Fallopian Tube Repair
Posted On: Wednesday, November 19th, 2008
The tubal reversal doctors at Chapel Hill Tubal Reversal Center are specialists in fallopian tube repair. Although most of patients come to Chapel Hill Tubal Reversal Center for tubal ligation reversal, others come for fallopian tube repair after a tubal infection or pelvic inflammatory disease (PID), ectopic pregnancy, or previous surgery involving the fallopian tubes.
Fallopian Tube Anatomy
The fallopian tube begins within the muscular wall of the uterus (interstitial segment), leads away from the uterine wall (isthmic segment), becomes wider (ampulla), extends to the widest area near the end of the tube (infundibulum), and ends next to the ovary (fimbrial segment).
The fallopian tube has several important functions that include:
- Capturing the egg at ovulation
- Providing the proper environment for fertilization
- Transporting the fertilized egg to the uterine cavity
When fallopian tubes have become damaged, pregnancy difficult and sometimes impossible to achieve.
Fallopian Tube Disease
When a fallopian tube is damaged and completely closed, sperm cannot reach an egg to fertilize it, and the egg cannot reach the uterine cavity. Common causes of fallopian tube damage are:
- Pelvic inflammatory disease (PID)
- Other abdominal infections
- Ectopic pregnancy
- Prior pelvic surgery
Diagnosing Fallopian Tube Disorders
The possibility of fallopian tube damage should be suspected when a woman is either unable to become pregnant or has a history of multiple ectopic pregnancies. The diagnosis of a damaged fallopian tube usually is made from an x-ray procedure called a hysterosalpingogram (HSG). During an HSG, a radio-opaque dye is placed into the cavity of the uterus and pictures are taken as the dye flows into the fallopian tube. If the dye does not travel freely from the uterine cavity and through the fallopian tube into the abdominal cavity, then fallopian tube damage is suspected.
Fallopian Tube Repair
Fallopian tube damage due to infection of the tube may result in a swollen, club-shaped tube called a hydrosalpinx. In this situation, the fimbrial end of the tube is closed by scar tissue. This is easily diagnosed by a HSG when the dye is seen to fill the fallopian tube but becomes trapped within it at its swollen fimbrial end. This is the most common type of tubal disease that results in patients seeking fallopian tube repair.
Repairing Hydrosalpinx
A hydrosalpinx can be repaired by the technique of microsurgical salpingostomy. In this procedure, the fimbrial end of the fallopian tube is opened and folded back where it is sutured in place to keep the tube open. Any scar tissue responsible for closing the end of the tube is removed. Pregnancy success rates after microsurgical salpingostomy are approximately 40%. There is an increased risk of ectopic pregnancy after repair of a hydrosalpinx, particularly if the internal lining of the tube has been damaged extensively. It is the internal lining, rich in cilia, that help move the egg down the tube to arrive in the uterine cavity.
Fallopian Tube Repair at Chapel Hill Tubal Reversal Center
The tubal reversal doctors at Chapel Hill Tubal Reversal Center, Dr. Gary Berger and Dr. Charles Monteith, are reproductive surgeons who are specialists in tubal ligation reversal and fallopian tube repair. They perform more than 800 tubal reparative surgeries each year for women from thoughout the United States and around the world. Their vast experience in repairing fallopian tubes allows women with fallopian tube damage to become pregnant naturally as opposed to the more expensive and complicated treatment of in vitro fertilization.
More Information on Fallopian Tube Repair
November 23rd, 2008 at 12:29 am
I had my tubes tied when I had a c section. My doctor told me one thing about it but the doctor who did my tubal ligation told me that I can not get my tubes untied. I’m young with two kids already, but I want one more.
November 23rd, 2008 at 8:20 am
Quashika -
If you go to the Getting Started page on our website, it will give you step-by-step instructions about how to proceed. Please contact Julia Smith, RN at JuliaS@tubal-reversal.net for further assistance.
December 2nd, 2008 at 8:27 am
The illustrations in this article are valuable in communicating the anatomy of the fallopian tube and in describing tubal function and repair. Chapel Hill Tubal Reversal Center is also devoted to patient care through education.
December 20th, 2008 at 10:48 pm
I think with the procedure I had I have numbs where it is suppose to look like little fingers. I don’t have that any more. I want to know if it is possible for me to have another child with the condition that I have. I just want another little angel with the help from you. Thank you.
December 21st, 2008 at 10:13 am
It sounds like you are describing the technique of fimbriectomy. This is reversible with the operation called salpingostomy.
December 30th, 2008 at 5:27 pm
THANK YOU SO MUCH MY PRAYERS ARE COMING TRUE. I WOULD LOVE TO READ MORE INFORMATION ABOUT THE PROCEDURE. COULD YOU SEND ME SOME INFORMATION THROUGH THE MAIL IF ITS NOT A PROBLEM I CAN CALL TO TALK TO SOMEONE ABOUT IT ONCE AGAIN THANK YOU SO MUCH DOCTOR BERGER
December 30th, 2008 at 9:37 pm
Dear Anonymous:
I am happy to talk with you at any time. If you will send me an e-mail at JuliaS@tubal-reversal.net, we can exchange contact information.
Julia Smith RN
January 1st, 2009 at 6:45 pm
[...] Further discussion of fallopian tube diseases and corrective tubal surgery, also called tuboplasty, can be found in this Tubal Reversal Blog article – Fallopian Tube Repair. [...]
January 1st, 2009 at 6:46 pm
[...] fallopian tube is 10-12cm long. On average, most tubal cauterization procedures involve 1-2 cm of tube. The amount [...]
January 8th, 2009 at 12:24 am
i have a big problem i’ve been with my boyfriend for about 3 years on and off and we both got PID and this is my 4TH time being treated for it and he just recently got treated and so did i though the problem is were trying to have kids now and i was thinking about having the surgery done only thing is i don’t know how bad my fallopian tubes are scarred and we really want to have kids…do you think if i had the procedure done no matter how many times i had PID as soon as i got it all 4 times i got cured right away..do you think i would have a successful pregnancy if i had the procedure done?
January 8th, 2009 at 12:27 am
and if the surgery is not successful is there any other procedure so that i would be able to have a beautiful son or daughter some day?
March 29th, 2009 at 9:39 pm
I HAD THE TUBAL REPAIR TWO MONTHS AGO, IT WENT BETTER THAT I EXPECTED MY DR.SAVED MY TUBE AND OPEN THE FRIMBIAL JUST AS U EXPLAINED THE DAMAGE WAS REALLY SMALL, I HAVE JUST ONE TUBE .I START MY FIRST CYCLE OF IUI +CLOMID THIS MONTH AND I WAITING …
April 7th, 2009 at 7:24 am
I had my tubes tied then I started to bleed a lot and it would not stop. The doctor gave me a choice to either carry on bleeding or to have my tubes removed as they were both damaged by the ligation. I am in the UK do they do tube reversal repair over here. Also if I have to have it in the USA how much does it cost? Currently I am not working.
April 7th, 2009 at 7:29 am
The cost for tubal repair at our center is $5400. We have many patient who travel from Europe to have the repair procedure with our center. Many international patients find it is cheaper to travel to see us for fallopian tube repair rather than to have the surgery in their home country.
April 7th, 2009 at 6:44 pm
I had my tubes tide when I had a C section in 1995 and now I’m 37 years old. I think there were tied and burned, not sure. Are my chances good at conceiving a child if i get the tubal reversal?
April 7th, 2009 at 6:54 pm
JULIA -
If you check our tubal reversal pregnancy statistics by age, you will see that at age 37 you would have a 2 out of 3 chance of conceiving again after tubal reversal surgery at Chapel Hill Tubal Reversal Center.
May 18th, 2009 at 11:50 am
I had one of my fallopian tubes removed and the doctor said the other one was damaged. Is this repairable and what are my chances of having a baby? I’m 34 years old and have never had a baby and really want to have a baby.
May 18th, 2009 at 12:06 pm
It is repairable; however, we would need to see your records to give us a better idea. You should send us your records for review.
May 28th, 2009 at 9:45 am
I had one tube removed and one repaired. It has been over a year since my tubal surgery and I just had a HSG done, well during the procedure the tube looked as if it had closed again…What should I do? Get it reopened again? Is that possible? Or just go for IVF and let them remove both tubes?
June 16th, 2009 at 5:08 pm
Hi, I really need help.
June 16th, 2009 at 5:16 pm
SOHA – Call (919) 968-4656 to speak with a Tubal Reversal Nurse who can answer any questions you have.
June 17th, 2009 at 1:20 am
I had tubes tied cut and burned is it possible that I can get that repaired after 4years did that on count of bad marriage now I’ m married again husband want children.
June 17th, 2009 at 4:26 am
TAMIKO – Yes, you can get your tubes repaired. Call (919) 968-4656 to talk with a Tubal Reversal Nurse.
June 19th, 2009 at 12:57 pm
I’ve had dye put in my tubes an the dr said they were blocked but 1yr after I became pregnant an had a miscarriage. Is it possible that I need to get this procedure done again or is it something else and I also have a pelvic kidney could that decrease my chances of pregnancy?
June 19th, 2009 at 3:04 pm
ASHLEY – Have you had a tubal reversal procedure done? If so, and you have become pregnant and miscarried, it does not need to be redone. If you are referring only to having had a tubal ligation and then became pregnant, you should have it redone despite what the HSG showed. In order to have conceived, then at least one of your tubes is open. Having a pelvic kidney does not diminish your chances of becoming pregnant, but can present complications during a pregnancy.
June 20th, 2009 at 2:24 pm
Dr said my both tubes damaged and right ovary has a tubo-ovarian cyst. I am 33 years old. Right ovary contains an endometrioma =23x56mm suggestive of a tuboovarian cyst. Dr said before going for ivf have to remove tubes. I had ivf last year but it was unsuccessful. Please help me. What can I do to become pregnant?
June 20th, 2009 at 4:12 pm
SAMI – If you would like to send your medical records here, I would be happy to review them to see if surgery may be a successful option for you. Copies of operative reports and HSG films would be most helpful to review.
Dr. Berger
109 Conner Drive Suite 2200
Chapel Hill, NC 27514
Tel: (919) 968-4656
Fax: (919) 967-8637
June 20th, 2009 at 5:44 pm
Yes, I will send you my all reports. I am just waiting to get my reports from the Dr. I am very confused if I have to remove my tubes or not. Dr. also said tubes are badly damage and if I want child must remove my tubes, but I don’t want to remove my tubes. THANKS A LOT
July 15th, 2009 at 11:58 am
I have only one ovary left. My tube is extremely damaged, I have had 3 ectopic pregnancies in the last 5 years. My Dr. said that I probably wont ever be able to get pregnant again because of the tubal damage. I don’t have any children yet. Is it possible to repair my remaining tube so that I may be able to get pregnant? How does one go about doing this?
July 15th, 2009 at 12:27 pm
TM
We have done tubal surgery on many patients with only one ovary. Please read our blog article International Tubal Ligation Reversal: Age 40.
You should send us the reports of any tubal surgery you have had as well as any HSG X-rays. We will be able to review them and let you know if you are a candidate for tubal surgery. You can also call (919) 968-4656 for a free tubal reversal nurse consultation.
August 2nd, 2009 at 7:30 pm
I had my right ovary removed about 2 years ago and after trying to conceive for about a year I went and had an HSG done. I was told everything looked good and about 4 weeks after my HSG I found out I was pregnant. The pregnancy was ectopic, my tube ruptured, and my left tube was removed. At this point, I have a left ovary and a right tube. I am trying to see if there is anything that I can do other then IVF to have a baby?
August 3rd, 2009 at 2:08 pm
Joey
You can become pregnant with your situation. It may be harder and take longer. If pregnancy is not occurring in a time frame you desire, then consider IVF.
August 4th, 2009 at 12:01 pm
I had a c-section in 1997 and I have a tubal occlusion at distal one third for the fimbria bilaterally on both sides. Is it possible to have a successful reversal?
August 4th, 2009 at 2:40 pm
Want to know
It is hard to tell what was actually done during your tubal ligation. You should send us your operative note for a free evaluation or call a tubal reversal nurse at (919) 968-4656 for a phone consultation.
August 14th, 2009 at 9:11 am
Can you have a tubal reversal with only 1cm length of tube left on both sides? Is my only choice IVF at this point?
August 14th, 2009 at 9:28 am
Dawn
You should send us your records for review so we can make sure we understand your medical history correctly. If you truly have only 1 cm of tube on each side then we would not recommend tubal reversal surgery.
August 17th, 2009 at 3:57 pm
17 years ago I got PID from my ex-husband who had an affair. I already had 5 children, but after our divorce I remarried. It has been 16 years and I would really like to have one more child. My problem is that the PID scarred my tubes. I have already been through all the tests and my hormone levels are still excellent. Although they could not do the HSG they did try, but the catheter would not stay in, I have also had a laparoscopy and the adhesions were removed, I would like to try tubal repair before I consider IVF. Any information you could provide me would be most appreciative.
August 17th, 2009 at 4:14 pm
Vicky
Your tubes can be unblocked if the damage has caused the tubes to be closed.
Please send us your records for review. You can also call (919) 968-4656 for a free tubal reversal nurse consultation.
September 24th, 2009 at 6:34 pm
I read a lot of blogs on a daily basis and for the most part, people lack substance but, I just wanted to make a quick comment to say GREAT blog about fallopian tube repair and tubal blockage!…..I”ll be checking in on a regularly now….Keep up the good work!
October 13th, 2009 at 5:32 am
I am 27 years old and married for almost 9 years. I was operated on in 1999 and 2006 for appendicitis. An ob-gyn said my both fallopian tubes are closed and it may be caused and infected by my operations. but I want to have a baby even just one, please help me…
October 13th, 2009 at 5:56 am
QUICK – It sounds as if your doctor is saying you had salpingitis or pelvic inflammatory disease (PID). It is possible that tubal surgery could correct the tubal blockage. However, to know more about your situation, you would have to send us copies of your medical records including information about the hospitalizations and surgeries. If you need assistance in getting this information, call (919) 968-4656 and speak with a Tubal Reversal Nurse.
December 10th, 2009 at 6:56 am
I am a 29 year old lady trying to have a baby. I have been having sex for a year,without getting pregnant and my period is regular. I want a baby now,could this mean that my tubes are blocked or I do not ovulate?
December 10th, 2009 at 11:29 am
Sola
There are three reasons why you may not be getting pregnant: blocked tubes, poor ovulation, or poor sperm quality. I would make an appointment with your doctor to get advice and start testing to figure out the reasons why you are not becoming pregnant.
December 16th, 2009 at 12:45 pm
After I had second daughter, I got my tubes burned. I want to know if my tube can be reversed. I am 35 years old and deaf mother. I do regret my tubal. The reason was that I had my tubes cut and burned was because my ex-partner had children from previous relationships. I thought that we were still together forever but our relationship ended recently. I want to have one more kid ( I hope its boy). I have only girls.
December 16th, 2009 at 12:58 pm
Denise
This can be reversed and pregnancy is possible. You should call the office at (919) 968-4656 but if you are hearing impaired I could recommend emailing our Nurse Administrator Julia Smith RN.
December 19th, 2009 at 12:00 am
I’m 26 years old. I am already married for one year. I’ve undergone a HSG test yesterday. Everything is ok except the dye did not spill out of my left tube. I extremely worried about it. I cant eat, sleep and stress. I try to see the film and I all I can see is the fimbrial end of my fallopian tube is swollen. What does it mean because my radiologist said nothing.Ii can’t wait to see my doctor because I have to wait 3 days until the country holiday is over.
danielle
malaysia
December 19th, 2009 at 1:56 am
Danielle
Without knowing more of your medical history we can not offer advice about fimbriectomy reversal. I would suggest you wait to talk to your doctor to help understand what this all means.
December 19th, 2009 at 2:27 am
Dear Dr,
Thank you for your quick reply. FYI, I never do any surgery and never have any disease except I have eczema which I know not effect my reproductive system. May I know, what are the possible reasons that make my left tube become like that (normal pattern but no dye spill out to peritoneal cavity)?
December 19th, 2009 at 11:19 am
DANIEL – Adhesions at the end of the fallopian tube due to previous infection (PID) may be the cause of an abnormal HSG showing tubal blockage at the end of the tube. Another frequent cause is insufficient dye being injected into the tube when the tube is actually open. It would be necessary to see the HSG images to know what your situation may be.
December 19th, 2009 at 8:04 pm
tqvm (millions time)
i’m so relief after read your answer. my husband is my only sexual partner and i’m virgin before married. impossible for me to get PID because i’m not sexually active plus i dont have any PID symptom.it seem like the dye is not enough to spill out into my peritoneal cavity. i really hope so. i really want to sent u my HSG test film but it has only one copy for my dr. i have to wait untill this thursday seeing my dr to discuss about the test. if i have any doubt about his explanation, i will refer to you.
January 5th, 2010 at 11:23 pm
I saw my doctor last week. She said that I have blocked tubes and did not mention what is the reason is. Can the tube block naturally without any reason? Is it possible for me to fix it? Other sad news, my prolactin hormones is quite high which is 33.4 (normal maximum level is 24) and through my blood test result, it seems like no egg is being released.Does this mean no ovulation occurred? I have cried for 1 week. I cant accept the truth. I really hope there will be a miracle for me.
January 6th, 2010 at 12:09 pm
Danielle
If you have been a patient of ours then you should email your tubal reversal doctor directly for more advice about your medical situation.
If you have not been a patient then call one of our tubal reversal nurses at (919) 968-4656 for a consultation about the reason your tubes are blocked and the methods we can use to unblock these tubes.
January 7th, 2010 at 12:13 am
I would like more info regarding tubal repair. I have looked every where for specailists in this area. Currently, my tubes are blocked which was confirmed after an HSG. Can you tell me what the cost would be to have the tubes repaired. Your website only mentions the cost of having tubal reversal done. Thanks
January 7th, 2010 at 5:40 am
The all-inclusive cost for repairing blocked tubes due to conditions other than tubal ligation is $7500. However, we are offering a $1000 discount on surgery scheduled before the end of February that could be applied to this cost.
January 29th, 2010 at 5:56 pm
I’m 23 years old and trying to get pregnant. I did an hsg and it said my right tube filled but it didn’t spill out and my left tubes is patent. What are my chances of getting pregnant naturally? Would it be wise to have tubal surgery done?
January 29th, 2010 at 6:57 pm
Charlene – I would have to see your HSG images in order to be able to advise whether tubal surgery is needed or not. If you arrange with the radiologist to send them to me along with your contact information, I will be happy give you my opinion. You can see the address on the home page of the Chapel Hill Tubal Reversal Center website.
February 27th, 2010 at 3:56 pm
Three years ago, a doctor removed a section of my fallopian tube in a salpingectomy claiming there was blockage. Now when I have my monthly menstruation it hurts as the egg has nowhere to go. Is there a procedure to patch the section he removed and what is the cost and risks? What are the probability of getting pregnant after? What is the name of the procedure? Thank you.
February 27th, 2010 at 5:57 pm
Born Free – There are several possibilities depending on what exactly the doctor did. The only way to answer this specifically is to read your operative report. You can get it from the hospital and send it to me to review. If a section of tube was removed leaving two segments, one on each side, then the procedure to repair the tube would be tubal anastomosis – the same as we do for reversing a tubal ligation and the cost would be the same as for tubal reversal.
March 12th, 2010 at 7:18 pm
Dr,
I am 28 years old and have been through all of the tests for infertility including an HSG. I had the HSG done at a lab and the results were sent to my RE. The RE scheduled a laparoscopy to remove a few cysts and polyps. During surgery the RE discovered that one of my fallopian tubes was “dilated”, so she removed it. The other tube was “tangled” and not functioning. She told us that our only option was IVF, which I am not completely comfortable with. When I asked about the HSG results, she said that the lab must have sent the wrong scans because the tubes on the scans were open. She also said that the damage to my tubes was because from endometriosis, which was also found during the surgery. My surgery was a year ago. Have you ever heard of anything like this and, in your opinion, is IVF the only option or would tubal repair be a possibility?
Thanks
March 12th, 2010 at 8:11 pm
Desiree – If your name and the date you had the HSG are on the HSG images, then the x-ray will have shown if your tubes were open. You can obtain a CD with images or the x-ray films from the radiology department where your HSG was performed. If you would like to send them to me along with a copy of the operative report from your laparoscopy, I will be glad to review them and let you know if tubal surgery may be an option for you.
Gary S Berger MD
Medical Director
Chapel Hill Tubal Reversal Center
109 Conner Drive
Suite 2200
Chapel Hill, NC 27514
Tel: (919) 968-4656
Fax: (919) 967-8637
email: DrBerger@tubal-reversal.net
March 14th, 2010 at 2:53 pm
Dear Dr.,
I actually have many questions regarding not only my diagnosis, but this procedure – as I’m sure all women of child-bearing age in my position do (30)…
But, I’ll start with this – can “peritoneal spillage” (right fallopian tube) & “delayed spillage” (left tube), be reversed? Or better yet, would I be able to conceive without any surgical procedures (I’ve been trying unsuccessfully f/ about 10yrs)?
March 14th, 2010 at 3:01 pm
Hopeful – These HSG results are normal findings and indicate that the cause of your infertility is not due to tubal blockage or tubal disease. You do not need a tubal reversal procedure. The problem lies elsewhere.
March 14th, 2010 at 3:14 pm
Dr. Berger,
Thanks for your immediate response…But what can I do at this point, I am truly Hopeful, but becoming Hopeless.
I’ve been to an IVF center for consultation and have been advised that I would most likely be successful through artificial insemination methods, but isn’t it their job to inform me that “their option” is my only option?
Please tell me there’s another way and also is there any medical dictionary that will break these terms down into laymen terms?
March 14th, 2010 at 4:21 pm
Hopeful – I assume from your response that a sperm problem has been identified on semen analysis. You may find The Couple’s Guide to Fertility very helpful to explain your treatment options.
March 14th, 2010 at 4:50 pm
No sperm issues (this was advised to me before my current partner even went for semen analysis)…Also Dr., the last time I was “officially” pregnant was back in ’98 and this is not the only partner I haven’t been successful with. It’s like for some strange reason the IVF center
was very vague in terms of causes and alternate solutions or treatments.
March 16th, 2010 at 5:31 am
I had my right tube removed following ectopic pregnancy in 1999 and was told my left may be blocked and I have small chance of conceiving naturally. I was told if I did conceive then there was a high chance of ectopic in left tube….anyway I had a baby 2006 and I have been trying again since 2008. A fertility clinic advised laparoscopy to remove scar tissue in the tube and this was done 25th Feb 2010 and they also removed scar tissue connecting ovary and tube….I haven’t had period yet due 4 days ago, has the operation affected my cycle as I am normally pretty regular and will this help with period pain when it does arrive?
March 16th, 2010 at 7:27 am
Jamie
You need to take a pregnancy test. Surgery can temporarily change your periods. Since we are unfamiliar with your medical history and you have recently received treatment by a fertility doctor it would be in your best interest to have them address your concerns and answer your important questions.
March 16th, 2010 at 9:26 am
Thank you for your help, Jamie
March 28th, 2010 at 5:28 am
I am going on 29 years of age and have no children. I was married for 5 years and in that time had one ectopic pregnancy. Since then i have not been able to get pregnant. The doctor says everything looks good, but still no pregnancy. I have tried clomid and still nothing. Is it just not my time or is there more to it than that? I am taking birth control to regulate my hormones, i am just one frustraited woman here. I dont want a hand full of children, i just want one to where i can leave a mark in this world, something to pass on.
March 28th, 2010 at 7:49 am
Anonymous – If you are having to take birth control to “regulate” your hormones, you may have a hormone dysfunction that requires specific diagnosis and treatment in order for you to become pregnant.
April 3rd, 2010 at 5:27 pm
Can you perform a surgery to open the tube if it has been cauterized? History: ectopic pregnancy resulting in loss of left tube. HSG revealed that right tube blocked with hydrosalpinx. referred to RE for IVF. Very frustrated now with IVF (unsuccessful) and regret getting the tube closed off. RE advised against surgery to fix it and said that it would be better to close tube with hydrosalpinx before doing IVF, so now I feel that there is no hope to fix it but would like to try since IVF is so expensive. Is this surgery covered by insurance? Thanks!
April 3rd, 2010 at 5:42 pm
Tubal reversal is successful for a tube that has been cauterized (coagulated). The hydrosalpinx may also be able to be repaired as well. You would have to check with your insurance carrier to see if it covers tubal reparative surgery.
April 11th, 2010 at 8:14 pm
Dear Dr. Berger as you can see my name that tells you a little about my situation. I had my tubes reversed didn’t conceive and saw another doctor had another surgery, still no baby. I finally saw a 3rd doctor and yes another surgery still no baby. I have been told the tubes are blunted and adhesion damaged everything but that they are open i don’t get it, after each surgeries I was told the tubes are open the dye went through but after several months the HSG is done but the dye do not pass through.
April 11th, 2010 at 9:12 pm
There are many reasons why pregnancy will not occur besides blocked tubes. You should discuss with your fertility specialist and have a semen analysis, ovulation prediction test, and consider a repeat HSG.
April 18th, 2010 at 6:34 pm
Hi, I just had the HSG done today. I read my report and the right fallopian tube is complete occlusion at the interstitial portion of the tube. As for the left one it reads, there is free intraperitoneal spillage of contrast through the patent left fallopian tube. I’m worried, do i have a chance of conceiving?
April 18th, 2010 at 7:45 pm
Worried Kay – Your right tube has been shown to be open. The dye did not enter the left tube so it is not clear if that tube is open or not. Your certainly have a chance of conceiving even if only one of the tubes is open. Many women have become pregnant with one tube.
April 23rd, 2010 at 6:37 pm
My husband and I have been TTC 6 years. I am 27 years old. I have had 2 ectopic pregnancies. One in left tube right next to ovary treated with methotrexate one in right tube next to ovary treated with laparoscopic surgery resulting in the removal of the portion of the tube containing pregnancies. Prior to the second ectopic I had a lap and dye done which showed the left tube to be blocked and badly damaged. The right tube however, was in better shape and fluid flowed from. When I had my lap surgery to remove second ectopic I was told the left doesn’t “look” bad. I really would like to have my tubes repaired so I don’t have to go through invitro every time I want to become pregnant. What do you think? Do you think the right tube can be opened up and fixed considering I don’t have a whole tube?
April 24th, 2010 at 10:01 am
Nichole
It is very important to have an HSG xray. Send the results to us and we will look at them and give you advice. Tubal surgery is best for patients who have blockage of their tubes at well defined points. If your tubes have been extensively damaged from a previous infection then tubal surgery may not be a good option for you.
May 5th, 2010 at 4:31 am
Dear Sir,
Very much confused! For the last two years I have opened but swollen fimbrial ends of fallopian tubes, cured Genital TB with AKT4,but doctor says it may develop again,is it true? also they are asking for tuboplasty to correct swollen fimbrial ends (salpingostomy) Will that help me to conceive? Shall I do it? What are the chances….I am tired of various tests…please help me.I just want one child(a reason to live in this world)..please help me!
May 5th, 2010 at 7:18 am
Sanjana to
Genital tuberculosis can cause tubal closure. You should have a HSG xray. If the ends of the tube are closed then you should have a salpingostomy procedure.
May 9th, 2010 at 11:15 pm
Hello. I am a 27 year old that was diagnosed with Endometriosis when I was 14 and have since had 2 Laser/Laparoscopy surgeries. During my last surgery, 8 years ago, I was told that my fallopian tubes were blocked with scar tissue and the ends of them looked like sausage (I don’t really know what that means). I did go to get a second opinion but all that physician had to go off of where picturess and he said they looked fine. Being 20 years old at the time I just shrugged it off. Of course my husband and I are now ready to have a child and I want to start the testing process before even trying because I know I already have problems. I found my OR report and the exact words are: “no signs of endometriosis…22cc of methylene blue was injected through the Humi manipulators. The dye went through the uterine cavity, but there was not a spillage of the dye through the fallopian tubes which demonstrated a bilateral tubal occlusion at the level of the isthmic area on both sides. He said it was scar tissue. Is there a way to remove scar tissue? Does it go away after a period of time? Should I see about getting a HSG done? I’m scared
Thank you
Julia
May 10th, 2010 at 6:56 am
Julia – Your history is a bit confusing with the different information the doctors have given you. The best thing would be for you to get copies of both of your operative reports and the photos and send them to me to review. I would recommend waiting on having an HSG until I can read your operative reports.
Dr. Berger
May 17th, 2010 at 5:44 pm
Hi,
I wanted to see if you would have advice on if my tubes could be repaired. I have done IVF but unfortunately, I can not afford to do this anymore.
I lost both tubes with three ruptured ectopic pregnancies. From what I understand the ruptures took place at the junction of the fallopian tube to the ovary. I have had two past HSG which I can send records for. I am desperate to find a solution to having children naturally.
Please advise.
May 17th, 2010 at 5:50 pm
Michelle C. – If you will send a copy of your operative reports as well as the HSG x-ray films or images on CD, I will be happy to review them to let you know whether tubal surgery may be an option for you.
May 21st, 2010 at 9:08 am
Hello, I just had a laparoscopy yesterday afternoon. My doctor wrote me a short memo for me to read. It says ” both tubes were blocked at the ends. The left tube could not be opened cause it is badly damaged by scar tissue. I was able to open the right tube”. What is confusing is that I did three times ultra sound exams to find out my right tube is blocked or not. That time my left was looking fine. The liquid went in and doctor was able to see my left tube. Can this scar tissue be fixable and why does it show now at the laparoscopy ?
May 21st, 2010 at 9:10 pm
Kim
An ultrasound exam is not a good way to check for tubal blockage but a laparoscopy is a good test for tubal blockage. Yes- scar tissue can be removed, the tube can be opened, and pregnancy is possible. You should send us your records for review and we can give you a better idea about what your chances at a successful surgery to correct tubal blockage would be.
June 4th, 2010 at 5:50 pm
About 6 months ago, I had surgery to remove a large cyst (14 cm) on my left ovary. The doctor had to remove my left ovary and tube. I was told that the only way I will be able to conceive is through IVF. I went to another doctor for a second opinion and he said that we need to do laparoscopy to find out for sure if my left tube is working correctly. The doctor from the first surgery told me that I will not be able to conceive on my own due to my left tube being blocked with scar tissue. What do you think my chances of getting pregnant are if the new doctor is able to do some repair on my left tube?
June 4th, 2010 at 8:30 pm
It really depends on why your tube is damaged. You should have an HSG xray to determine if the tube is open or closed.
June 4th, 2010 at 8:33 pm
It really depends on why your tube is damaged. You should have a HSG x-ray to determine if your tube is opened or closed. If it is closed at the end then a tubal repair may help you become pregnant.
June 29th, 2010 at 1:05 am
I had my tubes tide 7 yrs. ago after the birth of my second child. I recently went to the doctor to find out why I was having such heavy bleeding (clots). He said I wasn’t ovulating and that he wanted to put me on the pill. Is this really necessary? Is there any other options? Do I need to ovulate?
July 1st, 2010 at 9:38 pm
i had two children when i was very young. they are 13 and 17 years of age now. i am remarried and have been trying to conceive for a year and a half. when i was younger i couldn’t seem to keep from getting pregnant and now i cant get pregnant at all. i did have an abortion when i was younger. something im not at all proud of. but now im older and wiser and all i want is a chance to have a baby since im not a baby myself anymore. i never got to appreciate it when i was younger but now im so desperate to have one. what do you think could be the problem? blocked tubes?
July 2nd, 2010 at 6:39 am
Erica Reddish – It is certainly possible that your difficulty in getting pregnant may be due to tubal blockage. That can be checked for by having a hysterosalpingogram (HSG).
July 14th, 2010 at 1:19 am
Wow this is amazing! I have two boys when I was 22 and I got my tubes cut and burned. Now I am 35 and my husband and I want a baby. Will it be possible to me to get pregnant after all this years? Please I need more information. I live in Orlando Fl, and everyone said NO NO NO !!! I am just hopeless. Well thanks in advance for response … Seriously this is just amazing all the testimonials ..
July 14th, 2010 at 6:52 am
Gladys
Our comprehensive tubal reversal website speaks for itself. We have provided accurate data on pregnancy statistics to the best of our ability, pregnancy testimonials, and much information in our Tubal Reversal Blog. If you need any additional information then call the office for a free consultation at (919) 968-4656.
July 15th, 2010 at 6:35 pm
Thanks so much … you have mademy day … well after all i can see hope
August 24th, 2010 at 3:47 pm
I have had both my tubes removed. I just had a pregnancy test that says I’m pregnant. How can that be possible?
August 24th, 2010 at 6:02 pm
Mickey – Although rare, it is possible to become pregnant after having both tubes removed. An opening can develop called a fistula that allows the sperm through that can then fertilize an egg. In this case, the risk of abdominal pregnancy is high so you should see your doctor without delay. The other possibility is that the pregnancy test is giving a false positive reading. The best advice is to see your doctor!
September 17th, 2010 at 5:17 pm
I had a h-scope procedure done yesterday and the doctors confirmed I don’t have endometriosis but they say my right tube has holes in it and there is nothing they can do to fix it…is this true?
September 17th, 2010 at 5:41 pm
April – It is difficult to interpret this. You can send a copy of your operative report and, if possible, photos and I will let you know if tubal repair can be performed. You can send to me at my email address DrBerger@tubal-reversal.net or mail me at Chapel Hill Tubal Reversal Center, 109 Conner Drive, Suite 2200, Chapel Hill, NC 27514.
Dr. Berger
September 27th, 2010 at 1:27 pm
I am a 33yr old and i will like to have a baby i was told from the results of my HSG that both tubes are blocked. i am wondering if there is any hope for me and i live in the carribean,i await your response.
September 27th, 2010 at 1:32 pm
Shenka – Tubal blockage can often be repaired with tubal surgery. If you would like to have the radiologist send me your HSG images, I will be happy to review them and let you know if tubal surgery may be able to assist you. You can have them sent to me at this address:
Gary S. Berger, M.D.
Chapel Hill Tubal Reversal Center
109 Conner Drive
Suite 2200
Chapel Hill, NC 27514
October 5th, 2010 at 5:23 am
I had an HSG and it shows spillage from both tubes. According to the doctor they are patent fallopian tubes. Is it possible for me to get pregnant again?
October 5th, 2010 at 6:22 am
Toyin – Your HSG is normal showing both fallopian tubes are open. You should be able to get pregnant again.
October 7th, 2010 at 1:02 pm
I am a 36 year old. I had a tubal pregnancy approximately 10 years ago, and surgery was done to cut it out. When examined, the doctors said my other tube was damaged and “spongy” like, and that I would probably never get pregnant. We really want to have a child. What can I do?
October 7th, 2010 at 5:12 pm
Anonymous – If you would like to send a copy of your operative report, it may give a description of the tubes that will allow a more informed interpretation. You can send it by fax to (919) 967-8637 along with your email address or telephone number so I can get back in touch with you.
October 14th, 2010 at 12:29 pm
I just turned 36 years old and do not have any children. I had an ectopic pregnancy some years back and have one tube with a section missing. The other tube has scar tissue from a pelvic inflammatory. Will tubal repair help me, and what are my chances of getting pregnant? Also, I do not have insurance, what cost am I looking at?
October 14th, 2010 at 12:46 pm
Dawn
Your medical history is complicated. I think we can give you a reasonable answer if you send us any records you have regarding any pelvic surgery or HSG x-rays you have had. We will then let you know if tubal repair is indicated for you. You can mail or fax any records to my attention at the address below:
Dr. Charles W. Monteith
Chapel Hill Tubal Reversal Center
109 Conner Drive
Suite 2200
Chapel Hill, NC 27514
(919) 968-4656 phone
(919) 967-8637 fax
October 19th, 2010 at 3:38 pm
Hello Doctors,
I had tubal ligation about 12 years ago and was wondering if I will ever be able to have one more child since I tied my tubes and it’s been so long? Is there any possibilities? I had my tubes checked about 6 years ago and was told I could only have more kids thru IVF.
October 19th, 2010 at 5:16 pm
The length of time since you had your tubes tied makes no difference except as it relates to your current age. Tubes can be untied at any time after they have been tied. Call (919) 968-4656 if you would like to speak with a tubal reversal nurse about your situation.
November 8th, 2010 at 4:19 pm
Hello. I am 42 years old and i have tricare prime i have only one fallopian tube it is clubbed and my other side had to be remove when i was 16 yrs old. my pcm doctor told my i have to see a tubal specialist to have an baby, i have tumors the was shink . i want to know if i get an referral will u be able to help me.they say my ovary was good.I REALLY WANT TO HAVE MY OWN CHILD. PLZ LET ME KNOW.
THANK YOU
November 8th, 2010 at 6:56 pm
TuckerBailey – We will be happy to help you get your blocked tube repaired.
November 12th, 2010 at 12:33 pm
Hi Dr, I had my first ectopic pregnancy last tr that resulted in a ruptured Fallopian tube and had an emergency laproscopic surgery. One tube was removed.
In Oct I had prolong menus and initially doc thought it was hormonal imbalance. After taking pills fir a week and my menus did not clear doctor was concerned. I felt a similar pain as last year during my ectopic pregnancy and doctor immediately took a blood test to check if I was pregnant as my urine test was negative. True enough I was pregnant and doctor ask me to do laproscopic surgery again. After the surgery he told me the fertilized egg was in the middle of the Fallopian tube in which he had to remove it.
I do no wish to go into IVF and ask if he can fuse back a shorter version of my tube. He says no one practice tubal fusion anymore nowadays as the risk of ectopic pregnancy is higher. Is this true?
What other options do I have ? Besides IVF?
November 12th, 2010 at 4:36 pm
To be certain you would need to send me your medical records so we can see if your tubes can be repaired. If both tubes have been removed then it will not be possible to have tubal surgery; however, if you still have long proximal lengths then tubal repair may be possible. You can send your records to my attention:
Dr. Charles W. Monteith
Chapel Hill Tubal Reversal Center
109 Conner Drive
Suite 2200
Chapel Hill, NC 27514
(919) 968-4656 phone
(919) 967-8637 fax
November 24th, 2010 at 8:41 pm
Hi, I’m 24 and I did and HSG and they found that both my tubes are blocked. I went to my doctor for a follow up, for it to be explained to me, but I was only told, that I should try IVF. She gave me a paper telling that I have a Bilateral Fallopian Tube Obstruction and for the life of me, I don’t I understand what that means.
Quote “The uterine cavity is normal in overall size and configuration without evidence of filling defects or polyps. There is filling of the right fallopian tube in it’s proximal segment without evidence of filling of the the distal end or spill into the peritoneum. There is not significant filling of the left fallopian tube. There is adequate drainage of the uterus in the postevacuation examination.
IMPRESSION: A normal anteflexed uterine body is identified without evidence of filling defects or synechia. Bilateral fallopian tube obstruction was demonstrated in this examination.” End Quote
Is it possible to explain this to me? Thanks in advance.
November 24th, 2010 at 10:40 pm
This means both tubes appeared closed. You can send us your films for a second opinion. You can send them to my attention:
Dr. Charles W. Monteith
Chapel Hill Tubal Reversal Center
109 Conner Drive
Suite 2200
Chapel Hill, NC 27514
(919) 968-4656 phone
(919) 967-8637 fax
December 9th, 2010 at 8:12 am
i ve had two ectopic pregnancy operetion one on the right tube the other on the left tube. can i be able to get pregnant naturally ?
December 9th, 2010 at 9:05 am
Gift – With a history of ectopic pregnancies in each fallopian tube, you may be able to become pregnant again naturally but will have a high risk for a repeat ectopic pregnancy. If you require medical treatment in order to conceive, IVF would be your best option.
January 6th, 2011 at 1:13 am
i had my fallopian tube removed because of ectopic pregnancy…is it possible for me to have it repair and get pregnant again..i only have 1 child and i want another one if possible…thanks
January 6th, 2011 at 2:28 am
Roselle – Send me a copy of the operative report from your ectopic pregnancy along with your email address and I will let you know if the tube can be repaired.
Gary S Berger MD
Chapel Hill Tubal Reversal Center
109 Conner Drive
Suite 2200
Chapel Hill, NC 27514
(919) 967-8637 fax
January 24th, 2011 at 11:44 am
I had a Hsg test done in last year which indicates that i have bilateral occlusion with hydrosplinx. Is it possible for me to become pregnant as my gyno recommended a tuboplasty surgery which i am considering this year. Please help me I am desperate. also my gyno told me that my tubes are blocked due to an infection. again is it possible for me to become pregnant. God bless you!
January 24th, 2011 at 11:56 am
You can become pregnant after that tubal repair operation. We perform that repair at our center and it is called an salpingostomy. Please send us a copy of the HSG images if you would prefer we do your surgery.
February 2nd, 2011 at 1:35 pm
Hi,I had a hsg done the fluid filled my tubes but the spill is really slow making it impossible for me to get pregnant. The doctor told me that i suffer with scar tissue disease. Is it possible to have scar tissue removed and still have a normal pregnancy. My doctor told me that my tubes are blocked due to scar tissue. I so desperately want to have another baby is it possible for me to become pregnant again.
February 2nd, 2011 at 1:47 pm
Janel Edwards – You can have the radiologist send me your HSG films to examine and I will let you know whether your tubes can be repaired. Be sure to send your contact information with the HSG films so I can follow-up with you. If you have questions, call one of the tubal reversal nurses at (919) 968-4656.
Gary S. Berger, M.D.
Medical Director
Chapel Hill Tubal Reversal Center
109 Conner Drive
Suite 2200
Chapel Hill, NC 27514
(919) 968-4656 phone
(919) 967-8637 fax
February 3rd, 2011 at 2:34 am
Hello, I just recently found out that one of my tubes is blocked and both of my fimbrae’s are damanged. My husband and I have been trying for 2 years and have not gotten pregnant once. I am 29 years old and in good health. My husbands sperm count is normal as well. is tube reversal an option for us? Thanks.
February 3rd, 2011 at 3:18 am
Anna – Tubal surgery is an option for you. If you will send us a copy of your operative report and HSG films describing the tubal blockage and damage to the fimbriae, we can determine if ampullary salpingostomy will be able to help you get pregnant.
February 14th, 2011 at 6:53 pm
I just got the Hysterosalpingogram done and got the news that both of my tubes are blocked. I have 3 kids which 2 were c section. I want one more I am 34 and my hubby is 24 and his test came back normal. I don’t know why they are blocked but the OB wants me to go see a specialist to see what the blockage is in both my tubes. Am I gonna be able to have another child?
February 14th, 2011 at 7:50 pm
Misty – Tubal blockage is often due to infection, also called pelvic inflammatory disease. Your HSG images will be able to indicate the most likely cause of the blockage. In most cases, tubal surgery can correct blocked tubes. If you don’t get answers from the specialist, you can send your HSG images here to be reviewed.
March 10th, 2011 at 5:27 am
I had an ectopic pregnancy in Dec of 1999. I had my right tube removed. I had an hsg done in 2009 and the results were my left tube is open but have scar tissue that is keeping me from getting pregnant. Can the scar tissue be removed so i can get pregnant? If so how long would that last?
March 10th, 2011 at 8:14 am
Elizabeth
You can get pregnant with one tube. The scar tissue can be removed but it depends on where it is in the tube. If the scar tissue is on the end of the tube then the tube causing a hydrosalpinx then it can be repaired. You should send us the images of your hsg x-rays for evaluation. You can send them to my attention with a cover letter describing your medical and surgical history.
Charles W. Monteith, MD
Tubal Reversal Surgeon
Chapel Hill Tubal Reversal Center
109 Conner Drive
Suite 2200
Chapel Hill, NC 27514
(919) 968-4656 phone
(919) 967-8637 fax
March 10th, 2011 at 3:13 pm
I has HSG and the result shows dilation at the distal third in the right tube and dilation at the distal half in the left tube. Please what does this mean? is it a tubal blockage?
March 10th, 2011 at 5:27 pm
Mbotty – I would have to see the HSG images to know how to interpret them.
March 16th, 2011 at 5:35 pm
Hello, I recently underwent laparoscopic surgery with the notion to have my right tube removed due to what my sonogram showed (they thought it was damaged and beyond repairable). My OBGYN did not remove either tube but found that neither of my tubes have the fingerlike tentacles (fimbriae), so apparently my eggs are just hanging out because they’re unable to be suctioned through my tubes due to not having any fimbriae. There was no indication of past infections or endometriosis. This is something that my OBGYN has never seen before. I’m assuming that this isn’t something normally seen with infertility. Have you ever seen a case like this and are there any options for repairing this type of case….before I seek out alternative fertility treatments. Thanks, Angela
March 16th, 2011 at 6:51 pm
Angela – Can you send copies of your ultrasound and laparoscopy images and reports? I would like to see the details of exactly what was seen. Then it will be possible to give you an accurate answer.
Gary S. Berger, M.D.
Chapel Hill Tubal Reversal Center
109 Conner Drive
Suite 2200
Chapel Hill, NC 27514
(919) 968-4656 phone
(919) 967-8637 fax
March 28th, 2011 at 10:54 pm
Can a fallopian tube transplant be done?
March 28th, 2011 at 11:05 pm
Pam
Fallopian tubes can not be transplanted.
March 29th, 2011 at 10:09 pm
I’m a mother of three kids, but i want have more but i’ve been told today by my gyn docter that i’ve my left tube pattent but the right one is ok.do you think i still can get pregnant with only one tube and how many % or should i try to repair the left tube. i’ll tun 40 in 8 months. please help me .thank s, may god bless you.
March 30th, 2011 at 3:52 am
Kebe – If you haven’t become pregnant within 6-12 months of trying to conceive, then having your blocked tube unblocked would be a good idea.
March 30th, 2011 at 6:15 am
Thank you for the quick response. How would i know if my damaged/blocked fallopian tube can still be fixed?
March 30th, 2011 at 7:46 am
You would need to send us your medical records. Also if you have any HSG xray images of your blocked tubes you should send those images to us as well. You can send them to my attention:
Charles W. Monteith, MD
Tubal Reversal Surgeon
Chapel Hill Tubal Reversal Center
109 Conner Drive
Suite 2200
Chapel Hill, NC 27514
(919) 968-4656 phone
(919) 967-8637 fax
April 2nd, 2011 at 12:47 am
is it ok to scan my ultrasound images/records and send it through your e-mail?
April 2nd, 2011 at 6:31 am
Yes, that will be fine.
April 6th, 2011 at 1:30 pm
I had an ectopic pregnancy the right fallopian tube was removed I just discover that the left tube is blocked I am in my 40 if the remaining tube is repaired do i have a good chance of becoming pregnant after tubal surgery?
April 6th, 2011 at 1:56 pm
Stephanie
Your chances of tubal repair would be good with one tube if that tube is healthy. This can only be assessed at the time of tubal surgery. If you have an HSG x-ray images you should send them to us for review.
April 14th, 2011 at 8:32 pm
Good Evening,
I have been going to another center considering having my tubes reversed. The center has been really unorganized and I am concerned as this is a huge decision for my husband and I. I had my tubes cut/burned six years ago during a C Section. I want to have this reversed. I have a hydrosalphix on one tube and the other is ok. 1. Can the hydrosalpinx be repaired? Or is is better to have that tube removed. All sonograms just show the hydrosalphix everything else is ok. Uterus ect. Thanks!
April 14th, 2011 at 8:42 pm
Crystal
A hydrosalpinx can be repaired with an ampullary salpingostomy. This can be repaired and pregnancy is possible. There may be a higher chance of ectopic if you have extensive damage causing the hydrosalpinx. A hydrosalpinx is best removed only if the tube shows extensive damage and the other tube is normal.
April 25th, 2011 at 10:38 am
If my tube is blocked and my fimbria has been damaged already…is there still a chance of fixing it both? And if so, what’s the chance of getting pregnant?
April 25th, 2011 at 2:07 pm
Irena
The tube can be blocked at the end and this causes a condition called a ‘hydrosalpinx’. This can be repaired with an ampullary salpingostomy procedure and the chance of pregnancy is about 30%.
May 5th, 2011 at 3:12 pm
Hello,
I am curious to know if you do scar tissue removal from fallopian tubes? Mine are scared from childhood surgery and I wasn’t sure how much t is or if it can be fixed.
Thanks for the help!
May 5th, 2011 at 5:07 pm
Jenny – We do remove scar tissue from fallopian tubes. Please send me your pertinent records about your tubes, including operative reports and images from a hysterosalpingogram (HSG) if you have had one. When I receive these, I will review them and contact you.
Gary S. Berger, M.D.
Chapel Hill Tubal Reversal Center
109 Conner Drive
Suite 2200
Chapel Hill, NC 27514
(919) 968-4656 phone
(919) 967-8637 fax
Email: DrBerger@tubal-reversal.net
May 27th, 2011 at 11:49 am
I am 47 years old and my youngest child will be 24 at the end of the year. I had tubal ligation performed post delivering her because i was in an abusive relationship and when become pregnant received no support form the father. I have since married and would like to have a child with my loving husband. I need to know the pros and cons of having tuboplasty at my age and hope that you can help me accomplish my dream. please be honest but not toooooo harsh.
May 27th, 2011 at 11:51 am
I had tubal ligation perfrmed 24 years ago and would like to have another child. I am 47 years old. What are my options if any?
May 27th, 2011 at 3:06 pm
Priscilla – At age 47, you can have a tubal reversal if you are still having normal menstrual cycles. The advantage is that each ovulation cycle there is a chance that you will be able to conceive. Even though the pregnancy rate at age 47 is low, there are numerous women who have had a baby at this age after tubal ligation reversal. If your cycles are not regular and predictable, donor egg IVF would be a better option. The pregnancy rate for donor egg IVF is quite high; the disadvantage is that the eggs that are fertilized would not be yours but would be from a younger woman who is willing to donate her eggs for this purpose. You can read about the comparison of tuboplasty vs IVF here: http://www.tubal-reversal.net/blog/2008/tubal-surgery/ivf-alternative.html
May 31st, 2011 at 12:59 am
I am 38 years old with no children but desperately want …both my tubes were damaged i was told only ivf is my option however i had surgery and one tube was removed,one is clamped i want to know if that clamped tube can be repaired so i can conceive naturally…i do produce a decent amount of eggs…if so what would be the cost to do so?
May 31st, 2011 at 2:47 am
Alicia – Your clamped tube can be repaired. Read this page about the cost of tubal reversal</a and call (919) 968-4656 for assistance.
June 13th, 2011 at 11:49 pm
I am 22 years old, and my husband and I have been trying to get pregnant for the past two years. We recently sought help from a fertility specialist who began monitoring my menstrual cycle. Initially she did an ultrasound and and found amble amounts of eggs in my ovaries and no visible problems. Per her recommendation, I had an HSG performed. The doctor performing the x-ray procedure noticed that the dye flowed freely through my fallopian tubes and to the ovaries. However, only the left side spilled into my abdomen, while the right side pooled outside of my ovary. A few days later I had a reaction to the dye and my doctor performed another ultrasound which showed my fallopian tubes severely swollen. She put me on antibiotics and informed me that it was her belief I would never be able to conceive naturally and should have my fallopian tubes removed and start IVF. At this point she had not seen the x-rays from my HSG, but was basing this on the notes from the xray physician and the ultrasound she performed that day. She took cultures from my cervix and sent them to a lab for testing, finding no infections. My question is, can my damaged fallopian tubes be repaired? Or, is my only option removing my tubes at such a young age, and starting IVF? Thank you Dr. Berger!
June 14th, 2011 at 4:03 am
Angela – Removing the tubes is a major decision that cannot be reversed and commits you to performing IVF. If the tubal internal lining is healthy, they can be opened and may function normally. If you would like to have your HSG images sent to me to examine, along with your contact information, I will be happy to do so. Here is my address:
Gary S. Berger, M.D.
Chapel Hill Tubal Reversal Center
109 Conner Drive
Suite 2200
Chapel Hill, NC 27514
July 7th, 2011 at 6:26 am
I had a very bad case of endometriosis that my Doctor had to remove one fallopian tube and remove some of my colon. My Doctor tells me after my HSG test that my one fallopian tube is no longer working. Is there help for me? I was offered Invitro but I wanted to see if I can have my tube repaired. Is there a number I can call to get more information?
July 7th, 2011 at 7:36 am
Halli
You should call the office at (919)968-4656. You would need to send us your medical records for review. It is possible we could repair your one remaining fallopian tube and you could become pregnant. It really depends on the where the tubal blockage has occurred.
July 8th, 2011 at 1:47 am
Last year in july i was diagonised with an ectopic pregnancy. The dctor said the tube had raptured and therefore i lost the right tube. Two weeks ago i was diagonized with another ectopic in the left side. The doc said the tube had not raptured. It was repaired during the surgery. Is there any possibility of becoming pregnant with this tube? The doc said we carry out HSG test after three months. We are desperate. We have no child. Please assist.
July 8th, 2011 at 5:16 am
Doreen – Your HSG in 3 months will tell if your tube is still open. If so, you may be able to become pregnant again with this tube although the risk of another ectopic pregnancy will be high given your previous history.
July 8th, 2011 at 8:30 am
If the HSG test shows that the tube blocked, what the other action. Can the tube be unblocked without undergoing surgery? Can the cut right tube be rejoined again for it to function? What can i do to avoid another ectopic pregnancy with this tube? E.g feeding behaviour, exercise etc. Its painful.
July 8th, 2011 at 4:04 pm
Doreen – There is nothing specifically that you can do to avoid an ectopic pregnancy. It is possible to rejoin the cut right tube, but treatment by IVF would minimize the risk of another ectopic pregnancy.
July 11th, 2011 at 9:19 pm
I am 25 years old and just had surgery because of a cyst. My left tube and ovary had to be removed. I went for my check up a week after my surgery and she told me I had scar tissue and she had to remove the left tube and ovary. She said that my right ovary was fine, my uterus is good, but my right tube is bent. Because of this she is afraid I would have an ectopic pregnancy. I asked if she could fix the tube and she said no. I dont know if that meant her personally or at all. I will go back in six weeks for any questions I may have because all I could do was cry. I have not gotten pregnany and I dont know if my left side damage and/or tube being bent was the cause. I do get my periods every month. I went to talk to a priest today and he told me to get a second opinion. Which I will do soon, I want to leave it in Gods hands, but I would just like to know what you think. I have a list of questions for my gyn. when I go back in 6 weeks. Thank you for your time
July 11th, 2011 at 9:31 pm
Left something out, while she went in for surgery she completed the HSG test and said that only a few drops came out. This is when I began to cry. Then she proceeded to tell me about being afraid of an ectopic pregnancy. I am Catholic and they agree with getting things fixed but not IVF. I am hoping this “bent” tube can be straightened or fixed so that it can do what it needs to do. I will ask how bad it is and what her professional opinion is if we try to conceive, but I would hate to do more damage than harm when I could try to have it fixed first. She does have pictures from my surgery. Thanks again.
July 11th, 2011 at 10:20 pm
Miracles
You should send us the records of your surgery and any x-ray reports or images you have and we can provide you a second opinion. If the end of the tube is closed then we can often open this up and allow you the chance for a natural pregnancy.
You can mail or fax your records to my attention:
Charles W. Monteith, MD
Chapel Hill Tubal Reversal Center
109 Conner Drive
Suite 2200
Chapel Hill, NC 27514
(919) 968-4656 phone
(919) 967-8637 fax
July 12th, 2011 at 9:46 pm
Okay I will do this asap. From what I gather I have scar tissue, but Im not sure if that meant in the tube or not. That is one of my questions: is my tube just bent or is it both blocked and bent. All she said was bent. I really hope this can be fixed. I don’t recall her saying anything about end of tube being closed. Have you dealt with any “bent” tubes and straightened it out? Thank you again for your time and I will get pictures to you once I can. Thank you.
July 12th, 2011 at 10:51 pm
Miracles
I have never heard of a fallopian tube being bent before. Perhaps it was just a simplistic explanation to better explain the findings.
July 12th, 2011 at 11:06 pm
Maybe, I can’t wait to go back, I have like thirty questions. She did say bent and she was scared of ectopic pregnancy. Only having one ovary and tube now I would hate to ruin my chances of conceiving naturally. I am just praying this can be fixed! I will send pictures. Is there a charge for this? My priest said he believes my “bent” tube can be fixed and he belives in miracles that leaves me with hope.
July 12th, 2011 at 11:09 pm
We do not charge to review records. You will need to include a self-addressed, prepaid envelope if you would like any records returned to you.
July 12th, 2011 at 11:32 pm
Thank you for the quick response. One more bit of info. I had an STD (chy.) the same time they found the cyst (in between my yearly pap smear).This was the first and only std I have ever had. I believe the scarring and “bent” tube is from this or maybe the cyst. While PID has not been mentioned, with my research I believe this may be what I have or had on that tube and ovary that had to be removed. I took care of the STD as soon as they found out. Maybe this explains things a little more?
Also, that is great you do not charge to review records, but what about to get your professional opinion on them?
July 13th, 2011 at 12:41 am
Miracles – This could explain the bent tube. There is no charge to for getting Dr. Monteith’s or my professional opinion after reviewing your records. That is part of the record review.
July 13th, 2011 at 12:10 pm
Okay and I believe I read PID tubal damage has been fixed before. I sure hope so but I know with my records you will be able to see what you think. I guess I will call my doctors office and see if I can get copies or if they will send them to you. Thank you.
July 14th, 2011 at 2:47 pm
I have the pictures from my surgery. There are no HSG pictures. I called my Dr. office and they saw none in my records, and my Dr. went on vacation till the 25th. I called the hospital where my surgery was performed and all they have are the eight pictures that they gave me. So all I know is what i previously stated,that only drops came out of the tube I have left, which is why she said if I was pregnant to see her right away because shes scared of an ectopic pregnancy. Can I email my pictures from surgery?
July 14th, 2011 at 3:09 pm
Miracles – You can email your pictures from your surgery to me at DrBerger@tubal-reversal.net – if they are high quality images this should work well. If the file sizes are very large, you might have to send 2 per email.
July 17th, 2011 at 2:38 pm
Sending all 8 pictures through my personal email now. Thank you again for your time.
July 17th, 2011 at 4:58 pm
Miracles – I received your pictures and have responded to you by email.
August 11th, 2011 at 12:02 pm
I am 33 years old and I have been TTC now for several years with no luck. Over the last two years I have many examinations, blood work, a HSG procedure, and just this week laparoscopy and dye surgery. During my HSG, my left tube was visible but my right tube was not. My doctor said it could have been due to muscle spasm. A month after my HSG my doctors office called me recommending that I have IVF if I wanted to get pregnant. I didn’t know where this was coming from since I thought my left tube was fine. So he finally scheduled me for laparoscopy, one month later, and it turns out that my right tube is fine but my left tube is totally blocked. I was confused by this as it was the opposite of the results of my HSG. So I called his office today for an explanation and spoke with the receptionist who told me that the results of my HSG showed that my left tube was blunted. I assume that means blocked near the ovary. Can you clarify what this means and is it possible to repair? Thank you in advance for any information.
August 11th, 2011 at 6:17 pm
Tonya
The best thing for you to do is to sit down and talk to your doctor and make them help you to understand what is going on more clearly. Alternatively you can fax or email your records to me and I will review them and let you know if you have tubal blockage. With tubal surgery you may be able to avoid IVF if that is your desire.
August 16th, 2011 at 11:41 am
I am 27 years old and i was recently told that both of my fallopian tubes are blocked (hydrosalpinx). I was told that IVF was the only option and I was wondering if my tubes could possibly be repaired with surgery?
August 16th, 2011 at 1:25 pm
Jessica
Hydrosalpinx can be repaired with a microsurgical salpingostomy procedure and the pregnancy rates are 15-40% and depend on the health of the tubes at the time of the repair.
September 4th, 2011 at 9:32 am
I have had all the surgeries Lapro and HYdro and at that time the Dr. inform me and my hubby that he could repair the one tube. I was still under meds being discharged. It has bee a few months now and we are finally ready t move forward and get this procedure done immediately while we can take off work for recovery.
How long done the repair procedure take at your facility?
How long after procedure can we start working on baby?
I can retrieve all my records?
Liz A. 9/4
September 4th, 2011 at 10:36 am
Liz A – Please do send your records to be reviewed. Tubal repair surgery takes 1-2 hours and is performed as outpatient surgery at Chapel Hill Tubal Reversal Center. You can start trying to get pregnant as soon as you feel comfortable and ready to do so, usually within 1-2 weeks.
September 9th, 2011 at 11:05 pm
My case is very emotional and I hope you can shed some light on something. I had my.daughter Dec 09. During csection doc cut my tubes my daughter died 4 months later to SIDS.devastated over her passing and not being able to conceive again I went to a doctor who assured me that he could reverse my tubes after reviewing operative report. 7000 later he said my fimbria was cut off on both ends. He opened my.tubes and moved my ovary closer to tubes but said my chance was only 20%. He said he didn’t know because it was not indicated that my fimbria was gone. This was two weeks ago and I’m so depressed and mad he didn’t really want to discuss. I never imagined I would lose my daughter much less go thru emotions of a procedure not successful. He said I could do invetro but that i not am option since we spent money on a procedure that wer thought would be simple reversal. Any suggestions to help maybe get pregnant without the fimbria???
September 10th, 2011 at 7:27 am
Angie
Fimbriectomy is a very uncommon type of tubal ligation and this is what is sounds like you had when your tubes were tied. When the fimbria are removed the only way to reverse this is with an ampullary salpingostomy. This sounds like the procedure your doctor performed. If pregnancy does not occur then you will need to consider going to IVF.
September 10th, 2011 at 9:46 am
Thank you so much for responding so quick. According to the report he gave me, he performed a bilateral micro tubal resconstruction. To quote “Neosalpingostomy was done as there were just scattered fimbrial elemenats at the end but no tube to view anastomosis or reconstruction. Dye did spill through both tubes however. Patient had just distal fimbria but no tube involved in the scattered fimbrial elements. Patient had 7cm of proximal tube and neosalpingostomy was done on both sideds and tied back meticulously. The tube did readily spilled indigo dye without any leakage. The ovary was placed closer to the tube. There was complete hemostasis.
This is what I was givin. Could it be possible that there might be hope for me other than IVF? Thank you again for your prompt response.
September 10th, 2011 at 6:47 pm
Angie
If your tubes are open then pregnancy is possible for you without IVF.
October 9th, 2011 at 1:16 am
When I was 20 I had an eptopic pregnancy and had one tube closed off because it ruptured. I was wondering what happens to the eggs in that ovary if they cannot travel down the tube.
October 9th, 2011 at 8:11 am
Jennifer – The eggs are released as usual but deteriorate and are reabsorbed if not fertilized. This is what happens to all eggs after ovulation.
October 19th, 2011 at 12:52 pm
What can happen when you have sex too soon after tuboplasty?
October 19th, 2011 at 8:08 pm
Pregnancy would be your greatest risk.
October 31st, 2011 at 4:05 pm
Hello, I’am 38 yrs old. I’ve been pregnant once and had a miscarriage about 10yrs ago. I Had a Tubal laparoscopy surgery done about 12yrs ago. Since my last pregnancy my boyfriend and I are trying to get pregnant, I had checked my fertilization and they are active. I recently had a HSG done,it was hard for the Radiologist to see, well receive results within 2 weeks. What will my chances be of getting pregnant for the second time with hopes of a future child.
October 31st, 2011 at 8:44 pm
MPerez
If you have had a tubal ligation failure the chance of pregnancy is less than 2% and most of these are ectopic pregnancies. Your best chance to have a future child would be tubal reversal and the chance after tubal reversal could be as high as 70%.
November 2nd, 2011 at 6:25 am
Hi,i am 39 years old,when 1 was 35 had an ectopic pregnancy in my left tube which was removed with methotrexate.after that referred for fertility investigations,had a hsg where was told tubes blocked due to hydrosalpinx,was then told my only option was to have tubes tied (which i have)prior to ivf.I have had 1 unsuccessful ivf and upon scans can see very swollen left tube,could this be more so as from ectopic? Am currently saving for another ivf but have found you and wondered if you could help me with surgery?? if you need records of hsg etc would i get these from the hosp where it was done,and also what would a rough cost be,many thanks in advance
November 2nd, 2011 at 7:31 am
Tillus
You would need to send us your tubal ligation records and HSG images. We do not charge to evaluate your records. Once we have your records, we can give you a better idea if you would be a candidate for tubal surgery and what the exact cost would be. You can send them to the address below:
Charles W. Monteith, MD
Chapel Hill Tubal Reversal Center
109 Conner Drive
Suite 2200
Chapel Hill, NC 27514
(919) 968-4656 phone
(919) 967-8637 fax
November 2nd, 2011 at 10:37 am
Hello Dr, Sorry I should make myself clear, I never had my tubes tied. I just had my fallopian tube clug, the Dr preform a tubal Laparoscopy surgery to remove blockage about 12yrs ago, and 1 tube was clearer then the other after I had a HSG done then. I got pregnant 2 yrs after surgery and had an miscarriage. Now that I’m 38yrs old trying to get pregnant ago I check my fertilization and they are active for my age no problems there, I just had a HSG and results there weren’t clear enough I should get results within 1 week. What are my chances now of my tubes getting blockage again and of a future child. I never had my tubes tied and have no children now.
November 2nd, 2011 at 11:20 am
MPerez
You should send us your records and your HSG xrays and we can provide you with more information. Your best chances for pregnancy will be before you turn 40 and after that age the chance of pregnancy will decrease slowly. You can send your information to the address below:
Charles W. Monteith, MD
Chapel Hill Tubal Reversal Center
109 Conner Drive
Suite 2200
Chapel Hill, NC 27514
(919) 968-4656 phone
(919) 967-8637 fax
November 2nd, 2011 at 12:16 pm
I just found out from my HSG results that both of my tubes are closed. They said that it cannot be fixed. Is it possible?
November 2nd, 2011 at 2:03 pm
Melinda – If you will have the radiologist send us your HSG images to review, we can let you know if the tubes can be repaired. You can have them sent to:
Gary S Berger MD
Chapel Hill Tubal Reversal Center
109 Conner Drive Suite 2200
Chapel Hill, NC 27514
Please follow up with me by email or speak with one of the tubal reversal nurses at (919) 968-4656 so we will have your contact information and can get back in touch with you when we receive the HSG images.
November 2nd, 2011 at 11:33 pm
I had my tubes tied during my c-section in 2005. 6 months later i had an uterine ablation due to my periods lasting well, 6 months. Is a tubal reversal possible? Could i conceive again?
November 3rd, 2011 at 7:46 am
Amber
Tubal reversal and pregnancy are both possible if you are having regular periods. Conception is possible but each pregnancy is considered high risk because of the uterine ablation.
November 12th, 2011 at 1:24 am
September 28, 2011 My doctor removed polys, a cyst, some unevenness from the uterine wall and detached my uterus from my abdomen (she said she see’s it often in woman who have had C-sections)…She went on to tell me that my tubes are damaged beyond repair. I have 1 child and would really like to have more children. I have never had PID. I have had Bacterial Vagininosis several times. Is there any hope for me?
November 12th, 2011 at 7:35 am
AEJ
There is hope and you could be a candidate for tubal reversal. You should send us your records and we will review them for you.
November 12th, 2011 at 8:59 am
Ok…I will request a copy of my file Monday
November 24th, 2011 at 9:22 pm
In 2007, I had a laperoscopy, dr found scarr tissue in tubes and said I would have to have a laperotomy to go in deeper and have cyst removed and to remove scar tissue, well I had the laperotomy done in 2010, dr. Removed another cyst which when the dr. Went in was a abcess cyst and removed scar tissue from tube that was damaged he also said he folded my tube up ( like if u fold up the bottom of a pant leg). So just a week ago, I went to my gyno for abdominal pains n follow up from Er, cuz I was in er and they did a ct scan, x-ray and said I have another cyst, but anyway my dr. Was reviewing my notes and past history as to he is my new gyno and he informed me that in my notes from previous dr. I had or have PID! Now what’s next, I need help. I get my periods every month and have sex very often and I have never been pregnant and want kids.
November 24th, 2011 at 10:10 pm
Anonymous – If you will get together copies of your operative reports and your most recent medical records, I will be happy to review them and give you my opinion about the best treatment to help you with your desire to have kids. You can send them to me at the address below:
Gary S. Berger, M.D.
Chapel Hill Tubal Reversal Center
109 Conner Drive
Suite 2200
Chapel Hill, NC 27514
November 29th, 2011 at 1:28 pm
Hi,
I was told by my Dr that both my fallopian tubes are block. I had a laparoscopy surgery to remove blockage and the Dr found scarr tissue in my fallopian tubes – which he then removed thru surgery. I think the scar tissue was caused PID. The surgery was successful but he said both my fallopian tubes are enlarged and not repairable. Due to this I cant get pregnant like normal as my fallopian tube are unable to push my eggs down. I had an 1 early miscarriage and 1 unsuccessful IUI – both done before my laparoscopy surgery.
Is there any hope for me to get my fallopian tube fixed? We am considering IVF – but me and my husband wants at least 4 kids – so is IVF our only option?
Best Regards
Shaheen
shaheen@alcazar.com.my
November 29th, 2011 at 1:39 pm
Shaheen
We would need you to send us your records. You can send us the reports from your surgery and the reports of any x-rays you have had performed. If both your tubes are open then you will not benefit from a tubal surgery. If your tubes are blocked since your laparoscopic surgery then you will either need another surgery to open the ends of the tubes or consider IVF. You should be aware that each cycle of IVF costs between $10,000 to $12,000 and has an average chance of success around 35%.
You should have a HSG to see if your tubes are open since your last surgery.
November 29th, 2011 at 1:43 pm
Hi,
Will do so once i get it from my Dr here. Thank you very much for such a fast reply….I pray to get a favorable answer.
December 28th, 2011 at 1:38 pm
Hi doctor, i am daigonsed with unicornate uterus. My doctor says i dont have 1 tube and that the other tube seems swollen. The dye dint spill on either side. He has recommended lapro. What are my chances?
December 28th, 2011 at 3:50 pm
Riya – After you have the laparoscopy examination, you can send a copy of the operative report to me and I will be able to answer your question. My email address is DrBerger@tubal-reversal.net
December 28th, 2011 at 8:59 pm
hi doctor, i have a functional cyst on my ovaries which i think was caused by the std that i had in the past year. i was wondering is it possible if i can get pregnant or will i have to get my tubes unblock if i can’t and is it for certain if i have them unblock i will get pregnant immediately ?
December 29th, 2011 at 7:11 am
Teela – The functional cyst will not prevent you from getting pregnant but if your tubes are blocked they will have to be unblocked for you to get pregnant. If you have test results that show blocked tubes you can send them to me to review.
Gary S. Berger, M.D.
Chapel Hill Tubal Reversal Center
109 Conner Drive
Suite 2200
Chapel Hill, NC 27514
January 7th, 2012 at 5:24 am
i am 33 yrs old with tubal ligation done 2 yrs ago with c -section , unfortunately i lost my second kid . i went for tubal reversal , within 3 months of cs , dr s aid , as fibria is damaged reversal is not possible ,i tried 2 ivf cycles but i failed , please guide me what i can do , as my eggs and endometrium is good.
January 7th, 2012 at 10:51 am
Disha – Fimbriectomy reversal is possible. Read the information about it on our website and if you have questions call (919) 968-4656.
January 27th, 2012 at 5:56 am
I am 42 years and desperate for a baby, I’m due to have my left ovary removed and the right one clipped as they are blocked. What are my chances of having a baby in the future? I do ovulate. Many thanks in advance.
January 27th, 2012 at 7:38 pm
Tara – With blocked tubes and planning to have one clipped as well as having your left ovary removed, the prospects of having a baby in the future at your current age are limited.
February 7th, 2012 at 5:01 pm
Hi, I am 37 years old and in 2003 I had laparoscopy, where was found endometriosis. In 2005 I had another laparoscopy but that time was ovarian cyst. In october 2006 I had HSG and my left side was blocked and right side half blocked. They wrote as a secondary sterility. I did try for years for getting pregnant but unsuccessfully. In august 2011 I was on scan because I had some problems and pain and they found again ovarian cyst. Since last november I do try some naturally treatment using Naturally Progesterone and I see my period changed and my PMS is disappeared. I have appointment for this week for scan and after that I would like to try unblock my fallopian tubes with laser. Do you think I have some chance to get pregnant after that? Thank you for your answer.
February 7th, 2012 at 6:10 pm
Margaret – It is hard to know what your chances will be without knowing detailed information about the surgery that will be performed, but I wish you the best of success!