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Tubal Reversal Pregnancy Study Report 2011

TUBAL REVERSAL PREGNANCY STUDY:
A DECADE OF OBSERVATION

Study Patient Population

This report is based on 9,935 cases of tubal reversal surgery and subsequent pregnancies from January 1, 2000 through December 31, 2011 at our practice, the only medical facility exclusively for tubal ligation reversal.


Women’s Ages

The women ranged in age from 20 to 51 (Figure 2). The average age was 34. The majority of women in the tubal reversal study were in their 30s.


Figure 2. Age Distribution

Tubal Ligation Methods

The type of tubal ligation procedure is one factor related to the outcome after tubal reversal surgery. The most common tubal sterilization method involved tying, cutting, and removing a segment of the fallopian tube (tubal ligation and resection). The second most common method was tubal coagulation (burning the tubes) followed in frequency by tubal occlusion with tubal rings or clips. Other procedures, including fimbriectomy (removing the end of the fallopian tube) and hysteroscopic methods (Essure or Adiana) were the least common. In cases where the patient’s operative report of the tubal ligation was not available and the method could not be determined at the time of the tubal reversal, the sterilization method was classified as unknown.

Table 2. Tubal Ligation Method

Method Number Percent
Rings 1416 14%
Clips 850 9%
Ligation/resection 3971 40%
Coagulation 2849 29%
Other/unknown 849 8%
Total 9935 100%

 

The complete Tubal Reversal Pregnancy Study: A Decade of Observation can be viewed by using the following links:


Table of Contents

Meet Dr. Monteith

As a surgeon my reputation & integrity are extremely important to me. I’ve been providing new choices & new beginnings since 2008. I’ve had the distinct privilege of being the first surgeon in the world to report successful pregnancy within the peer reviewed medical literature after reversal of transcervical hysteroscopic tubal sterilization. Permanent is not forever at my practice! HAVE QUESTIONS?

What Our Patients Are Saying

“We had our surgery on 3/18/15 and on 02/02/16 our 7 pound 11 oz baby girl was born! I’m 34 years old and had tubal ligation done via clamps 8 years prior so this surgery really does work! 8 years later I had the reversal and 9 years later we were blessed with our little girl! So many doctors tried to talk us out of it-wanted us to do IVF to get our money-however praise God we went with this because it does WORK! Dr M is amazing and his staff! The area is beautiful where his office is, and if you do this procedure it will be the best money you ever spend!”

– Charlee-Belle M., Surgery

“From the very first phone call, the staff at A Personal Choice has been amazing! They have answered our numerous questions, concerns and have been amazing. They never give you false hope, but give you the complete story. I am so happy that we chose Dr. Monteith and his staff to make our dreams a reality. Can’t wait to start trying to have a baby. I would and have recommended Dr. Monteith to ANYONE wanting a tubal ligation or vasectomy reversal. Thank you all so much for giving us this chance!”

– Angela W., Essure Reversal

“Excellent service overall! Each stage of the process was carefully explained in great detail: how the procedure works, what to expect during the procedure, what to expect after, possible side effects. Dr. Monteith himself is very knowledgeable and experienced and quite personable too. He has a great sense of humor and uses it generously to put patients at ease. I highly recommend him and his staff to anyone considering either a vasectomy or a vasectomy reversal.”

Chris B., Vasectomy Reversal

“The perfect little angel that I’m holding in my arms right now is the best testament to what Dr. Monteith and his staff do for people. We could not be happier with our decision to use Dr. Monteith. His staff are just amazing. Our entire experience was just a dream! Thank you, from the bottom of our hearts, thank you!”

Jamie B., Reversal of Cut & Tied Tubes

GET IN TOUCH WITH US

Ask The Doctor

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

70 Comments

Mayra Denis Reply

Hola tengo 4 cesaría ya ase 10 años de la última pero Nesesito saber si puedo aser me la reversión de las trompas tengo 34 años


    Dr. Monteith Reply

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


Sheenna Reply

I have had two successful births by C-section. Does that lower my chance of a reversal?


    Dr. Monteith Reply

    Sheena
    C-section does not decrease your chance of successful reversal unless you have severe internal scar tissue as a result of healing from your c-section.

    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


Tifani Reply

Hello, my husband and I wish to become pregnant. I’ve had 3 successful pregnancies before my bilateral laparoscopic tubal fulgaration. The amount of tubes are not noted. It does however, say that they were fulgarated in 3 different places. Will it be possible for us to become pregnant?


    Tifani Reply

    I’m 34 yes old, good health, and under 30bmi


      Dr. Monteith

      Tifani
      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. 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.


    Dr. Monteith Reply

    Reversing burned tubes (also called tubal cauterization or tubal coagulation or tubal fulguration) can provide a good chance of success. The chance of pregnancy after reversal of burned tubes can be as high as 60% to 80%.

    You should send us a copy of your tubal ligation operative report for a free review and we can let you know if you are a good candidate for tubal reversal surgery. You can obtain a copy of your report from the Medical Records department where your procedure was performed. Occasionally the doctor will have your records.

    You can see our burned tube reversal testimonials here: Testimonials of Successful Reversal of Burned Tubes

    We charge $6400 total plus $125 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.

    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.

    If you would like more reassurance about our ability to reverse your type of tubal ligation then you should consider our optional screening laparoscopy procedure. If you choose to have the screening laparoscopy and your tubes cannot be repaired then you would be offered a refund of the surgery fee.

    More information: Optional Screening laparoscopy with refund for no repair

    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.


Ophelia Reply

I am 41 I had a bilateral tubal ligation via parkland method. Am I a good canidate?


    Dr. Monteith Reply

    You should be a good candidate.

    It is harder to become pregnant with increasing age but not impossible if you are having regular periods. I would advise you not delay your decision for too long.

    The chance of pregnancy after age 40 and tubal reversal is about 35% to 40%. 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.

    For more information: Tubal reversal and age

    The surgery at our center should be safe. Pregnancy should be safe as long as you dont have any severe medical conditions. It is harder to become pregnant with increasing age so I would not delay your decision for too long.

    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

    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 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