that I hope this is a success. I just don't want the surgery to be in vain.. They said everything looks positive. Can I really believe them and start hoping this will actually happen?
Posted by Lori RN (Member # 10610) October 04, 2007 11:57 AM:
Steffp,
We are glad you made the decision to come see Dr. Berger. Here is a website link on What to expect the Day of Surgery. I look forward to meeting you.
Lori RN
![[CHTRC]](https://lh3.googleusercontent.com/blogger_img_proxy/AEn0k_s3qvnhKLS6W3Yv55bsEbxFUl2cSC2AnL1EgAF5GEckEmYnGNcxSxwQ0qotiHxbeTuisXhDd11MhdJgimu3qCGXrFNGiY5VSlk4-ctsAYF5Uj6cuJntMBs=s0-d)
Posted by Luckypj's (Member # 9974) October 04, 2007 12:07 PM:
Steff,
You are in great hands with Dr. Berger and his staff! You are still young so don't worry and enjoy your new marriage (Congratulations by the way!) and your TTC'ing!
Welcome to the message board. There is so much support and friendship here. I don't know what I would do without it!
Posted by Tanya from VA (Member # 9507) October 04, 2007 12:09 PM:
Steff - I remember feeling the same way but this is going to happen! It feels surreal right now but once you get there and meet the nurses, staff and have your consult with Dr.Berger it won't feel like a dream. With all luck - your life will start a new path that day. You will leave the consult feeling anxious but be assured your in good hands. The nurses in the surgical unit are just AWESOME!!
You may not get a quick pregnancy - it may take a few or many months - there may be bumps along the way and life offers no guarentees but be assured he has changed many lives - including mine. I'm sure more ladies will jump in and tell you their stories.
Best of luck to you!
Posted by Steffp (Member # 11579) October 04, 2007 12:17 PM:
Thank you so much!! I really hope that we will be celebrating a bfp in the upcoming months. I want to be cautiously optimistic.. But it is hard.. I really want a baby
Posted by Eric'sGirl (Member # 10652) October 04, 2007 01:32 PM:
I got married oct 21st of last year... will be by Dr. B on the 18th... anniversary trip! for my TR procedure. You are in the best hands possible! Best of luck to you!
What day is your surgery? there is a bunch of us on "The Waiting Room" thread (currently on Part 25) - come join us... I will add you to the list of us waiting!
Chrissy
Posted by Steffp (Member # 11579) October 04, 2007 01:41 PM:
Thank you so very much..Good luck to you all
Posted by Jan, RN (Member # 10035) October 04, 2007 02:56 PM:
You are understandably excited and anxious about the upcoming procedure. Anxiety is often due to not knowing- the unknown. Reading on the website, especially what to expect, as Lori suggested might help relieve some anxiety. Please feel free to call with questions. Help us know how we can be helpful to you.
Having chosen Dr. Gary Berger as her tubal reversal doctor, a member of the Chapel Hill Tubal Reversal Center Message Board seeks support from other members and shares her feelings of nervousness. Patients and staff provide input on what to expect before and after a tubal reversal procedure and share their own stories of success following surgery with Dr. Berger.
Posted by Steffp (Member # 11579) October 04, 2007 11:14 AM:
I committed to the TR Procedure two days ago and it is happening in 3 weeks.. I am a nervous reck!! I am 29 and getting married on Oct 20th. This is the honeymoon. I hope thinks go good but I guess I can use someone who understands. Can anyone help?
Posted by wweigand (Member # 11323) October 04, 2007 11:27 AM:
Steff, everything will be fine! You will be sore for your honeymoon tho. But hopefully well worth it. Good luck and long, healthy tubes!!! Dont be nervous. I was also a nervous wreck but the staff at CH are WONDERFUL!! They really make you feel welcome. So much so, that I told my husband, I want to move to NC. I said if everyone is as nice as the staff at CH, I would love to move down there. Wendy
Posted by Tanya from VA (Member # 9507) October 04, 2007 11:36 AM:
Welcome to CH and hopefully the best life-changing experience you will have. This is a great place for support and you will find everyone here really understands.
Try to relax - the surgury isn't very hard as far as recovery. Like Wendy said - your going to be sore for several days but it's very managable and you will feel better everyday. The CH staff is just awesome and they will answer your questions and assist in anyway they can.
The journey ttc can be filled with ups and downs. Try to pick up a copy of Taking Charge of Your Fertility and do some reading. Most ladies here have never had any issues ttc but after surgury many find ourselves stuggling for longer than we expected. This book is just PACKED with useful information - even if you get a BFP the next month you won't be sorry you picked it up.
Good luck to you! Crossing my fingers for long healthy tubes and a quick BFP for you!!
Tanya
TR 9-7-06
edd 5-21-08
Posted by Steffp (Member # 11579) October 04, 2007 11:48 AM:
I just regret my past decision so much that I hope this is a success. I just don't want the surgery to be in vain.. They said everything looks positive. Can I really believe them and start hoping this will actually happen?
Posted by Lori RN (Member # 10610) October 04, 2007 11:57 AM:
Steffp,
We are glad you made the decision to come see Dr. Berger. Here is a website link on What to expect the Day of Surgery. I look forward to meeting you.
Lori RN
Posted by Luckypj's (Member # 9974) October 04, 2007 12:07 PM:
Steff,
You are in great hands with Dr. Berger and his staff! You are still young so don't worry and enjoy your new marriage (Congratulations by the way!) and your TTC'ing!
Welcome to the message board. There is so much support and friendship here. I don't know what I would do without it!
Posted by Tanya from VA (Member # 9507) October 04, 2007 12:09 PM:
Steff - I remember feeling the same way but this is going to happen! It feels surreal right now but once you get there and meet the nurses, staff and have your consult with Dr.Berger it won't feel like a dream. With all luck - your life will start a new path that day. You will leave the consult feeling anxious but be assured your in good hands. The nurses in the surgical unit are just AWESOME!!
You may not get a quick pregnancy - it may take a few or many months - there may be bumps along the way and life offers no guarentees but be assured he has changed many lives - including mine.
I'm sure more ladies will jump in and tell you their stories.Best of luck to you!
Posted by Steffp (Member # 11579) October 04, 2007 12:17 PM:
Thank you so much!! I really hope that we will be celebrating a bfp in the upcoming months. I want to be cautiously optimistic.. But it is hard.. I really want a baby
Posted by Eric'sGirl (Member # 10652) October 04, 2007 01:32 PM:
I got married oct 21st of last year... will be by Dr. B on the 18th... anniversary trip! for my TR procedure. You are in the best hands possible! Best of luck to you!
What day is your surgery? there is a bunch of us on "The Waiting Room" thread (currently on Part 25) - come join us... I will add you to the list of us waiting!
Chrissy
Posted by Steffp (Member # 11579) October 04, 2007 01:41 PM:
Thank you so very much..Good luck to you all
Posted by Jan, RN (Member # 10035) October 04, 2007 02:56 PM:
You are understandably excited and anxious about the upcoming procedure. Anxiety is often due to not knowing- the unknown. Reading on the website, especially what to expect, as Lori suggested might help relieve some anxiety. Please feel free to call with questions. Help us know how we can be helpful to you.
Saturday, September 8, 2007
North Carolina Facility Specializes in Tubal Reversal Surgery
(CHAPEL HILL, NC) - Dr. Gary S. Berger, M.D., director of Chapel Hill Tubal Reversal Center, has established the only surgical practice in the country dedicated exclusively to performing tubal ligation reversal surgery. Dr. Berger, one of the pioneers of tubal reversal surgery, is a reproductive surgeon who has spent more than 30 years specializing in outpatient tubal reversal surgery.
Widely recognized as the tubal reversal doctor with the most experience with the tubal reversal procedure, Dr. Berger's patients come from across the United States and abroad to have their fertility restored with his one hour, outpatient, low cost tubal reversal procedure. The microsurgery techniques Dr. Berger pioneered reduce tissue injury, blood loss, post-operative pain, the risk of infection, and recovery time.
Dr. Berger has created a unique environment for women who come to Chapel Hill Tubal Reversal Center. Since the facility is dedicated to caring for tubal reversal patients only, patients enjoy a high nurse-to-patient ratio with one or two nurses devoted specifically to caring for each patient. All of the nurses are RNs and have advanced certification in cardiac life support (ACLS) and the anesthesiologists are medical doctors (MD's) with board certification in anesthesia. The other women and couples in the facility are there specifically for the same purpose - tubal reversal procedures.
Although tubal reversal may not be right for everyone, a comprehensive study conducted by Chapel Hill Tubal Reversal Center in 2006 concluded that Dr. Berger is able to repair the fallopian tubes in 98% of women who have come for surgery and over two-thirds of his patients become pregnant within 10 months following surgery. The study report includes 4,025 tubal reversal procedures performed by Dr. Berger between January 2001 and December 2005. It is the largest and most definitive study in existence that provides information on the outcome of tubal reversal surgery.
At the conclusion of the study interval, 69 percent of the women in Dr. Berger's study had reported pregnancies. The pregnancy rate ranged from 82 percent for women under 30 years of age to 41 percent for women 40 years of age and older. The highest pregnancy rate (87 percent) was among women age under 30 after reversal of a previous ring or clip method of sterilization.
"Many people, including doctors, mistakenly believe that tubal ligation surgery is a permanent method of birth control," states Dr. Berger. Tubal reversal surgery - a one-hour outpatient procedure - rejoins the separated segments of fallopian tube so that eggs can become fertilized and travel down the tubes to the uterus, allowing pregnancy to occur naturally."
Julia Smith, RN
(919) 656-8204
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