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Tubal Reversal Pregnancy Study Report 2011

TUBAL REVERSAL PREGNANCY STUDY:
A DECADE OF OBSERVATION

Pregnancy Rates By Fallopian Tube Lengths

The tubal lengths that remain after a tubal ligation affect the chances of getting pregnant after tubal ligation reversal. (The fallopian tube length before a tubal ligation is about 10 cm or 4 inches.)

Tubal segment lengths were measured routinely during reversal surgery and recorded in operative reports during our surgeries. (Tubal length measurements were not part of the electronic database at the beginning of the study interval, so the numbers in the following table are less than the total number of patients during the entire period covered by the study.) The average length of the fallopian tubes after repair was correlated with the likelihood of pregnancy after tubal repair (Table 6).

Women with longer tubal lengths were more likely to get pregnant than women with shorter tubal lengths following tubal reversal surgery. 83% of women with tubal lengths of 7.5 cm or longer became pregnant. The probability of pregnancy declined as tubal length decreased, but even women with the shortest tubes (less than 2.5 cm) became pregnant. Although previously unreported in the medical literature, a repaired fallopian tube of any length can result in pregnancy. Based on reports by women with only 1 fallopian tube, we have discovered that tubal lengths as short as 1 cm can result in a normal pregnancy.

Table 6. Pregnancies by Tubal Length (cm)

Length Total Women Pregnant (Number) Pregnant (Percent)
7.5+ 824 684 83%
5.0-7.4 4949 3621 73%
2.5-4.9 3114 1932 62%
<2.5 221 97 44%

Tubal Ligation Method And Tubal Length

When tubal ligation method and average tubal length are taken into account simultaneously, the amount of fallopian tube remaining after a sterilization procedure turns out to be the more important factor predicting the success of tubal reversal surgery. The less damage that occurs to the fallopian tube during a sterilization procedure, the more remains to be able to function normally once the tube has been surgically repaired. This explains the why women with tubal clips and rings – that cause the least amount of damage – are most likely to get pregnant after tubal reversal, as shown in the previous page of this report.

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.

68 Comments

Carla Reply

I’ve had the Pomeroy Method of tubal
Ligation. If the tubes were cut closer to the fimbria does that affect my chances of pregnancy after reversal? Pathology report says they took 1cm and 2cm.


    Dr. Monteith Reply

    Carla
    We can reverse most tubal ligations. They removed very small sections from your tubes. You should send us your tubal ligation report for a free review.

    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.


Anonymous Reply

Will the child born from a final reversal be affected any way? Just curious to see if children born after a reversal end up being “normal?”


    Dr. Monteith Reply

    Tubal reversal allows you to become pregnant naturally. The only risk to tubal reversal is the increase risk of tubal (ectopic) pregnancy. There is no increase risk of birth defects because your tubes have been rejoined.


Vanessa Reply

Had my tubal done last January and they removed 5cm on each side . Can I still have a reversal ?


    Dr. Monteith Reply

    If you had 5 cm removed then you dont have enough tube left to reverse. Sometimes mistakes are made in the notes or the interpretation of the notes. It would be best if you sent us your tubal ligation operative note and the pathology note for review. We can let you know if you are a candidate. To send us records follow the instructions here: Contact Us: Sending Records For Review


Amanda Reply

Hi Dr. Monteith, I will be sending my records very soon as I pick them up from my dr tomm. I am trying to push forward w reversal surgery and heard your the best. Upon speaking with the nurse she advised me that approx. 2/3 of tube on each side were damaged during ligation leaving 1/3 on each side. Is this possible to reverse?


    Dr. Monteith Reply

    Amanda
    The nurse provides you with my interpretation ….so whatever she said is correct. We never know with 100% certainty until we actually look at your tubes. We should be able to reverse your tubes. If you would like more certainty then you should consider our screening laparoscopy option.


Christa Reply

Hi Dr I had my tubalagation surgery. However I want to do the reversal surgery. Is it possible to get pregnant they removed 3 centimeters of my tubes however the operative report says only one centimeter was removed.


    Dr. Monteith Reply

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

    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.