What is Essure? Essure is a permanent birth control device that has recently become available as an alternative to traditional tubal ligation methods. The spring-like device is inserted through the uterine cavity into the tubal openings using a hysteroscope. This can be done as an in-office procedure. The device expands to fill the tubal opening […]
Tubal Ligation by Falope Ring and Hulka Clip The Falope ring and Hulka clip are occlusive methods of tubal ligation. They block the fallopian tubes, but no tubal segments are clamped, removed, or burned. The Falope ring is also referred to as the tubal ring or tubal band. It constricts a segment of the fallopian […]
Pomeroy Technique of Tubal Ligation and Resection The most common type of tubal ligation is the Pomeroy procedure, named after Dr. Ralph Pomeroy who described it in 1930. The Pomeroy method involves picking up a segment of the fallopian tube to create a knuckle, placing a tie or ligature with absorbable suture around its base, […]
Our Tubal Reversal Center is Unique Dr. Berger is the only physician in the country with a practice that is specifically limited to tubal reversal surgery. That is the only procedure performed here with Dr. Berger performing four reversals each day, five days a week. We have a high staff/patient ratio with one or two […]
About Me Sometimes patients ask about my background and why I became a tubal reversal doctor. (It’s a fair question, since I ask them what made them decide to have a tubal reversal.) I usually tell them about my first year after medical school when I was an intern in medicine at Duke University Hospital […]
The circumstances that lead people to have a tubal reversal procedure are unique to each person. Understanding them is helpful to me as a tubal reversal specialist providing their care during and after tubal reversal surgery. Preoperative Consultation When meeting new patients, I begin the preoperative consultation by asking about the circumstances that have them […]
A Personal Choice Chapel Hill Tubal Reversal Center is the only medical center exclusively for tubal ligation reversal. Patients travel from all over to have their tubal reversal procedures performed here. After surgery, each patient puts a pin in the map indicating where she is from. The map below shows that people come from all […]
The fallopian tube is an amazing and versatile reproductive organ. Its functions include capturing an egg from the ovary at the time of ovulation; nourishing the fertilized egg or zygote during its early cell divisions; and delivering the blastocyst into the uterine cavity when it is time for implantation. The different parts of the fallopian […]
Risk of Ectopic Pregnancy Tubal surgery is associated with an increased risk of ectopic pregnancy (a pregnancy outside of the uterine cavity). The risk of ectopic pregnancy is 2-3% in the general population. After tubal ligation and tubal ligation reversal, the risk is approximately 10%. Therefore, every woman who is pregnant following tubal reversal should […]
