First Successful Reversal of Adiana Sterilization
The tubal reversal doctors at Chapel Hill Tubal Reversal Center performed the first reversal procedure after Adiana tubal sterilization on February 6, 2009. Today they report the success of the operation as confirmed by a positive pregnancy test submitted by the patient,Tina D., via her Pregnancy Report Form.
The Adiana Sterilization Method
The Adiana procedure uses radio frequency energy to block the fallopian tube in its interstitial segment within the uterine muscle. Adiana was approved for clinical use in the US in July 2009. During the procedure, the doctor inserts a device through the cervix and into the uterine cavity. A small insert is placed inside the opening of each tube and radio frequency energy is used to stimulate the formation of scar tissue within the narrow portion of the fallopian tube in the uterine muscle (the interstitial segment of the tube). The Adiana system is similar to the Essure sterilization method in being a non-surgical female sterilization method that can be performed as an office procedure to promote scarring and tubal blockage.
History of Tina’s Adiana Sterilization
Tina is 35 year old mother who had an Adiana tubal sterilization after the birth of her second child. She was 29 when she decided to participated in a clinical trial to test this new female sterilization procedure.
Like many other women who undergo tubal sterilization, Tina did not think she would ever want to become pregnant again. When her son died in a tragic accident, however, things changed suddenly for her and her family.
Tina was advised by her doctor that the Adiana procedure was permanent and could not be reversed as stated by the manufacturer of the device, and that the only treatment that could help her would be in vitro fertilization. However, because of her determination to find a way to have another baby naturally, she researched tubal reversal doctors on the internet and found out about Dr. Berger. Even knowing that this sterilization method had not ever been reversed previously, she decided to come to Chapel Hill Tubal Reversal Center for reversal surgery.
Assisted by Dr. Charles Monteith, Dr. Berger performed bilateral tubal implantation for Tina. Although this operative technique had not previously been used specifically for Adiana reversal, it has been successful in treating tubal blockage in the area of the tubes where the Adiana procedure had caused scarring of Tina’s fallopian tubes.
Significance of Adiana Tubal Reversal
This surgical procedure performed by Dr. Berger and Dr. Monteith for Tina is another advancement in the field of reproductive surgery and infertility to come from Chapel Hill Tubal Reversal Center. Tubal ligation reversals have been performed for years, but the Adiana procedure, which is said to be non-reversible by the company that makes it, has not been successfully reversed before now.
Tubal reversal surgery is the best treatment for women who want to have more children, due to divorce, loss of a child or have just changed their mind, after a tubal sterilization. This advance in reproductive surgery allows women to be able to conceive naturally, after having the Adiana procedure. IVF is no longer the only option for women who have come to regret their tubal ligation and want to have another baby.
Monitoring Tina’s Early Pregnancy
Tina will plan to follow the recommendations for early pregnancy monitoring after tubal reversal described on the Chapel Hill Tubal Reversal Center website. Since she is a member of the Tubal Reversal Message Board, she will be able to keep others informed about the progress of her pregnancy.
Submitted by Gary S. Berger, M.D.
Medical Director
Chapel Hill Tubal Reversal Center
January 17th, 2010 at 10:36 am
As an update to SETH – Tina’s first pregnancy after reversing Adiana miscarried and now she is pregnant for the second time with a confirmed intrauterine viable pregnancy at 8 weeks gestation.
October 21st, 2009 at 8:07 pm
Hi SETH –
Thank you for your message, which I will relay to Tina when I hear back from her. To date, she has had only 1 serum HCG assay since her doctor has not followed our early pregnancy testing recommendations. She has not yet had an ultrasound exam. I will send a follow-up report when she contacts me next about her pregnancy.
October 21st, 2009 at 7:09 pm
Hi Gary:
I read your report of the Adiana sterilization reversal with great interest, as I was the medical director for the company during the pivotal trial. You should be congratulated on a job well done for Tina and her family. Of course, by now you would know if this pregnancy was indeed intrauterine and not a tubal pregnancy. Could you please confirm my assumption that Tina indeed has a documented, continuing IUP and send her my very best wishes for a healthy pregnancy and delivery. Thanks, Seth
October 19th, 2009 at 1:25 pm
Once again Dr. Berger has shown his pioneer spirit by reversing another “permanent” sterilization technique.
Congratulations!
October 13th, 2009 at 3:42 pm
This is a great article Dr Berger. It gives other women that have had the Adiana procedure a chance to have a tubal reversal and become pregnant again. I am really glad for Tina and her family. Also, thanks Dr. Berger and Dr. Monteith for being excellent surgeons.
October 13th, 2009 at 11:16 am
This is an excellent article on how the possibility of pregnancy can be a reality through tubal reversal, even from the newest forms of sterilization procedures available. Dr. Berger and Dr. Monteith can perform tubal reversal surgery on 98% of tubal ligation cases.
October 10th, 2009 at 1:50 am
That just proves to the world again how great and special these two fabulous DR.’s are they’re continually giving us woman the chance to do what other dr are telling us we will never do again reproduce I am so grateful that I was giving this opportunity to have this baby I am carrying and will tell the world how great chapel hill reversal ctr is Thank you for what you all have done for my family and continue bringing happiness to all the other families that find you for years to come.
October 9th, 2009 at 7:32 pm
[...] Many women who have had the Adiana procedure now want it reversed. Although it is meant to be a permanent form of contraception the first Adiana reversal has been done and was successful. Not only is the Adiana reversed the patient has just disclosed the fact she is pregnant! [...]
October 9th, 2009 at 5:16 pm
I also had the Essure done to myself when I was 33 years old. I was married into an abusive husband, so I decided to get this procedure done. He wanted more kids, but I didn’t any from him. Now I met a wonderful man who I am engaged too. He really wants us to have a baby, but I was also told that Essure was not reversible. I should have asked more questions about this procedure, but because I didn’t want to have any more children from ex-husband I thought it was the best thing for me. I didn’t want to bring another child in this world with the abuse that I was getting. Now I do regret it because I want to give my fiance a baby. When I went to the internet and read an article about Dr. Berger, he really gave me hope.