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Tubal Reversal Pregnancy Report 2011

TUBAL REVERSAL PREGNANCY STUDY:
A DECADE OF OBSERVATIONS

Outcomes After Tubal Reversal
Births, Miscarriages, & Ectopic Pregnancies By Age

Table 7 shows the relationship between the age of reversal patients and outcome of tubal reversal pregnancies after tubal ligation reversal at our facility. With increasing age, the percentage of pregnancies resulting in births declined due to an increasing percentage of miscarriages. Among women under age 35, over half of pregnancies resulted in birth or ongoing pregnancy, while one third miscarried and 13% were ectopic (suspected or documented). The birth percentage was lowest and the miscarriage percentage highest for women 40 and older.

Whether there is an increased risk of miscarriage associated with tubal reversal is unclear. The miscarriage rate reported in the general population ranges from approximately 20% to 50% depending on a woman’s age and how early pregnancy testing is performed.

Ectopic pregnancies were more frequent than in the general population of women who have not had a tubal ligation, which is approximately 3%. Ectopic pregnancy after tubal reversal surgery may be overestimated, since some early pregnancy losses were reported as ectopic pregnancies when serum HCG levels did not rise normally and the pregnancies were interrupted with Methotrexate treatment. In these cases, it is not known whether the pregnancy was in the uterus (“blighted ovum”) or outside the uterus (ectopic). These are sometimes referred to as pregnancies of unknown location.

Table 7. Pregnancy Outcomes by Age

Age Pregnant Birth/Ongoing Miscarriage Ectopic
<30 1128 614 (54%) 368 (33%) 146 (13%)
30-34 2823 1473 (52%) 931 (33%) 419 (15%)
35-39 2262 1079 (48%) 848 (38%) 335 (15%)
40+ 443 169 (38%) 216 (49%) 58 (13%)

Pregnancy Outcomes By Tubal Ligation Method

Table 8 shows the relationship between the tubal ligation method and pregnancy outcomes. Tubal ligation reversal after tubal clips (Hulka clip, Filshie clip) has the best outcome of all tubal ligation methods, with the highest percentage of births (70%) and lowest percentage of miscarriages (25%) and ectopic pregnancies (6%). Reversal of tubal rings (Falope ring, Yoon ring) has the second best outcome, followed in order by ligation/resection and coagulation.

These findings are almost certainly due to the minimal damage to the fallopian tube caused by tubal (Hulka or Filshie) clips.

Table 8. Pregnancy Outcomes by Tubal Ligation Method

Method Pregnant Birth/Ongoing Miscarriage Ectopic
Clip 660 459 (70%) 164 (25%) 37 (6%)
Ring 1070 601 (56%) 357 (33%) 112 (11%)
Ligation/resection 2616 1254 (48%) 949 (36%) 413 (16%)
Coagulation 1872 805 (43%) 733 (39%) 334 (18%)

Pregnancy Outcomes By Fallopian Tube Lengths

Longer fallopian tube segments are associated with better pregnancy outcomes than shorter tubes (Table 9). Among women with average fallopian tube lengths measuring 7.5 cm or longer, 65% of cases gave birth or had an ongoing pregnancy by the end of the study period. The percentage of births decline as miscarriages and ectopic pregnancies become more common with shorter tubal lengths. As discussed previously, the tubal lengths that remain after tubal ligation indicate the amount of damage caused by the sterilization procedure. The greater the amount of normal fallopian tube remaining, the better the chance of it functioning normally after tubal reparative surgery.

Table 9. Pregnancy Outcomes by Tubal Lengths (cm)

Length (cm) Pregnant Birth/Ongoing Miscarriage Ectopic
7.5+ 684 447 (65%) 187 (27%) 50 (7%)
5.0-7.4 3621 1964 (54%) 1216 (34%) 441 (12%)
2.5-4.9 1932 771 (40%) 787 (41%) 374 (19%)
<2.5 97 24 (25%) 45 (46%) 28 (29%)

 

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

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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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31 Comments

Mayra Reply

Hola, pasé por 2 embarazos ectopicos y perdí las trompas, acabó de cumplir 40 años de edad, me gustaría saber si tengo alguna probabilidad de qué su operación funcione en mí y pueda tener bebés


    Dr. Monteith Reply

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


Melanie Reply

I am 43 and my spouse is 51 what arevour chances of getting pregna nt


    Dr. Monteith Reply

    Melanie
    It is harder to become pregnant with increasing age so I would 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


Anonymous Reply

Holly I am 48 years old I would like to have tubal reversal. I would like to know my changes of having a healthy baby.


    Dr. Monteith Reply

    It is harder to become pregnant with increasing age but not impossible if you are having regular periods. I would 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


Nadia Reply

Hello, i had my tubes cut and burned almost four years ago. I am 33 years old. I am wanting to get pregnant again, and considering tubal reversal.
For someone my age, what are the risks of ectopic pregnancies?
I have regular periods, but i had one doctor my ovarian function was about half for someone my age (possibly due to lack of blood flow from tubal?). I was told IVF would be a better route but i have read super ovulation can lead to ovarian cancer later in life.


    Dr. Monteith Reply

    Nadia
    We can help you. We can successfully reverse the tubes in 98% of patients who come to our center and about 2 out of 3 patients will become pregnant after reversal. The chance of ectopic pregnancy after tubal reversal is about 10%.

    Overall tubal reversal provides a better chance at pregnancy than IVF. Your age is young. The ability to become pregnant does not start to decrease until after age 42.

    Give us a call if you have questions. 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.

    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.


Joanna Reply

Hi I had my tubes burned 10 years ago and i am 40 years old now what is the possibility of getting pregnant naturally. thank you


    Dr. Monteith Reply

    Joanna
    Your chance of pregnancy over the next 10 years is the same as your chance the last 10 years. Tubal reversal is your best option to become pregnant. I would not delay your decision for too long because it is harder to become pregnant after the age of 42.

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

    Insurance will almost never pay for tubal reversal surgery. 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.

    Call us at (919) 968-4656 8am to 5pm eastern standard time and we would be happy to speak with you.

    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