Tubal Reversal Blog ‘chapel hill tubal reversal center’

The tubal reversal doctors at Chapel Hill Tubal Reversal Center perform over 800 tubal ligation reversals every year. We perform tubal reversals on patients from all over the United States and across the world. We have become experts in unblocking blocked tubes.

Every one of our patients brings with them a unique story. Periodically, we like to present their stories so readers can see the diverse walks of life from which our patients come.

On December 1st 2008, I meet Dorinda and asked her if she would participate in our Tubal Reversal Blog. She agreed and here is her story:

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Tubal blockage or tubal occlusion (the medical term) is the reason that tubal ligation prevents pregnancy. The blockage of the fallopian tube prevents joining of the sperm and egg and prevents eggs from being able to reach the uterine cavity. In the case of tubal sterilization, tubal blockage is intentional. Tubal blockage may also occur due to disease conditions and result in involuntary infertility. Tubal blockage, whether intentional or from disease,  can be corrected with reconstructive tubal surgery.

Facts about Tubal Blockage

Tubal blockage affects millions of women in the US and hundreds of millions worldwide. More than 10 million women in the US, and more than 100 million worldwide, have had a tubal sterilization. There are approximately 6 million infertile couples in the US. It is estimated that 10-20% (600,000 to 1.2 million) cases of infertility may be due to tubal disease. In the majority of cases, tubal occlusion due to disease is caused by pelvic inflammatory disease (PID), an infection of the fallopian tubes (salpingitis) and sometimes the ovaries and pelvic cavity. PID is  “silent”, unrecognized, or misdiagnosed in many and perhaps in the majority of cases.

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This is the third article in a three part series about Patricia and her quest for tubal ligation reversal surgery at the age of 46. For readers who are now joining this blog series, the first part of Patricia’s story can be read here – Patricia: Tubal Ligation Reversal at 46.
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This is part two of a three part series on Patricia and her decision to have tubal ligation reversal. Part one is Tubal Ligation Reversal at 46: Patricia’s Story.

Patricia’s Reasons for Tubal Ligation Reversal

Twenty-two years ago, I was talked into getting my tubes tied after the birth of my third child. I was led to believe my life would be threatened if I had another baby, so I agreed to it. I am now 46 years old and remarried to a man who has never had a child. When he asked if it were possible for us to have a baby, my first reaction was no – I am too old. But after thinking about it, I decided to check into my options. I went to a specialist to have tests and be examined to see if my tubal ligation could be reversed. I also wanted to know if it was safe for me to have another baby. My husband also had his sperm count checked to make sure he was in good condition.

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At Chapel Hill Tubal Reversal Center we perform over 800 tubal ligation reversals a year. We have patients who travel from across the United States and from around the world for tubal ligation reversal. Our patients come from many walks of life. Our current blog is about Patricia, a nearby patient from Mooresville, North Carolina (NC). She is a 46 year old mother of three older children. Her determination to succeed provides inspiration for readers who are struggling with some of life’s ordeals.

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In the Fall of 2008, I was preparing to meet with a patient who was traveling to Chapel Hill Tubal Reversal Center from Fort Campbell, Kentucky (KY) for a tubal ligation reversal. The patient’s name was Catrina. She is 33 years old and newly married to, Chris, an Army Staff Sergeant.

Catrina sent us an operative report from a diagnostic laparoscopy (camera surgery), that discovered she had a tubal ligation. During our interview, I asked her why her general gynecologist had done this surgery. I was surprised by the story she had to tell.

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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).

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Tubal ligation is a surgical procedure that blocks the fallopian tubes to prevent pregnancy. Many people commonly refer to tubal sterilization as having their ‘tubes tied’. The more correct medical term is tubal occlusion (occluding or closing the tube), because not every fallopian tube is ligated or tied when it is closed. There are many different ways to perform a tubal ligation, but all the procedures cause some destruction of the fallopian tubes. There are many ways to perform a tubal ligation: tying and cutting, cauterizing (burning) and clipping or banding the fallopian tubes are the most common techniques.

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Reversing Tubal Sterilization

Tubal ligation reversal at Chapel Hill Tubal Reversal Center is a simple and safe outpatient operation for reversing tubal sterilization through a small incision that results in minimal discomfort and recovery time.

Dr. Gary Berger and Dr. Charles Monteith specialize in untying tubes. Women travel to Chapel Hill, NC from all over the United States and other parts of the world to have their tubes repaired after a previous tubal ligation. Over 7000 women have chosen to come here for their reversal procedures because we specialize exclusively in tubal ligation reversal, have perfected the outpatient approach to reversal surgery, and have the best success in terms of pregnancies after tubal reversal surgery.

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This article profiles a patient who came to Chapel Hill Tubal Reversal Center for reversing tubal ligation at which time she was found to have ovarian endometriosis.

Travel from California

The patient and her husband traveled from Monterrey, California for tubal ligation reversal. She is 44 years old and is a banker. She has two children from previous marriage, ages 12 and 15. Her husband is a meteorologist. He has two children from a previous marriage, ages 16 and 18. They moved from Texas to California and have been married together for 1 year and 3 months. Together, they desire a child of their own.

IVF Evaluation

Prior to traveling to visit us, they had a consultation with a reproductive endocrinologist near where they live. They expressed dissatisfaction with their consultation because they felt the doctor only wanted to offer them in-vitro fertilization (IVF). They did consider IVF but decided the procedure was not for them. During the preoperative consultation they specifically stated:

“We wanted to have a baby as God intended it.”

They did their own search for tubal reversal doctors and chose to come to Chapel Hill Tubal Reversal Center because we specialize exclusively in reversing tubal ligation. They felt their chance for a successful reversal procedure would be best at our center.

Preoperative Evaluation and Surgery

She was a healthy person and denied any known preexisting problems or menstrual abnormalities.  We reviewed her tubal ligation operative and pathology reports that described at least 3 cm removed from each fallopian tube. We discussed their expectations and the risks and benefits of tubal reparative surgery.

During her surgical procedure and upon entering the abdominal cavity, we discovered brown fluid suggesting the presence of endometriosis. Close inspection of the right ovary revealed endometriosis inside of it and partially involving the right tube.

We removed the endometriosis and repaired the right tube. The left tube and ovary were normal. The left tube was repaired without difficulty.

She did well during the surgery. In the recovery room, we informed her and her husband of the unexpected endometriosis and the successful repair of both fallopian tubes.

Endometriosis

Endometriosis can be suspected in most patients based on a careful evaluation of a menstrual history. Many women with endometriosis will have extremely painful menstrual periods. Menstruation can be so painful patients may require large amounts of pain medications, miss time from work, or will have pelvic pain which drastically affects their  personal lives. Many women give a history of severe pelvic pain, especially with intercourse and will plan their sexual activity based on their menstrual cycles. Many patients, like this one, can have minimal or no symptoms of endometriosis.

We could not have predicted this patient’s endometriosis in advance because of her absence of preexisting symptoms. Fortunately, we were able to successfully reverse her tubal ligation and remove the endometriosis at the same time.

We wish her well on her trip back to Monterrey California and hope a healthy pregnancy will be in her near future.