Dr. Gary Berger developed the outpatient technique for tubal ligation reversal and is generally acknowledged as the most experienced tubal reversal surgeon in the world.
Many doctors will give you less than a warm response when you ask about tubal ligation reversal. Ever wonder why? I hope my personal experience can illustrate why general ob/gyn doctors may not support their patients who want to have their tubal ligations reversed, and why reproductive specialists mostly do IVF. I view tubal ligation reversal as a disappearing surgical skill that may not be available to patients in the future. This is why I asked to join Dr. Berger’s staff at A Personal Choice. To help women with tubal ligations who want to get pregnant is the reason why I have embarked on the path to become a tubal ligation reversal specialist.
At A Personal Choice, we want to maximize the chances for pregnancy after tubal ligation reversal for all of our patients. One step that is helpful in planning for a tubal reversal procedure is examining the pathology report from a patient’s medical record. When a tubal ligation and resection procedure has been performed, a segment of fallopian tube was removed and most likely sent to a pathologist. Therefore, a pathology report should exist in the patient’s medical record. A pathology report will help our tubal reversal doctors determine exactly what was done during a ligation and resection procedure and what your chances of tubal reversal success will be.
Undergoing a tubal ligation reversal at A Personal Choice is an important endeavor and we want to maximize every patient’s chance of ligation reversal success. Operative reports are important because they allow us to determine the likely success of tubal ligation reversal surgery. When the operative report is not available, we offer the option of starting with a screening laparoscopy. The choice of whether to start with screening laparoscopy is up to the individual patient. Since most tubal ligation procedures are reversible, it is an option, and not a requirement at A Personal Choice.
Dr. Monteith’s Diary – May 22, 2008 One of our 4 tubal reversal patients today had the following story. She was from North Carolina and had three older children. She had her tubes tied several years ago. As time passed, she changed her mind and desired more children. She wanted a tubal ligation reversal and […]
As my training as a Tubal Reversal Specialist continues, I would like to share the story of one of our recent patients. Her infertility specialist recommended Dr. Berger as the tubal reversal expert who could give her the best tubal reversal procedure so she and her partner could pursue their desire of having more children. I was happy that she had excellent operative results and a successful bilateral ligation reversal. We are eager to hear from her as soon as she has a positive pregnancy test!
Experience is the most important indicator of whether successful tubal reversal surgery can be performed when a woman has a difficult tubal reversal situation due to short tubes, missing tubal segments, fimbriectomy, or inherent diseases of the tubes. While most doctors would be unwilling – or unable – to perform a reversal procedure in one of these situations, Dr. Gary Berger is able to repair the tubes in 98% of cases, regardless of the type of sterilization that has been performed or whether difficult situations are encountered.
Many people believe tubal sterilization is permanent and irreversible. Although tubal ligation and resection sterilization is intended to be permanent, this procedure can be reversed. Approximately 70% of patients at A Personal Choice become pregnant after a reversal of a ligation and resection procedure. A Personal Choice is the medical facility that specializes in tubal ligation reversal.
Many people, including doctors, have been told that tubal sterilization is permanent and irreversible. Although monopolar tubal coagulation is intended to be permanent, this procedure is usually reversible. The best place for women to have their tubes ‘untied’ when they have been burned is A Personal Choice – the only medical facility that specializes in reversal of tubal ligation.
