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Case Study: 28 Year Old Mother of 3 Has a Tubal Reversal

Patient’s History Ana G. was one of the 4 patients I operated on today at A Personal Choice. She is a 28 year old woman from Angola, the mother of 3 children – ages 9, 8, and 6. She married when she was 15 and was in an abusive marriage. To keep from becoming pregnant […]

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Is Tubal Ligation Regret A Big Problem?

At A Personal Choice, we receive requests 7 days a week, 365 days a year, for information about tubal ligation reversal. These requests come from women who regret having a tubal ligation. A staff member recently asked me how big a problem this is throughout the country. The following is in response to this question. […]

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Ethics of Tubal Ligation

Doctors who perform tubal ligations should consider the possibility that the patient might in the future change her mind. It is best to perform a type of tubal ligation that can be reversed at a later time, should the need arise. The best choice of a tubal ligation requested by a young woman with no children is the clip method (either Hulka clip or Filshie clip).

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Tubal Reversal by Tubouterine Anastomosis

Tubal Anastomosis at the Uterine Cornua Tubouterine anastomosis is a tubal reversal procedure that is intermediate between tubotubal anastomosis and tubouterine implantation. It is also called cornual anastomosis because the tube is joined to the cornual area of the uterus with this operation. The cornu is the area where the fallopian tube normally emerges from […]

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Unusual Tubal Abnormalities at Tubal Reversal Surgery

Salpingitis Isthmica Nodosa Salpingitis isthmica nodosa is a nodular swelling of the isthmic segment of the fallopian tube. This fallopian tube abnormality is sometimes encountered at the time of tubal reversal surgery. It often involves the interstitial portion of tube that is within the uterine muscle. The nodule is due to thickening of the muscular […]

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History of Tubal Reversal Surgery

Tubal Reversal Scholarly Publications Early Experimental Studies in Animals In 1969, David, Brackett and Garcia (1) reported using microsurgical techniques for uterotubal anastomosis after removing the uterotubal junction from one side in 25 rabbits. Among 11 (44%) of the animals that became pregnant, fewer implantations occurred on the operated side than on the unoperated side. […]

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Scholarly Research and Publications of Dr. Gary S. Berger

Gary S Berger MD, Medical Director of A Personal Choice, is well known for his contributions to clinical medicine as a reproductive surgeon. Patients sometimes ask about Dr. Berger’s education, training, academic credentials, scholarly research and publications. This is a resume of Dr. Berger’s academic credentials: ACADEMIC DEGREES 1965 A.B. with Honors Harvard College Boston, […]

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Laparoscopy Before Tubal Ligation Reversal

Tubal Ligation Operations Vary Tubal ligation operations vary in the amount of damage they cause to the fallopian tubes. Tubal coagulation (cauterization) tends to damage more of the tube than tubal ligation and resection or tubal clips/rings. Burning or cauterizing the fallopian tubes with a monopolar coagulator is more destructive than with a bipolar coagulator. […]

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What You Can Expect at A Personal Choice

People like knowing what to expect when they come to A Personal Choice for their tubal reversal procedure by reproductive surgeon Dr. Gary Berger, our Medical Director. We provide a great deal of information about this on our website, in emails and letters, and by telephone. Learn From Others on the Tubal Reversal Message Board Another […]

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Have a Question? Drop Us A Line!

If you are considering reversal surgery and have questions about the procedure, fill in the form below and we'll get back to you as soon as we can! If you would like to speak with a nurse for a Free Consultation then feel free to call us at (919) 977-5050.

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