Tag Archives: Post Tubal Ligation Syndrome

The Long Term Effects of Tubal Ligation

Tubal ligation can have long term effects for some women. The pressure to have a tubal ligation can be great and with the passage of time the effects of this procedure upon one’s life can gradually begin to reveal themselves. Although having your tubes tied is a simple method to prevent pregnancy, this simple procedure can have unforeseen and lasting effects upon those who have them.

In this blog post Dr. Berger of Chapel Hill Tubal Reversal Center reports:

Tubal regret is a common post tubal ligation symptom. For some this regret of having made a permanent decision can lead to depression and despair because as life changes and one’s situation markedly improves the desire to have more children will gradually emerge; however, the ability to do so will not unless serious decisions are made.

It is possible to have more children after tubes have been tied and the three options are: tubal ligation reversal, in-vitro fertilization, and adoption.

Some women will pursue adoption but many have a strong desire to have their own children. In-vitro fertilization or tubal reversal will be the most common choices for women. Tubal reversal allows excellent chances at pregnancy and, in addition, can offer women a path to reverse the guilt and regret they may have experienced after a tubal ligation procedure.


Can Fertility Be Restored After Tubal Ligation?

When a woman decides to have a tubal ligation (often called getting her tubes tied), it is not always the easiest decision. Sometimes, she is feels she has finished having her family and has a tubal ligation at the time of childbirth. However, some women make the decision because of other problems going on in their lives at the present time. They may be in a bad relationship or have financial issues that they can’t see getting resolved in the near future. However, as with anything, these life issues can change quickly. This is why many women are opting to have a tubal ligation reversal. more info: Can Cut Tied and Burned Tubes be Reversed? Common Myths About Tied Tubes

All across the world, there are women who are pursuing the option of having their tubal ligation reversed. Because there are only a handful of doctors across the world who specialize in TR  (Microsurgical Tubal Anastomosis and Tubal Implantation), many women find themselves traveling to North Carolina to visit the Chapel Hill Tubal Reversal Center. The surgeons at the center are very highly qualified because they only perform tubal reversal surgery, and do it on a daily basis. Dr. Berger developed the outpatient technique for tubal ligation reversal. He has performed more than 8000 of these procedures over three decades and has acquired the greatest experience with this operation of any reproductive surgeon worldwide.

Tubal ligation reversal cannot be completed on every woman who wants it simply due to the fact that a few women are not good candidates. Chapel Hill Tubal Reversal Center provides a free consultation and review of your records to help determine if TR is for you. The surgeons will want to see the original surgical report that was completed during the tubal ligation so that they can see what kind of procedure was done. There are several different ways to do a tubal ligation and some are more suitable for tubal reversal later on. One important factor is how long the remaining fallopian tube lengths are because the doctor will need to have enough to work with to reconnect. Dr. Gary Berger and Dr. Charles Monteith are able to reverse ligations in 98% of cases and approximately two-thirds of patients report pregnancy within 12 months following their tubal reversal surgery.

Of course, the one important factor with fertility is age especially when it comes to women. If a woman has waited many years after having a tubal ligation to get it reversed, it is possible that she will not still be fertile. Having some simple bloodwork should be able to allow a woman to see whether or not her body is still ovulating regularly and producing good quality eggs. In addition, a woman needs to be in good health in order to achieve pregnancy naturally.

So YES you can have you can have your fertility restored after tubal ligation. Whether cut, tied, clipped, burnt or electrocuted, the fallopian tubes can all be repaired in the vast majority of cases. Rarely will the ligation have destroyed both fallopian tubes completely. Specialist microsurgery can rebuild one or both tubes, not only make pregnancy possible, but also often having the life changing effect of making a women feel whole again.

Call (919) 968-4656 For A Free Phone Consultation with a Tubal Reversal Nurse!

Post Tubal Ligation Syndrome and Tubal Reversal

Chapel Hill Tubal Reversal Center (http://www.tubal-reversal.net) — Erin K., a mother and nurse, describes symptoms she developed after her tubal ligation, called Post Tubal Ligation Syndrome (PTLS). Her symptoms were relieved by tubal ligation reversal performed by Dr. Berger. Although many women experience adverse symptoms after a tubal ligation, many doctors discount the existence of PTLS. But in a study of over 300 women with Post Tubal Ligation symptoms, more than 90% reported relief after having their tubes untied at Chapel Hill Tubal Reversal Center.

Transcript of Video Interview with Tubal Reversal Patient Erin K.

Erin: And I felt so much better afterwards.

Dr. Berger:  In what way?

Erin: When my husband and I had met with you I had read about post tubal ligation syndrome. Is that okay to say right now?

Dr. Berger: Sure, it’s okay.

Erin: Okay, I had had my tubes tied for about a year and with each period I had a headache and cramps and an increase with my menses. I would have to go lie down and I would have to take Ibuprophen and not just once but two or three times and I just got feeling really, really bad. I looked on the blog pages with other mothers with post tubal ligation syndrome, oh that is a big long word.

Dr. Berger: You can use PTLS.

Erin: Okay thank you. They were saying how their sex lives weren’t very good. It was painful. They felt a little depressed. The day I had my surgery my period started. I know that is a lot of information but starting with that period I hardly had any cramps. I know I was taking pain medication and I didn’t feel so bad but even the surgery wasn’t that bad. And I felt better just within a few days. My next period was way better. And other things got way better too.

Dr. Berger: Cool

More Information on Post Tubal Ligation Syndrome

Tubal Reversal After 40 Years Of Age

Becky’s Tubal Ligation Reversal Journey Part One
Becky and her husband discuss with Dr. Gary Berger how they came about the decision to have tubal ligation reversal surgery. Becky describes how she went to see another surgeon who told her she was not a good candidate for tubal reversal surgery due to her age (46). Dr. Berger agrees with the couple that all tests look good and that if they do not try she will always be second guessing herself.

Becky’s Tubal Ligation Reversal Journey Part Two
The nurses at Chapel Hill Tubal Reversal Center prep Becky for tubal reversal surgery. Becky is comfortable and ready to proceed with surgery with Dr. Gary Berger. Chapel Hill Tubal Reversal Center is dedicated solely to tubal reversal surgery and has helped women from all over the world to have children after a tubal ligation.

Tubal Reversal After 40 Years Of Age by Sandra Wilson

If you are reading this article on this site, then you have probably been looking into tubal ligation reversal as a means of having another child (or maybe to be rid of PTLS). Yes, tubal ligation reversal can give you the opportunity to become pregnant again but there are still some potential risks you should be aware of if you are an older mom-to-be wanting a pregnancy after 40. Dr. Berger and Dr. Monteith have provided quite a bit of information on this topic of advanced maternal age pregnancies on their blog at the website http://www.tubal-reversal.net/

The number of women having advanced maternal age pregnancies is on the increase. In fact, a great many women today are classed as having this type of pregnancy because they are over the age of 35. When a woman does have a pregnancy after 40 years of age, she needs to be made aware that there are more risks involved than for a younger woman. Therefore, any woman who would like to have more children after she is 40 years or older will have to take certain factors into consideration first.

The first is that your fertility level will not be as high as a younger woman’s, especially a woman in her 20s. It just won’t be as easy to conceive. However, Dr. Berger did collect statistics on his patients, the only doctor doing so to our knowledge, and he found that 41% of his patients over 40 did conceive. That’s means tubal ligation reversal is better than IVF for women over 40. Check out the statistics yourself.

Another problem in a pregnancy after 40 is the higher chance of the child being born with some kind of genetic problem. The one that is most commonly found in such pregnancies is Down Syndrome. The risk of the baby being born with such a chromosome defect is 1 in 42. There are tests that doctors can use including an amniocentesis test that enables them to determine if the child will have such a genetic problem or not. If found to be true, then there are other decisions which will have to be made which are up to you and your spouse.

Furthermore, there is a risk to the fetus of an abortion being caused by the amniocentesis test. The odds of it happening are 1 in 200. This means a serious discussion with your doctor and husband after you learn the benefits and detriments of having the test.

With a pregnancy after 40, you are also at risk of developing other health problems. There is a greater chance of having preterm labor, of developing diabetes, or suffering from high blood pressure. There is a much greater chance of having a preeclampsia pregnancy. Preeclampsia can lead to eclampsia so you need to learn the symptoms. This can be further exacerbated by an unhealthy lifestyle meaning even a younger pregnant woman with such a lifestyle can suffer these health problems. In order to catch such potential health problems with a pregnancy after 40, you will be monitored more closely during your pregnancy.

Additionally, if you did undergo a tubal ligation reversal or plan to, you should follow your surgeon’s instructions as to what you should do upon finding out you’re pregnant. Many women, after tubal ligation reversal, will know when they become pregnant due to the monitoring they do. Once you are, you should do as the surgeon tells you to make sure it is a viable pregnancy and to catch any problems early. Such instructions can be found at Dr. Berger’s website if the surgeon you are talking to does not make any such instructions available. You might find it better to just schedule your surgery with Dr. Berger or Dr. Monteith.

Dr. Charles Monteith, Tubal Reversal Surgeon

Interview with Dr. Charles Monteith
Tubal Reversal Surgeon at Chapel Hill Tubal Reversal Center

Charles Monteith, M.D. speaks about his education, training, and certifications. Dr. Monteith says he currently performs tubal reversals eight to twelve a week and the reasons women mention for wanting to have their tubes reversed. He says these include a new partner, or people have just changed their minds and decide they want to have more children. He adds a lot of women have experienced changes in their bodily functions after tubal ligation, and that patients refer to this as Post Tubal Ligation Syndrome.

Transcript of Video Interview With Dr. Monteith

Interviewer: Can you tell us about your medical school and residency training?

Dr. Monteith: I went to medical school in San Francisco, University of California in San Francisco and finished my MD degree there and then subsequently returned to the University of North Carolina, Chapel Hill to do my obstetrics and gynecology residency.

Interviewer: How long have you been performing reproductive surgery?

Dr. Monteith:I have been performing Gyn. surgery since 1997 but as of a year and a half ago dedicated myself exclusively to working with Dr. Berger and doing tubal reversal surgery.

Interviewer: And before you started working with Dr. Berger did women frequently ask for tubal reversal procedures was that something that something that came in your practice prior?

Dr. Monteith: As a generalist I did not see a lot of women that requested tubal surgery. However, our practice was a majority of young pregnant women. So I didn’t get a fair assessment of how many women were out there that wanted to have tubal ligations reversed. However I did have a partner that did perform exclusive GYN services she fairly often had requests or inquiries about tubal reversal surgery.

Interviewer: What made you pursue a certification in tubal reversal?

Dr. Monteith: I think I had had practiced high risk obstetrics and gynecology for a good seven years after I finished my residency and just one day I realized I needed to change what I was doing or I wasn’t going to last very long doing it. The way medicine has become is very high volume very stressful and little time with patients. I felt like I really wasn’t helping people to the best of my ability. Patients would come they would go. They would their insurance and have to go find another provider. People would come with job movement in the middle of pregnancy or leave in the middle of pregnancy and I just found that I didn’t get a lot of personal fulfillment out of it. I especially like my role as a tubal reversal provider because I like I’m being with a physician is supposed to be. I’m using my skills to help people to the best of my ability. And I especially feel because it’s not a widely offered service that I’m doing even better for a lot of women.

Interviewer: How many reversals do you perform each week?

Dr. Monteith: On average about eight to twelve a week currently.

Interviewer: What are some of the reasons women mention for wanting to have their tubes reversed?

Dr. Monteith: It seems like the most common reason is basically none of us can predict the future and most commonly it seems women find themselves in new relationships. Usually it is bad marriages, separations and divorce. And they find themselves with a new partner and just very strongly they would like to have children together. A close second to that would be to people that have just changed their minds and decide they want to have more children. And then a lot of women have experienced changes in their bodily functions after tubal ligation.

Interviewer: Are you referring to Post Tubal Ligation Syndrome?

Dr. Monteith- Ah yes, what most patients refer to as Post Tubal Ligation Syndrome.

Interviewer: And how frequently do you hear that as a condition that women feel they have developed?

Dr. Monteith- We hear it very commonly. There are probably a lot of women who come through here that never voice it or share it. But, at least in my experience here, I see a patient at least once a day if not every other day that has experienced worsened menstrual symptoms or bodily functions after a tubal ligation procedure.

Interviewer: And how much follow-up or are you able to follow-up after the surgery to see if that has improved?

Dr. Monteith: I am in the process of doing that now. Last year, we did a small case study on five women that had tubal ligations and experienced Post Tubal Ligation Syndrome. This summer it will be a full year and thus far in talking with them it seems at least about 70% of them have gotten better. Very frequently I am amazed that women post on the message board how much improvement they feel after they have reversal surgery.

Interviewer: How much contact do you have with patients after their reversal surgery?

Dr. Monteith: Most patients come from long distances so there is not a lot of direct contact but the most amazing thing is our tubal reversal patients seem to keep close contact by email and through electronic means. So, we hear from a large number of our patients.

Interviewer: What’s the best part of tubal reversal surgery and what you’re doing currently?

Dr. Monteith: The best part is really just using my skills to help a woman, a couple or a family to achieve what they would otherwise not be able to achieve and that is to add more children to their family or their relationship. Or to improve their perceptions about their body.

Interviewer: What do you like about Chapel Hill Tubal Reversal Center?

Dr. Monteith: The thing I like the most about this center and I come from my experience of working a large university and also from working at a large good quality hospital in Raleigh is that this center works with amazing efficiency. We take great care of patients. The staff seems to be real happy and motivated. And we are all dedicated to doing just one thing and that’s tubal surgery. And it feels good to work in a place with such high efficiency for the betterment of patients.

Interviewer: How does Chapel Hill compare to the in patient care of a hospital?

Dr. Monteith: There about the same as some of the best hospitals I have worked at and probably even better. Mainly because we are all focused on one thing and the staff really knows their jobs. And we are all dedicated to making that one goal happen, and that’s safe outpatient tubal repair surgery.

More Information about Dr. Monteith