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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 specially selected hotels that are each within 1/2 mile of our office. Patients stay two (2) nights in these hotels. There is a grocery store, several pharmacies, and many restaurants within walking distances of many of the hotels.

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

More information on hotel costs here: Hotels for Dr Monteith’s patients

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. We work with several financing companies offering medical financing or direct patient loans. Financing can be a great way to have surgery now and pay later.

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

713 thoughts on “Frequently Asked Questions”

  1. Quiroz says:

    Hola buenas tardes como funciona lo de prepago yo necesito la recanalizacion tubarica tengo 38 años me operaron en México sin me consentimiento no tengo la cantidad junta para la cirugia por eso me gustaría un plan de pagos

    1. Dr. Monteith says:

      Quiroz
      Call us at (919)977-5050. Ask to speak with Oyuki or Kaycee. They speak Spanish and they can help you.

  2. Anonymous says:

    Can I drive myself back to the hotel after my surgery since my husband has to stay at the hotel with our children? We don’t have anyone to watch them so my husband can come with me.

    1. Dr. Monteith says:

      We would not allow you to travel by yourself after general anesthesia. Most patients leave their children at home with someone to take care of them or bring a responsible adult to care for the kids at the hotel and another adult to take care of you the patient. If you are unable to do this then we would not perform your surgery.

  3. Anonymous says:

    So when I come to NC to have surgery, my husband & 3 children will be coming with me. How will that work with hotel reservations?

    1. Dr. Monteith says:

      We only allow you to bring one responsible adult to the consultation, surgery, and post operative visit. Children are not allowed in the facility. Many patients will bring their children and allow them to remain in the hotel under supervision while they are having their visits in our office.

  4. Lisa says:

    Is there any down time after the reversal, and if so how long before I can go back to work and resume normal activities.

    1. Dr. Monteith says:

      Lisa
      We advise patients they can start trying to become pregnant as soon as they feel comfortable. Patients can go back to a light duty desk job in 7 to 10 days. If your job requires a lot of bending a lifting then you should wait 4 weeks before you return to work.

  5. Lisa says:

    Hi! I realize this question is asked time and time again. In fact, I have read this question asked many different ways time and time again, so please forgive me.
    I am approaching my 44th birthday. My first child was born in 1999 and my second and third in 2005 and 2006. All but one were breech and therefore c-sections were done on all three.
    I assume I am nearing the pre-menepausal stage due to hormonal mood swings, unusual cramping, digestive issues and all that good stuff. My periods are still pretty much on time every month, give or take a day or two, with the exception of last month, which came a couple weeks early.
    I entered puberty kind of early, in the 6th grade, also.

    Given this information, would you be willing to share your thoughts about having the procedure done and the odds of becoming pregnant before age 47, if at all.

    Thank you.

    1. Dr. Monteith says:

      Lisa
      The chance of natural pregnancy at age 47 is less than 3%. Your best chances would be IVF with donor eggs and your chances with donor eggs could be as high as 80%.

      We should be able to help you. It is harder to become pregnant with increasing age so I would not delay your decision for too long.

      We do have many patients who become pregnant with tubal reversal after age 40. Most of the women who become pregnant after reversal are between the age of 40 and 43.

      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.

      The alternative treatment is in-vitro fertilization (IVF). Most IVF doctors will recommend you use donor eggs after the age of 42. A single cycle of IVF averages $14,000 and average success is 38% for each try. After age 40 IVF success decreases quickly.

      For more information: Tubal reversal and age

      If you would like to get started then the best first step is to send us your tubal ligation records for a free review. Your tubal ligation records can be obtained from the Medical Records Department in the hospital where your tubal ligation was performed. Occasionally your doctors office may have the records. Sometimes patients may not be able to obtain their tubal ligation records. We can still proceed with surgery without records because we can reverse most tubal ligation procedures.

      To see more the success stories of older moms visit: Successful tubal reversal after age 40

      Here is a testimonial you may be interested in: “We Had Given Up” Tubal Reversal Mom Age 47

      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.

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