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Tubal surgery at a tubal reversal center can be less stressful than what you will encounter having it done at a hospital.  For some women, that alone can make it worth going to such a center.  You will be treated as a person instead of one more piece of broken machinery.  Of course part of that is due to the much lower numbers of patients on any one day.   However, to give you a feel of what it is like, we will take you quickly through what you might experience at one tubal reversal center, the Chapel Hill Tubal Reversal Center (CHTRC).

After you arrive for your tubal surgery, in the pre-op area, you will remove your street clothes and change over to a surgical gown, booties and cover for your hair.  This particular center suggest you wear good socks to keep your feet warm.  You will be given the proper medicines.  An IV will be started.  The anesthesiologist will come by to talk to you and check out your heart and lungs again before going to the operating room.

At this tubal reversal center, you walk to the operating room yourself.  You can have a quick look around and ask any more questions that come to mind.  They really go out of their way to make sure you are comfortable and have all questions answered as best as possible.  You will get up on the table and a strap will be put across you to help keep you on the table.  They even give you a pillow to put under your knees to help keep you from straining your body.  Then you get your last chance for questions as monitors are put in place before you are put under for the tubal surgery.

You will awaken in the recovery room with an oxygen mask on and the monitors still in place.  The Chapel Hill Tubal Reversal Center staff will assess your pain level and help you if you are nauseous or uncomfortable.  The staff will watch over you for one to two hours checking your condition in this quiet room.  

After this point, you will get dressed and move to a recliner.  You will drink clear fluids as you must urinate before release.  While waiting, the surgeon will come by with a report on your surgery providing you with information such as your tubal lengths.  Once you are able to go to the bathroom, you can go home or back to your hotel room.  Many patients to CHTRC are from out of town and stay at the hotel before and after their surgery.  Someone will check on you and your incision the next morning after which you should be cleared to return home.  Some women choose to remain one more night but most do go home the next day following tubal surgery.

This environment is quiet and comforting and a much less stressful way to have your tubal surgery. The Chapel Hill Tubal Reversal Center is the number one center for a tubal reversal and from the above you can see why many women choose the center. Consider this world renown center strongly for your surgery.

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If you are a woman who has had her tubes tied and then regretted that decision, you are certainly not alone. Many women have tubal ligation each year and then later decide they would like to have more children. Unfortunately, some women and their doctors are not aware of a procedure called a tubal reversal. Instead, they end up opting for in vitro fertilization (IVF) which can be very expensive.

For some reason, many doctors are under the impression that the only way a woman can get pregnant after having her tubes tied is by having IVF. This may be so because many doctors are not taught about tubal reversal surgery in medical school. Even doctors who go into reproductive endocrinology may have never seen a tubal reversal surgery done during school or at the hospital where they trained. One reason for this is that most health insurance does not cover the cost of the surgery and most hospitals want insurance for such procedures.

No matter what the reason your doctor may not know to offer this reversal procedure option, it is important for women to understand the high cost of in vitro fertilization as compared with having a tubal reversal surgery done.  To start you should know that reversal surgery averages $8000 – $9000.  However, there are top notch doctors which offer this option for less and there are very experienced doctors with this procedure as this is all they do.  Check out the Chapel Hill Tubal Reversal Center website for more information.

Each year in the United States, about 2 million women will have some kind of fertility treatment. Most women begin with some kind of drug treatment to assist with ovulation. That can range in price up to $1500 each menstrual cycle. Not only does the woman have to pay for the medication, but also the doctor’s visits and ultrasound scans required to follow her during treatment.

Of course, if that doesn’t work then doctors usually move onto some sort of assisted reproductive therapy. If you had a tubal ligation you are trying to overcome, you will proceed directly to this step which itself requires medication so you will superovulate and the ultrasounds to check progress and then the painful procedure to recover all the eggs released.  

Commonly, a couple will go through the process of in vitro fertilization which can cost an average of $10,000 – $12,000 per cycle. While some are lucky enough to get pregnant on their first try, most often you will have to attempt more than one cycle. As you can see,  that can become very expensive over time. That is the number of women having previous cycles goes down with each cycle added.  They simply can’t afford it.

This is why it is so important for doctors to offer the option of having tubal reversal surgery rather than immediately jumping into IVF. It is an option that is not only less expensive, but it also allows the woman to try to get pregnant each and every month if she wants.  With each month, her chances get better and better whereas with the other option, it does not.  How we get better informed doctors to let women know this information given the lack of medical training in the procedure is a question we simply don’t know how to answer.

To learn more about this surgical option, please review these tubal reversal videos. Visit the Chapel Hill Tubal Reversal Center website as well at http://www.tubal-reversal.net/ You can also get a FREE phone consultation at (919) 968-4656 which should answer many of your questions.

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Ectopic pregnancy: a critical risk for Tubal Reversal

The chances of conceiving after having a tubal reversal are considerably better than with IVF, with a 70 to 80% safe success rate for those women who are under 40 years of age.  Most women are able to conceive naturally within a year of their surgery.

When does the ectopic rate after tubal reversal enter in critical risk zone?

There is no set age limit for the risk of an ectopic pregnancy after tubal reversal, but some empirical data suggests that women above 40 have a higher risk in general with tubal reversal, and likewise with ectopic pregnancy after a reanastomosis. The risk of an ectopic pregnancy among the general population is about 1 in 100 and this risk increases to about 5 in 100 after undergoing a tubal reversal.

There is some optimistic analysis of the fertility results observed as well. Although it was demonstrated that age is the most significant predictive factor, for women who had undergone a microsurgical tubal anastomosis procedure (tubal reversal) at age 40 years or older, the reproductive outcomes of the microsurgical tubal anastomosis patients demonstrated a tubal reversal was a justifiable alternative to IVF, even when considering an ectopic pregnancy rate of 2.4 percent.

Managing ectopic pregnancy after tubal reversal

It is important that women are aware about the risk of ectopic pregnancy prior the tubal reversal.  Early diagnosis is needed once a positive pregnancy test is obtained.  If the blood pregnancy test (HCG level) is 1,500 or greater, the contents of the uterus should be seen with a vaginal ultrasound exam. Early diagnosis at this stage is important.  If it is diagnosed that you have an ectopic pregnancy, one or two doses of a prescribed medicine will absorb the ectopic.  Note that time is most important thing, and there are limits to the use of medicine in treating ectopic pregnancy. If the ectopic pregnancy is too far along, the only option may be surgery, and in this case it is extremely important to have a skilled minimally invasive surgeon such as Dr. Morice perform the procedure so that when removing the ectopic pregnancy the fallopian tube suffers minimal damage.

Dr. Troy Drewitz, M.D. grew up in Metairie, Louisiana and went to college at Loyola University in New Orleans. He then went to LSU Medical School in Shreveport, Louisiana where he received his Medical Degree. After medical school, Dr. Drewitz completed his residency in Obstetrics and Gynecology at the University of Kansas in Wichita, Kansas where he served as Chief Resident. http://www.mybabydoc.com

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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.

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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.

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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.

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