Showing posts with label tubal ligation reversal surgeon. Show all posts
Showing posts with label tubal ligation reversal surgeon. Show all posts

Saturday, April 19, 2008

Dr Monteith Joins Dr Berger as a Tubal Reversal Surgeon


Dr. Charles Monteith recalls his first day of training as a tubal reversal specialist at Chapel Hill Tubal Reversal Center.

Dr. Charles Monteith is currently training with Dr. Berger to become a tubal reversal specialist. In his personal blog, Dr. Monteith describes his first day working alongside Dr. Berger at Chapel Hill Tubal Reversal Center. He talks about the four patients that he met that day, as well as how it made him feel to know that Dr. Berger had helped all four women achieve their dreams of tubal ligation reversal and had given them the chance to correct mistakes made in the past.

My First Day at Nourishing Hopes and Dreams

My first day as a tubal ligation reversal specialist will always be remembered. I began my training with Dr. Berger during the first week of January 2008. We started the day off by meeting the patients who would be undergoing tubal ligation reversal at Chapel Hill Tubal Reversal Center.

I met four patients of different ages, backgrounds, and ethnicities . They were all very different people who all desired the same thing: reversal of their tubal ligation.
  • The first patient was in her forties, she had emigrated from Ethiopia, her last child was more than twelve years ago, and she desired a chance to have another child.
  • The second patient was in her thirties and her previous husband had died unexpectedly. She had children but her fiancé did not have any children. Together, they desired a child.
  • The third patient,in her late twenties, had two children and a tubal ligation. Several years later she subsequently found a new partner and he desired a child with her. So while he was deployed overseas, she came for a tubal ligation and a chance for a new future when he returned from his military deployment.
  • The fourth patient was in her late twenties and had several children. When she and her partner were in their early twenties they were financially maxed out and she had her tubes tied as an act of desperation. Several years later, she and her husband subsequently became financially stable and they wanted another child. They considered IVF but decided that a reversal was a better option for them. We also learned of an extremely sad story from this patient. She had a friend who had a tubal ligation. This friend had all of her four children die overnight in a house fire. This friend desperately has hope for a future reversal of her tubal ligation and was hoping to obtain a tubal reversal in the future.
All of the tubal reversal surgeries went well that day. The patients all did well and had technically excellent tubotubal reanastamosis (tubal ligation reversal) procedures. They all recovered well and went home to pursue their quest to add to their families.

For as long as a live, I will never be able to forget these women, their partners and the stories they told. I can never forget their quest to add children to their lives. For them I hope they attain what they desire.

My first lesson as a Tubal Reversal Specialist was that no one can predict the future, but if you always look hard enough you can always find a way - and someone to help- to correct prior mistakes.

More about Charles Monteith, MD

Monday, March 3, 2008

What To Expect Following Tubal Reversal Surgery

A member of the Chapel Hill Tubal Reversal Center message board posts that she had tubal reversal surgery with Dr. Berger 1/31/08 and she is questioning what she should expect now? Other message board members and Chapel Hill staff members offer their stories and support. Many patients often wonder what is next after tubal reversal surgery? The message board offers an avenue of support and information for patients. Dr. Berger's staff also provides follow up after surgery and they are available 24/7 for questions. The next step for most patients after surgery is to begin trying to conceive.

Dr. Berger recommends that patients use ovulation predictor kits to help determine the most fertile time n their cycle. This allows patients to be n tune with what is going on with their body and hopefully giving them information on the best time for them to try and conceive.


This is topic New TR Patients from 1/31/08 in forum New Message Board Members at Tubal Reversal Message Board.

Posted by MOM2B (Member # 12074) on February 19, 2008 07:13 PM:

Hi! I had my TR 1/31/08 and was wondering if anyone could give the ups on what to expect from this point on

Posted by christbride (Member # 10665) on February 19, 2008 07:23 PM:

Hello, mom2b. come and join the other jan08 girls. have you had a full cycle since your tr? different people have different experiences as far as pain. the 2ww is the worse when you start to ttc.

Posted by MOM2B (Member # 12074) on February 21, 2008 06:56 PM:

Yes AF started a day before valentines day BUMMER, and not only that it seems that it lasted forever. now im waiting to O which is suppose to be 14 days after my last af

Posted by christbride (Member # 10665) on February 22, 2008 09:54 AM:

You are on cd 10. so i will update you on our january 08 girls thread. you should come in an join us. these are all of the ladies that had their tr in the month of jan.

Posted by ricshe08 (Member # 12123) on March 02, 2008 09:46 AM:

Hi! I had my tr on 1/18/08, and I have been following the forum since then. I having a hard time understanding all of the abbreviations, but will try the best I can.

Posted by Rhonda Brown, RN (Member # 9485) on March 02, 2008 10:01 AM:

Dear MOM2B,
I know that you will find lots of support here on the board. I hope that you will use your OPK to help to determine your most fertile time of the cycle. I wish you much success in cycles to come. Let us know how things go for you.
Rhonda

Posted by ricshe08 (Member # 12123) on March 02, 2008 01:23 PM:

Can anyone tell me if the on line O calculation are accurate. If so, I am approx 8DPO and questioning when should I take HPT?

Posted by berta8133 (Member # 11188) on March 02, 2008 05:18 PM:

Rics....12 dpo would be a good time to use hpt. anything before may lead to frustration because it is early for most to see the bfp, and will usually get the bfn.

Posted by ricshe08 (Member # 12123) on March 02, 2008 06:33 PM:

Thanks, berta for responding to my concern. I am very anxious, but it is worth the wait.

Posted by christbride (Member # 10665) on March 02, 2008 08:22 PM:

hi richs,
as a jan 08 girl you should join us on the jan 08 girls thread. welcome to the board. i concur with berth with the 12dpo, unless you have those internet cheapes and have a lot of sticks to test on. they do have somethat detect hcg as low as 10 hcg.

Posted by ricshe08 (Member # 12123) on March 02, 2008 10:19 PM:

Thanks christbride, this is going to be a wonderful experience to share with the you guys. Thanks for you invitation and support.


More Information on What to Expect After a Tubal Reversal

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

Saturday, January 5, 2008

Polycystic Ovarian Syndrome (PCOS) in Tubal Reversal Patients

Polycystic Ovarian Syndrome (PCOS) can cause ovulation disorders and is more common among overweight women. PCOS is a common disorder and is seen among women undergoing tubal reversal surgery at the same frequency as among women in the general population. For maximizing fertility, PCOS should be treated medically for women after a tubal reversal procedure as indicated.

The following is the topic PCOS in forum Preparing for Tubal Reversal at Tubal Reversal Message Board.


Posted by Patiently waiting (Member # 11777) on January 04, 2008 09:40 AM: Hi everyone...I was just wondering if anyone else has this problem since their TL. I was just diagnosed with this after an ultrasound from my obgyn. I had my TL in 12/04 and I have gained about 50 pounds and now I have this! Im crampy all the time and I dont cycle at all (its been over 7 mths)....will this stop me from getting a TR you think? My dr says its like a cycle...not ovulating is causing the cysts and the cysts are causing me not to ovulate...I dont know much on this subject so if someone could help me on this, that would be wonderful. The only advice my dr gave is for me to lose weight and to not be so stressed!
Posted by Patiently waiting (Member # 11777) on January 04, 2008 09:40 AM: I meant PCOS...sorry
Posted by berta8133 (Member # 11188) on January 04, 2008 09:58 AM: Patiently...you can change the Topic Title by clicking on the little piece of paper with the pencil right above your first post...since you started the topic you can change the title, if done quickly, as there is a time limit for all 'edits'. I personally can't contribute any experience with this... hopefully someone will chime in. Good luck. Berta
Posted by Patiently waiting (Member # 11777) on January 04, 2008 11:21 AM: Thanx, I didn't know that and I felt foolish for not spellind it right...
Posted by berta8133 (Member # 11188) on January 04, 2008 11:41 AM: LOL...it happens!!
Posted by pam mills (Member # 617) on January 04, 2008 02:00 PM: There are varying degrees of Polycystic Ovarian Disease. Some patients have somewhat polycystic looking ovaries, but they are still ovulatory. These patients also do not exhibit the symptoms of true polycystic ovarian disorder. PCOS is an endocrine disorder and a potential cause for infertility. Please read this article from the Mayo Clinic. It describes in good detail the varying degrees of this illness. Feel free to call if you have any further questions. Pam Mills, CRNA
Posted by Patiently waiting (Member # 11777) on January 04, 2008 05:53 PM: OK, I might have to correct myself....I have cysts on my ovaries and I think they said the left one was a little larger than the right....I guess what I want to know is will this affect me from having a TR?

Wednesday, October 17, 2007

Choosing a tubal reversal surgeon

The most frequently asked question I receive involves choosing a tubal reversal surgeon. We know what a leap of faith it takes for a woman to travel across the country for surgery, so it is important to be well-informed as you make your decision.

Dr. Berger is the only physician in the country with a practice that is specifically limited to tubal reversal surgery. That is the only procedure we perform here with Dr. Berger performing four reversals each day, five days a week. We have a high staff/patient ratio with one or two nurses devoted specifically to your care while you are here. All of our nurses have advanced certification in cardiac life support (ACLS) and our anesthesiologists are MD's with board certification in anesthesia. The anesthesiologists are employees here and not anesthesia staff from another hospital or anesthesia service. So everyone here has expertise in caring for and performing reversal surgery. While you are here, you will only be with other women and couples who are here specifically for the same purpose.

We keep very detailed data and statistics on each of our patients (age, tube length, medical history, tube of tubal ligation, pregnancy history, etc.). This is obtained by daily contact with our patients to ensure we have accurate information regarding their surgery and their outcome. To the best of my knowledge, Dr. Berger is the only doctor with published data regarding outcomes following reversal surgery. On the Internet, claims about tubal reversal pregnancy rates are often made without supporting information or documentation - such as a description of the patient population, study method, and follow-up interval. Most Internet sites about tubal reversal do not provide any factual data at all. Any doctor may say that his patients have a particular success rate, but supporting the claim with actual data involves considerable effort. Performing a follow-up study such as this one requires keeping an accurate record of patients and their findings, as well as maintaining ongoing patient contact to determine the outcomes of treatment. That is the only way a doctor can actually know what the pregnancy and outcome statistics are for his patients. Without this detailed type of information, the accuracy of any claim of success rates should be questioned.

At Chapel Hill Tubal Reversal Center, nurses enter information into an electronic patient database at the patient's registration, the surgical procedure, and from regular post-operative communications with our staff. If we have not heard from patients after their recovery from surgery, our nurses contact them at 6 and 12-month intervals. We know of no other doctor, hospital, or clinic that maintains such ongoing patient follow-up records after tubal reversal surgeries. I believe Dr. Berger's commitment to providing accurate, up-to-date data is reflected in the fact that he requires this time-consuming but important procedure to be followed so that valid information can be obtained. Each year we publish the results of our follow-up study, reflecting surgical and pregnancy outcomes. This is the most comprehensive study done to date of tubal reversal surgery and its resulting outcomes, showing that for the majority of women who have undergone a tubal ligation procedure and decide later they would like to have more children, tubal reversal surgery is a better option than in vitro fertilization (IVF).

I hope this information is helpful. If I can answer other questions or assist you in any way, please let me know. Dr. Berger is able to repair the tubes in 98% of cases, including those where the tubes have been cut and burned.

Sincerely,

Julia Smith, RN, ALNC
Nurse Administrator
Chapel Hill Tubal Reversal Center
T: 919-656-8204 F: 870-934-9211