Comments on: Ethics of Tubal Ligation - Part 2 http://www.tubal-reversal.net/blog/2008/dr-berger/ethics-of-tubal-ligation-part-2.html Tubal ligation reversal by Dr. Berger and Dr. Monteith at Chapel Hill Tubal Reversal Center. Thu, 20 Nov 2008 10:31:49 +0000 http://wordpress.org/?v=2.6.3 By: Teresa L'Heureux http://www.tubal-reversal.net/blog/2008/dr-berger/ethics-of-tubal-ligation-part-2.html#comment-1686 Teresa L'Heureux Sat, 13 Sep 2008 04:08:09 +0000 http://www.tubal-reversal.net/blog/?p=130#comment-1686 I'm 36 and have a set of 17 year old twin girls. I am now remarried and my husband desperately wants a child. After having a local consult and being told my right tube was badly scarred and might not be repairable, my husband internet researched and found CHTRC. Dr. M was able to repair both tubes with great legnths(L 5.5,R 6.5) seemingly with ease as we never thought to mention the local consult's projected outcome-I was very impressed with that!! I’m 36 and have a set of 17 year old twin girls. I am now remarried and my husband desperately wants a child. After having a local consult and being told my right tube was badly scarred and might not be repairable, my husband internet researched and found CHTRC. Dr. M was able to repair both tubes with great legnths(L 5.5,R 6.5) seemingly with ease as we never thought to mention the local consult’s projected outcome-I was very impressed with that!!

]]> By: Court http://www.tubal-reversal.net/blog/2008/dr-berger/ethics-of-tubal-ligation-part-2.html#comment-1331 Court Sun, 31 Aug 2008 05:08:40 +0000 http://www.tubal-reversal.net/blog/?p=130#comment-1331 I'm 23, and would like a tubal litigation but no doctor is willing to do it. My husband and I have one son, who was born 9 weeks early due to pre-eclampsia. From that I have stage 1 kidney disease. I have tried an IUD but bled for 9 months, and have tried birth control but it raises my blood pressure. For women who have medical problems it should be considered. I’m 23, and would like a tubal litigation but no doctor is willing to do it.
My husband and I have one son, who was born 9 weeks early due to pre-eclampsia. From that I have stage 1 kidney disease. I have tried an IUD but bled for 9 months, and have tried birth control but it raises my blood pressure. For women who have medical problems it should be considered.

]]> By: Matt M http://www.tubal-reversal.net/blog/2008/dr-berger/ethics-of-tubal-ligation-part-2.html#comment-1239 Matt M Tue, 12 Aug 2008 15:13:47 +0000 http://www.tubal-reversal.net/blog/?p=130#comment-1239 Yes it would be nice if more Dr.s were aware of the benifits that using the falope ring or filshie clips have, such as easier reversal. Yes it would be nice if more Dr.s were aware of the benifits that using the falope ring or filshie clips have, such as easier reversal.

]]> By: Natalie http://www.tubal-reversal.net/blog/2008/dr-berger/ethics-of-tubal-ligation-part-2.html#comment-1194 Natalie Thu, 31 Jul 2008 13:53:28 +0000 http://www.tubal-reversal.net/blog/?p=130#comment-1194 I think that it is totally ethical for a woman 18 years of age or older to have a TL, no matter what her medical or family situation may be. I do think it is awful for a doctor to do something like that. It is my opinion, that he either just did not care or was just flat out a doctor who perhaps did not have enough expertise to be doing such procedures. I was 18 when I became pregnant with my first child, and 26 when I had my TL. In, regards to Pam's blog, I think she's right. If a woman can choose to have an abortion, cosmetic surgery to alter herself, have sex and babies, ect. then she should be able to make that decision for herself, and certainly when her health and possibly, her life is at risk. I do regret having my TL, but that was my choice at moment in my life. That is part of life...every decision we make in some shape, form or fashion will affect us one way or the other. The idea is to make the best of life as we can. That's why I want a TR, and I can't wait. I think that it is totally ethical for a woman 18 years of age or older to have a TL, no matter what her medical or family situation may be. I do think it is awful for a doctor to do something like that. It is my opinion, that he either just did not care or was just flat out a doctor who perhaps did not have enough expertise to be doing such procedures.
I was 18 when I became pregnant with my first child, and 26 when I had my TL. In, regards to Pam’s blog, I think she’s right. If a woman can choose to have an abortion, cosmetic surgery to alter herself, have sex and babies, ect. then she should be able to make that decision for herself, and certainly when her health and possibly, her life is at risk. I do regret having my TL, but that was my choice at moment in my life. That is part of life…every decision we make in some shape, form or fashion will affect us one way or the other. The idea is to make the best of life as we can. That’s why I want a TR, and I can’t wait.

]]> By: Pam http://www.tubal-reversal.net/blog/2008/dr-berger/ethics-of-tubal-ligation-part-2.html#comment-1189 Pam Wed, 30 Jul 2008 17:59:04 +0000 http://www.tubal-reversal.net/blog/?p=130#comment-1189 My daughter is 19 and she has 2 beautiful, healthy children, son and a daughter. She has been in a 5 year relationship with her children's father and they are still together. She is wanting a Tubal now at age 19 but no physician will do it at her age. She was diagnosed with Epilepsy in 2005 and she has to take seizure medication daily for the rest of her life. Studies show that the medication she is on and birth control pills or anything with estrogen will not be effective. She also has a Bicornuate Uterus which made her pregnancy's very difficult and will not allow an IUD or Mirena to be placed for birth control. I think in a case like this a physician should take in consideration for a tubal. She has had her children and both parents do not want any more. My daughter is 19 and she has 2 beautiful, healthy children, son and a daughter. She has been in a 5 year relationship with her children’s father and they are still together. She is wanting a Tubal now at age 19 but no physician will do it at her age. She was diagnosed with Epilepsy in 2005 and she has to take seizure medication daily for the rest of her life. Studies show that the medication she is on and birth control pills or anything with estrogen will not be effective. She also has a Bicornuate Uterus which made her pregnancy’s very difficult and will not allow an IUD or Mirena to be placed for birth control. I think in a case like this a physician should take in consideration for a tubal. She has had her children and both parents do not want any more.

]]> By: Kate http://www.tubal-reversal.net/blog/2008/dr-berger/ethics-of-tubal-ligation-part-2.html#comment-1169 Kate Tue, 22 Jul 2008 16:35:28 +0000 http://www.tubal-reversal.net/blog/?p=130#comment-1169 It would make the most sense if the doctor had used one of the less destructive forms of TL. I do think it is a women's choice whether or not to have a TL regardless of age or number of children. The doctors role is to give them the best, most complete information possible. It would make the most sense if the doctor had used one of the less destructive forms of TL. I do think it is a women’s choice whether or not to have a TL regardless of age or number of children. The doctors role is to give them the best, most complete information possible.

]]> By: Kathy http://www.tubal-reversal.net/blog/2008/dr-berger/ethics-of-tubal-ligation-part-2.html#comment-1168 Kathy Mon, 21 Jul 2008 13:44:27 +0000 http://www.tubal-reversal.net/blog/?p=130#comment-1168 Immediately after giving birth does not seem like the best time to make a decision about sterilization. Because so many women report regret of their decision to have a ligation, a non "permanent" sterilization procedure should be offered, like the coil, IUD. With the state of mind of the new mom and a very young woman believing children are not in her future, a non permanent procedure should be advised, at least for a period of time. Life can bring about many changes and surprise us all. Immediately after giving birth does not seem like the best time to make a decision about sterilization. Because so many women report regret of their decision to have a ligation, a non “permanent” sterilization procedure should be offered, like the coil, IUD. With the state of mind of the new mom and a very young woman believing children are not in her future, a non permanent procedure should be advised, at least for a period of time. Life can bring about many changes and surprise us all.

]]> By: Dr. Berger http://www.tubal-reversal.net/blog/2008/dr-berger/ethics-of-tubal-ligation-part-2.html#comment-1164 Dr. Berger Sat, 19 Jul 2008 20:26:53 +0000 http://www.tubal-reversal.net/blog/?p=130#comment-1164 After returning home, this is the patient's response regarding her situation: "My surgery site looks good, and I took my steri strips off on the 5th day as instructed. Everyone was really nice at your facility, and I felt like you guys took good care of me. I wish my surgery could have been sucessful, and I had no idea that the previous doctor that had done my first surgery had cauterized me. He never disclosed that to me, and he only stated he had put the rings on and it was completely reversible whenever I was ready to have it undone. So it was a complete shock what Dr. Berger found. I was pretty devestated, but I realized that there was nothing I could do. Thank you again though, and I appreciate the info on the IVF specialists in my area." After returning home, this is the patient’s response regarding her situation:

“My surgery site looks good, and I took my steri strips off on the 5th day as instructed. Everyone was really nice at your facility, and I felt like you guys took good care of me. I wish my surgery could have been sucessful, and I had no idea that the previous doctor that had done my first surgery had cauterized me. He never disclosed that to me, and he only stated he had put the rings on and it was completely reversible whenever I was ready to have it undone. So it was a complete shock what Dr. Berger found. I was pretty devestated, but I realized that there was nothing I could do. Thank you again though, and I appreciate the info on the IVF specialists in my area.”

]]> By: Melanie http://www.tubal-reversal.net/blog/2008/dr-berger/ethics-of-tubal-ligation-part-2.html#comment-1110 Melanie Tue, 15 Jul 2008 09:43:16 +0000 http://www.tubal-reversal.net/blog/?p=130#comment-1110 I had Hulka clips put on 3.5 years ago...I had a nine month old baby, was suffering post natal depression, and felt i could not cope with another child. The surgeon said i would be better having the coil fitted as he thought i would regret being steralized but the thought of getting pregnant again at that precise time was too much to bear. He went ahead with Hulka clips and said "see you back here in 4 years for a reversal"...."No way" i thought. For the last 6 months i have cried myself to sleep knowing now that i can't have anymore children. My circumstances changed. The post natal depression went away, as did my husband who had made my life a misery. I am now engaged to the most wonderful man i have ever met. He has never had a child of his own. We have looked into reversal but raising that amount of cash in one lump sum without going into debt is going to take time. I wish i had been in the right frame of mind to listen to my surgeon. He knew what he was talking about. In the UK you dont have to have any counselling to make sure you are not going to regret your decision. For anyone thinking about being steralized i would say try the coil for 5 years, its the same percentage as the permanent way but at least can get it reversed without taking out a loan. If then after 5 years you still feel the same then go for the clips. You never know when your circumstances will change. We would dearly love a little baby but i guess it's up to fate now.... I had Hulka clips put on 3.5 years ago…I had a nine month old baby, was suffering post natal depression, and felt i could not cope with another child. The surgeon said i would be better having the coil fitted as he thought i would regret being steralized but the thought of getting pregnant again at that precise time was too much to bear. He went ahead with Hulka clips and said “see you back here in 4 years for a reversal”….”No way” i thought. For the last 6 months i have cried myself to sleep knowing now that i can’t have anymore children. My circumstances changed. The post natal depression went away, as did my husband who had made my life a misery. I am now engaged to the most wonderful man i have ever met. He has never had a child of his own. We have looked into reversal but raising that amount of cash in one lump sum without going into debt is going to take time. I wish i had been in the right frame of mind to listen to my surgeon. He knew what he was talking about. In the UK you dont have to have any counselling to make sure you are not going to regret your decision. For anyone thinking about being steralized i would say try the coil for 5 years, its the same percentage as the permanent way but at least can get it reversed without taking out a loan. If then after 5 years you still feel the same then go for the clips. You never know when your circumstances will change. We would dearly love a little baby but i guess it’s up to fate now….

]]> By: Kelly http://www.tubal-reversal.net/blog/2008/dr-berger/ethics-of-tubal-ligation-part-2.html#comment-1094 Kelly Mon, 14 Jul 2008 22:43:53 +0000 http://www.tubal-reversal.net/blog/?p=130#comment-1094 Thanks for the information on tubal ligation. I can't think of <i>any</i> reasons that a doctor would do that...It's sad. We recently wrote an <a href="http://brainblogger.com/2008/07/13/ethics-101-its-beyond-my-scope-of-practice/" rel="nofollow">article</a> on at <a href="http://brainblogger.com/" rel="nofollow">Brain Blogger</a>. When treating patients, a lot of doctors qualify their patients as "good" and "bad". Sometimes, a doctor may pass on a "bad" patient to another doctor, saying that the patient is "beyond the scope of his practice." Though sometimes there is a good reason behind this, is it ethically right to pass on an annoying patient to another doctor? We would like to read your comments on our article. Thank you. Sincerely, Kelly Thanks for the information on tubal ligation. I can’t think of any reasons that a doctor would do that…It’s sad.

We recently wrote an article on at Brain Blogger. When treating patients, a lot of doctors qualify their patients as “good” and “bad”. Sometimes, a doctor may pass on a “bad” patient to another doctor, saying that the patient is “beyond the scope of his practice.” Though sometimes there is a good reason behind this, is it ethically right to pass on an annoying patient to another doctor?

We would like to read your comments on our article. Thank you.

Sincerely,
Kelly

]]> By: Sarah Meachem RN http://www.tubal-reversal.net/blog/2008/dr-berger/ethics-of-tubal-ligation-part-2.html#comment-1091 Sarah Meachem RN Mon, 14 Jul 2008 18:09:30 +0000 http://www.tubal-reversal.net/blog/?p=130#comment-1091 I do feel very badly for our patients whose tubes are so badly damaged that they can't be repaired. These women come to Chapel Hill with hope that the ability to carry a child will be restored and it must be devastating to learn that their tubes were not repairable. I hope all women are given the opportunity to fully discuss tubal ligation with their physicians are able to make a decision with as much information as possible. I do feel very badly for our patients whose tubes are so badly damaged that they can’t be repaired. These women come to Chapel Hill with hope that the ability to carry a child will be restored and it must be devastating to learn that their tubes were not repairable. I hope all women are given the opportunity to fully discuss tubal ligation with their physicians are able to make a decision with as much information as possible.

]]> By: Sally, RN http://www.tubal-reversal.net/blog/2008/dr-berger/ethics-of-tubal-ligation-part-2.html#comment-1089 Sally, RN Mon, 14 Jul 2008 16:06:19 +0000 http://www.tubal-reversal.net/blog/?p=130#comment-1089 In some cases I feel that the doctor is really trying to protect himself or herself from future litigation by destroying the fallopian tubes rather than take the minute chance that a patient would still become pregnant after a tubal ligation procedure. In some cases I feel that the doctor is really trying to protect himself or herself from future litigation by destroying the fallopian tubes rather than take the minute chance that a patient would still become pregnant after a tubal ligation procedure.

]]> By: Jan http://www.tubal-reversal.net/blog/2008/dr-berger/ethics-of-tubal-ligation-part-2.html#comment-1087 Jan Mon, 14 Jul 2008 12:07:46 +0000 http://www.tubal-reversal.net/blog/?p=130#comment-1087 More information and education will help women discuss the ramifications of various ligation procedures. Hopefully, this will affect the information given when a consent is requested, and decrease the unfortunate situations. More information and education will help women discuss the ramifications of various ligation procedures. Hopefully, this will affect the information given when a consent is requested, and decrease the unfortunate situations.

]]> By: Pamela Mills, CRNA http://www.tubal-reversal.net/blog/2008/dr-berger/ethics-of-tubal-ligation-part-2.html#comment-1086 Pamela Mills, CRNA Mon, 14 Jul 2008 12:00:09 +0000 http://www.tubal-reversal.net/blog/?p=130#comment-1086 It is heartbreaking for me to watch my patient and their family recieve this kind of news after they have arrived here in Chapel Hill with such high hopes. I was almost in tears the other day as we rolled this patient into the recovery room with her family member there waiting. What if this were my daughter? What if this were my son's new wife? I believe we have come to a time in medicine when finding doctors who really listen and get to know their patients is not an easy task. Thank you Dr Berger for bringing this important topic to the TR blog. It is heartbreaking for me to watch my patient and their family recieve this kind of news after they have arrived here in Chapel Hill with such high hopes. I was almost in tears the other day as we rolled this patient into the recovery room with her family member there waiting. What if this were my daughter? What if this were my son’s new wife?
I believe we have come to a time in medicine when finding doctors who really listen and get to know their patients is not an easy task.
Thank you Dr Berger for bringing this important topic to the TR blog.

]]> By: Ericka http://www.tubal-reversal.net/blog/2008/dr-berger/ethics-of-tubal-ligation-part-2.html#comment-1085 Ericka Mon, 14 Jul 2008 11:43:45 +0000 http://www.tubal-reversal.net/blog/?p=130#comment-1085 Both of these cases were sad! Since most people are not aware of the different methods of ligation, I think that physicians should explain in detail the exact method that he/she plans to perform. No one knows what the future holds! Both of these cases were sad! Since most people are not aware of the different methods of ligation, I think that physicians should explain in detail the exact method that he/she plans to perform. No one knows what the future holds!

]]> By: Stephanie Duncan http://www.tubal-reversal.net/blog/2008/dr-berger/ethics-of-tubal-ligation-part-2.html#comment-1084 Stephanie Duncan Mon, 14 Jul 2008 11:43:25 +0000 http://www.tubal-reversal.net/blog/?p=130#comment-1084 This topic is developing some great discussion. Thanks for posting your thoughts. This topic is developing some great discussion. Thanks for posting your thoughts.

]]> By: Jessie M http://www.tubal-reversal.net/blog/2008/dr-berger/ethics-of-tubal-ligation-part-2.html#comment-1080 Jessie M Mon, 14 Jul 2008 00:10:13 +0000 http://www.tubal-reversal.net/blog/?p=130#comment-1080 I know some DR's that like. I think they should rethink the entire procedure for TL's and actually tell the women just what they are in for. I was 21 when I had my TL done, but completely different curcomstances. I was in a bad relationship and wanted out. I thought that was my only way out,Not to have anymore kids. I was wrong. My dr. only asked me once if thats what I really wanted. I was 21, had 4 kids and in a horrible relationship...Did I really know what I wanted? On my way into the surgery room, I looked up and mumbled "i've changed my mind" the nurse wheeling me in said ( I will never forget this) "Don't be a baby, it's only your nerves talking." What a huge mistake! I can see why woman do use this method as a form of birth control. many insurance companys wont pay for IUD's, Norplant, or other types of contraceptives but will pay for sterilization. REDICULAS! I agree with other women.. its about Money, not about the care for the patient and what they really need. I believe DR's should have special training for Ligations, as the Doctors that have to have it for reversal(DR b and dr. M for example) to make sure they really and truely know what they are doing. And to make sure this kind of BUTCHERY stops! Thats just my 2 cents. THANK GOD for DR Berger and his staff! Jessie EDD 12/30/08~ 3rd Miracle Berger Baby!!! I know some DR’s that like. I think they should rethink the entire procedure for TL’s and actually tell the women just what they are in for.
I was 21 when I had my TL done, but completely different curcomstances. I was in a bad relationship and wanted out. I thought that was my only way out,Not to have anymore kids. I was wrong. My dr. only asked me once if thats what I really wanted. I was 21, had 4 kids and in a horrible relationship…Did I really know what I wanted? On my way into the surgery room, I looked up and mumbled “i’ve changed my mind” the nurse wheeling me in said ( I will never forget this) “Don’t be a baby, it’s only your nerves talking.” What a huge mistake! I can see why woman do use this method as a form of birth control. many insurance companys wont pay for IUD’s, Norplant, or other types of contraceptives but will pay for sterilization. REDICULAS! I agree with other women.. its about Money, not about the care for the patient and what they really need.
I believe DR’s should have special training for Ligations, as the Doctors that have to have it for reversal(DR b and dr. M for example) to make sure they really and truely know what they are doing. And to make sure this kind of BUTCHERY stops! Thats just my 2 cents. THANK GOD for DR Berger and his staff!
Jessie
EDD 12/30/08~ 3rd Miracle Berger Baby!!!

]]> By: Dr. Berger http://www.tubal-reversal.net/blog/2008/dr-berger/ethics-of-tubal-ligation-part-2.html#comment-1079 Dr. Berger Sun, 13 Jul 2008 20:32:32 +0000 http://www.tubal-reversal.net/blog/?p=130#comment-1079 I looked up the guidelines on tubal ligation from the American College of Obstetricians and Gynecologists. There is no mention of the issue of preferred method of sterilization of younger women and/or those with no children. Here is a link to the <a href="http://findarticles.com/p/articles/mi_m3225/is_4_69/ai_112915214" rel="nofollow">ACOG guidelines</a>: I looked up the guidelines on tubal ligation from the American College of Obstetricians and Gynecologists. There is no mention of the issue of preferred method of sterilization of younger women and/or those with no children. Here is a link to the ACOG guidelines:

]]> By: Ethics of Tubal Ligation | Tubal Reversal Blog http://www.tubal-reversal.net/blog/2008/dr-berger/ethics-of-tubal-ligation-part-2.html#comment-1066 Ethics of Tubal Ligation | Tubal Reversal Blog Sat, 12 Jul 2008 17:47:51 +0000 http://www.tubal-reversal.net/blog/?p=130#comment-1066 [...] More about Tubal Ligation Ethics including Tubal Ligation Ethics - Part 2. [...] [...] More about Tubal Ligation Ethics including Tubal Ligation Ethics - Part 2. [...]

]]> By: jgokun http://www.tubal-reversal.net/blog/2008/dr-berger/ethics-of-tubal-ligation-part-2.html#comment-1065 jgokun Sat, 12 Jul 2008 16:35:08 +0000 http://www.tubal-reversal.net/blog/?p=130#comment-1065 Thank you everyone for your comments. We really appreciate everyone's input. Most women do not even know that there are several different ways a doctor can perform a tubal ligation. A women should have choices! Especially in the situation of sterilization before she has had any children. Thank you everyone for your comments. We really appreciate everyone’s input. Most women do not even know that there are several different ways a doctor can perform a tubal ligation. A women should have choices! Especially in the situation of sterilization before she has had any children.

]]> By: D. Smith http://www.tubal-reversal.net/blog/2008/dr-berger/ethics-of-tubal-ligation-part-2.html#comment-1064 D. Smith Sat, 12 Jul 2008 13:57:52 +0000 http://www.tubal-reversal.net/blog/?p=130#comment-1064 I am a 41 yr. old mother of 5 children, all born via C-section, ages 12,11,10,6, and 3. I am extremely blessed. Having said that, I had a tubal ligation with my last delivery and now wonder why I let myself be convinced to do it. I can recall at delivery of my baby in the O.R. as I viewed my new bundle of joy what a miracle and I said to my husband, maybe we shouldn't, and my Dr. said no we were going to.... and it was done. I know that moment is frought with fear, pain, and hormones. However, if a patient shows ANY degree of change of heart, Dr. and staff ought not to proceed. It is indicative of someone who clearly shows that she is not committed to the finality of tubal ligation. Despite having 5 children, I still desire more. Despite the diffiicult days of washing lauundry, endless homework and time-outs...I let everyone elses view of a large family and its requirements (financial, emotional etc...) convince me to do something I wasn't committed to. I have also let these views and my age cloud my ability to schedule a reversal for the past year, as I've visited this site frequently. I hope this insight is helpful. I am a 41 yr. old mother of 5 children, all born via C-section, ages 12,11,10,6, and 3. I am extremely blessed. Having said that, I had a tubal ligation with my last delivery and now wonder why I let myself be convinced to do it.

I can recall at delivery of my baby in the O.R. as I viewed my new bundle of joy what a miracle and I said to my husband, maybe we shouldn’t, and my Dr. said no we were going to…. and it was done.

I know that moment is frought with fear, pain, and hormones. However, if a patient shows ANY degree of change of heart, Dr. and staff ought not to proceed. It is indicative of someone who clearly shows that she is not committed to the finality of tubal ligation.

Despite having 5 children, I still desire more. Despite the diffiicult days of washing lauundry, endless homework and time-outs…I let everyone elses view of a large family and its requirements (financial, emotional etc…) convince me to do something I wasn’t committed to. I have also let these views and my age cloud my ability to schedule a reversal for the past year, as I’ve visited this site frequently.

I hope this insight is helpful.

]]> By: Rhonda Brown RN http://www.tubal-reversal.net/blog/2008/dr-berger/ethics-of-tubal-ligation-part-2.html#comment-1060 Rhonda Brown RN Sat, 12 Jul 2008 13:17:30 +0000 http://www.tubal-reversal.net/blog/?p=130#comment-1060 As I meet patients at their consults and hear their stories I often wonder why physicians do not chose to use the least damaging forms of tubal ligation? It seems to me that one would realize that there are many times in life where circumstances change and women should have the option of changing their minds at any given time. One of the good things about my job is that each day as I meet the patients for their consults I know that they each hopefully have the opportunity for a new beginning and it all began with the dedication that Dr. Berger has to tubal reversal surgery. As I meet patients at their consults and hear their stories I often wonder why physicians do not chose to use the least damaging forms of tubal ligation? It seems to me that one would realize that there are many times in life where circumstances change and women should have the option of changing their minds at any given time. One of the good things about my job is that each day as I meet the patients for their consults I know that they each hopefully have the opportunity for a new beginning and it all began with the dedication that Dr. Berger has to tubal reversal surgery.

]]> By: Tanya http://www.tubal-reversal.net/blog/2008/dr-berger/ethics-of-tubal-ligation-part-2.html#comment-1057 Tanya Sat, 12 Jul 2008 05:49:24 +0000 http://www.tubal-reversal.net/blog/?p=130#comment-1057 Both of the stories you posted were disturbing and very sad. Medicine to many doctors has become a business. They don't care about the long-term results for these women - only the insurance payment. They spend very little time talking or counseling patients before procedures. Let's face it - neither of those physicians will live the consequences of the surguries they performed. Both patients sought a tubal ligation and for that I can't totally blame the doctor, however given their ages and the fact one had not had any children it would have seemed they would have given it more consideration and left the tubes in such a way that a reversal might have been possible. The rings would have prevented pregnancy alone - why the extra burning and damage? Many of us were lucky that we sought ligation but were able to have the reversal done successful. Many - like myself - had a doctor that counseled me, gave me plenty of time before the surgury was done and even tried to convince me to wait longer. Unfortunately I didn't, but I found Chapel Hill and was blessed to have Dr.Bergers skilled hands restore me. I really believe that ligations need to be a procedure that are reserved for women that have several children or are a bit older. So many times circumstances change - divorce, death of a child, a change in financial or emotional convictions and even PTLS and women are left with little options. Both of the stories you posted were disturbing and very sad. Medicine to many doctors has become a business. They don’t care about the long-term results for these women - only the insurance payment. They spend very little time talking or counseling patients before procedures. Let’s face it - neither of those physicians will live the consequences of the surguries they performed.

Both patients sought a tubal ligation and for that I can’t totally blame the doctor, however given their ages and the fact one had not had any children it would have seemed they would have given it more consideration and left the tubes in such a way that a reversal might have been possible. The rings would have prevented pregnancy alone - why the extra burning and damage?

Many of us were lucky that we sought ligation but were able to have the reversal done successful. Many - like myself - had a doctor that counseled me, gave me plenty of time before the surgury was done and even tried to convince me to wait longer. Unfortunately I didn’t, but I found Chapel Hill and was blessed to have Dr.Bergers skilled hands restore me.

I really believe that ligations need to be a procedure that are reserved for women that have several children or are a bit older. So many times circumstances change - divorce, death of a child, a change in financial or emotional convictions and even PTLS and women are left with little options.

]]> By: Rebecca Ferguson http://www.tubal-reversal.net/blog/2008/dr-berger/ethics-of-tubal-ligation-part-2.html#comment-1055 Rebecca Ferguson Sat, 12 Jul 2008 01:16:31 +0000 http://www.tubal-reversal.net/blog/?p=130#comment-1055 I do not believe that any doctor should sterilize a woman regardless of how old she is, but especially on a woman under the age of 30. There are so many other options out there. A woman never knows when her circumstances will change or her feelings regarding family and children will change. This doctor was obviously in the wrong profession to do something so destructive. He should have given it thought to how old this woman was and considered she may change her mind and want a reversal later on. I do not believe that any doctor should sterilize a woman regardless of how old she is, but especially on a woman under the age of 30. There are so many other options out there.
A woman never knows when her circumstances will change or her feelings regarding family and children will change.
This doctor was obviously in the wrong profession to do something so destructive. He should have given it thought to how old this woman was and considered she may change her mind and want a reversal later on.

]]> By: Tracy Huber http://www.tubal-reversal.net/blog/2008/dr-berger/ethics-of-tubal-ligation-part-2.html#comment-1054 Tracy Huber Sat, 12 Jul 2008 00:17:40 +0000 http://www.tubal-reversal.net/blog/?p=130#comment-1054 I do not know about whether or not it is "unethical" for a doctor to sterilize a women who requests it and has no children but I do strongly believe it shows extremely poor judgment and short-sightedness to do it at such a young age (20s). I know several women who have known from a very early age that they were not maternal and have never wanted children. It does happen. However, I would NEVER agree with a doctor who sterilizes someone in her 20's with no children. It is simply too young. There definitely should be a serious analysis of what is driving the person to do this and possibly uncover some "red flags". Also, there should be a waiting period and counseling before it ever happens. It is wrong for any doctor to talk to a patient and then simply sterilize without more prodding for information and delaying the surgery, forcing the woman to seriously consider possible life changes and the long term ramifications. Also, as a ligation can lead to PTLS (as I am painfully aware)..doctors should never perform them at any age, children or not, without advising of the potential consequences there too! I do not know about whether or not it is “unethical” for a doctor to sterilize a women who requests it and has no children but I do strongly believe it shows extremely poor judgment and short-sightedness to do it at such a young age (20s). I know several women who have known from a very early age that they were not maternal and have never wanted children. It does happen. However, I would NEVER agree with a doctor who sterilizes someone in her 20’s with no children. It is simply too young. There definitely should be a serious analysis of what is driving the person to do this and possibly uncover some “red flags”. Also, there should be a waiting period and counseling before it ever happens. It is wrong for any doctor to talk to a patient and then simply sterilize without more prodding for information and delaying the surgery, forcing the woman to seriously consider possible life changes and the long term ramifications. Also, as a ligation can lead to PTLS (as I am painfully aware)..doctors should never perform them at any age, children or not, without advising of the potential consequences there too!

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