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“I had an endometrial ablation.  Can I get a tubal ligation reversal?”

The above is a question that is received over and over at various tubal ligation reversal centers, websites, and forums.  Now why would this question be coming up?  What is an endometrial ablation?

Usually an endometrial ablation is a procedure that is done on women who have excessive bleeding which cannot be controlled by some other method.  It’s the last thing to try to stop the excessive bleeding before a hysterectomy which is a surgical procedure.  What that means is that the ablation procedure does not involve surgery and therefore is a relatively safer alternative to hysterectomy.  Excessive bleeding can cause its own problems which is why such steps may be taken.

What is done during the ablation is that the endometrial lining of the uterus is removed.  Along with that layer, the regenerative endometrial cells are removed as well.  Let’s explain this a tad better.

Every month the endometrial cells regenerate the endometrial lining of the uterus.  As the month goes by, the lining gets thicker.  If you get pregnant, the fetus implants in this lining and this is the way it is nurtured during gestation.  However, if you do not get pregnant, that lining is sloughed off and excreted from the body.  That is what causes women’s periods.

For women who just have too much bleeding, after other things are tried first, an endometrial ablation will be done.  Your doctor will remove the lining and the regenerative cells.  Most methods of doing this fall into two categories.  Either freezing is done or the layer is burned off in some manner with the latter method being the most common.

As there is no longer an endometrial layer to support a fetus, your doctor will strongly suggest you have tubal ligation and most women do.  However, for some reason some women change their minds.  According to the CDC, about 25% of women who have tubal ligation regret the decision and want to reverse it.  How many women who have had endometrial ablation feel this way is not something that we have statistics for.  However, as mentioned above, it is a question that comes in regularly to tubal ligation reversal doctors.

So can you get a tubal ligation reversal or should you?  The answer is, it depends.  Although most of the regenerative endometrial cells are removed, the procedure will not remove all of them.  In fact, within five years, many women will find their periods return.  This means there is a possibility that you could maintain a pregnancy.  Some women never get a tubal ligation after their ablation and some of those do get pregnant and have babies.  The good news is that the younger you are the better your chances of getting pregnant following a tubal ligation reversal after endometrial ablation.  However, there are risks and you should learn more about these.

Learn more about endometrial ablation and how you can get pregnant again following a tubal ligation reversal in the blog series on the Chapel Hill Tubal Reversal Center website at tubal-reversal.net. Visit the message board and get your questions answered.

Article Source:http://www.articlesbase.com/women’s-health-articles/getting-pregnant-tubal-ligation-reversal-endometrial-ablation-1570059.html

How successful your tubal reversal will be depends upon the tubal ligation procedure you had.  There are several different ways to create the tubal blockage that creates your infertility but only a few are really tubal ligation methods in the strictest sense of the words.

To understand this, you need to know what tubal ligation refers to.  Of course, the tubal part is easy.  That means your fallopian tubes.  The ligation part means to bind up or surgically tie with ligatures (or ties).  While there are several methods such as coagulation, Adiana, Essure, clips, and rings which create tubal blockage, there are only three we will talk about here which involve ligatures.  The good news is that tubal reversal success with each ligature method is very good.

The first tubal ligation procedure which involves ligatures is the granddaddy of all methods of tying your tubes.  It was created by Dr. Pomeroy around a century ago.  It’s been around a long time and is where the colloquial of “tying tubes” comes from.  It is still the most common method today.

In the Pomeroy tubal ligation procedure, working on one fallopian tube at a time, the doctor will double it up to make a loop.  At the bottom of the loop, he will apply an absorbable ligature in essence tying the tube.  Not precise, but think of it as tying a string around the bottom.  

Just above the ligature, he will cut or resects out the doubled up section leaving two cut ends.  As the ligature is absorbed, the ends will be covered over by the peritoneum essentially being scarred over so no sperm can travel up the tube nor egg from the ovary travel down the tube.  In this manner, you are infertile.  Tubal reversal success for this type of procedure is more than 60% and depends upon how much tube was removed.

The next two types of tubal ligation involving ligatures are variations.  In the Parkland tubal ligation procedure, the fallopian tube is not doubled up.  Instead two non-absorbable ligatures are applied along the mid segment a little distance from each other.  The surgeon then resects, or cuts, the tube between the two ligatures and removes it.  Again, your success rate will depend upon how much was removed and your age as well.

The Irving tubal ligation procedure is a variation on the Parkland.  It is done the same way but finished slightly differently in that the segment that remains attached to the uterus is then sutured to and behind the uterus.  The other segment’s cut end is buried in the connective tissue underlying the fallopian tubes.

Tubal reversal of any of the above tubal ligation procedures is usually fairly easily accomplished when you have a doctor like Dr. Gary Berger or Dr. Charles Monteith who are world leaders in tubal surgery.  The tubal reversal success rates will depend upon how much tube remains after the reversal surgery and how old you are.  Those are the two important factors in these type of tubal ligations.  The success rate can be up to 77% which is very good perhaps making this type of reversal your best bet following any one tubal ligation procedure.

To learn more about your tubal ligation procedure and see illustrations please visit the Chapel Hill Tubal Reversal Center website at tubal-reversal.net/ Not only can you learn about tubal reversal success rates, you can ask the staff any questions and meet up with other women who have had or want reversals.

Article Source:http://www.articlesbase.com/women’s-health-articles/tubal-ligation-procedure-success-rate-for-tubal-reversal-1533178.html

Any woman wanting a tubal ligation reversal will find she is not alone.  Almost a million women a year want to have their tubal ligation reversed.  That’s almost 25% of the women who get their tubes tied.

Knowing that there is such a large number of women wanting to have a tubal ligation reversal, it should not surprise you that there are any number of places online where you can find information about untying your tubes.  Additionally, thanks to the power of the Internet, you now have places where you can “meet” other women wanting to have reversal surgery just like you.  One such place that is a fount of information and support is the Chapel Hill Tubal Reversal Center’s message board.  Seek it out.

As you begin your search for information, you will find a lot of disinformation as well.  This can sometimes be from people who just don’t know better.  Surprisingly, sometimes those people are doctors.  Why you may wonder would a doctor not know the right information?

I recently read in a newsletter that it can take 15 years for information regarding treatments to get from it being found to being something that your doctor will tell you in his office.  When you add that to the fact that doctors these days are just not being trained in tubal ligation reversal surgery, not even most reproductive endocrinologists, you can understand why a doctor might not have the right information.  

For more about the lack of training, you can check out Dr. Charles Monteith’s early blog posts (spring ’08) on the Chapel Hill Tubal Reversal Center’s website.  In it, he tells of his journey to becoming a tubal reversal surgeon and his training which did not cover the surgery.  In fact, he tells the story of how he was enlightened by a doctor he was doing rounds with when he was shocked by the mentor’s recommendation of tubal ligation reversal surgery to a patient.  It is an eye-opening account about the lack of training for this field.

That is one reason why it is so important to make sure as you continue doing your tubal reversal  research that you look into the qualifications and training of any surgeon you are considering.  Just because a doctor has done one such surgery in the last year does not make him your best choice for your surgery.  Ask about his credentials and the number of surgeries he has done.

Going back to the information you can find on the Internet now is a report of a study done on the efficacy of the operation.  It’s the only one of its kind that provides this further information to help you with making your choices.  In it, you will learn that tubal ligation reversal surgery has a 66% chance of resulting in a pregnancy overall.  There are factors that can alter that for you so it is well worth looking into the study and seeing what the potentials are for you with tubal ligation reversal.

If you would like to know more about the tubal ligation reversal study visit the website tubal-reversal.net. Here you can meet other women on the message board and have a huge resource about reversing your tubal ligation at your finger tips. Check it out today.

Article Source:http://www.articlesbase.com/women’s-health-articles/what-about-tubal-ligation-reversal-what-to-know-1484494.html