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Ectopic Pregnancy: Risks of Tubal Reversal Surgery
Review #2349

Hopeful after ectopic pregnancy

We were so excited to be pregnant after 11 months of trying.┬áBut it wasn’t meant to be for us this time. We had a tubal pregnancy and I received a methotrexate injection this morning to help me pass the baby.

At 5 weeks and 6 days there was nothing found on an ultrasound except a thickening of the uterine lining. Hcg levels had only gone from 714 to 920 in 1 week. I began to bleed and cramp after having the vaginal ultrasound, and the next day received a methotrexate injection.

We are crushed, but hopeful for the future.

Patient age: 39
Tubal ligation type: Resection (tied or cut)
Patient hometown: Winston-Salem, North Carolina

Risks of Tubal Reversal Surgery

Tubal reversal can be a good option for women to become pregnant after having a tubal ligation. Tubal reversal can be more affordable and more successful than in-vitro fertilization (IVF). Tubal reversal can be very successful, but tubal reversal is not without risk.

The main risks of tubal reversal surgery are not with the actual surgery but rather the risk of an ectopic (tubal) pregnancy after surgery.

About 1 out of every 10 pregnancies after tubal ligation will be ectopic. Although a tubal pregnancy is series, this risk can be easily managed if patients have close follow up with the doctors with every early pregnancy.

Dr. Monteith and the staff of A Personal Choice works closely with patients to help avoid the risk of ectopic pregnancy by:

  • educating patients about the risks of tubal reversal surgery (ectopic pregnancy)
  • sending a letter of recommendation and reversal records to the patient’s local doctor
  • providing patients with an Early Pregnancy Monitoring Protocol

With good patient education and close follow-up with a local doctor the serious risks of tubal reversal surgery can be minimized. This patient was able to receive medication to treat her ectopic pregnancy. This allowed her to save her tube and continue to have the chance to have a successful pregnancy.

More information: Risks of tubal reversal surgery

More information: Risks of in-vitro fertilization

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