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, March 3, 2008
Monday, February 11, 2008
Dr. Monteith is Joining Dr. Berger as a Tubal Reversal Surgeon
Dr. Monteith is joining Dr. Berger as a tubal reversal surgeon at Chapel Hill Tubal Reversal Center. Dr. Charles Monteith graduated Summa Cum Laude from Xavier University and received his Medical Degree from the University of California at San Francisco. Following a Howard Hughes Research Fellowship in molecular biology, he completed his residency in obstetrics and gynecology at the University of North Carolina at Chapel Hill in 2001. Since then he has been a Clinical Assistant Professor of Obstetrics and Gynecology at the University of North Carolina Medical School. Dr. Monteith is board certified in obstetrics and gynecology and has extensive experience in laparoscopic surgery and high risk obstetrics.
Explaining his decision to join Dr. Berger in practice, Dr. Monteith says, “My interest in tubal ligation reversal comes from my love of outpatient surgery and the desire to learn skills which are becoming a dying art. My hope is to be able to continue to practice tubal reversal surgery and to keep it as an option for patients who have had prior tubal ligation and desire to become pregnant.”
Like all of Dr. Berger's staff Dr. Monteith can be contacted via the tubal reversal message board. Here you can read Dr. Monteith's most recent posts
As this thread from the Tubal Reversal Message Board shows Dr. Monteith as well as being an excellent surgeon also has quite a sense of humor:
Posted by Dr. Monteith (Member # 11996) on February 04, 2008 09:00 AM:
I answered your questions under the threads of scheduling and posting with Dr. Montieth
Posted by sweeet_mommie (Member # 11471) on February 04, 2008 06:50 PM:
Dr.Monteith thank you so much for responding to my questions and your responces were very helpful. We are very happy to know that there is hope for us. We never thought that we would want another child considering we have 5, 4boys 11,10,8 and 6 and 1girl 6. We were very scared when they told us twins and that is why we had my tubes tied, well that was a mistakeand at the time my Doctor didnt think it was a good idea but went along with it considering I was only 23 years old in 2001. Tell me something how likely (is it if there are twins on both sides of the family), are we likely to have twins again? Thank you for you help and another thing the most thing I am afaid of is getting surgery, in 2006 when I lost my right tube I was so scared of be put to sleep. any suggestions?
thanks again
luquesua
I am considering getting my TR maybe late spring.
Posted by Dr. Monteith (Member # 11996) on February 04, 2008 09:08 PM:
Twins do run higher in some races of people. Certain tribes from Africa have very high twin rates- can be as high as 1 in 50 pregnancies. In general, the chances of having a twin pregnancy is about 1 out of 200 pregnancies.
If you and your husband are Nigerian then I would be worried you would have a higher chance of a twin pregnancy- for the most part I have not been impressed that twin rates have been higher when patients come to me in the USA and say twins run in both families. I would say your risk of twin pregnancy would be about 1 out fo 200. If you have to take clomid about 10 out of 200 and if you have IVF about 1 out of 3!
General anesthesia is very safe when it is done in a low risk patient in a controlled situation. The only problems I have seen is in emergency surgery when everyone is rushing and the patient is high risk- say 300lbs, poor airway, heart disease, trauma, etc.
Posted by sweeet_mommie (Member # 11471) on February 05, 2008 05:46 PM:
Dr.Monteith another question I have is the TR is it done vaginal? How long after surgery can we try to conceive?
Posted by Dr. Monteith (Member # 11996) on February 05, 2008 11:04 PM:
The reversal is done through a small incision- about 4 inches- just above your pubic hair line. We ask that you wait until you leave the office before you try to conceive! (the real answer is when you feel up to it- about 2-4 weeks).
Posted by mommyof4wantingmore (Member # 11914) on February 06, 2008 04:06 AM:
What a great sense of humor Dr. Monteith! I read almost all of the posts on here, but that has to be the best reply of the day!! LOL Sorry if I butted in on the thread but that was GREAT!!
-Donielle
DH-34
Me-32
DS-14
DD-6
DS-5 (soon)
DS-2
TL-7/05
TR-Goal is Summer 2008!
Posted by sweeet_mommie (Member # 11471) on February 06, 2008 07:10 AM:
thanks Dr. that information was very helpful, we will be scheduling my appointment for April wil you be there assisting Dr. Berger?
Posted by in-Gods-hands (Member # 11795) on February 06, 2008 08:17 AM:
I am with Donielle that was the best one yet. I liked that. Miranda
More Information on Dr. Monteith
Explaining his decision to join Dr. Berger in practice, Dr. Monteith says, “My interest in tubal ligation reversal comes from my love of outpatient surgery and the desire to learn skills which are becoming a dying art. My hope is to be able to continue to practice tubal reversal surgery and to keep it as an option for patients who have had prior tubal ligation and desire to become pregnant.”
Like all of Dr. Berger's staff Dr. Monteith can be contacted via the tubal reversal message board. Here you can read Dr. Monteith's most recent posts
As this thread from the Tubal Reversal Message Board shows Dr. Monteith as well as being an excellent surgeon also has quite a sense of humor:
Posted by Dr. Monteith (Member # 11996) on February 04, 2008 09:00 AM:
I answered your questions under the threads of scheduling and posting with Dr. Montieth
Posted by sweeet_mommie (Member # 11471) on February 04, 2008 06:50 PM:
Dr.Monteith thank you so much for responding to my questions and your responces were very helpful. We are very happy to know that there is hope for us. We never thought that we would want another child considering we have 5, 4boys 11,10,8 and 6 and 1girl 6. We were very scared when they told us twins and that is why we had my tubes tied, well that was a mistakeand at the time my Doctor didnt think it was a good idea but went along with it considering I was only 23 years old in 2001. Tell me something how likely (is it if there are twins on both sides of the family), are we likely to have twins again? Thank you for you help and another thing the most thing I am afaid of is getting surgery, in 2006 when I lost my right tube I was so scared of be put to sleep. any suggestions?
thanks again
luquesua
I am considering getting my TR maybe late spring.
Posted by Dr. Monteith (Member # 11996) on February 04, 2008 09:08 PM:
Twins do run higher in some races of people. Certain tribes from Africa have very high twin rates- can be as high as 1 in 50 pregnancies. In general, the chances of having a twin pregnancy is about 1 out of 200 pregnancies.
If you and your husband are Nigerian then I would be worried you would have a higher chance of a twin pregnancy- for the most part I have not been impressed that twin rates have been higher when patients come to me in the USA and say twins run in both families. I would say your risk of twin pregnancy would be about 1 out fo 200. If you have to take clomid about 10 out of 200 and if you have IVF about 1 out of 3!
General anesthesia is very safe when it is done in a low risk patient in a controlled situation. The only problems I have seen is in emergency surgery when everyone is rushing and the patient is high risk- say 300lbs, poor airway, heart disease, trauma, etc.
Posted by sweeet_mommie (Member # 11471) on February 05, 2008 05:46 PM:
Dr.Monteith another question I have is the TR is it done vaginal? How long after surgery can we try to conceive?
Posted by Dr. Monteith (Member # 11996) on February 05, 2008 11:04 PM:
The reversal is done through a small incision- about 4 inches- just above your pubic hair line. We ask that you wait until you leave the office before you try to conceive! (the real answer is when you feel up to it- about 2-4 weeks).
Posted by mommyof4wantingmore (Member # 11914) on February 06, 2008 04:06 AM:
What a great sense of humor Dr. Monteith! I read almost all of the posts on here, but that has to be the best reply of the day!! LOL Sorry if I butted in on the thread but that was GREAT!!
-Donielle
DH-34
Me-32
DS-14
DD-6
DS-5 (soon)
DS-2
TL-7/05
TR-Goal is Summer 2008!
Posted by sweeet_mommie (Member # 11471) on February 06, 2008 07:10 AM:
thanks Dr. that information was very helpful, we will be scheduling my appointment for April wil you be there assisting Dr. Berger?
Posted by in-Gods-hands (Member # 11795) on February 06, 2008 08:17 AM:
I am with Donielle that was the best one yet. I liked that. Miranda
More Information on Dr. Monteith
Thursday, February 7, 2008
The Importance of Early Pregnancy Monitoring
The importance of early pregnancy monitoring cannot be stressed enough. All women have a chance of ectopic pregnancy, but after tubal reversal surgery, the chance is slightly higher. For this reason, Dr. Berger recommends all patients at Chapel Hill Tubal Reversal Center work closely with their home physicians to follow the course of pregnancy as soon as conception is detected. Once a tubal reversal patients gets a positive pregnancy test, she should get her first HCG blood level drawn. After this, her doctor should be drawing the blood for HCG at least twice week. When the HCG level reaches 1500, the pregnancy can be detected by ultrasound. A vaginal ultrasound should be performed to determine the location of the implantation. This greatly reduces the chance of tubal rupture should the pregnancy prove to be ectopic. Dr. Berger should be notified as soon as you are pregnant so that he can ensure you are receiving timely early pregnancy care.
The following is from the Tubal Reversal Message Board:
Posted by Kristy Isett (Member # 8861) on February 05, 2008 05:58 PM:
Hi Dr B, I just found out on 1/24/08 that I was PG again after taking 200 mg clomid. My LMP was on 12/30/05 Since then, I've had 5 hcg betas drawn. My concern is the last two I had.
My first 3 betas were
1/24/08= 19.45 Progesterone= 27.1
1/26/08= 48.64
1/28/08= 104.22
Thursday 01/31/08
hCG was 371 progesterone was 45.2 (on suppositories)
Monday 02/04/2008
hCG was 576Why the small rise?? I mean I figured it should have been closer to the 1400-1500 level.
My blood tests were done at two different labs, but I honestly don't think that there would be that much of a difference between them. I go again tomorrow for another beta.
I had an internal exam yesterday 2/4/08 and dr said there was no sign of bleeding, cervix was closed and long. He felt my uterus and said it felt normal. I then went for a vaginal u/s and the tech was unable to see anything at that point. Dr called me and told me that there was a bit of free fluid??? in my uterus but not enough to have him concerned at this point. I don't know what to think at this point. Thanks in advance!
Kris
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Posted by lori4 (Member # 11661) on February 05, 2008 06:48 PM:
Kristy, Can't answer any of your questions, but I'm praying for you girl
Lori
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Posted by Gary S Berger MD (Member # 3) on February 05, 2008 06:58 PM:
Hi Kris -Using our HCG doubling time calculator, I entered your first HCG level of 19 and the last one of 576 taken 11 days apart. The calculator shows a doubling time of 53.6 hours, or doubling every 1.36 days. This is normal. At this rate, your HCG level should reach 1500 by Friday or Saturday, and when it does, a vaginal US exam should be performed to look for the gestational sac.
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Posted by Kristy Isett (Member # 8861) on February 05, 2008 07:24 PM:
Thanks Dr. Berger, but shouldn't I be concerned with the fact that it didn't double from Thursday 1/31/08 to Monday 02/04/08??? The doubling rate from those two beta's is like every 6.30 days or every 111 hours I think.Thanks again!
Kris
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Posted by Noelle DiBernardo (Member # 8906) on February 05, 2008 10:47 PM:
Kris,
Did you have another draw today, (Tuesday)If you see this...I emailed you the information you asked for...sorry it took so long!noelle
--------------------------------------------------------------------------------
Posted by Gary S Berger MD (Member # 3) on February 06, 2008 04:56 AM:
Kristy - Let's wait and see what your next HCG level is.
--------------------------------------------------------------------------------
Posted by Kristy Isett (Member # 8861) on February 06, 2008 08:23 AM:
Dr. Berger, thanks. I go this morning for my next draw. I know it'll tell me more. I'll let you know.
Noelle~ Yeah I got your email, thanks so much my computer died yesterday, I couldn't get on for anything all day until after DH got home from work to fix it!Love,
~Kris~
--------------------------------------------------------------------------------
Posted by jami (Member # 9521) on February 06, 2008 08:33 AM:
kris, i love you and your little bean(s)!!! i'm waiting to see what today's labs say....
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Posted by Kristy Isett (Member # 8861) on February 06, 2008 12:05 PM:
Dr B. Ok, today my levels are 746.... what do you think is going on??I'm so confused, I thought these hCG levels were to double every 2-3 days....mine are totally not doing that.I'm so worried that this is another ectopic and I'm going to lose my only tube I have left.I'll check back later to see what you think.
Thanks again,
Kris
--------------------------------------------------------------------------------
Posted by mamasoup8 (Member # 11212) on February 06, 2008 12:19 PM:
Krys- I don't have any answers for you, just wanted you to know you and your lil bean are in my prayers!-Traci
--------------------------------------------------------------------------------
Posted by Meridith4321 (Member # 11469) on February 06, 2008 12:29 PM:
Kristy - I would call and try to get an ultrasound - I know 700 is too small to see a sac but sometimes they can see a bulge in the tube or fluid in the uterus. There are other symptoms!!! maybe I would go to the ER. One tube is just too precious to lose, not to even mention that you life is at risk here. Does your Dr. know the protocol? I have heard to tubes bursting at 700 - just to be on the safe side I would try to get an ultrasound - fake pain if you have to!!!! Talk to Berta - I know she is on some of the lists and recently posted about losses on the main page - she can tell you what her number was when her tube burst.Good luck - we are all pulling for you!!!
Meridith
--------------------------------------------------------------------------------
Posted by Noelle DiBernardo (Member # 8906) on February 06, 2008 01:01 PM:
I am thinking of you Kris.
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Posted by berta8133 (Member # 11188) on February 06, 2008 01:12 PM:
Kristy....Personally if it were me...I would go to the ER. It could be several things. Some need for concern, others - everything could be just fine.Numbers sometimes become stagnet (for lack of a better word)...even though raising a bit...)I think for piece of mind....get to ER for an u/s, tell them you are high risk for e/p due to TR and tell them your last number, and also that you are having pain..tell them- it's kinda tender (pick a side) and that the pain feels like it comes from the back and moves to the front.They should be able to see 'something'...whether a shadow, fluid or swollen tube...etc etc... if they can't see anything yet...then all could be fine and nothing to worry over.There was a sister on our july thread....she no longer posts, but her number never got higher than like 300, and become stagnet, dr did nothing, and she ended up rupturing and losing the tube.My numbers were higher at time of rupture.....a week before rupture they were about 6700 or so... HOWEVER there are those that rupture with a small number due to the tube becoming swollen etc etc....Get it checked. Better safe than sorry down the road. I'd rather worry about something and it turn out to be nothing, than not to worry at all and it become something that can't be fixed.Thoughts are with you and I surely do hope all is okay. Just get it checked--ok??Berta
TR 7/23/07
E/P 0/25/07
M/C 12/8/07TTC our little Z
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Posted by pumpkin_powers (Member # 9198) on February 06, 2008 01:36 PM:
Krys,
Please go to the ER. You're right that those numbers aren't doubling right and it may be just a slow starter or possibly an ectopic. It's better to be safe than to lose your only tube. I went through two ectopics last year, and with the second my numbers were right around doubling for the first couple draws then they started slowing down like yours are doing. With that pregnancy the baby ended up implanted near my bladder and if I hadn't had early monitoring it would definitely have been life threatening. Please take care, and I'll be saying prayers for you and your little bean.Lots of Love
Staci
TR 3-7-06
--------------------------------------------------------------------------------
Posted by Gary S Berger MD (Member # 3) on February 06, 2008 04:12 PM:
Kristy - I agree that based on today's result your HCG rise is no longer rising normally. When HCG ceases to double within 3 days on more than one occasion, I recommend ending the pregnancy with Methotrexate and continuing to follow the serum HCG until it is back to non-pregnant levels (less than 10). At your current HCG level, it is still too early for an ultrasound examination to be diagnostic about whether it is in the uterus or outside of the uterus. But when a pregnancy is no longer progressing normally, it should not be continued.
--------------------------------------------------------------------------------
Posted by berta8133 (Member # 11188) on February 06, 2008 04:54 PM:
Kristy, please let us know how you are doing.Berta
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Posted by Melissa In NC (Member # 8796) on February 06, 2008 11:06 PM:
Kris- just wanted to let you know that i am thinking about you & praying
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Posted by brlracer (Member # 11897) on February 07, 2008 12:56 PM:
Any news on Kris? I will keep you in my prayers!
Trish
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Posted by Kristy Isett (Member # 8861) on February 07, 2008 02:58 PM:
Dr. Berger~ I just wanted to update you on what happened, I did in fact have an ectopic. There was a 4.7 CM buldge in my tube, the Dr told me that she would do everything possible to save my tube, but after surgery she told me that there was no way to save it even though it wasn't ruptured, she felt that the tube itself was too "stretched out" she said it looked unhealthy. So, that ends my journey in TTC for now, hopefully we'll find a way to do IVF sometime in the future. Heck, I'm not getting any younger! LOL! Thanks for all of the advice and thanks for everything!Kris
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Posted by brlracer (Member # 11897) on February 07, 2008 03:10 PM:
Kris, I am so sorry for this, I just don't know what to say
Trish K.
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Posted by Amy1234 (Member # 5192) on February 07, 2008 03:17 PM:
I am very, very sorry Kris!
Amy
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Posted by lori4 (Member # 11661) on February 07, 2008 04:45 PM:
Kris, that sucks! I was really pulling for you girl. I'll keep you in my prayers. I hope one day God blesses you with a baby if it is in his plan for you.
Lori
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Posted by JulesnKev (Member # 7375) on February 07, 2008 05:54 PM:
Kris, I am so sorry you are having to go through this heart rending experience. You mentioned IVF, so when you are ready to talk about it you can e-mail me at trulyjulee1967@msn dot com. I have some information you may find interesting. Take time to heal and take care of yourself.
Hugs,
Julia
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Posted by pumpkin_powers (Member # 9198) on February 07, 2008 05:55 PM:
Kris, I'm so sorry that this has happened. Please take care of yourself. This part of the journey is so hard. I hope that you are able to persue IVF in the future. I ended my ttc journey this dec after my second ectopic within a 6month period. I just couldn't take it anymore emotionally or physically. I hope that things get back to normal for you quickly. Please take care.
Lots of Love
Staci
TR3-7-06
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Posted by berta8133 (Member # 11188) on February 07, 2008 06:03 PM:
Oh Krys....I'm soooo very sorry this has happened. Thoughts are with you definitely! I pray you will be successful in your IVF journey.Good luck always,
Berta
The following is from the Tubal Reversal Message Board:
Posted by Kristy Isett (Member # 8861) on February 05, 2008 05:58 PM:
Hi Dr B, I just found out on 1/24/08 that I was PG again after taking 200 mg clomid. My LMP was on 12/30/05 Since then, I've had 5 hcg betas drawn. My concern is the last two I had.
My first 3 betas were
1/24/08= 19.45 Progesterone= 27.1
1/26/08= 48.64
1/28/08= 104.22
Thursday 01/31/08
hCG was 371 progesterone was 45.2 (on suppositories)
Monday 02/04/2008
hCG was 576Why the small rise?? I mean I figured it should have been closer to the 1400-1500 level.
My blood tests were done at two different labs, but I honestly don't think that there would be that much of a difference between them. I go again tomorrow for another beta.
I had an internal exam yesterday 2/4/08 and dr said there was no sign of bleeding, cervix was closed and long. He felt my uterus and said it felt normal. I then went for a vaginal u/s and the tech was unable to see anything at that point. Dr called me and told me that there was a bit of free fluid??? in my uterus but not enough to have him concerned at this point. I don't know what to think at this point. Thanks in advance!
Kris
--------------------------------------------------------------------------------
Posted by lori4 (Member # 11661) on February 05, 2008 06:48 PM:
Kristy, Can't answer any of your questions, but I'm praying for you girl
Lori
--------------------------------------------------------------------------------
Posted by Gary S Berger MD (Member # 3) on February 05, 2008 06:58 PM:
Hi Kris -Using our HCG doubling time calculator, I entered your first HCG level of 19 and the last one of 576 taken 11 days apart. The calculator shows a doubling time of 53.6 hours, or doubling every 1.36 days. This is normal. At this rate, your HCG level should reach 1500 by Friday or Saturday, and when it does, a vaginal US exam should be performed to look for the gestational sac.
--------------------------------------------------------------------------------
Posted by Kristy Isett (Member # 8861) on February 05, 2008 07:24 PM:
Thanks Dr. Berger, but shouldn't I be concerned with the fact that it didn't double from Thursday 1/31/08 to Monday 02/04/08??? The doubling rate from those two beta's is like every 6.30 days or every 111 hours I think.Thanks again!
Kris
--------------------------------------------------------------------------------
Posted by Noelle DiBernardo (Member # 8906) on February 05, 2008 10:47 PM:
Kris,
Did you have another draw today, (Tuesday)If you see this...I emailed you the information you asked for...sorry it took so long!noelle
--------------------------------------------------------------------------------
Posted by Gary S Berger MD (Member # 3) on February 06, 2008 04:56 AM:
Kristy - Let's wait and see what your next HCG level is.
--------------------------------------------------------------------------------
Posted by Kristy Isett (Member # 8861) on February 06, 2008 08:23 AM:
Dr. Berger, thanks. I go this morning for my next draw. I know it'll tell me more. I'll let you know.
Noelle~ Yeah I got your email, thanks so much my computer died yesterday, I couldn't get on for anything all day until after DH got home from work to fix it!Love,
~Kris~
--------------------------------------------------------------------------------
Posted by jami (Member # 9521) on February 06, 2008 08:33 AM:
kris, i love you and your little bean(s)!!! i'm waiting to see what today's labs say....
--------------------------------------------------------------------------------
Posted by Kristy Isett (Member # 8861) on February 06, 2008 12:05 PM:
Dr B. Ok, today my levels are 746.... what do you think is going on??I'm so confused, I thought these hCG levels were to double every 2-3 days....mine are totally not doing that.I'm so worried that this is another ectopic and I'm going to lose my only tube I have left.I'll check back later to see what you think.
Thanks again,
Kris
--------------------------------------------------------------------------------
Posted by mamasoup8 (Member # 11212) on February 06, 2008 12:19 PM:
Krys- I don't have any answers for you, just wanted you to know you and your lil bean are in my prayers!-Traci
--------------------------------------------------------------------------------
Posted by Meridith4321 (Member # 11469) on February 06, 2008 12:29 PM:
Kristy - I would call and try to get an ultrasound - I know 700 is too small to see a sac but sometimes they can see a bulge in the tube or fluid in the uterus. There are other symptoms!!! maybe I would go to the ER. One tube is just too precious to lose, not to even mention that you life is at risk here. Does your Dr. know the protocol? I have heard to tubes bursting at 700 - just to be on the safe side I would try to get an ultrasound - fake pain if you have to!!!! Talk to Berta - I know she is on some of the lists and recently posted about losses on the main page - she can tell you what her number was when her tube burst.Good luck - we are all pulling for you!!!
Meridith
--------------------------------------------------------------------------------
Posted by Noelle DiBernardo (Member # 8906) on February 06, 2008 01:01 PM:
I am thinking of you Kris.
--------------------------------------------------------------------------------
Posted by berta8133 (Member # 11188) on February 06, 2008 01:12 PM:
Kristy....Personally if it were me...I would go to the ER. It could be several things. Some need for concern, others - everything could be just fine.Numbers sometimes become stagnet (for lack of a better word)...even though raising a bit...)I think for piece of mind....get to ER for an u/s, tell them you are high risk for e/p due to TR and tell them your last number, and also that you are having pain..tell them- it's kinda tender (pick a side) and that the pain feels like it comes from the back and moves to the front.They should be able to see 'something'...whether a shadow, fluid or swollen tube...etc etc... if they can't see anything yet...then all could be fine and nothing to worry over.There was a sister on our july thread....she no longer posts, but her number never got higher than like 300, and become stagnet, dr did nothing, and she ended up rupturing and losing the tube.My numbers were higher at time of rupture.....a week before rupture they were about 6700 or so... HOWEVER there are those that rupture with a small number due to the tube becoming swollen etc etc....Get it checked. Better safe than sorry down the road. I'd rather worry about something and it turn out to be nothing, than not to worry at all and it become something that can't be fixed.Thoughts are with you and I surely do hope all is okay. Just get it checked--ok??Berta
TR 7/23/07
E/P 0/25/07
M/C 12/8/07TTC our little Z
--------------------------------------------------------------------------------
Posted by pumpkin_powers (Member # 9198) on February 06, 2008 01:36 PM:
Krys,
Please go to the ER. You're right that those numbers aren't doubling right and it may be just a slow starter or possibly an ectopic. It's better to be safe than to lose your only tube. I went through two ectopics last year, and with the second my numbers were right around doubling for the first couple draws then they started slowing down like yours are doing. With that pregnancy the baby ended up implanted near my bladder and if I hadn't had early monitoring it would definitely have been life threatening. Please take care, and I'll be saying prayers for you and your little bean.Lots of Love
Staci
TR 3-7-06
--------------------------------------------------------------------------------
Posted by Gary S Berger MD (Member # 3) on February 06, 2008 04:12 PM:
Kristy - I agree that based on today's result your HCG rise is no longer rising normally. When HCG ceases to double within 3 days on more than one occasion, I recommend ending the pregnancy with Methotrexate and continuing to follow the serum HCG until it is back to non-pregnant levels (less than 10). At your current HCG level, it is still too early for an ultrasound examination to be diagnostic about whether it is in the uterus or outside of the uterus. But when a pregnancy is no longer progressing normally, it should not be continued.
--------------------------------------------------------------------------------
Posted by berta8133 (Member # 11188) on February 06, 2008 04:54 PM:
Kristy, please let us know how you are doing.Berta
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Posted by Melissa In NC (Member # 8796) on February 06, 2008 11:06 PM:
Kris- just wanted to let you know that i am thinking about you & praying
--------------------------------------------------------------------------------
Posted by brlracer (Member # 11897) on February 07, 2008 12:56 PM:
Any news on Kris? I will keep you in my prayers!
Trish
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Posted by Kristy Isett (Member # 8861) on February 07, 2008 02:58 PM:
Dr. Berger~ I just wanted to update you on what happened, I did in fact have an ectopic. There was a 4.7 CM buldge in my tube, the Dr told me that she would do everything possible to save my tube, but after surgery she told me that there was no way to save it even though it wasn't ruptured, she felt that the tube itself was too "stretched out" she said it looked unhealthy. So, that ends my journey in TTC for now, hopefully we'll find a way to do IVF sometime in the future. Heck, I'm not getting any younger! LOL! Thanks for all of the advice and thanks for everything!Kris
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Posted by brlracer (Member # 11897) on February 07, 2008 03:10 PM:
Kris, I am so sorry for this, I just don't know what to say
Trish K.
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Posted by Amy1234 (Member # 5192) on February 07, 2008 03:17 PM:
I am very, very sorry Kris!
Amy
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Posted by lori4 (Member # 11661) on February 07, 2008 04:45 PM:
Kris, that sucks! I was really pulling for you girl. I'll keep you in my prayers. I hope one day God blesses you with a baby if it is in his plan for you.
Lori
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Posted by JulesnKev (Member # 7375) on February 07, 2008 05:54 PM:
Kris, I am so sorry you are having to go through this heart rending experience. You mentioned IVF, so when you are ready to talk about it you can e-mail me at trulyjulee1967@msn dot com. I have some information you may find interesting. Take time to heal and take care of yourself.
Hugs,
Julia
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Posted by pumpkin_powers (Member # 9198) on February 07, 2008 05:55 PM:
Kris, I'm so sorry that this has happened. Please take care of yourself. This part of the journey is so hard. I hope that you are able to persue IVF in the future. I ended my ttc journey this dec after my second ectopic within a 6month period. I just couldn't take it anymore emotionally or physically. I hope that things get back to normal for you quickly. Please take care.
Lots of Love
Staci
TR3-7-06
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Posted by berta8133 (Member # 11188) on February 07, 2008 06:03 PM:
Oh Krys....I'm soooo very sorry this has happened. Thoughts are with you definitely! I pray you will be successful in your IVF journey.Good luck always,
Berta
Monday, February 4, 2008
Pregnancy Testimonials January 2008
About Babies and Pregnancy After Tubal Reversal Procedures from Dr. Berger’s Patients
“Dr. Berger has made another miracle happen for my family. Our tubal reversal baby, Anlyn Grace, was born on January 29, 2008″ Mark and Tammy S.
“I had a beautiful baby girl one year after my tubal reversal. Thank you for making this dream come true.” Steve and Polly B.
“I had the tubal reversal surgery at Chapel Hill Tubal Reversal Center in September of 2005. We truly believe in Dr. Berger and thank him for making our dreams of being parents come true!” Bea and Mike Q.
“I now have 2 reversal babies. I could never have had this much joy in my life without the help of Dr Berger and his staff so thank all of you for such a wonderful gift….the gift of LIFE!” Julie C.
“I am so happy to announce we had out tubal reversal baby. Thank you, Dr. Berger. I feel so blessed to be have this child thanks to all of you.” Tina D.
“Every time we look at our TR miracle baby boy we think of Dr. Berger and everyone at Chapel Hill Tubal Reversal Center who helped make him possible.” Monique and Emil B.
“We made the decision to have my tubal ligation reversed after 6 years of trying to adopt. God bless Dr. Berger for providing me a way to conceive naturally after my tubal ligation.” Susan H.
“We have 3 tr babies. We came to Chapel Hill in 2000 for our tubal reversal and that became the most profound turning point in all our lives. Our tr journey has actually just begun.” Mark and Heather N.
“We had the reverse tubal done by Dr. Berger in October 2006. We found out we were pregnant in April 2007, only 6 months after the procedure. Our first child, Collin Adam, was born on January 7th, 2008. Dr. Berger is a miracle worker in our eyes.” Randi and Mark S.
Tuesday, January 15, 2008
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.
--------------------------------------------------------------------------------
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
--------------------------------------------------------------------------------
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
--------------------------------------------------------------------------------
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
--------------------------------------------------------------------------------
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
--------------------------------------------------------------------------------
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
--------------------------------------------------------------------------------
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
--------------------------------------------------------------------------------
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.
--------------------------------------------------------------------------------
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
--------------------------------------------------------------------------------
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
--------------------------------------------------------------------------------
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.
--------------------------------------------------------------------------------
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
--------------------------------------------------------------------------------
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?
--------------------------------------------------------------------------------
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
--------------------------------------------------------------------------------
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.
--------------------------------------------------------------------------------
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
--------------------------------------------------------------------------------
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
--------------------------------------------------------------------------------
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
--------------------------------------------------------------------------------
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
--------------------------------------------------------------------------------
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
--------------------------------------------------------------------------------
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
--------------------------------------------------------------------------------
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.
--------------------------------------------------------------------------------
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
--------------------------------------------------------------------------------
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
--------------------------------------------------------------------------------
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.
--------------------------------------------------------------------------------
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
--------------------------------------------------------------------------------
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?
--------------------------------------------------------------------------------
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
--------------------------------------------------------------------------------
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?
Tuesday, December 25, 2007
Babies and Pregnancy After Tubal Reversal Procedures from Dr. Berger's Patients
Pregnancy Testimonials
"We cannot imagine our life without our 2 TR babies. They are such a joy!" Mike and Rachelle B.
"DJ is our 2nd TR baby since our tubal reversal surgery in February 2004. Thanks again, Dr. Berger, and all of your wonderful staff for a job well done." Donnie and Amy E.
"We have Dr. Berger and God to thank for our tubal reversal daughter, Dakota Mae, who is a special addition to our family. Susan, John and Family
"I had my tubal reversal in June 2006 and 18 months later we have our little Kourtney. Words cannot express how grateful my family and I are to Dr. Berger." Diane W. and Family
"On Monday, December 3rd, we welcomed Camiana Christa to our family. She is our 2nd TR baby. Our hearts are full of joy again!" Bobbie and Rick K.
"Because of Dr. Berger's devotion to tubal reversal and desire to grant the gift of life, our dreams of starting a family have become a reality." Elfriede B.
"My TR baby is here! He was born 11-9-07. Please thank Dr. Berger." Ann P.
"Thank you so much Dr. Berger and everyone at Chapel Hill for helping to bring such happiness back to our family." Tamara W.
"We cannot imagine our life without our 2 TR babies. They are such a joy!" Mike and Rachelle B.
"DJ is our 2nd TR baby since our tubal reversal surgery in February 2004. Thanks again, Dr. Berger, and all of your wonderful staff for a job well done." Donnie and Amy E.
"We have Dr. Berger and God to thank for our tubal reversal daughter, Dakota Mae, who is a special addition to our family. Susan, John and Family
"I had my tubal reversal in June 2006 and 18 months later we have our little Kourtney. Words cannot express how grateful my family and I are to Dr. Berger." Diane W. and Family
"On Monday, December 3rd, we welcomed Camiana Christa to our family. She is our 2nd TR baby. Our hearts are full of joy again!" Bobbie and Rick K.
"Because of Dr. Berger's devotion to tubal reversal and desire to grant the gift of life, our dreams of starting a family have become a reality." Elfriede B.
"My TR baby is here! He was born 11-9-07. Please thank Dr. Berger." Ann P.
"Thank you so much Dr. Berger and everyone at Chapel Hill for helping to bring such happiness back to our family." Tamara W.
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