Untying Tied Tubes: Filshie Clip Sterilization
Posted On: Saturday, May 10th, 2008
Tying Tubes is Not Like Tying a Shoe Lace
Many patients seem to imagine the fallopian tube is like a shoe lace which is tied up like a bow to prevent pregnancy. As tubal ligation reversal specialists, we wish it were that easy- then untying tied tubes would be easier!
‘Tying fallopian tubes’ is a common language phrase used to describe several different surgical procedures that result in tubal sterilization (a procedure intended to permanently prevent pregnancy). The more correct medical term is bilateral (both sides) tubal occlusion (closure of the fallopian tube).
Tubal Ligation Methods
There are many different ways to occlude (close) the fallopian tubes: ligation and resection (tying and cutting), clips and rings, and coagulation (burning). No matter how the procedure is done the end result causes the tube to close, heal shut, and prevent sperm from fertilizing an egg.
Filshie Clip Tubal Ligation
One common form of laparoscopic (camera) sterilization is the use of Filshie clips to occlude both fallopian tubes. The Filshie clip was approved for use in the United States in the mid 1990′s. The Filshie clip is a small titanium clip which is lined with a thin silicone cushion. The clip was an improvement over the Yoon Falope Ring and the Hulka Clip because it was as easy to apply with less risk of operative complications. The clip also has the advantage of destroying only a very small portion of the fallopian tube- approximately 4mm (approximately the thickness of two quarters stacked on each other). The adjacent tube is not affected. The majority of Filshie clips placed in the United States are done by laparoscopic surgery; however, there is a growing trend to use them for tubal occlusion at the time of cesarean delivery (c-section).
The Filshie clip causes bilateral tubal occlusion by squeezing a very small portion of the tube. The squeezed portion is deprived of its blood supply and eventually undergoes avascular necrosis (dies and is absorbed by the body). This causes the fallopian tube to be divided in half and the two ends to close up. The Filshie clip is held in place (in between the two divided ends) by a small amount of scar tissue which forms over the clip.
A common misconception is that the Filshie clips can simply be removed to reverse the sterilization process- that the tubes can be unclipped. Unfortunately, tubal ligation reversal for Filshie clips is not as simple as just opening the clips. Filshie clip tubal occlusion is reversed by removing the clips and using microsurgical techniques to open the closed ends and join the tubal segments back together in perfect alignment.
The reversal of Filshie clip tubal occlusion is usually technically easier than some other methods of sterilization because such a minimal amount of tube is destroyed in the occlusion process.
Approximately 76% of patients at Chapel Hill Tubal Reversal Center become pregnant after a reversal of a Filshie clip sterilization procedure.
Tubal Sterilization Can Be Reversed
Many people believe tubal sterilization is permanent and irreversible. Although Filshie clip sterilization is intended to be permanent, this procedure can be reversed. Chapel Hill Tubal Reversal Center is the one medical facility that specializes in tubal ligation reversal.
We have become experts in reversing all types of tubal ligations- or ‘untying’ tubes that have been ‘tied’!
Submitted by Dr. Charles Monteith
May 11th, 2008 at 2:22 pm
Thank you Dr. Monteith for the very informative blog about Filshie clip ligations. This will be a great resource to show patients who have had the Filshie clip ligation so they can understand a little better what they had done and how it can be reversed.
May 12th, 2008 at 4:31 am
I think that this will be helpful for women who have had the Filshie clip method of sterilization. This will help them understand that the clip can not just be removed to open the tube. Providing this type of information goes to show the dedication to patient care that the staff at Chapel Hill Tubal Reversal Center has. Thank you for placing patients first.
May 12th, 2008 at 11:40 am
In the operating room I frequently see that the Filshe Clip is found to be one of the least destructive types of tubal ligation.
May 12th, 2008 at 11:51 am
This is a great in-depth and informative post about the Hulka clip. Thanks.
May 12th, 2008 at 1:23 pm
For patients who are looking for information regarding Filshe Clips,this is excellent and encouraging data.
May 12th, 2008 at 2:18 pm
I really like the Filshie clips as well as the Hulka clips because they are less harmful to the tubes and are normal\ly easier to reverse than other procedures.
May 15th, 2008 at 10:32 am
Thank you Dr. Monteith. Women who have Filshie clips can now better understand the process of removing the clips during tubal reversal.
May 19th, 2008 at 11:45 am
This is good news for those women who have had filshie clips and now desire tubal reversal surgery.
June 4th, 2008 at 6:42 am
Thank you, Dr. Monteith, for helping women feel they can discuss the choices of sterilization with their doctors in the event that tubal reversal could be a possibility for them in the future.
October 15th, 2008 at 12:40 pm
can you still become pregant if you had your tubes clipped
October 15th, 2008 at 4:10 pm
Yes, clips are the best of all tubal ligation procedures for reversal. Look at Table 4 on our website page that shows pregnancy rates after tubal ligation reversal by method of tubal ligation and you will see that it has a 76% pregnancy rate for women of all ages, ranging up to 87% for women less than 30 years of age.
November 21st, 2008 at 2:50 pm
This is helpful for those women who decide to have kids again, and are looking for information regarding Filshie clips.
April 8th, 2009 at 2:31 pm
Can these clips be a cause of pain in years to come? I had mine placed in 2002 and since then notice pain (sharp) in the area I imagine them to be placed.
April 8th, 2009 at 4:21 pm
There have been rare reports of pain after clip placement. Typically the clips are designed to be with you for the rest of the life and they are not commonly thought to be a cause of pain.
July 19th, 2009 at 5:33 pm
How much would it be to have tubal reversed?
July 19th, 2009 at 8:34 pm
Read this page about Tubal Reversal Cost, or watch the video about cost of tubal ligation reversal. If you have any questions, call (919) 968-4656 for a consultation with a Tubal Reversal Nurse. You will get the best tubal reversal surgery for the lowest cost at Chapel Hill Tubal Reversal Center.
July 19th, 2009 at 8:37 pm
Read this information about tubal reversal cost or watch a video that discusses the cost of tubal ligation reversal. You will get the best tubal reversal surgery at Chapel Hill Tubal Reversal Center. If you have any questions, call (919) 968-4656 for a telephone consultation with a Tubal Reversal Nurse.
July 26th, 2009 at 8:27 pm
My name is Bridget Clinard and I want to know about getting tubal ligation reversal so I can become pregnant again. I am deaf but I do not have any other health problems. I want to get this done so I can become pregnant again. Please email me at crazylovebri@tmail.com or you can call me directly at 866 758 0605 and ask for Bridget. Many thanks! Bridget.
August 19th, 2009 at 12:37 pm
How long do your tubes stay tied up? I got them tied in1997!
August 19th, 2009 at 7:12 pm
Tubal ligation is permanent unless you get them reversed. They do not come untied unless a surgeon performs the reversal procedure.
August 22nd, 2009 at 9:13 am
How long after having Filshie clip sterilization can I have sex without using protection with my husband? I know after a vasectomy it takes a while but I’m unsure about female sterilization…thanks.
August 22nd, 2009 at 10:55 am
Filshie clip application gives immediate protection, unlike vasectomy. However, if it was performed shortly after ovulation, the cycle in which it was performed could result in pregnancy.
September 8th, 2009 at 12:07 pm
Are there cases know that the body rejects the Filshie clips and is this possible?
September 8th, 2009 at 12:42 pm
Edw
There have been reports of clip migration and pain after clip placement. This is thought to be uncommon.
September 25th, 2009 at 10:40 am
I had my clips placed on my tubes in March of 2006. I have had sharp pains also. Honestly I would not recommend anyone doing this precedure because in my opinion it causes pain. there arent alot of case studies done because alot of people dont relate the pain with the clips, but I have research it and so has my ob doctor and to make a long story short I am getting my clips removed on Oct 6 2009 due to medical complications. yes my insurance is covering the surgery. I will still be sterile because the tubes are damaged because of the clips but hopefully the pain will go away…
October 5th, 2009 at 2:31 pm
I agree with the ladies that complain about pain after the procedure with the Filshie Clips. I have regretted having the tubal ligation performed and I would never recommend this as a form of birth control. I am now researching tubal ligation reversal so my happiness and well being can be restored.
October 22nd, 2009 at 12:24 pm
I had my tubes clipped September 2008 after a c-section with my son. I really regret this and want to reverse it to have another baby. Would it be better for me to unclipped the tubes or to be inseminated? And which way would I be most likely to have another baby? Please Help! Many Thanks.
October 22nd, 2009 at 12:37 pm
Tina T
Having your tubes unclipped- or a tubal ligation reversal – would be your best choice. Insemination will not help you become pregnant because your tubes are blocked. Insemination only puts sperm into your uterus. Since your tubes are blocked the sperm will never be able to reach the egg.
IVF would allow you to have another child. IVF does have IVF risks. IVF costs between $9-12,000 and the average chance of success is 35%. Tubal reversal at Chapel Hill Tubal Reversal Center costs less and average success is 70%. You should call our office at (919)969-4656 for a free, nurse consultation.
October 22nd, 2009 at 4:49 pm
How can I have a reversal procedure? What steps do I take?
October 22nd, 2009 at 8:01 pm
You can read the page on Getting Started With Tubal Reversal. Call (919) 968-4656 for a telephone consultation with a Tubal Reversal Nurse.
October 25th, 2009 at 9:36 am
I had my tubes tied 4 year ago and now there’s too much pain and I can’t stand sex. I want my sex life back . I want to have my tubes untied so I will get my back sex life again.
November 8th, 2009 at 11:12 am
[...] c-section and delivered a healthy baby boy. At Jamie’s request, her obstetrician performed a Filshie clip tubal ligation.After Tubal Ligation Consequences: Tragedy Their quest for tubal ligation reversal began in December [...]
December 3rd, 2009 at 3:54 pm
I want to know if we have a possibility to become a pregnant without reversal tubal even though my tubal burned already? My tubal was burned after I was giving birth in 2001.
December 3rd, 2009 at 4:54 pm
MAANITA – If you want to become pregnant after tubal burning, the you will need treatment by either tubal ligation reversal or IVF.
December 7th, 2009 at 1:37 am
I have only one tube due to an unfortunate injury just over a year ago. At the time of the operation to remove the damaged right tube and ovary the doctor placed filshie clip on the left tube. I regret my sterilization and want to get pregnant. What are my chances of getting pregnant if I had this reversed with only one tube and one ovary? What is the cost and healing time? I read the comments about pain and wanted to tell those thinking about the clip ligation that I have had pain ever since I had it put on my one tube.
December 7th, 2009 at 2:33 pm
NJ
Even with one tube you would have a good chance of becoming pregnant. The reversal of the tubal clip yields the highest pregnancy success rates. We have many patients who become pregnant with only one fallopian tube.
January 9th, 2010 at 9:04 am
I had the tubal clips put on January of 2009 and I was wondering is it possible to become pregnant if they were not put on right or have moved? It’s now January 2010 and i haven’t had a period in almost 2 months I was just wondering what the chances of that would be?
January 9th, 2010 at 10:00 am
Amanda
Take a pregnancy test. If it is positive you should be seen in the ER to make sure you do not have an ectopic (tubal) pregnancy. If it is negative then make an appointment with your doctor to discuss your irregular periods and to check for hormonal imbalances.
January 21st, 2010 at 9:53 pm
Can tubal clips become unclipped? I had both tubes clipped in 2001 and the dr. said he put 2 clips on each tube. Do they expire? For the past week I have been having some awkward feelings in my pelvic area like there is something moving in there or bubbles continuously popping. It is sometimes painful and VERY uncomfortable.
January 22nd, 2010 at 7:53 am
JULIE – Tubal clips will not come undone on their own. They do not expire. It would be a good idea for you to see your doctor regarding the pain that you are having.
January 25th, 2010 at 8:54 pm
I had a tubal ligation done with the tubal clips and they were giving me problems. Finally after 4 years of complaining they went in and found out that the clips were giving me problems the only thing was that the clip on my right side wasn’t on my tube. They couldn’t find it after 45 minutes of looking. It was found later in an x ray near my spleen. Should I be concerned about it just floating around in there?
January 25th, 2010 at 10:16 pm
Amanda
The Hulka or Filshie tubal clips are designed to be a part of your body. Only very rarely have they been associated with severe complications. I would only make the decision to have it removed after carefully talking with your doctor and only if they are causing you any suspected problems or complications.
February 22nd, 2010 at 1:58 pm
I had my tubes clipped in 2004 and every month around the time my cycle is to start, I feel like I am pregnant with sickness,tender breast, and the whole nine yards is this normal?
February 22nd, 2010 at 2:15 pm
Tasha
This can be normal for many women after a tubal ligation. For a few women the symptoms after a tubal ligation can be extreme.
February 23rd, 2010 at 1:43 am
I had my tubal clips removed January of this year during an operation to remove an I.U.D. that had perforated my uterus and was stuck in my bowel lining. Now I am emotional and cranky, I bled for 3 weeks . Is this normal? They went through my abdomen so they didn’t touch my uterus. Also my doctor said he removed the clips because one was off and the other was only partially on and he said both tubes where in active and that I shouldn’t worry I only have 1/3000 chance of pregnancy. Isn’t that high?
February 23rd, 2010 at 8:27 am
Brandy
You will have to talk to your doctor about your symptoms. It would be inappropriate to give any comments about your symptoms because of such limited information.
You will likely not get pregnant since the clips have been removed because the tube clips cause the tubes to heal closed.
February 25th, 2010 at 2:31 pm
hi i had my tubes tied with clips 17 months ago when i had my daughter and now i am having symp.of pregnancy upset stomach tiredness tender breast eating a lot cravings is there any way i could be pregnant i have a lot of pain in the lower part of my stomach could there be something wrong with the clamps please email me and subject it clips so ill know its about a letter i wrote thank you
February 25th, 2010 at 8:23 pm
Pauletta – Although unlikely, pregnancy is possible. The easiest way to answer the question is to run a home pregnancy test.
February 28th, 2010 at 1:33 pm
[...] refer to our first story about Tubal Reversal Angels, Idaho Tubal Reversal Angels: Jamie and Kraig.Tubes Untied by Removing Tubal ClipsJamie had a perfect delivery with her last son and decided her family was complete after having two [...]
February 28th, 2010 at 1:46 pm
I was sterilized in 2006 after having my daughter via c-section an my tubes were clipped. I recently went to see the doctor about a reversal but he told me that its not possible in the National Health Service. Me an my new partner really want to start a family but cant afford to pay for the reversal. Please can you help.
February 28th, 2010 at 9:14 pm
Natalie
We do not offer free tubal reversals; however, we do over a low cost and affordable tubal reversal when compared to many other tubal reversal providers. Many patients find that traveling to us for reversal is far cheaper than staying in their local area. We also offer a tubal reversal prepayment plan.
March 3rd, 2010 at 9:45 pm
I had the clips put on in November 08 after a c-section. I have regretted my decision ever since. Since it has been only a little more than a year since my tubal, if the clips were removed, what are the chances that I could become pregnant? How long does it take for the tissue around the clamps to die? Would I still need a tubal reversal or is there a possibility that I could become pregnant?
March 3rd, 2010 at 9:50 pm
Amanda
The clips work instantly to close the tube. The tissue dies and the tubes heal closed within several days. You would need the clips removed and a tubal reversal. Your chances of getting pregnant after tubal reversal would be excellent after reversal of tubal clips.
March 17th, 2010 at 4:40 pm
I had my tubes tied and I don’t know what they did. I had a c section and now I would like to have another baby with my boyfriend because he does not have any kids at all but cannot afford to get my tubes untied.
April 26th, 2010 at 12:13 am
I had my tubes clipped in 2007 after having my son and now my soon to be husband wants a baby and I would like to give him one . Please help me?
April 26th, 2010 at 7:58 am
Nettg
Our patients who have tubes reversed from tubal clips have a 75% chance of becoming pregnant after reversal. You should call the office at (919) 968-4656 to speak with one of our nurses who should be able to answer all of your questions.
May 4th, 2010 at 4:45 pm
I wanted to say thank you for taking Filshie clips out of as many women as possible! I had Filshies in 2002, in 2005 they came off on there own and went into my organs. During a surgery to repair the damage from the clips, the doctor cut a hole in my stomach and I became septic, was in a coma, and was very ill for several months and still over a year later have not fully recovered. I hope no other women ever have to go through what I did!
May 11th, 2010 at 9:22 pm
I have had three C-sections on the last c-section my husband and I decided we didn’t want anymore kids. So my doctor did the Filshie clips right after the c-section. I have had pain on both sides since. I would like to get the Filshie clips reversed but after three c-sections will it be safe?
May 12th, 2010 at 4:30 am
Stacy – It is safe to have a tubal reversal after 3 c-sections. The Filshie clips have the highest pregnancy rate after reversal surgery.
May 23rd, 2010 at 4:16 am
Hello, I am planing to have my clips removed and wanted to know how long does it take for the tubes to heal after having hulka clips removed?
May 23rd, 2010 at 1:58 pm
Rachel
As soon as the Hulka clips are removed you can try to become pregnant. Healing is a gradual process but the tubes should be mostly healed and reattached by 2 weeks after surgery.
May 26th, 2010 at 11:04 am
After having a c-section along with clips for twenty yrs is there hope for a baby? I’m trying to understand the risks associated w/ surgery and pregnancy after 44 yrs of age. Tubal reversal is what I want, somewhat afraid of complications with an tr. Are there risk factors to worry about?
May 30th, 2010 at 7:36 am
Charline
Tubal reversal is a safe surgery and tubal clips are the best for reversing. It is more difficult to become pregnant after the age of 43; however, If you are having regular periods then pregnancy is always possible.
June 18th, 2010 at 6:48 am
I had the filshie clips put on approx. 2 years ago. Since then I have had constant pain in my lower right and left hand side below my navel and constant bloating. An ultrasound proved nothing was wrong. I then had bleeding in between my menstrual cycle. My gyno decided to do explorative surgery. It was found that the clips had caused massive adhesions and they were removed at once. Now three days after the surgery I have never felt better. To say the problem is rare I dont know after reading through the posts it seems to be a bit of a regular occurence???? Maybe more studies need to be conducted after all I now have been recommended to have a hysterectomy due to the damage that has been done.
June 18th, 2010 at 10:37 pm
I had my tubes tide at the age of 22 now I am 28 and want another baby with my husband I wonder what are the chances of me getting pregnant?
June 19th, 2010 at 7:24 am
Saddiqyah
You chances of a successful tubal reversal at the age of 28 are very good. Our pregnancy statistics after tubal reversal show that approximately 80% of women under the age of 30 will become pregnant after tubal reversal.
June 25th, 2010 at 8:57 pm
I had my tubes tied in June 2009 since then i had sharp pains and abnormal bleeding…. I am in and out the er with no answers…. I believe it is from getting my tubes tied…. i regret this so much…. especially after thinking on it i would love to have another child one day and my 5 yr old son keeps asking for a baby brother… The main thing is can it really be from getting my tubes tied these sharp unwanted pains???
June 25th, 2010 at 9:54 pm
Melissa
Most women who have their tubes tied will not have any side-effects; however, some women will have symptoms of pain. Very commonly we will find endometriosis in these women.
June 26th, 2010 at 2:23 am
I had Filshie clips put on and right after i kept having really sever pains so 3 months later they sent me back……the doctor said that my body rejected the clip and that it had fallen off so he just scrapped the ends and my family doctor said there’s a chance i could get pregnant now if the tube healed back together i just wanted to know what the chances are of this……thanks
July 9th, 2010 at 2:23 pm
I had the Novasure and filshie clips procedure performed in 2008. What are the chances of becoming pregnant if I have the filshie clips removed?
July 9th, 2010 at 3:12 pm
Tabitha – The chances of conceiving after removing Filshie clips are 75% for women of all ages – higher for younger women and lower for older women. Since having the Novasure, have your periods returned to normal?
August 10th, 2010 at 6:44 pm
I had the clips put on in 2001 and since then I have not had a period but maybe once or twice a year, however my paps and ultrasounds and all said that everything is normal. Do you think it will be possible to have my tubes untyed and have success at conceiving?
August 10th, 2010 at 7:04 pm
Jonni
Tubal clips are the best for reversing. Your medical condition is common and it is likely because you are not ovulating or releasing eggs. You should have your hormonal levels checked. Your doctor can easily give you a medication called clomid, which will help you ovulate.
September 13th, 2010 at 1:50 pm
I have several questions. I had the Filshie clip ligation done back in April of this year. It was a precaution because my blood levels were elevated and I had a mass in my uterus that had grown from 10% to 30% within 6 months. My doctor thought it was cancer and come to find out that it wasn’t. It was after the surgery that we had the results of the biopsy. Now I am regretting getting my tubes tide. I wasn’t done having children and my doctor suggested that it was best. Now what do I do?
September 13th, 2010 at 2:38 pm
Alicia – If you want your tubes untied, call (919) 968-4656 to speak with a tubal reversal nurse who can help you.
September 27th, 2010 at 9:51 am
I have been having problems with the filshie clips. My ob doctor is gonna remove them. Whats my chances of having a baby? I think he’s gonna unblock them because my fallopian tubes are swollen please help me I am not scheduled 4 my surgery yet but i did my paper work
September 27th, 2010 at 10:34 am
Nessa
You should have a careful conversation with your doctor. When the reason for surgery is pain most doctors will only remove the clips but not repair the tubes. If your doctor only removes the clips you will not be able to become pregnant unless the tubes are rejoined. Most doctors will not rejoin the tube unless they have some experience with tubal reversal surgery.
December 5th, 2010 at 4:36 pm
I have had a filshie clips placed on my tubes in Feb 2003, 3 months after my last child was born. I have had low back pain for years and gotten worse through the years too. Plus I have very heavy menstrual bleeding and feeling bloated and constipated 24/7 without relief regardless. My tubes feel likes it being squeezed when its close time for my periods. This does not feel normal at all. For the last 3 months I’m having severe low back pain with no relief. Right now I’m in Physical Therapy but its not helping. Could all this be because of the clips?
December 5th, 2010 at 4:45 pm
Amy – Some women experience pain after clips are placed on the tubes. Usually it begins right after the clip procedure. It is not possible know if this is the cause of your pain unless the tubal clips are removed.
December 17th, 2010 at 12:33 pm
I had hulka clips about 6 years ago,is it to late to have it reversed now as im 30,and would like to become pregnant again.
December 17th, 2010 at 2:11 pm
Becky – It is not too late to have your Hulka clip tubal reversal! You can see in Table 5 from our pregnancy follow-up study that the pregnancy rate after reversal of Hulka clips at age 30 is close to 90%. (This applies only to women who have their tubal ligation reversal at Chapel Hill Tubal Reversal Center.)
December 28th, 2010 at 7:48 pm
I’m 41 and have Filshie clips and wonder if I will be able to have another baby? I am gathering paperwork and trying to set a date with nurse. I just wonder if there is hope for us?
December 29th, 2010 at 5:22 am
Urs – There is certainly hope for you! Reversal of tubal clips has the highest pregnancy rate following tubal reversal.
January 12th, 2011 at 9:53 pm
I had my tubes clipped in nov.2005. I have had sharp pains on both my sides and ones that shoot down my legs, not to mention the bad cramps and back pain. My Doc’s never told me there would be pain. I have had very heavy bleeding and clots. And no mater what type of birth control pill i have been given my period is never regular. The doctors say oh it’s just a heavy flow but it feels like your bleeding to death. I have spoken to many women who have had this procedure done and we all have these problems. I would never recommend this procedure to anyone not even my worst enemy!!
January 19th, 2011 at 12:36 am
I had Filshie Clips put on my tubes in 2000 and have had lower back pain, pinching pain, bad ovulation pain and crampy periods ever since (i was not on the pill before and had none of these).Sometimes it feels as if there is very little time without pain.I have been to a couple of Drs and they come up with nothing. I had an Ultrs-sound a couple of years ago which again showed nothing. My question is is there a higher risk of those who have had TL in getting Ovarian Cancer. The problem is we get similar symptoms but cannot be going to the Dr’s every month and it could be missed.
January 19th, 2011 at 4:33 am
Patty – Other women have reported continuing pain after Filshie clip sterilization. Removing the clips can relieve the pain. Studies do not show an increased risk of ovarian cancer after tubal ligation. In fact, the studies show a decreased risk of ovarian cancer among women who have had a tubal ligation.
January 28th, 2011 at 1:18 pm
I had the Hulka clips put on in 2006 i’m 33y old.Have a normal period.All tests i had done were normal i just have high-blood pressure.If i have this done what’s the chance of getting pregnant after tubal reversal. My daughters want another brother or sister.My husband don’t say he wants another one,but i know he does how he plays with his little nephew,and he says i know you want another baby,but you can’t.Please respond A.S.A.p.God Bless!!!!
January 28th, 2011 at 4:53 pm
Betrice – At age 33, your chance of getting pregnant after tubal reversal is about 80%. Look at Table 5 in this link that shows the pregnancy rate for women 30-34 years of age after clip sterilization. These are the results you will get at Chapel Hill Tubal Reversal Center and these numbers and percentages are based on follow-up of our patients.
January 30th, 2011 at 5:30 pm
Hi. Just to let you know i had a tubal reversal in June 08 and i am now 38 weeks pregnant. I had filshie clips removed. Oh, and i’m 41 years old.
January 30th, 2011 at 8:49 pm
Jo
Thanks for notifying us. I am uncertain of who you are by your comment. If you could submit a Pregnancy Report that would be ideal.
February 7th, 2011 at 10:36 am
i had Filshie clips put in in 03, due to the fact that i had a boy and a girl and was not happy in my marriage. i left my alcoholic husband a month later. i was asked at the Hospital what if you leave your Husband and i just thought that if i left him i still wouldn’t want anymore children. That if i met someone else the chances of them having children in prev relationships was quite high as i was 32 yrs at the time.Low and behold i met someone in 04 and he didn’t have any children and he was an only child. In 06 we went down the IVF route because didn’t want any more after. i got pregnant straight away and have a beautiful little girl but would like to say that during all the hormone treatment my ovaries which by then were very scard at the beginning went even worse and eventually curled up and and were then difficult to find. So i dont think that mine would have been reversible!
February 7th, 2011 at 10:43 am
Rachel
Tubal clips are very reversible and the chances of pregnancy after tubal reversal are good. The tubes and ovaries are separate structures. So one could have problems with the ovaries but have very normal and healthy fallopian tubes.
March 9th, 2011 at 5:11 pm
Hello..I am 45 years old and have had my tubes clipped as well..and I had them done when i was 38 and the dr. said he did it that way for me in case i had ever decided i want more kids. I have had heavy menstrual periods since than and a lot of leg cramps..I have, however, since began a new relationship with another an want another baby, could i do this yet? how old is too old?
March 9th, 2011 at 6:12 pm
April Lucas – As long as you are having regular menstrual cycles there is a chance you can become pregnant again. Many women have tubal reversals over age 40 and many have delivered tubal reversal babies over age 40. You can examine the pregnancy rates by age on this website page that shows pregnancy statistics at Chapel Hill Tubal Reversal Center.
March 16th, 2011 at 11:40 pm
I am 29 years old I had a clip put on after my 4th child was born in 2002 I now want another baby what’s the chances of me getting preganut if I was to get a reversal and also where can I go for one and I need information on all of it please
March 17th, 2011 at 3:06 am
The pregnancy rate after reversal of tubal clips at age 29 is 90% as you can see from the pregnancy statistics at Chapel Hill Tubal Reversal Center (in Chapel Hill, North Carolina). Read the “Getting Started” page on our website and then call (919) 968-4656 to speak with a tubal reversal nurse.
March 31st, 2011 at 5:05 pm
my daughter in law said she went in twice to have her tubes clamped and each time they told her they could not do it because her tubes moved around too much for them to do it? sounds crazy to me. please respond as soon as possible to stoch32@yahoo.com
March 31st, 2011 at 5:08 pm
I have never heard of this before. Your daughter in law may want to see another doctor.
April 3rd, 2011 at 6:40 pm
Hi, I had the tubal clips put in a year ago but at times during intercourse my partner says there is an uncomfortable feeling for him, which I would also agree with for myself. This happened the other day and after I have had bleeding and some abdominal discomfort, similar to period cramp, but my period is not due for at least another week. Is it at all possible this could be linked to the clips? Sorry this isn’t a reversal question but this is by far the most informative site when to trying to get answers!
April 3rd, 2011 at 8:55 pm
Chantal – It is possible that one of the clips has become displaced and possibly related to the pain during intercourse, but that may also be due to some other issue. A careful physical exam and possibly laparoscopy should clarify this issue.
April 4th, 2011 at 4:16 pm
Thank you for the quick and very helpful reply
June 13th, 2011 at 11:13 am
hi, i had my tubes clipped about 8yrs ago now & from 2 months after having them placed i have suffered really bad abdominal pain & pain in my right ovaries or fallopian tube, i get 1 week out of my cycle which is near on pain free then the rest of my cycle im in so much pain that it makes me sick, i don’t eat for nearly three weeks & i dont sleep, my doctor has sent me for scan after scan, ive had internal scans as well but they can not find a reason for why i am in this pain, they tried me with a coil which did not work so they removed it & now i waiting to be opened up so they can find the reason for it, i know it is connected to having my tubes clipped, but it keeps falling on deaf ears, i am begging for them to remove them so i can prove i am right, i was only 27 when i had it done & healthy & now im 35 been rushed to hospital 8 times since, my relationship of 8yrs has ended due to my health, ive lost my job too because of the time ive had of, im seriously underweight, my kids wont come near me because im so bad tempered due to it & the lack of sleep due to pain & im so depressed, they have been looking for nearly 8yrs now for why im in so much pain & not found anything so why wont they believe that it might be because of the clips & just remove them, please help me i cant cope anymore
June 16th, 2011 at 10:45 am
I had my filshie clips put on in Nov. 2002. I went to an appointment with my gynecologist and he told me that I have one of the clips but the other cannot be found. Do you think I can get pregnant with that other clip missing?
June 16th, 2011 at 10:59 am
Yanira – Filshie clips often can “migrate” away from the tube. This occurs after they have been closed tightly across the tube and eventually the tissue inside the clip becomes reabsorbed by the body. But the clip has separated the tube into 2 distinct parts so that conception will not occur. The only predictable way to become pregnant after Filshie clip sterilization, even when one clip has migrated away from the tube is through the tubal reversal procedure called tubotubal anastomosis (or just tubal anastomosis).
June 23rd, 2011 at 3:19 pm
Mine failed me. I hate it when articles say they do not come off. Yes they do, I had them after a c-section in 07, became pregnant (loss) in 09, ectopic in 10 and am now 15 weeks pregnant. There are some failure rates that people should be made aware of.
June 30th, 2011 at 3:21 am
Hi!I was wondering,I had my TL in 2003 after a c-section with the Hulka Clips.I am having an issue with feeling something weird during intercourse.Like he is hitting something hard and sharp.I am having a hard time sitting up straight and keeping my legs closed.I can feel something.It actually burns a little.We just had intercourse and I could feel something inside of me,hard and sharp that he was hitting.It was sending sharp pains down my right leg and into my lower abdomen.My area down there feels weird just sitting up.When I went to the bathroom I had something in the toilet that was round and grey.another time I had something that was long and brownish.both was at the bottom.Yes I have had alot of problems since I had the clips put on.I have had alot of dizziness and passing out from day 1.Which led to seizures.My body could not take it anymore all the passing out.I have lost a lot due to it.Now I have diabetes,I had bad mood swings to the point of flipping tables and screaming,to crying,to laughing.to yelling,hitting my boyfriend all in minutes and I wouldnt have a clue from one to minute to the next.I am naturally a calm person,but after that I dont know what happened,kidney problems unexplained,I weighed 125 now I am 216 I was almost 300.I lost some weight.Please help me.I am lost,and very confused,dont like myself after doing this.
September 15th, 2011 at 12:53 pm
After so many complaints of pain after having the clips placed, how is it there are not studies to show this? How can these message boards have so many women, that have never met yet that have the same symptoms; Women that are of all ages, nationality and religious backgrounds but have only one thing in common, tubal ligation via clips?
I had the Filshie Clips put on during my c section in July 2010, since day one I have had sharp stabbing pains that radiate down the front of my legs as well as a persistent back ache. Like a lot of women I didn’t relate it to my tubal ligation, for the first 6 months I was told it was my body healing and forming scar tissue from the c section. I’ve never regretted my decision in having my tubes tied, I was comfortable with the 2 kids (boy and a girl) that I have, however I’ve not been satisfied with the severe pain and abnormal, beyond severe periods I have had since making that decision. In July of this year a family member (listening to my pain complaints) made comment that maybe my body doesn’t like the TL. So I decided to use the internet in search of what could be wrong. I typed in what I knew; “c section, tubal ligation post operative pain”…it was such a shock to find all these women with the same complaints!! After realizing the back pain, the sharp stabbing abdominal pains, chronic fatigue and painful periods were all connected, I began searching for a dr. in my area that would do a reversal for alleviating the pain…my complaints however have led to many theories of what the issue could be, none of which suggest or believe it to be related to the Filshie clips. Thus far both GYN have offered a hysterectomy as a solution. ( one wanted to take everything and leave the ovaries, the other wanted to take just the clips and the tubes) Being that I am against taking parts out for a resolution it instead has been suggested I receive pain shots (into the “aggravated nerve endings) and oral meds with nerve blocking abilities (like prozac or lyrica). Although I’ve told the dr. this too is unsatisfactory as a solution he still doesn’t believe my pain (the same exact pain that so many other women describe) is related to the Filshie clips. He’s offered to TAKE OUT NERVE ENDINGS he believes is the sole reason for the pain. I advise ANY woman thinking of getting Filshie clips or the likes to do her homework and think long and hard. My advice is that a savings account should be set up prior to the sterilization. That account should contain enough money for an out of pocket reversal and travel expenses if needed to get her to Chapel Hill because should she have pain or complications from the “wonderful” clips, her complaints will fall on deaf ears and will likely result in months, possibly years of pain while she searches for a dr. that believes her or is willing to do a reversal for pain elimination.
October 5th, 2011 at 8:09 pm
For everyone who is experiencing pain should do some research on Post Tubal Ligation Syndrome or PTLS. This site also offers information on PTLS. I had my tubes clipped in 2009 and I am now regreting it. I am going to have them removed. My question to the doctors is exactly how are the clips removed? Are they cut out or do you just simply unclip them?
October 5th, 2011 at 8:14 pm
Alexis French – The clips have to be cut out. They do not “unclip”.
October 6th, 2011 at 8:28 am
Dr. Berger – Thanks so much for answering my question. I know this is not the PTLS message board but I do have another question. The only way to get rid of PTLS is having a tubal reversal. When you have clips a reversal is not only removing the clips but to suture the tubes back together and repair. Is this correct? If I can not find an experienced doctor in my area to do my reversal I may be heading your way.
October 6th, 2011 at 9:46 am
Alexis
We encourage patients to see their doctors when they have had symptoms after a tubal ligation. If your doctor can not find any cause then a tubal reversal is worth considering. Most patients report improvement in their symptoms after tubal reversal surgery.
October 8th, 2011 at 6:32 pm
I had my filshie clips put on after my 4th son Sep. 26 2005 Ive had alot of pain also. In August I had 2 periods and thats never happened before. I didnt have a period in September and now this is October and I still havent had one. So I went and got 2 pregnancy test because I do have symptoms of being pregnant both test were positive. Could it be possible that I am pregnant? Or could I just be getting false results? What should I do?
October 8th, 2011 at 6:37 pm
Candi – You should see your doctor. Missing your periods and having 2 positive pregnancy tests are consistent with your being pregnant.
October 11th, 2011 at 7:38 pm
I am 36 years old with 3 daughters ages 19, 18 & 13 and on my 2 (and LAST) marriage. I am not sure which clips I have but, about a year after my tubal in 2003. I started having sharp pains during my ovulation time. I finally found a doctor that is willing to remove the clips, well some what willing to. He doesn’t believe that the clips are the source of my pain so he is going to perform laparoscopy surgery in 2 days to see what’s going on and since we are insisting that he remove the clips, then he will do so. My insurance company is paying because it has been deemed medically necessary. My doctor is telling us that my tubes are no good and I will have to have IVF to have a baby. He says that it cost more to have the tubes reattached & repaired vs IVF and insurance companies won’t pay for either. That’s fine but since he’s removing them anyways and we want them reattached & repaired shouldn’t he so? As I was reading the pre-op paperwork last night I noticed that it states “laparoscopy, removal of clips from fallopian tubes”. I realized after reading it and recalling all our meetings that he is just removing the clips and has no plan to reattach the tubes. I am heartbroken. I am fully aware that they have to be cut out (thanks to all the up front and honest information that ya’ll provide on your website). But what happens to them if the clips have been just cut out without reattaching them? What then? Please help understand, or tell me what I need to say to my doctor or if I need to run. After reading your site front & back I feel like we are being short changed. We have told him many times that my husband has no children and we want to try maybe in the next year or so. We believe if it happens it happens we don’t want IVF and all that it comes with. Of course I would do anything to be able to seen by your practice but at this time we don’t have the money laying around but IF we have to we will start the payment plan with y’all but if you could provide any advice to help us understand or what to do next will be greatly appreciated.
Thank for your time, Robyn & Joshua Brownley, Virginia
October 11th, 2011 at 7:54 pm
Robyn – Removing the clips will leave your tubes separated into two segments. It is likely that your doctor does not have experience in performing microsurgical tubal anastomosis, the technique we use to repair the tubes. The information he has given you is not correct – tubal reversal at Chapel Hill Tubal Reversal Center costs less than half the average cost of a single IVF cycle and tubal reversal is more successful than IVF for most women.
October 11th, 2011 at 8:09 pm
To add to previous statement, I just realize that I have the Hulka Clips. I remember the Air Force doctor telling everyone in recovery that was special because I have gold in my body as if I was prize.
October 11th, 2011 at 8:13 pm
Hulka Clips are the ideal tubal sterilization procedure to reverse. They were developed with this in mind by one of my teachers, Dr. Jaroslav Hulka, here in Chapel Hill.
October 11th, 2011 at 8:33 pm
Dr. Berger, in your professional opinion. Should we procede with the laparoscopy surgery and let him remove the Hulka Clips and then make an appointment with your practice for repair or should we have him leave the Hulka Clips in place and follow up with your practice? Again, thank so much for helping us with this issue. Robyn
October 11th, 2011 at 8:43 pm
Robyn – You could have your doctor remove the clips and later have them repaired here. But that will be 2 operations and you will lose more of each tube from the laparoscopic surgery. I think the better option is to leave them in place until you come here to have them removed and have your tubes repaired. Since you are dealing with the issue of pain, you could get an early opening in my surgical schedule. I will let the nurses know so that if you call to talk to one of them they will expedite your scheduling. You can call (919) 968-4656 and ask to speak with Sally, Jennifer, Meridith, or Julia. Any of them will be able to assist you.
October 11th, 2011 at 9:09 pm
Dr. Berger,
Thank so much for all your help. We were prepared to pay 100% out of pocket at this time. We were hoping that a local doctor would be able to help us and insurance would help with the cost. But I guess you get what you pay for. I would do anything to be able to schedule surgery with you tomorrow if I could. I will go ahead signed up for the payment plan option. You have know idea how much you have helped us with all this. It has been a long hard road and I knew it wasn’t suppose to be this way. Again, Thank you for everything and hopefully we will be seeing each other sooner than later!
Robyn & Joshua Brownley
December 22nd, 2011 at 11:17 am
I had my tubes clip,but i want to know if it is possible if i can get them removed!
December 22nd, 2011 at 11:26 am
Florinda – It is certainly possible to get your tubal clips removed! Call (919) 968-4656 for assistance.
January 11th, 2012 at 6:37 pm
[...] pregnancies since TR: 3 Outcome of previous pregnancies: 1 miscarriage and 1 live birth Ligation method: Tubes clipped More Information on Pregnant After Removal of Tubal Clips [...]