Case Study: 28 Year Old Mother of 3 Has a Tubal Reversal
Patient’s History
Ana G. was one of the 4 patients I operated on today at Chapel Hill Tubal Reversal Center. She is a 28 year old woman from Angola, the mother of 3 children – ages 9, 8, and 6. She married when she was 15 and was in an abusive marriage. To keep from becoming pregnant again, she had a tubal ligation. When she had this done, all she could think about was not becoming pregnant again.
Ana eventually ran away and divorced her husband. Several years later she met a man who she fell in love with and who has treated her very well. He has no children. Now remarried, Ana feels that her second husband will want children in the future, so she decided to have a tubal ligation reversal. Although she doesn’t intend to become pregnant soon, she says that if it happens that would be fine.
Ana’s Tubal Reversal Procedure
Ana’s tubal reversal was performed by the technique of tubotubal anastomosis. Her fallopian tubes were in excellent health, with no fibrosis and with normal fimbriae and tubal endothelium. The anastomoses were isthmic-ampullary on the right and isthmic-isthmic anastomosis on the left. The tubal lengths after repair were 6.5 cm on the right and 8 cm on the left side.
Dr. Berger’s Comments
Every patient who comes to Chapel Hill Tubal Reversal Center has a unique story to tell that led up to the decision for a tubal reversal procedure. Divorce and remarriage is a common theme, and a history of abuse in the prior marriage is often one of the reasons given for the divorce.
Ana’s story is unusual in that she married at age 15 and had her tubal ligation by age 21. This may be due to the cultural differences in some African countries from the US. Although most of our patients come from the United States, couples come from many other countries to have me perform their tubal reversal surgery.
Although Ana’s operative report stated that Filshie clips had been applied to her tubes, no clips were found during surgery. It is not clear whether the operative report was incorrect, or whether the clips migrated to other locations in the abdominal cavity. This can occur if the pressure from the closed clips causes necrosis or death of the tissue within the clip. I have seen this occasionally in other patients.
Predicted Outcome After Ana’s Tubal Reversal
Based on her age and tubal lengths, Ana’s probability of becoming pregnant is 90% as documented in the post tubal reversal pregnancy statistics among patients at Chapel Hill Tubal Reversal Center.
July 17th, 2008 at 4:20 pm
Dera Sally:
Thank you for your post. Rings are the best situation we see for pregnancy after the reversal since the ring – and other occlusion methods – generally damage only small tubal segments. This typically leaves good tubal lengths remaining for the reversal to be a success.
Dr. Berger and Dr. Monteith are the only doctors in the country with a practice limited to tubal reversal surgery. This experience often means that they can repair the tubes in situations where other doctors are unwilling – or unable – to do the reversal.
Please let us know if we can assist you.
JuliaS@tubal-reversal.net
July 16th, 2008 at 8:09 pm
My story is almost like the 28 yr.old lady with 3 children with her tub reversal. I have three small children – 9,8,and 7. I had a tubal after my last child. I was in a abusive marriage and wanted out. So I left home with my children and not looking back thinking i would never find the right man. God open my eyes and now I have a great husband. He has no children of his on and would love to have at least one.
Back in 2001, I had rings put on my tubs. My Dr. at the time said I could have my tubs reversed without any problem. Now that I’m ready to get a reversal, my Dr. here in KY said I would not be able to have a tubal reversal. Please help !
January 2nd, 2008 at 9:08 am
It is always so interesting to interact with our patients – every woman’s story is different, but everyone is here for the same reason – to have a tubal ligation reversal done by the best reproductive surgeon in the world. It is such a pleasure to be work with Dr. Berger and watch him give women a second chance at parenthood.
January 1st, 2008 at 2:35 pm
It is especially great that Dr. Berger is able to provide women this second chance at such an affordable price. Women undergoing reversal surgery at Chapel Hill Tubal Reversal Center with Dr. Berger receive the best care available in health care today. Patients are always impressed with the professionalism and caring they receive from Dr. Berger and his staff.
December 31st, 2007 at 11:22 pm
It is amazing to learn of the many different stories from the patents who come through our doors. They all have a wonderful story to tell. Even though they have lots of things in common, each patient brings their personal feelings and reasons behind having tubal reversal surgery. This blog shows that tubal reversal surgery is an option out there for paitents of diffenet age groups and cultural backgrounds. Tubal reversal surgery offers women a chance to change a decision that they made at a time that they had no other choice. As stated above, alot of times women who come through our doors have been given a second chance at love and this surgery gives them a second chance to start a family with the love of their life.