National Infertility Awareness Week | Affordable Treatment for Tied Tubes

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

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

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

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

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

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

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

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.

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“Here is Bodie Thomas in his Berger Baby TR shirt. Thanks again for everything.” Jill S.

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“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.

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“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.

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“Within a month and a half after my reversal surgery we were expecting our first Berger baby.” Krys and Pete H.

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“Another Berger Baby!! Our life is now complete thanks to Dr. Berger! God Bless everyone at the Tubal Reversal Center.” Missy H.

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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.

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!

We have arrived home safely and feeling great.

Thank you so much for the wonderful care and attention that you and your wonderful staff gave me while in your care at your Clinic.

I am so happy that I made the decision to come all the way from Ireland to Chapel Hill Tubal Reversal Center for my reversal surgery. The whole experience was such a positive one and met many people on our journey home that I shared this experience with regarding the quality of care that I received during the whole procedure.

May God Bless you, Dr Berger.

Kind Regards,

Paula and Raymond B.
paulabeaulieu67@hotmail.com

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.

Pregnant Again with Third Tubal Reversal Baby

One of the greatest advantages of tubal reversal versus IVF is the fact that you can have unlimited pregnancies.

In this post pregnant AGAIN!!!!! in forum After Tubal Reversal at Tubal Reversal Message Board Samantha reports that she is pregnant again with her her third child following tubal reversal.

Posted by gersam (Member # 7407) on July 19, 2008 01:10 PM:
My husband and I, are having our 3rd TR baby.Just found out last night.
We have
1 before TR= BOY = 8yrs old
Then another BOY (TR) baby born =May 2006
Then another BOY (TR) baby born =Aug 2007
Pregnant again. Crossing fingers that it's a girl this time. Well praying it's a girl.
I'm happy, just had to share the news.
Samantha

Posted by Amy1234 (Member # 5192) on July 19, 2008 01:16 PM:
Congrats! What a lucky Mommy you are.
Good luck,
Amy

Posted by Jam777 (Member # 11990) on July 19, 2008 01:19 PM:
Congrats [Big Grin] Keep us posted [Smile]

Posted by tshort (Member # 10794) on July 19, 2008 01:32 PM:
Congratulations Samantha.....I hope you get your girl this time; but I pray that you both stay safe and healthy....boy or girl! BTW....I have 4 boys and only 1 girl; she's the handful! lol.

Posted by in-Gods-hands (Member # 11795) on July 19, 2008 03:12 PM:
What great news. You have truly been blessed. I wish you all the best. Miranda

Posted by amber3729 (Member # 12673) on July 19, 2008 03:25 PM:
Congrats samantha!
If I may ask, what are your tube lengths?

Posted by Lisa Hourmouzis RN (Member # 12474) on July 19, 2008 04:11 PM:
Congratulations Samantha. Thanks for sharing your great news with all of us. Wishing you a safe and healthy pregnancy.
Lisa, RN

Posted by tasha22 (Member # 7670) on July 19, 2008 09:49 PM:
Congratulations Samantha!!!!!! I hope that all goes well for you and your family. My husband and I just found out I am pregnant for the second time we have a 1 year old his name is Ethan(TR. Keep me posted I hope you get your girl.
Tasha

Posted by Tanya from VA (Member # 9507) on July 19, 2008 11:43 PM:
Wonderful news! [Smile] Crossing fingers you see PINK this time around. With all those men you need a girl this time.
Tanya

Posted by Terra (Member # 7122) on July 20, 2008 09:31 AM:
Congrats Samantha! We have 3 boys and our TR baby is a girl. The boys really love her, but she is a handful! Best of luck to you and your family.
Terra

Posted by gersam (Member # 7407) on July 20, 2008 03:13 PM:
Thank you very much everyone...
Amber, my lengths were
7.5 LT
8.0 RT
I was very lucky, and still am. I am blessed....
Thanks for all the wishes....
Samantha

Pregnancy Testimonials June 2008

Tubal Reversal Pregnancy and Baby Testimonies from Dr. Berger’s Patients:

At age 45, Debbie reports the birth of her little miracle, Olivia Grace, following tubal ligation reversal performed by Dr. Berger at Chapel Hill Tubal Reversal Center. She says, “I’m hoping this will give other women in their 40’s hope that it can happen.”

Our 5 year tubal reversal anniversary is here. Baby #1 (Italia) is 4 and going to pre-school. Baby #2 (Jay) is three and into everything. Thank you, Dr. Berger.” John and Tracey S.

“Our second tubal reversal baby was born yesterday. I had the reversal at 39, had a healthy baby girl at 40, and a healthy baby boy at 44 1/2. Even doctors have marveled about me having two kids in my forties after having my tubes tied/untied.” Dana McC.

“We are pleased to announce the arrival of our Baby Girl, KaraLeena Alyssia!” Rich and Brenda M.

“My tubal reversal worked AGAIN. I am happy to say I now have two tubal reversal babies. Tubal reversal really does work and works well!” Becky K.

“We just want to thank you again for our tubal reversal miracle, Isabel Nicole. She was born on May 19, 2008 at 12:48 pm, just about a year after my OB/GYN told me that with my elevated FSH, I would NEVER be able to get pregnant spontaneously.” Laurie and Victor F.

Pregnancies 4th Week June 2008

Pregnancy announcements for the 4th week of June 2008 after tubal reversal procedures at Chapel Hill Tubal Reversal Center. Tia S. reports "I am excited and nervous! It's amazing to know that after 17 years, I can still get pregnant. My TL was 12 years ago and at 39 I just thought I might be too old for this."

Pregnancies 3rd Week June 2008

Pregnancy announcements for the 2nd week of June 2008 after tubal reversal procedures at Chapel Hill Tubal Reversal Center. Dawne S. says "I am absolutely thrilled about my positive pregnancy test particularly since I am 46 years old. I can not thank Dr. Berger enough for this wonderful chance to be a mother again."

Pregnancies 2nd Week June 2008

Pregnancy announcements for the 2nd week of June 2008 after tubal reversal procedures at Chapel Hill Tubal Reversal Center. Tonya S. says "This will be the best father's day present I will ever have for my husband."

Pregnancies 1st Week June 2008

Pregnancy announcements for the 1st week of June 2008 after tubal reversal procedures at Chapel Hill Tubal Reversal Center. These are the added comments made on the Pregnancy Report From received from Dr. Berger's patients this week.

Pregnancy Testimonials May 2008

Tubal Reversal Pregnancy and Baby Testimonies from Dr. Berger’s Patients

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“Dr. Berger untied my tubes (one of them - other was too short). I conceived my son in October 2003 and am pregnant again.” Tori M.

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“I had 5 pregnancies since my tubal reversal. The 5th pregnancy was successful.” Rhonda P.

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“Just wanted to let you know that Bodie Thomas has joined our family. He is our amazing miracle #2 from the results of Dr. Berger’s magic.” Jill & Joshua S.

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“I have a new baby which makes 3 reversal babies. If you are considering a tubal reversal this is the only place to go!!” Misty R.

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“My husband and I came to see you for a tubal reversal on May 1st, 2007 and we are very happy to tell you that it was a complete success. We had our daughter on May 5th, 2008.” Randy and Cheryl C.

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“Our second TR baby was born this spring and our family couldn’t be happier.” Carey and Fred F.

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“We were pregnant two months after my tubal reversal and when our dear son Jack was six months, we were pregnant once more.” Chuck and Kathryn T.

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Thank you for our new baby Miracle Noel that you helped make possible. We had her 9 months after my reversal!” Kevin & Vicki S.

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“Our tubal reversal daughter, Elizabeth, has Down Syndrome. She has touched everyone she has come into contact with. She is a blessing to our family and to all of those around us. She has a purpose. I tell you all of this because without Dr. Berger and your team, Elizabeth would not be part of our lives.” Joby and Sheryl H.

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“I cannot think of words to describe the gratitude that I have for Dr. Berger and the entire staff of Chapel Hill Tubal Reversal Center. Thank you, Dr. Berger, for giving us LIFE.” Tracy S.

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Pregnancy Announcements by Dr. Berger's Tubal Reversal Patients for May 2008

Posted: 05.31.08
Name: Jill C.
Location: Le Mars Iowa
Date of Tubal Reversal: Jan. 14, 2008
Date of Pregnancy Test: May 31, 2008
Due Date: Feb.9, 2009
Remarks: I have only taken one preg. test and it showed two lines and one wasn’t faint but just not as dark as the control line. The clinic is closed and won’t be open till Monday. Is it ok if i go till Monday to get into the doctor? I don’t want to do anything wrong.

Posted: 05.31.08
Name: Kisha H.
Location: San Francisco California
Date of Tubal Reversal: 01/31/08
Date of Pregnancy Test: 05/31/08
Due Date: 02/11/2008
Remarks: I’ve been using femaprin since my last AF started and have been BD every other day.

Posted: 05.30.08
Name: Lynn L.
Location: Boring Oregon
Date of Tubal Reversal: March 31, 2006
Date of Pregnancy Test: May 29, 2008
Remarks: Did home test two weeks ago, negative. Have had some pain, had major pain episode yesterday. Did home test, positive. Went to ER because of pain. No rupture, #’s only 360. Waiting for DR to call back with appointment time. Getting second blood draw tomorrow. I had a period, lots of cramping and different pains.Have had 3 previous ectopics and I think this is one more. Keeping my fingers crossed.

Posted: 05.29.08
Name: Patricia K.
Location: Checotah OK
Date of Tubal Reversal: December 15, 2004
Date of Pregnancy Test: May 29, 2008
Remarks: This will be my 4th the other 3 ended in m/c. I pray that this is my keeper! God is good!

Posted: 05.28.08
Name: Heather S.
Location: McLean Virginia
Date of Tubal Reversal: 2/4/08
Date of Pregnancy Test: 5/21/08 and 5/22/08 home test; 5/27/08 blood test
Due Date: 1/31/09
Remarks: I have concerns about an ectopic pregnancy and about my HCG level. My gut instinct does not leave me concerned about a miscarriage, but ectopic pregnancies… more so. Can you please provide any insight? My blood test results from yesterday, 5/27/08, showed Progesterone Assay of 22.80 and Beta HCG of 2,406. The HCG level was much higher than I would have expected given that I’m only 4 1/2 weeks out from the 1st day of my last period and only 3 weeks out from the date of conception - 5/6/08 - we didn’t even really try this month because we were a bit surprised to have had no luck in prior months, were taking it easy, and my OPK results were confusing me. I had understood that HCG levels are typically 1,500 - 2,500 in the 8-10 week range. Am I misinformed about HCG levels or indeed, do these seem high at this early stage? With HCG level already so high, I’m guessing my OB/Gyn will order an ultrasound next week, but I’m concerned that it’s so early that the sac won’t be visible. Alternatively, do HCG levels this high suggest multiples? My husband and I have no history of this with our first 3 children or in our families and we certainly didn’t do any fertility. I hope to speak to my Ob/GYN tomorrow. I got these results from her nurse today. Upon my questioning/wondering, the nurse said nothing definitive but asked me some questions about my dates this month and last month - my sense is she was wondering if I was pregnant during my previous cycle which began 4/2/08. Thanks much for any insight!

Posted: 05.28.08
Name: Amanda F.
Location: Nescopeck Pa
Date of Tubal Reversal: 1/28/2008
Date of Pregnancy Test: 5/24/2008

Posted: 05.28.08
Name: Jami A.
Location: Wichita Kansas
Date of Tubal Reversal: 2/15/08
Date of Pregnancy Test: 5/23/08
Remarks: We had 2 positive at home pregnancy test. went to family doctor and confirmed pregnancy. on 5/27 started bleeding like a normal period. Went to ob doctor on 5/28. tested and they said we tested a 14 and that anything above 5 is pregnancy. Still cramping and bleeding, they told us to come back on Friday 5/30 for another test. can you tell me what the number is that they are giving us. We are very concerned with the bleeding. could someone call or e-mail us. Thanks

Posted: 05.27.08
Name: Staci N.
Date of Tubal Reversal: 3-7-06
Date of Pregnancy Test: 5/24/08

Posted: 05.27.08
Name: Amanda G.
Location: SC
Date of Tubal Reversal: 5/25/07
Date of Pregnancy Test: 5/25/08
Remarks: I received a faint BFP on Sunday - this is my first since reversal - had some spotting yesterday and an even fainter BFP Monday morning. I am thinking this a chemical pregnancy or not a viable one - just do not have a good feeling but at least I know now I can get pregnant. I have a call in to Dr’s office to schedule blood work just to be safe (even if I do start my period I want to make sure levels go to 0). But I wanted to post my positive so that it can be included in your stats since it is possible.

Posted: 05.27.08
Name: Lisa C.
Location: Charlotte NC
Date of Tubal Reversal: 9/17/2004
Date of Pregnancy Test: 5/23/2008
Remarks: Seeing Doctor for 1st HCG draw today 5/27.

Posted: 05.27.08
Name: Shamina R.
Location: Roanoke Rapids NC
Date of Tubal Reversal: 4/2/08
Date of Pregnancy Test: 5/22/08
Due Date: 2/5/09

Posted: 05.27.08
Name: Amy B.
Location: Newark Ohio
Date of Tubal Reversal: 6/2006
Date of Pregnancy Test: April, 2007
Due Date: 12-7-2007
Remarks: I had Mason on 12-7-2007. He was beautiful and healthy. I am also happy to report that I am pregnant again. My due date is Halloween of 2008. I am 4 1/2 months pregnant and will have another ultra-sound as of June 10, 2008. My husband and I are so blessed and we are so grateful for Dr. Berger. My doctor who performed the C-section when Mason was born could not believe I had even had a tubal reversal. She said my tubes looked amazing. Thank you again, Mark and Amy B.

Posted: 05.26.08
Name: Constance B.
Location: LA
Date of Tubal Reversal: 01/17/08
Date of Pregnancy Test: 05/11/08 Mother’s Day
Due Date: 01/19/09 IT’S TWINS
Remarks: This is our first pregnancy after TR. Thank you so much Dr. Berger and staff…You truly are a gift from God..My OB/GYN was even doubtful, he swore the only way I could get pregnant was ivf..well when I showed up there they were all shocked and said what a successful reversal that was..they don’t ever see that.. but they never met ya’ll.. So again thank you from the bottom of my heart for this.

Posted: 05.26.08
Name: Alice W.
Location: Gainesville Florida
Date of Tubal Reversal: December 27, 2007
Date of Pregnancy Test: May 26, 2008

Posted: 05.26.08
Name: Jana B.
Location: Hobbs New Mexico
Date of Tubal Reversal: 2-13-2008
Date of Pregnancy Test: 5/25/2008
Due Date: 1/28/2009
Remarks: Thank you for making this possible. I am so excited I lost my baby boy in December and am so excited for another chance to raise a precious baby!!

Posted: 05.26.08
Name: Demetria G.
Location: Indianapolis Indiana
Date of Tubal Reversal: 11/17/2004
Date of Pregnancy Test: 4/4/2008
Due Date: 12/9/2008

Posted: 05.22.08
Name: Sarah A.
Location: Louisiana
Date of Tubal Reversal: March 3, 2008
Date of Pregnancy Test: May 22, 2008
Due Date: Feb 1, 2009

Posted: 05.21.08
Name: Vickie M.
Location: Strasburg IL
Date of Tubal Reversal: 09/17/07
Date of Pregnancy Test: 05/2008
Due Date: 01/24/09
Remarks: please call me

Posted: 05.21.08
Name: Janie L.
Location: TX
Date of Tubal Reversal: June 06
Date of Pregnancy Test: 5-20-08
Due Date: 1-25-09

Posted: 05.21.08
Name: Rocshena G.
Location: Murfreesboro North Carolina
Date of Tubal Reversal: November 21, 2007
Date of Pregnancy Test: May 20, 2008
Due Date: January 19, 2009
Remarks: Thank-you all for everything that you have done. We are excited as well as nervous. We are hoping that this pregnancy is a success. Thank you.

Posted: 05.20.08
Name: Sheila D.
Location: Florissant Missouri
Date of Tubal Reversal: 02-20-2007
Date of Pregnancy Test: 05-14-2008
Due Date: 01-16-2009
Remarks: 1st pregnancy following surgery occurred in Oct 2007 and resulted in a miscarriage at 6 weeks. Test to check to ensure my tubes were open occurred on April 1, 2008. I got pregnant on my next ovulation cycle following the April test.

Posted: 05.20.08
Name: Laura R.
Location: Roanoke Rapids North Carolina
Date of Tubal Reversal: 11/15/07
Date of Pregnancy Test: 05/12/08
Due Date: 01/23/09

Posted: 05.19.08
Name: Maggie C.
Location: Viriginia Lynchburg
Date of Tubal Reversal:
Date of Pregnancy Test: 05 07 08

Posted: 05.18.08
Name: Amy F.
Location: Canton GA
Date of Tubal Reversal: 9-27-2005
Date of Pregnancy Test: May 18, 2008
Due Date: 1/25/2008
Remarks: Here we are again! I’m now 42 and pregnant again - thanks to Dr. Berger. Just took the home test this morning - will keep you guys updated on our progress after the U/S.

Posted: 05.16.08
Name: Stefani P.
Location: Decatur Illinois
Date of Tubal Reversal: April 15, 2008
Date of Pregnancy Test: May 20, 2008
Due Date: January-Feb sometime. Have a Dr. appt. this Tuesday.
Remarks: I just wanted to let you know that 5 days after the surgery I ovulated and here we are reading a positive pregnancy test. There were 3 reasons why I wanted to have the surgery. 1)I felt in my heart it was the wrong thing to do for me. 2) I wanted to feel whole again and get relief from some of the symptoms I was having. 3) My husband and I deeply wanted another child. God has truly blessed Dr. Berger with the ability and talent to perform these surgeries and for that I am so truly grateful. Thank you to all of the staff and to Dr. Berger. You all were so very good to us. My husband and I prayed very hard for this opportunity and we had a very positive outlook on this whole thing. Thank you all very very much! I will keep you posted.

Posted: 05.14.08
Name: Christine C.
Location: Hartford WI
Date of Tubal Reversal: 10/18/07
Date of Pregnancy Test: 05/14/08
Due Date: not confirmed yet
Remarks: Aaaaaaah!!!!! WOW!!!! Thank you all sooooo much! One to HCG tests, ultrasounds…. keeping my chin up and fingers crossed this is a sticky one! Chrissy

Posted: 05.13.08
Name: Andora C.
Location: Charlotte North Carloina
Date of Tubal Reversal: 01/04/08
Date of Pregnancy Test: May 9,2008

Posted: 05.10.08
Name: Wendy H.
Location: Lisbon Maine
Date of Tubal Reversal: 10/26/2005
Date of Pregnancy Test: 01/12/2008
Due Date: September 22 2008
Remarks: This is our second reversal baby!

Posted: 05.08.08
Name: Norlisha R.
Location: Madison Wisconsin
Date of Tubal Reversal: 02-14-08
Date of Pregnancy Test: 04-30-08
Due Date: 12-24-08

Posted: 05.08.08
Name: Jennifer A.
Location: Concord California
Date of Tubal Reversal: February 2007
Date of Pregnancy Test: 01-19-08
Due Date: 09-20-08
Remarks: We had IUI done on January 04, 2008. Thank You So very Much Dr. Berger. We will be getting our miracle. Ron and Jenny A.

Posted: 05.07.08
Name: Michelle A.
Location: Monon Indiana
Date of Tubal Reversal: April 3,2008
Date of Pregnancy Test: May 7, 2008
Due Date: ? Jan 2009
Remarks: I just took home pregnancy test this morning, April 7, 2008. I will be scheduling an appt. with Dr.

Posted: 05.07.08
Name: Sherry R.
Location: Little Chute Wisconsin
Date of Tubal Reversal: 10/13/06
Date of Pregnancy Test: 04/22/08
Due Date: 12/28/08
Remarks: I just had an ultrasound and everything looks great! There’s only one gestation sac and it’s in the right place. I will be going back for an ultrasound in two weeks. My levels are rising well.

Posted: 05.07.08
Name: Latasha B.
Location: WVA Welch McDowell
Date of Tubal Reversal: 10-26-2007
Date of Pregnancy Test: 05-06-08

Posted: 05.07.08
Name: Wanda D.
Location: Wayne WV
Date of Tubal Reversal: 2-15-07
Date of Pregnancy Test: 4-26-08
Due Date: 1-3-09
Remarks: I already filled out the pregnancy report but the due date said feb 14 on it my dr. said that was wrong that it is jan.3rd.2009 please change it for me thank you, Wanda

Posted: 05.06.08
Name: Shelley P.
Location: Barton NY
Date of Tubal Reversal: 2-11-08
Date of Pregnancy Test: 5-03-08

Posted: 05.02.08
Name: Dana C.
Location: Stafford Virginia
Date of Tubal Reversal: 07/27/2007
Date of Pregnancy Test: 27 April 08
Due Date: 4 January 09
Remarks: My doctor’s appointment is scheduled for 12 May 08. I turned 44 this week so as you can imagine this is a blessing beyond words. I will keep you posted of any developments.

Posted: 05.02.08
Name: Cheryl S.
Location: Santa Rosa California
Date of Tubal Reversal: 12/17/04
Date of Pregnancy Test: 4/27/08
Due Date: 1/2/09
Remarks: This is my second positive since reversal in 2004. The first ended in MC. I had the first blood draw on 4/28/08 but have not heard the #’s, I will go today for second draw. I will keep you posted. Thank you Dr. Berger for this second chance, and to all your wonderful staff. GOD BLESS

Dr. Berger Talks About Post Tubal Ligation Syndrome

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

Post Tubal Ligation Syndrome (PTLS)

PTLS Diagnosis and Tests

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

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

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

Dr. Berger’s Response

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

Diagnostic Codes

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

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


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


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


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


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


• ICD-9-CM #627.0 Premenopausal menorrhagia


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

Insurance Coverage

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

More Information about Post Tubal Ligation Syndrome

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

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

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


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


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


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


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


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


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


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


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


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


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


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


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

Pregnant After Reverse Tubal Ligation

Mommyagain2006, a member of the Chapel Hill Tubal Reversal Center Message Board, is thrilled to announce that she is finally pregnant after her procedure to untie tubes performed by Dr. Berger in July of 2005. She achieved the pregnancy this time by undergoing IUI, which stands for intrauterine insemination, and is performed by inserting a thin catheter through the cervix and injecting sperm directly into the uterus. Mommyagain2006 is congratulated by other message board members who also want a child after tubal ligation and who are inspired by her story about pregnancy after tubes tied.

This is topic Keep the Faith in forum After Tubal Reversal at Tubal Reversal Message Board.

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Posted by mommyagain2006 (Member # 8087) on April 24, 2008 04:05 PM:

Well ladies...I have not been on the boards much with our ups and downs of TTCing. I had my TR July 22, 2005. We just went through our first IUI on April 12th and today I got this:

I was in total shock.

Don't give up. I am proof it can happen!

Best of luck to everyone!!!

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Posted by Amy1234 (Member # 5192) on April 24, 2008 04:07 PM:

Congratulations!!! What an inspiring story, Good luck to you!!!

Amy

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Posted by albmdb (Member # 12062) on April 24, 2008 04:07 PM:

Congrats to you.Keep us all updated. Best of luck.

leann sc tr 4/7/08

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Posted by Mornahh (Member # 12265) on April 24, 2008 04:07 PM:

Congratulations
you must be thrilled,
There is hope for us all
Morna xx

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Posted by Sweetpea (Member # 2742) on April 24, 2008 04:11 PM:

Congratulations!!!!

We will be trying IUI next cycle....
Do you mind me asking you your age?

Thanks for sharing your story. You have given me hope too!!

Veronica

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Posted by lori4 (Member # 11661) on April 24, 2008 04:25 PM:

YIPPPEE!!!!
Lori
C-section 6-20-08

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Posted by mommyagain2006 (Member # 8087) on April 24, 2008 04:37 PM:

I am 36...37 in June & DH is 40.

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Posted by mommyagain2006 (Member # 8087) on April 24, 2008 04:37 PM:

I forgot...my EDD is January 2, 2009!

I can finally post that! I am so excited!

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Posted by Jam777 (Member # 11990) on April 24, 2008 06:08 PM:

Congrats to you and your husband [Big Grin] So happy for you.Keep us posted [Smile]

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Posted by Myrna (Member # 11121) on April 25, 2008 11:14 AM:

Congratulations and best Wishes for a healthy nine months.

Myrna
CHSC

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Posted by hope2webb (Member # 5492) on April 25, 2008 11:20 AM:

Many congratulations!! You deserve it!

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Posted by poohbear_bear (Member # 9211) on April 25, 2008 01:44 PM:

Congrats mommy. May I ask your tube lengths?

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Posted by Lisa D. (Member # 11010) on April 25, 2008 01:59 PM:

Woohoo!!!! Great news.

Celebrating for you.

Lisa

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Posted by angelsbaby629 (Member # 1996) on April 25, 2008 02:32 PM:

Here's to a happy and healthy 9 months!!! Congrats to you and yours!!!!

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Posted by jenn5 (Member # 7976) on April 26, 2008 10:04 AM:

Congrats to you!!!

Jenni

Why Is It Important to take Folic Acid Before and After Tubal Reversal Surgery?

Chapel Hill Tubal Reversal Center message board members discuss the correct dose of folic acid and are advised by Dr. Berger that all women who are planning or attempting to become pregnant should take a prenatal vitamin that includes folic acid, beginning well before they start trying to conceive.

The appropriate dose is 0.4 mg to 1 mg a day. Folic acid aids in the prevention of neural tube defects, which are abnormalities in the development of the spinal cord and brain. Dr. Berger recommends that women starting taking folic acid even before trying to conceive, because it is important to have a sufficient amount stored in the body prior to conception.

This is topic Folic Acid Question? in forum New Message Board Members at Tubal Reversal Message Board.

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Posted by sjr (Member # 9566) on April 21, 2008 08:55 PM:

Can you ever take too much Folic acid? My pre-nat.has 400 mcg and then one extra at 1mg?
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Posted by MS_LICIA (Member # 9456) on April 21, 2008 10:40 PM:

Not at all, that's exactly what i'm taking. My doc recommendz it.
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Posted by sjr (Member # 9566) on April 22, 2008 06:59 AM:

Thank you. Do you take them together or seperate?
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Posted by Gary S Berger MD (Member # 3) on April 22, 2008 07:16 AM:

For most people, 400 micrograms (0.4 milligrams)is recommended. This has been shown to decrease the risk of having a baby with a neural tube defect. Women who have had a baby with a neural tube defect may be prescribed a higher dose. Recent research also suggests that folic acid supplementation started prior to pregnancy or very early in pregnancy also reduces the risk of preterm delivery. Interestly, new research shows that folic acid and zinc supplementation for men helps boost sperm counts.
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Posted by MS_LICIA (Member # 9456) on April 22, 2008 12:56 PM:

I guess I should have asked you what exactly did u mean by taking too much.I asked my Dr. the same thing & was told to just take 1/day. I did read somewhere what happens if too much is ingested, I'll post it as soon as I find it again. But I too, am taking 400mg FA. The minimum needed is 300 per day. That's why I answered the way I did. Sorry I misundertstood & if I misled you, I apologize for that too !!
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Posted by Webmaster (Member # 1) on April 23, 2008 07:08 PM:

Folic acid and folate (the anion form) are forms of the water-soluble Vitamin B9. These occur naturally in food and can also be taken as supplements. Folate gets its name from the Latin word folium ("leaf"). Our bodies use it to make new cells. Everyone needs folic acid. For women who are pregnant it can help prevent major birth defects of her baby’s brain and spine. These birth defects are neural tube defects or NTDs. Women need to take folic acid every day, starting before they are pregnant to help prevent NTDs.

Leafy vegetables such as spinach, turnip greens, lettuces, dried beans and peas, fortified cereal products, sunflower seeds and certain other fruits and vegetables are rich sources of folate. Some breakfast cereals are fortified with for folic acid. Folate is also found in Vegemite, with an average serving (5gm) containing 100μg. The established tolerable upper intake level (UL) for folate is 1 mg for adult men and women, and a UL of 800 µg for pregnant and lactating (breast-feeding) women less than 18 years of age.
http://en.wikipedia.org/wiki/Folate#Health_risk_of_too_much_folic_acid

The U.S. Public Health Service urges every woman who could become pregnant to take 400 micrograms (400 mcg) of synthetic folic acid every day and whilst it is unlikely that women will be hurt from taking too much folic acid supplements, unless their doctor advises them to take more, most women should limit the amount they take to 1,000 mcg a day.
http://www.cdc.gov/ncbddd/folicacid/overview.htm

Information about "folic acid" from Dr. Berger's tubal reversal web site.

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

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

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

The Importance of Dr. Berger's Pregnancy Protocol after Tubal Reversal Surgery

This is topic So frustrated with Doctors in forum After Tubal Reversal at Tubal Reversal Message Board.

Carrie is pregnant with her second TR baby and her local physician is not adhering to the pregnancy protocol recommended by Dr. Berger for pregnancy after tubal reversal. Once a woman has a positive home pregnancy test after a tubal reversal, she needs to start having her quantitative HCG levels drawn every 2-3 days until the level reaches 1500. At that point, she will need a vaginal ultrasound performed in order to determine the placement of the pregnancy. It is always a good idea to print the protocol from our website and take it to your first doctor's appointment to be certain that the doctor agrees to the protocol.

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Posted by Carri (Member # 9673) on January 14, 2008 02:41 PM:

Hi Everyone,
I need to vent a little. I got a BFP on 1/1 and went to my doctor on 1/2. During this visit they informed me that they no longer are members of my medical plan and I would have to switch doctors or pay out of pocket for visits. I paid for my visit that day and went to get bloodwork done. I called back and they did not do quantitative (sp ?) so they could not tell me my #'s. They would scedule an ultrasound, but for 3 weeks later and i would have to pay cash. Fast forward a couple of days. I find a new doctor, explain to them Dr. B's protocol and they said they would follow it but couldn't see me until today (2weeks later). I go in today and they do an exam and tell me not to worry it couldn't be in my tube (my one and only little tube) because I would be feeling pain and since i am not it must not be in there. I insisted on an ultrasound and she gave me a prescription for one to be done at the hospital. I call the hospital and explain about tr and how i need an ultrasound immediately and they tell me that they will sqeeze me in on FRIDAY! Now what?????? I feel like a ticking timebomb. Any advice?

Carrie-36
DH-29
DD-20
DS-19
DTRD-5 months
BFP 1/01/08
EDD 9/07/08

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Posted by chelleshore18 (Member # 8883) on January 14, 2008 02:45 PM:

Carrie, my advice would be to go immediately to the ER... tell them a fib and tell them you are having slight cramps or something. That way they will do an ultrasound. The drs should always follow the protocol because of our increased risk of ectopic. With only having one tube, you need to get checked out. Please go ASAP and let us know.
Good luck to yoU!
Michelle

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Posted by SCMomof4 (Member # 10312) on January 14, 2008 03:01 PM:

sorry to butt in - what is DTRD -

Carrie - I have not had any BFP but have read so much over the past 9 months of woman waiting and not getting the preventative care they needed to go on and not only lose their tube but a few come close to an outcome much worse. This is not something to play the waiting game on - please go to the ER and get the care you need.

Amanda
TR 5/25/07

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Posted by berta8133 (Member # 11188) on January 14, 2008 03:05 PM:

Go to ER! Do not wait. Period. Waiting till friday is not the right way to go.

GL.
Berta

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Posted by Carri (Member # 9673) on January 14, 2008 03:28 PM:

DTRD is my dear tubal reversal daughter

Thank you ladies for responding. i am just about at my wits end with doctors. I just talked to Sarah(nurse at Chapel Hill) and am heading to the ER now. I am going to claim a little pain and see what that does for me. Wish me luck and I will update when i get home.

Thanks again!
Carrie

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Posted by berta8133 (Member # 11188) on January 14, 2008 03:36 PM:

Carri...tell them you are HIGH risk for E/P and having significant pain on your side/abdomen area... they should get you right in.

Prayers with you!
Berta

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Posted by mama12 (Member # 11260) on January 14, 2008 05:12 PM:

ER chicky.

I had an EP that ruptured 4 days before my AF due date....
Go to the ER.
I went through 3 Dr.s in the midst of a MC and EP I know it sucks. I know it's hard and upsetting but do it. Just take care of it. You want to protect that tube!!!!
Hugs to you from TN

Go to the ER. Insist on an US to get your tubes checked. Make sure whoever you get repeats this to double triple check until they see the baby. If you can the next day after the ER sit down with your phone book and start calling Dr.s until you find one that fits your needs. That's what I had to do. It was horrible but I found a great Dr. Tell them up front what you need. If they can't do it, move on.
Hang in there, get yourself to the ER ok?

TR Oct 15 2007
MC Nov 20 2007
EP Friday Dec 14 2007 lost right tube. period was due on Monday the 17th.

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Posted by Simonsen6 (Member # 10172) on January 15, 2008 08:46 AM:

Carrie- any news?

I'm waiting to hear Hoping all went well and baby is safely tucked in your uterus--

Lots of Love,
Becki

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Posted by Carri (Member # 9673) on January 15, 2008 09:52 AM:

Hi Everyone,
Sorry it took me so long. I waited 10 hours in the ER and they were telling me it would be a couple more and i gave up. I could have died sitting there and no one would have noticed. I am going to my old doctor today and am going to pay for my ultrasound (they no longer take my insurance). I can't believe that it is this difficult. The first time was so smooth. Thank you all for your thoughts and concern. I will keep you updated.

Thanks again,
Carrie

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Posted by Jennifer Okun, R.N. (Member # 1806) on January 15, 2008 10:06 AM:

Hi Everyone,

We know it can be very frustrating when your local OB/GYN doctors do not follow the ectopic pregnancy protocol detailed on our I'm Pregnant page. Your doctors all should really be well aware of this policy and should be following it as closely as possibly.



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Posted by Simonsen6 (Member # 10172) on January 15, 2008 10:57 AM:

Thank You Jennifer!! I agree- we need MORE dr.'s like Dr. Berger who really care and a staff like all of you as well!!!!

Carrie- good luck and keep us posted!!!! I feel just like you do!!!

Lots of Love,
Becki

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Posted by Crystal4ever (Member # 10772) on January 15, 2008 11:38 AM:

I am so afraid this will happen to me. I had a TR on Dec 31. I only have one tube! It is only 3 cm. I am already nervous about this. I am scared I will have a EP and it will rupture my only tube.
How can I prevent this from happening to me? Do I need to start seeking a specialized OBGYN right away?

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Posted by Simonsen6 (Member # 10172) on January 15, 2008 02:38 PM:

Crystal4ever

Yeah, I would find a dr, now that will follow Dr. B's protocol now!!! Before you become PG because by then it is too late to be fighting and demanding treatment!!!!


Jennifer- where can I get a copy of the guideline? I would like to copy it and hand it to my dr!
Thanks so much!

Lots of Love,
Becki

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