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Frequently Asked Questions
Answered By A Personal Choice

The following 25 questions are the most common questions asked about tubal reversal surgery at our specialty center. If you take the time to read these questions and the links containing more detailed information then you will have an extensive understanding of what it takes to have successful tubal reversal surgery with Dr. Monteith of A Personal Choice.

1. Can I get pregnant after reversing my tubal ligation?

Tubal reversal surgery works! View messages from previous patients about their tubal reversal surgeries: Testimonials and Patient Satisfaction Messages .

Want to know if your tubal ligation type can be successfully reversed? Visit the following links:

Burned tube reversal testimonials

Essure reversal testimonials

Cut, tied, and burned tubal reversal testimonials

Tubal clip reversal testimonials

Tubal ring reversal testimonials

Fimbriectomy reversal testimonials

Endometrial ablation pregnancy testimonials

If you are having periods then you are ovulating (releasing eggs). If you are ovulating, you can become pregnant. Simple.

2. How much does reversal surgery cost?

For more detailed information on the cost of reversal surgery visit the following links:

The fees discussed in the above links cover your entire surgery costs. There are no other hidden costs. No additional medical, surgical, facility, or anesthesia fees are involved.

***Starting April 1st 2019 the fees for reversal surgery will be increasing. See the sections on costs of each procedure to see the anticipated fee increases***

3. Are there any other costs I need to be aware of?

Patients are responsible for these additional costs:

  1. Pre-operative testing. We only require a complete blood count (CBC). Depending on your medical history other test may be required. Most patients only need a CBC. Often your health insurance will pay for these tests. If you pay out-of-pocket for a CBC the cost should be less than $100.
  2. Medications. You will be given prescriptions for a narcotic medication and nausea medication to take after surgery. Your health insurance should pay for these. If you pay out-of-pocket, the cost of these medications is less than $50.
  3. Travel. Patients are responsible for the cost of travel to our center in Raleigh, North Carolina. You must also bring a responsible adult over the age of 18 with you for surgery.
  4. Meals/lodging. You are responsible for the cost of your meals and lodging. Our patients are required to stay at one of two specially selected hotels that are each within 1/2 mile of our office. Each hotel offers our patients special rates. Patients stay two (2) nights in these hotels. Private car transportation to our office from the Hyatt House Raleigh Hotel is included in your special hotel rate. There is a grocery store, several pharmacies, and many restaurants within walking distance of each hotel.

More information on travel costs here: Where To Stay And Transportation

More information on hotel costs here: Hyatt House and AC Hotel Raleigh North Hills Arrangements

More information about nearby restaurants here: Fun Things To Do

4. Do you offer a refund if the tubes cannot be repaired?

If you choose to have our optional screening laparoscopy procedure, then you would receive a refund of your surgical fee if your tubes cannot be repaired.

More information: Screening laparoscopy and tubal reversal refund

5. What is the chance of pregnancy after reversal?

Approximately 2 out of every 3 patients will become pregnant after tubal ligation reversal and 2 out of every 5 patients will become pregnant after Essure reversal.

More information: Chances of pregnancy success after tubal reversal

6. Am I too old to get pregnant?

You are not too old for surgery if you are 35 years of age or older.

Although being over 35 is considered Advanced Maternal Age (AMA), AMA status has nothing to do with the ability to become pregnant after tubal reversal.

Although natural pregnancy is more difficult to obtain with increasing age, pregnancy can occur at almost any age if you are having regular periods. The ability to become pregnant does not decline dramatically until after the age 43.

Our oldest patient to become naturally pregnant was 48. Our oldest tubal reversal surgery patient was 52. We do not have an age limit but do require you be having regular periods and be a safe outpatient surgery candidate.

We allow our patients to make personal choices about their fertility.

7. Is the time since my tubal ligation important?

The time since your tubal ligation is not important unless the passage of time makes you significantly older. The ability to become pregnant does decrease with age and this becomes more noticeable after the age of 42. Our oldest patient to become naturally pregnant was 48 years of age.

The health of your fallopian tubes does not change over time after your tubal ligation.

8. Do I need fertility testing before having reversal at A Personal Choice?

We do not require fertility testing before having tubal reversal at our center.

  1. Follicle Stimulating Hormone (FSH) testing. We do not require FSH testing. FSH testing only predicts who is more likely or less likely to become pregnant with in-vitro fertilization. The FSH test does not predict who will or will not become naturally pregnant. Age of the female is a much better predictor than FSH of the possibility of natural pregnancy after tubal ligation reversal.
  2. Semen analysis. If your partner has never fathered children the chance of having an abnormal sperm count is less than 5% to 8%. It is reasonable to consider a semen analysis if your partner has not fathered children but we do not require it. If your partner has fathered children and does not have any significant medical illnesses, anabolic steroid hormone use, or urological conditions then a semen analysis will often be normal.

We allow our patients to make personal choices about fertility testing and what they feel is best for their situation.

9. Does health insurance/Medicare/Medicaid pay for tubal/Essure reversal?

Tubal reversal and Essure reversal, no matter what the reason, is considered an elective, non-life threatening procedure. Neither private health insurance nor Medicaid/Medicare will pay for reversal no matter the reason.

Health insurance, Medicare, or Medicaid will not pay for reversal even if you are having symptoms.

10. Do you participate in health care financing?

We do participate health care financing. United Medical Credit has a great Patient Direct Loan. If you qualify for this loan you could pay for most of your surgery expenses, including; travel, hotel, and meals!

For more information: Reversal surgery financing

11. Do you offer reduced surgery prices?

We do offer reduced surgery prices; however, reduced prices are only offered to our Reversal Prepayment Account holders when these surgery dates are available. Prepayment Account holders are notified privately by email about reduced price surgeries. Visit the link to the question below to get more information about reduced surgery prices.

More information: Reduced price reversal surgeries

We ask that you do not call our office to inquire about reduced price surgeries.

12. Do you have a prepayment plan?

We do have a prepayment plan. This is a great way to save towards reversal surgery and avoid the high interest rates charged by health care financing plans (which is one reason we maintain a prepayment plan).

More information: Tubal reversal prepayment plan

13. Do you need records to have reversal surgery?

We encourage you to send us your tubal ligation records before scheduling surgery using our Fax Cover Sheet.

Some patients will be unable to obtain their records. If you are unable to obtain your sterilization records you have two options:

  • You can schedule surgery without records. Many patients will choose this option because they are aware we can reverse most tubal ligations.
  • You can choose a optional screening laparoscopy. This procedure allows us to look directly at your tubes with a small camera. If the tubes are not repairable your surgery time is much shorter, your incision is much smaller, and you will receive a significant refund of your surgery fee if both tubes are not repairable.

You can obtain a Medical Records Release Form from our website and you are encouraged to call if you have questions about how to send your records for evaluation. We do not charge to evaluate your tubal ligation records.

More information: Advice on sending records to Dr Monteith

14. Do I need to travel to see you for a consultation?

We do not require an in-office consultation before surgery.

Most of our patients travel from other states. We have designed our reversal surgery so patients can schedule by phone and using email/fax communication. Patients will then travel to see us and have their consultation, surgery, and post-operative consultation over the course of two (2) nights and three (3) days.

If you would like a pre-operative doctor consultation by phone or in the office then we can arrange that for you for an additional fee.

For more information about our Free Consultation and our Physician Consultation before surgery: Tubal reversal consultation

15. What type of anesthesia is used for reversal surgery?

We perform reversal surgery using general anesthesia. In our experience, general anesthesia provided with a laryngeal mask provides the best tubal reversal anesthesia. We do not perform tubal reversal using spinal or epidural anesthesia.

For more information: Best anesthesia for tubal reversal surgery

16. Where are surgeries performed?

All of our surgeries are performed in our AAAHC accredited operating room located directly inside our office. This operating room was specially designed for patient safety and sterilization reversal surgery only. Patient privacy, comfort, and safety were the primary design considerations for our operating room.

For more information about our facility: Our facility

17. Where are you located? What is your fax/phone number?

We are located in Raleigh, North Carolina. We are within driving distance of most major East Coast cities. Our airport is Raleigh/Durham International airport (RDU) and there are many direct flights into RDU. Our office is located approximately 10 minutes from RDU.

Although North Carolina may seem like a long distance away, most patients will find having reversal surgery with Dr. Monteith more affordable and more successful than having surgery in their home town.

Our phone number is at the top right of every web page. Our phone and fax number are listed on our Contact page.

18. Do you have an office near me?

We only have one office in Raleigh, North Carolina. Our center is AAAHC accredited, devoted exclusively to sterilization reversal surgery, and all surgeries are outpatient procedures. This allows us to keep the cost of surgery affordable.

Due to our specialization in sterilization reversal, most patients will find it more affordable to travel to us for sterilization reversal surgery rather than have reversal surgery in their area with doctors who may not perform as many procedures as we do and may perform these surgeries in a hospital with an overnight stay.

19. Do you do free or pro-bono surgeries?

We are unable to provide free surgery or pro-bono surgery.

Unfortunately we have many patients who have had sterilization procedures while in abusive relationships, against their will, have lost partners or children, or had other tragic events occur after their sterilization procedures. We do our best to help them by providing an affordable surgery in a supportive environment at a center with high surgical standards but we can not offer free surgeries.

20. Do I need to stay at the required hotels?

All patients must stay at one of our two selected hotels. Our hotel policy exists for patient safety and helps us insure appointments and surgeries will start on time with a minimal amount of waiting for all patients.

21. How soon can I get pregnant after reversal?

We encourage our patients to start trying to become pregnant as soon as they feel comfortable enough to do so. You will not cause a complication by getting pregnant too soon.

Most patients will become pregnant within 12 months of surgery.

22. Is reversal surgery safe?

Reversal surgery is very safe when performed at our specialty center. The surgery is so safe we can perform the surgery as an outpatient procedure under general anesthesia.

More information: Risks of reversal surgery

23. Will C-sections or scar tissue be a problem?

Multiple C-sections can increase the risk of having scar tissue that can make reversal more difficulty. Most patients will not have significant scar tissue at the time of surgery. Dr. Monteith uses an advanced technique of Laparoscopic Needle Localization to help avoid scar tissue and increase the chance of successfully repairing tubes in patients who are at high risk for scar tissue.

More information:  Laparoscopic Needle Localization

24. If I only have one tube repaired will it work? Will the surgery cost less?

If you only have one fallopian tube repaired then your chances of pregnancy are just as good as if you have both tubes repaired; however, it may take twice as long to become pregnant.

If you only have one tube repaired the cost for surgery is the same as if both tubes were repaired.

25. How do I get started scheduling reversal surgery?

The hardest part about having reversal surgery is making the personal decision reversal surgery is the best choice for you. After this first decision …the rest is all down hill!

For more detailed information: Getting started: Scheduling reversal surgery

To get started we recommend you follow these three simple steps:

  • Obtain your tubal ligation operative report and pathology report (if available)
  • Send your records to us for a free review
  • Call us with any questions

693 thoughts on “Frequently Asked Questions”

  1. Aerieal says:

    I had a tubal reversal in 2016 and 6 weeks later I found out through an HSG that my tubes were blocked. I had clips removed, now they say my tubes are blocked at my uterus. Can you help me?

    1. Dr. Monteith says:

      You would need to send us your tubal ligation reversal operative report and a copy of your HSG images. We can let you know if you are a candidate for a second attempt at tubal reversal surgery. Call us at (919)977-5050 if you have any questions.

  2. Teressa says:

    Me and my spouse would like to have a child together but I had a tubal ligation in 2016 thanks to being bullied into it by my doctor. I’ve had 3 c-sections and I’ve gotten my records on my ligation to research and make sure I’m able to have it reversed because I’m worried about getting our hopes up. How can I send you my ligation record for a free review? Thank you!

    1. Dr. Monteith says:

      Teressa
      We should be able to reverse your tubes. You should consider our screening laparoscopy because of your history of c-sections and the possibility of scar tissue.

      We charge $6,400 for tubal reversal surgery. You should send us your records from your tubal ligation for a free review. Sometimes patients cannot get their records. Even if you cannot obtain your records we would perform tubal reversal for you because we can reverse most tubal ligations most of the time.

      Please be aware starting April 1st 2019 the cost for tubal reversal surgery will increase to $6,900. The scheduling fee will increase from $125 to $150.

      Tubal reversal can be 60% to 70% effective. The other treatment to become pregnant is In-vitro Fertilization (IVF) and this treatment cost averages $14,000 and is about 40% effective for each try.

      Tubal reversal is possible when you have a history of multiple c-sections. We have many patients who have successful reversal and pregnancy with a history of c-sections. The biggest concern with multiple (3 or more) c-sections is the possibility of severe scar tissue. If severe scar tissue exists then reversal may not be possible.

      We estimate that about 1 out of 12 women with 3 or more c-sections will have severe scar tissue that can make tubal reversal more challenging and in some cases not possible. For these patients we offer a screening laparoscopy. You can consider this similar to a surgery insurance policy.

      The laparoscopy costs an additional $1,500. The screening laparoscopy fee will increase from $1,500 to $1,750.

      If you choose to have a screening laparoscopy we can look with a camera during the surgery and see if you have severe scar tissue. If you have severe scar tissue we can often make a different incision…so this can increase the success of your procedure. If your tubes are not repairable or the scar tissue is too severe then we would offer you a refund of your surgical fee.

      For more information: Screening laparoscopy and surgery refund

      For more information: Screening laparoscopy and scar tissue

      Call us at (919) 977-5050 8am to 5pm eastern standard time and we would be happy to speak with you about reversal at our center.

      The following link will answer most of your questions about reversal. This is the MOST HELPFUL INFORMATION to read when considering reversal at our office. Each question has a link to more information about the question: Frequently asked questions about tubal reversal

  3. Mary says:

    I want to get pregnant but my tubes are tired me and my husband want a baby

    1. Dr. Monteith says:

      Mary
      We should be able to help you. We can reverse most tubal ligation procedures.

      You should send us your tubal ligation reports for a free review and we can let you know if you are a candidate for reversal surgery. Your reports can be obtained from the medical records department where your tubal ligation surgery was performed.

      We charge $6400 total plus $125 to schedule and we are located in Raleigh, North Carolina.

      Please be aware that starting April 1st 2019 the fee for reversal surgery will increase to $6,900 and the scheduling fee will increase to $150. If you want to avoid the higher fees then you should schedule your surgery before April 1st or start a Reversal Prepayment Account.

      Patients pay in full and out-of-pocket at the time of scheduling. All you have to pay for in addition to the surgical fee is the cost of travel, hotel, and food.

      On average the chance of pregnancy after tubal ligation reversal is about 60% if you are under age 42.

      We do have a prepayment tubal reversal plan that allows you to save towards your reversal over a 3 year period.

      Although $6,400 seems expensive…the alternative treatment in-vitro fertilization (IVF) average $12,000 to $14,000 and is about 40% successful!

      The main advantage to tubal reversal is that every month you have a chance and you can become pregnant more than once.

      The following link will answer most of your questions about reversal. This is the MOST HELPFUL INFORMATION to read when considering reversal at our office. Each question has a link to more information about the question:

      Frequently asked questions about tubal reversal

      Call us at (919) 977-5050 8am to 5pm eastern standard time and we would be happy to speak with you about tubal reversal at our facility.

  4. Brandi says:

    I would like to setup prepayment plan

    1. Dr. Monteith says:

      Brandi
      We have two flexible payment options for you if you dont want to pay in full for surgery: (1) start a prepayment plan with us or (2) finance your reversal surgery.

      Prepayment plan. We do have a prepayment plan that allows you to save towards your surgery. You need to start it with at least $500 and you can contribute any amount over the next 3 years. When you have saved the full amount then you can have your surgery. You can have the surgery anytime within 3 years of starting your plan.

      If you dont have your surgery by the end of the third you you are refunded all of your money less $500. Surgery discounts, when available, are offered to prepayment account members only.

      For more information: Tubal Reversal Prepayment Plan

      Financing reversal surgery. We work with two companies who will help you finance surgery. You would apply for financing directly with United Medical Credit. The link to their company and the application for financing is on our website.

      For more information: Financing Reversal Surgery

      We charge $6400 total for tubal ligation reversal and $7500 for Essure reversal plus $125 to schedule and we are located in Raleigh, North Carolina. Insurance will not pay for tubal reversal surgery.

      You should send us your tubal ligation records for a free review.

      Patients pay in full and out-of-pocket at the time of scheduling. All you have to pay for in addition to the surgical fee is the cost of travel, hotel, and food. Patients stay in Raleigh a total of 2 nights and 3 days. The consultation is the first day, surgery the second day, and postoperative visit is the third day.

      We do have a prepayment tubal reversal plan that allows you to save towards your reversal over a 3 year period.

      Although $6,400 seems expensive…the alternative treatment in-vitro fertilization (IVF) average $12,000 to $14,000 and is about 40% successful!

      Please be aware that starting April 1st 2019 the fee for reversal surgery will increase to $6,900 and the scheduling fee will increase to $150. If you want to avoid the higher fees then you should schedule your surgery before April 1st or start a Reversal Prepayment Account.

      The main advantage to tubal reversal is that every month you have a chance and you can become pregnant more than once. On average, about 2 out of every 3 women become pregnant with tubal reversal surgery.

      The following link will answer most of your questions about reversal. This is the MOST HELPFUL INFORMATION to read when considering reversal at our office. Each question has a link to more information about the question: Frequently asked questions about tubal reversal

  5. Me says:

    Can you treat patients with Factor V Leiden for an essure reversal? I have never had complications from it like clots or anything but I did have bad luck carrying children to term, I naturally have 2 healthy children and really want 1 more.

    1. Dr. Monteith says:

      Your history of Factor V Leiden makes scheduling a little more challenging but not impossible.

      1. Your BMI must be below 37 to have surgery at our center.

      2. You will need to start the on-line scheduling, pay the $125 scheduling fee, and have your health history discussed with a nurse. All patients must do this step.

      3. Because of your history we will then need to send a referral letter requesting treatment recommendations to a hematologist asking them what is your risk for a blood clot and do you need blood thinners. If you do need blood thinners they will have to prescribe them and give you instructions on how to take them.

      4. Because you have a high risk condition you will then need to have a phone/office consultation with Dr. Monteith ($250) to discuss your risks of surgery.If your doctor recommends you dont need blood thinners at all….then you dont need the consultation with Dr. Monteith. If your doctor recommends blood thinners you do need the consultation. If your doctor recommends you have blood thinners immediately before or during surgery then you would not be a candidate for tubal reversal at our center.

      We specialize in Essure reversal and Essure removal surgery. We can reverse Essure and give you the chance of pregnancy….or we can remove Essure and leave your tubes closed. The chance of pregnancy after Essure reversal is about 40%.

      More information: Essure reversal testimonials

      The cost is the same $7,500. We are located in Raleigh, North Carolina.

      Please be aware that starting April 1st 2019 the fee for Essure reversal surgery will increase to $7,900 and the scheduling fee will increase to $150. If you want to avoid the higher fees then you should schedule your surgery before April 1st or start a Reversal Prepayment Account.

      No other clinic or doctor has the experience we do. The chance of pregnancy after Essure reversal is about 40%. If you are having symptoms that started soon after Essure most patients report improvement after removal of the devices. We do have a surgery prepayment plan.

      More information: Successful Essure reversal with Dr Monteith

      We charge a total of $7,500 for Essure reversal/removal plus $125 to schedule surgery. If you use our prepayment plan then you can contribute any amount as you are able but you must have the surgery paid for by three years. We do work with two financing companies and we do have a prepayment plan.

      The following link will answer most of your questions about reversal. This is the MOST HELPFUL INFORMATION to read when considering reversal at our office. Each question has a link to more information about the question: Frequently asked questions about tubal reversal

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