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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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If you are considering reversal surgery and have questions about the procedure, fill in the form below and we'll get back to you as soon as we can! If you would like to speak with a nurse for a Free Consultation then feel free to call us at (919) 977-5050.

Please view our most frequently asked questions before sending your questions.

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We will review your records when we return.

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