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Frequently Asked Questions

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.

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.

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.

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

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

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

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.

More information: Tubal reversal and age

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

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.

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.

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.

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

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.

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

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

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

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

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

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.

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.

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.

Do I Need To Stay At The Required Hotels?

All patients must stay at one of our our specially 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.

More information: Recommended hotels for surgery patients

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.

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

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

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.

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

 


 

Have Questions? Leave a comment here or visit our contact page.

789 Comments

Latrice Sanders Reply

How far is the drive from Kansas City Missouri,


Rebecca Reply

What is the required BMI for a patient before surgery? I am 4’11” and on the heavy side, just wondering what my goal weight should be.


    Dr. Monteith Reply

    Rebecca
    We require your BMI to be less than 37 to have surgery at our center.

    BMI is calculated based on height and weight. Your BMI is officially calculated on the day of your surgical consultation.

    We do not charge patients based on BMI.

    You can check your BMI with our BMI calculator here: BMI Calculator

    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 charge $6,900 total for surgery plus $150 to schedule.

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

    Although $6,900 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. 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

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


Anonymous Reply

Had tubal ligation surgery in 2010, ablation surgery in 2016/2017. My periods started back about a year later. Does this mean my uterus lining is back enough to possibly carry a baby?! I would like to have a reversal but I have read online where it’s such a low possibility most Dr’s don’t recommend the reversal.


    Dr. Monteith Reply

    In general it is recommended that you do not become pregnant after having an ablation procedure.

    Tubal reversal and pregnancy are possible if you are having regular periods of at least 3 days duration after your ablation. All pregnancies after ablation are considered high risk. Most IVF doctors will recommend using a gestational surrogate. IVF costs average $14,000 and you will have to pay the surrogate even more.

    If you are not having periods then we would not consider you a candidate for reversal. There is no medical treatment to make your periods return.

    Ablation will decrease the chance of pregnancy because it permanently damages the lining and muscle of the uterus.

    If your periods are light then you do have some functioning endometriumm but we are not always certain if it is enough to allow for pregnancy. There is no accurate way to be certain.

    We cannot provide an accurate percentage about the success of women getting pregnant after reversal with a prior ablation because there are no large scale studies looking at this. We have had women become pregnant naturally after tubal reversal with a prior ablation but don’t have a large enough group of these patients to provide meaningful statistics.

    You can see our patients who have had pregnancy success after endometrial ablation here: Ablation pregnancies

    Studies looking at women who have become pregnant after ablation show that about 50% will miscarry and about 50% will have live born babies.

    You should read these six articles I wrote about ablation, reversal, and the risks of pregnancy: Tubal Reversal and Ablation

    The ablation will decrease the chances of pregnancy but if you are having regular monthly periods of at least three days duration then pregnancy is certainly possible. If you are not having regular periods then I would advise against a reversal because pregnancy is not likely.

    In general pregnancy is not recommended after ablation because each pregnancy is at higher risk; miscarriage, growth restriction, early delivery, c-section and adherent placenta. The literature suggests pregnancies are at higher risk but many will do well.

    It is possible to become pregnant after having an endometrial ablation and then a tubal reversal and have a healthy pregnancy if you are having regular periods of at least three days duration every month. Please call us at (919) 977-5050 if you have any additional questions about tubal reversal.

    To be considered a candidate by our office you need to be having regular periods (every month) and these periods need to last for at least three days.

    All patients with ablations need a consult with me (Dr Monteith) either by phone or in person before they can schedule reversal surgery.


Abigail Reply

Hello Dr. Monteith,
I called your office and spoke with someone who gave me information on scheduling, age factor and so forth. I had a tubal ligation when I was 25 and the medical records were paper records so they no longer exist. I was only 29 years old when I inquired about my records to consider a tubal reversal and they stated that there was enough length to connect everything back without any issues. But I never obtained the records since my marriage didn’t last long after I got this information. So when I called your office I was told I’d have to get a laparoscopy done because sometimes the information they give you isn’t accurate. I thought from the information I read on your site that this procedure is optional. Is that correct? Is it now mandatory to get a laparoscopy done before scheduling surgery?


    Dr. Monteith Reply

    Abigail
    The screening laparoscopy is ALWAYS optional. We have found that some people talk to us and they interpret that the laparoscopy is mandatory.
    We have never told a patient that screening laparoscopy is required and you will not find that language on our website.


Jennifer Reply

Hello I had a tubal ligation back in 2004 not by choice by pressure I would love to have another child with my husband I live here in Canada and London Ontario I do not fly I do not travel I was just wondering what services the doctor offers if she comes to Canada how much the price is and what I can do or go about having a reversal


    Dr. Monteith Reply

    Jennifer
    If you want tubal reversal you will have to travel to us for surgery. We have many patients who travel to us from Canada for tubal reversal surgery. You would have to spend 2 nights and 3 days in Raleigh NC.

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

    The first step to see if you are a candidate is to send us your tubal ligation reports to us 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 $6,900 total plus $150 to schedule and we are located in Raleigh, North Carolina.

    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 $6,900 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.

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Your questions about reversal surgery will be answered directly and promptly by Dr. Monteith. Please read our most frequently asked questions before submitting your questions. Dr. Monteith will not respond to general medical questions or if you are a patient of another doctor and are contacting him because your doctor is unavailable.* If you have been a patient at our reversal center and have specific questions about your medical care you should contact the reversal staff directly at (919) 977-5050.

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