We exclusively specialize in tubal reversal surgery and the surgical repair of blocked fallopian tubes.
Most of our patients travel to our center for reversal of tubal ligation, but we also have patients who come for tubal surgery to repair fallopian tubes blocked from scar tissue.
Often this scar tissue has formed because of a previous pelvic infection, surgery, or an ectopic pregnancy. This scar tissue can often form either at the beginning or at the end of the fallopian tube.
Tubal blockage caused by scar tissue can often be repaired with microsurgical tubal surgery. This can allow many women an alternative to in-vitro fertilization and the chance to become pregnant naturally.
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?
The most common type of tubal blockage is when scar tissue forms at the very end of the fallopian tubes. This causes the tubal fimbria (the area of the tube where they egg is received from the ovary) to close. This type of tubal scar tissue will prevent pregnancy from occurring.
The most common cause for blockage at the end of the tube is from a previous pelvic infection, but any insult to the tube (ectopic pregnancy, endometriosis, surgery) can cause this type of tubal blockage.
When the tubal blockage is severe the fallopian tube will swell with fluid and the swollen tube is often called a tubal hydrosalpinx.
A hydrosalpinx can be repaired with a microsurgical salpingostomy procedure. During this procedure the scar tissue is removed and the end of the tube is reopened. This surgical repair will allow pregnancy to occur.
Fallopian Tube Blockage At The End
Some women will undergo an uncommon type of tubal ligation where the fimbrial ends of the tubes are tied, cut, and the fimbrial tissue is removed.
This type of tubal ligation procedure is uncommon and is called a fimbriectomy tubal ligation.
Fimbriectomy can be repaired with a microsurgical salpingostomy and allow women the ability to become naturally pregnant.
When the tubes are blocked either from a hydrosalpinx or fimbriectomy this can be repaired with a microsurgical salpingostomy procedure.
The chance of pregnancy after microsurgical salpingostomy depends on the age of the patient and the health and length of the remaining tube.
The pregnancy rate at one year following microsurgical salpingostomy is approximately 30 to 40%.
Tubal Blockage At The Beginning Of The Tube
It is less common to have blockage at the beginning of the fallopian tube. The most common reason to have blockage at the beginning of the fallopian tube is from an Essure sterilization procedure. The next most common reason to have blockage at the beginning of the tube is from Salpingitis Isthmica Nodosa (SIN).
Salpingitis Isthmica Nodosa is a condition which is not very well understood but often occurs in the beginning of the fallopian tube as it travels through the muscle of the uterus.
This condition causes progressive tubal scarring that can cause patients to have multiple ectopic (tubal) pregnancies. Ultimately this condition can progress to complete tubal blockage.
This condition can often be reversed through a tubouterine implantation procedure. We commonly perform tubouterine implantations for reversal of Essure sterilization, but this type of tubal repair can also correct blockage in the beginning part of the tube from other causes.
The pregnancy rate one year following tubouterine implantation ranges from 25 to 50%.
Have Questions? We’re Happy To Help!
We provide a unique surgical experience with personalized attention and one-on-one care. We make every effort to make your surgery less of a process and more of a life’s experience. Please use the buttons below for answers to our frequently asked questions.
“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!”
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.