Sunday, May 16, 2010

Bilateral Tubal Ligation - What Is It?

What Is Bilateral Tubal Ligation?


Bilateral means both left and right. Tubal ligation refers to tying the fallopian tube. Although the strict meaning of bilateral tubal ligation is tying both fallopian tubes, bilateral tubal ligation is used in a more general way to refer to any type of tubal sterilization.

Types of Tubal Sterilization

The most common type of female sterilization is the Pomeroy technique. This involves tying off a section or loop of the tube and then cutting out a piece of the tied-off segment. The Pomeroy technique is categorized as a ligation and resection method. There are dozens of variations of this type of sterilization that involve ligating and removing a section of fallopian tube.

Instead of tying and removing a segment of tube, the fallopian tube can be burned, also known as coagulation or cauterization. This method of "bilateral tubal ligation" can be more destructive than the tying and cutting technique since the extent of the burn cannot be fully recognized at the time of the operation. This is because heat damage to nearby areas of the tube result in tissue damage and scarring that occurs over time. Of the two common methods of tubal coagulation, the bipolar coagulation method is less destructive than the monopolar method.

The fallopian tubes can be blocked by clips or rings. The newest method for blocking the tubes is Essure which can be done as an office procedure through a hysteroscope.

Of all methods of bilateral tubal ligation, cutting off the ends of the tubes (fibriectomy) tends to be the most damaging.

Is Bilateral Tubal Ligation Permanent?


Although most doctors tell their patients that bilateral tubal ligation is permanent, in reality almost all methods of bilateral tubal ligation can be reversed. This is often surprising to women who want to become pregnant again after having a bilateral tubal ligation. In most cases, they find this out through internet research rather than from their doctor.

132 comments:

  1. it's been 7 years now that i had undergone this operation.is there any possibilities that i can have a baby againin what procedureis it risky??and will it cost me

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  2. Yes, there is the possibility for you to have a baby again. Review the Chapel Hill Tubal Reversal website for answers to all of your questions: http://www.tubal-reversal.net

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  3. Am 27 yrs old,very healthy never had a problem getting pregnant in fact I was very fertilized and its only been 2 yrs since i had the BTL. What is the percent of getting the reversal and getting pregnant again?

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  4. LaNiesha - The percentage of getting pregnant again at your age is over 80% if you have your tubal reversal at Chapel Hill Tubal Reversal Center. You can see the pregnancy statistics for our patients here: http://pregnancy.tubal-reversal.net/tubal-reversal-pregnancy-report-2011-pregnancies-by-age-and-method.html

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  5. im 38 years old i have a bilateral tubal ligation in 2001 i want to get pregnant again, what posibilites are that i have that chance?

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  6. At age 38, the chances of getting pregnant after reversal of bilateral tubal ligation at Chapel Hill Tubal Reversal Center ranges from 62% to 73% depending upon the method of tubal ligation. You can see the detail of this at http://pregnancy.tubal-reversal.net/tubal-reversal-pregnancy-report-2011-pregnancies-by-age-and-method.html

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  7. I am 42yrs old and had bilateral tubal ligation in 1996, with a reversal what are the chances i could have another baby.

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  8. At age 42 the chances are approximately 1 in 4.

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  9. Is it possible to have a baby or become pregnant if i had my tubes burned? I know they were burned because I had just had my son with a c-section 4yrs ago.....and i was awake during the procedure and could smell the burning sent. And is it reverdible?

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  10. Yes, we reverse tubes that have been burned on a daily basis at Chapel Hill Tubal Reversal Center.

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  11. I am 31 years old and I had a Bilateral Tubal in 2007 because I thought I was complete with children, but in a tragic accident I lost all 4 of my children and my husband. I have now re-married and now we want to have a baby. I was told by the delivering doctor who did the surgery that I had my tubes, cut, burned, and I have clips, and that I could NEVER get prenant again. She said it was irreversable. What are my chances of getting pregnant again with a reversal from your office???

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    1. Anonymous - I am sorry to learn about the loss of your family. Your doctor has combined several methods of tubal sterilization. In order to determine whether this can be reversed, it would be helpful to review your operative report which you can fax to me at (919) 967-8637 along with your contact information.

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    2. Hey I'm 32 and I have had a btl can I also fax over my operation and see if mine can be reversible? I think mine had just been tied off and cut maybe...

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    3. Yes, you can fax your operative report to (919) 967-8637. Include your contact information (email address and/or telephone number) so I can get back in touch with you.

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  12. I am 33 years old I had my tubes burned 2 times last time was in 2004 and I don't have my paper work due to a fire , but got married to a wonderfull man has no childern and we would love to have a baby together . Could my tuble be reversed? I was told I could not due to the dr not knowing if their would be enought tube left to atach together?

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  13. I am 33 years old I had my tubes burned 2 times the last was in 2004 I have no paper work due to a fire in my home , then was married to a wonderfull man has no children and we would love to have a baby together . Could my tubal be reversed ?I was told that I could not due to the dr not knowing how much tube was burned and if their would be enought to reatch?

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  14. Anonymous - Your tubes can be repaired at Chapel Hill Tubal Reversal Center - (919) 968-4656.

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  15. I am the anonymous wrighter I have another question what is the percentage of someone 33 years old that has had their tubes burned 2 times and had a reversel to have a baby? And what would be the cost for this?

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  16. Please go to the Chapel Hill Tubal Reversal Center website for this information and more...

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  17. I'm 48 yrs old I had my tubes tied in 2000. I have 4 children and I want to get pregnant again is it possible?

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  18. Anonymous - It is possible to get pregnant although the chances are reduced at age 48.

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  19. I had a btl and im 28 whats my chance of getting pregnant after tubal reversal?

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  20. Teirra - At age 28, your chance of getting pregnant after tubal reversal at Chapel Hill Tubal Reversal Center is 80% or more. Go to our website and click on the "Our Success Rates" link.

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  21. I am 34 and I got a Bilateral Tubal Ligation back in 2004 is their a way I could get pregnant ? Do I really need to do the Reversal .. Please help ! One thing I wonder is it normal that my belly button hurts from the inside were the surgery was done .

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  22. Cynthia - It is extremely unlikely that you will get pregnant 9 years after your bilateral tubal ligation unless you have the reversal surgery. It is not normal to hurt inside your belly button where the surgery was performed.

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  23. hi my name is tina i had pomeroy bilateral tubal ligation done dec, 14 2006 and now i im think hard on getting the surgey done between feb or march of this year my age when i got the surgey done was 26 im am 32 of age now if i get the reverasl surgery done will i be able to have at least one more child..... thank you tina...

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  24. Tina - At age 32, your chances of having at least one more cycle will be excellent. Please visit the Chapel Hill Tubal Reversal Center website and look at the link that says "Our Success Rates". These show the actual numbers and percentages of pregnancies and babies born to our patients according to their age and type of tubal ligation method.

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  25. I just had a baby and i thought iwas done having babies but when i saw my daughter that changed my mind and now i want another baby i had the bilateral tubal done with the c section of my baby and now i regret it deeply can anything be done now i am 41 years of age.

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  26. Yes, you can tave a reversal of your bilateral tubal ligation. At Chapel Hill Tubal Reversal Center (tubal-reversal.net) the pregnancy rate is 40% for women your age.

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    1. Hello iam 37yrs of age well me an my fiance want to no i had a bilateral tubal in may 16,2011 can she get pregnant now,can she get a reversal

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    2. Iam a 37yrs old woman my fiance an me want to no can i get pregnant if she had a bilateral tubal may 16,2011 or can she get a reversal

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  27. Dear Dr.Berger,

    I'm thirty-one and im curious about the percentage of having a child? I had the BLT procedure done ten years ago. Thank you,
    Pamela Fisher

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  28. At age 31, your chances of pregnancy after reversal of your BLT procedure at Chapel Hill Tubal Reversal Center will be 75%. If you want to see the statistics based on follow-up of 10,000 tubal reversal patients, go to the Chapel Hill Tubal Reversal Center website and click on the link "Our Success Rates".

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  29. Im 39 had a modified pomeroy technique done in 2000 rt segment of fallopian tube measuring 1.5 lth and 0.4 cm n dia . Lt segment of fallopian tube measuring 1.6 lth and 0.5 in dia ... Is there still a chance for me to have a reversal and have another baby ??

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  30. Yes, this is a good method of tubal ligation to reverse. At age 39, you still have a good chance to have another baby.

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  31. I am 29 years old n was planning to have a tr n the next 2 months i had a blt procedure i did it when i was 24raised what are my chances of becoming pregnant again

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  32. At age 29, your chances of becoming pregnant again are 80% or more at Chapel Hill Tubal Reversal Center. Go to the website and click on "Pregnancy Statistics" to see details.

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  33. If my ligation says transected what does that mean? Can it be reversed? What would be my possibility of conceiving?29yrs old

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  34. Transected means "cut". This can be reversed. At age 29, your chances of conceiving after reversal of tubal transection at Chapel Hill Tubal Reveral Center will be 80%. Call (919) 968-4656 for more information.

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  35. Hello I'm going to be 32 next month I had the btl 3yrs ago & now I decided I want another child

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  36. I am 30 years old and i was wondering if i had a reversal where (formalin is a single 0.6 cm fallopian tube, And 0.3 cm in diameter submitted intact in cassette #1 for subsequent sections of embedding and thr other one says single 1.0 cm fallopian tube, 0.4 cm in diameter. Cross sectioned and represented in cassette#2)how hard is this and can it b reversed and my chances of conceiving agaon

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  37. At age 30 and with these findings your chances of conceiving again after tubal ligation reversal at Chapel Hill Tubal Reversal Center will be 75-80%.

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  38. I am 29 just had my BTL done in Dec.of 2012 is it any way it can come undone by its self.

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  39. Ms Love - It is possible, but extremely unlikely, that your BTL will come undone by itself.

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  40. Dr. Berger,
    I am turning 29 in less than a week. I had a Bilateral Tubal done in 2006. It will be 7 years in May to be exact. I am 33 days on my cycle and have not taken a test because I feel like the chances of me being pregnant after the BTL is 0. I do want a reversal and I have contacted your office in the past. I faxed my papers but I cannot find it to fax again but I am working on that. Long story short... does a BTL affect a womans cycle (I had no prior birth control)? And if I am pregnant what the chances it will not be eptomic?
    After finding out what is wrong with me I will be in touch with our office to see about the reversal. By the way... my tubes weren't burned. I was told by a nurse my tubes was probably cut because that's the method the doc used back then but another nurse told me something different. I really dont know what I had done and the doc report is vague. How will your office determine if I can even get the reversal?

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    1. We can perform a diagnostic laparoscopy to confirm that your tubes are repairable, but that is optional. With your history, the chances are 99% or more that they can be repaired, in which case the optional laparoscopy can be omitted.

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  41. Hi doctor I am 32 I had done BTL in 2010 how can I get pregnant again

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  42. Anonymous - The best chance for you to get pregnant again is to have tubal reversal surgery at Chapel Hill Tubal Reversal Center. If you want a free telephone consultation, call (919) 968-4656.

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  43. Hello I had my tubes cut but don't know what else was done how can I find out

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  44. Contact the medical records department at the hospital where your tubal ligation was performed and request a copy of your operative report and pathology report. You can send copies to me for interpretation. My email address is DrBerger@tubal-reversal.net

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  45. Hi Dr. I was 26 when my btl was performed which was cut the loop was tied n ends fulgurated. What's an estimate how much a procedure of reversal cost.

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  46. The reversal surgery costs $5900 at Chapel Hill Tubal Reversal Center. Go to that website to see the details.

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  47. If there is 5.5 cm left and 6.0 right are those a good amount of fallopian tube left after reversal or i should i think about other options

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  48. These are good tubal lengths for tubal reversal.

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  49. Hello I'm 32 I had a bilateral tubal ligation in 2003 were they did 2 free ties to both left and right tube it was 3 cm segment what are the chances for me

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  50. At 32 after your ligation/resection procedure, your chances of getting pregnant are 70% at Chapel Hill Tubal Reversal Center. You can see the pregnancy statistics on the website.

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  51. I'm 33 was cross clamped 2x. Cut two ends in ampullary ischemic juction with 2-3cm of tube intervening. Tied them off times two with 2-0 vicryl. Wht hope is there for me

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  52. There is excellent hope for you - this can be reversed and at your age the chances of getting pregnant will be 70% or more at Chapel Hill Tubal Reversal Center.

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  53. How much tube has to be left for reversal

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    1. Ideally, over 4 cm but even tubes with less length can be repaired.

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  54. How much of tubing should be left for reversal

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  55. Claudene - Any tubal lengths can be repaired.

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  56. ms. parker is my name i am 33 years old i had a btl in 2009 and wanted to know if there any chances for me getting pregnant and what will it cost for a revesal

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  57. Ms. Parker - At age 33 your chances of getting pregnant after tubal reversal at Chapel Hill Tubal Reversal Center will be 70% and it will cost $5900.

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  58. I'm 37 i just notice what they did to me at the hospital with my last child that now is 19 yrs old i was in shock when they send my medical records ..saying that i have my tu bes tied i was 18 yrs old ...Dr i want to know if i can have another baby ? Im getting married and i would like to have another child what are ny chances he dont have any kids ..and they tiedmytubes without my permision i was only 18 yrs ....please help me .......thanks

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  59. You will be able to have another baby if you have your tubes untied. Call (919) 968-4656 for information or visit the Chapel Hill Tubal Reversal Center website.

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  60. I'm 30yrs old I had my tubes tied in 2007 how can I go about getting my tubes untied without it bring costly.and can I go on a payment plan me and my fiance want a baby but the cost seems like a lot.is there anyway I can get it and make payments. I really want another baby. .please help me dr.berger.

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  61. ms.want a baby - There is a prepayment plan that you can read about on the Cost page of the Chapel Hill Tubal Reversal Center website.

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  62. Hi, I had a bilateral tubal ligation 2 years ago.Ever since, I haven't been the same.I have terrible mood swings when I get my period, I feel tired at times, and my sex drive i totally gone.Not to mention I am also suffering from memory lapses.If I reverse the tubal ligation, will my symptoms disappear.I really don't want more children, I just can't deal with the symptoms.

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  63. Most women with these symptoms find prompt relief after tubal reversal surgery. You can read many of their stories on the Chapel Hill Tubal Reversal Center website.

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  64. I am 42 years old I had a bilateral on left and right tubes. My right was 3cm and 0.7 cm in diameter. My left 3.5 cm and 0.5 cm in diameter. What are my chances of becoming pregnant.

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  65. Go to the Chapel Hill Tubal Reversal Center and click on "Pregnancy Rates" and you will see the pregnancy rate for your age.

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  66. Hi there. My Tubal was done in 2004. My husband and I want to have another baby. it was a bilateral tubal with a 1cm section removed and cauterized. I am now 36. What are my chances of conception with a reversal? My OB/GYN said that my chances for a tubal pregnancy has sky rocketed. That is really what I am afraid of.

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  67. Jennifer - If you review the success rates at Chapel Hill Tubal Reversal Center, you will see that you chance of conceiving after reversal is 65%.

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  68. Hi Dr Gary S Berger! I've had an bilateral tubal 8 months ago since then my period is not regular then I'm menstruating for 1 month en then skipping for 1 month. My stomach is acing very bad and I'm feeling nauscios a lot. Can you please tell me what the problem can be? I'm so worried. Thank you.

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  69. This is generally referred to as Post Tubal Ligation Syndrome (PTLS). Read the Chapel Hill Tubal Reversal Center website for detailed information.

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  70. So you say that it most likely that you will not get pregnant after nine years unless having the surgery is that true if you now have a different partner than the one you had for 9 years?

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    1. This is true even with a different partner.

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  71. Hi I had BTL procedure at age 22. I am 39 would like to get a reversal. what is the chance rate of getting pregnant after reversal. is it worth to try.

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    1. Anonymous - At age 39 your chances of getting pregnant after reversal are about 50%.

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  72. I've considered having another child and had y tubes tied almost 7 years ago. My medical records aren't appearing very clear to me as to what type of procedure was done. it does state the procedure was PPBTL but my doctor wrote PPTL. Also just below the procedure listing it states Code 6. Could you tell me anything regarding this? I would really appreciate it. Thank you.

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  73. Amada Drew - The abbreviation stand for Post Partum Bilateral Tubal Ligation and for Post Part Tubal Ligation. These do not describe the specific procedure you had performed. Most likely it was a Pomeroy Method of tubal ligation, but to be certain you should request a copy of your operative report from the doctor or hospital.

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  74. I had a BTL in 2000 when i was 24. The report says the remaining tube left was bovied. I have had 4 c sections prior to that. I am now married and deeply desire to give my husband a child. I just turned 38 a few weeks ago. My tubes have been tied for 13 years. What are my chances of concieving again? I have been on your website and saw several testimonials, however the procedureis very costly. Is there another, less cost efficient way to achieve pregnancy without having the surgery?

    Mrs Williams

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  75. Mrs Williams - At age 38, your chances of conceiving after tubal reversal are 50% at Chapel Hill Tubal Reversal Center. There is no less costly or more efficient was to achieve pregnancy.

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  76. I am 42 i have btl on 1993, recently I have contacted a Repro endocrinologist because I wanted to go through Tubal Reversal to have another child after many tests the dr inform me that She cant do tubal reversal but that the IVF is a better choice for me no only because she cant do tubal reversal but for my age as well...I have doing a lot of research on the IVF and just the thought of going throught the hormone treatments scare me??? I would like to have a second opinion

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  77. This doctor is recommending IVF since that is what her or she performs. The statistics from Chapel Hill Tubal Reversal Center show that tubal reversal is the better option (higher pregnancy rate at much lower cost), particularly for women over age 40.

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  78. Hello ,I had a BTL when I was 23 now I am engaged and I am now 29 in we want a child where do we start ?I live in South Fl.

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  79. Hello I had a Bilateral Partial Salpingectomy by Pomeroy. Currently engaged to be married in we want another child I was 23 when I had it done I am now 29.Whats my chances ?

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    1. At age 29, your chances of pregnancy are 77% if you have your tubal reversal at Chapel Hill Tubal Reversal Center. Detailed statistics are available on the the "Success Rates" pages of their website.

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  80. What are the chances of becoming pregnant after the tubal?

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  81. This depends on your age. Check the Success Rates on the Chapel HIll Tubal Reversal Center website to see what your chances will be.

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  82. I am 32 years old. I had a bilateral tubal ligation done 11 years ago. Previously had 2 healthy pregnancies, what are my chances of getting pregnant again if I have a tubal reversal?

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  83. The pregnancy rate is 75% for women in the age group 30-34 at Chapel Hill Tubal Reversal Center.

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  84. i am very interested as well 32 yrs old and had a tubal in 2009, where are you located and what is the range of prices, and is ther a payment option as well

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    1. Anonymous - I have recently retired from performing surgery.

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  85. I am 23 years old and had the bilateral tubal ligation of August of 2013 can I still have another baby

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  86. I am 23 years old and had the bilateral tubal ligation in August of 2013 can I still have another baby

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  87. Shelby - You can certainly still have another baby. In fact you could have more than one more once having your tubes repaired.

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  88. Hi dr my name is Yolanda I had a bilateral tubal ligation preformed in 2006.....would I be a good candidate for a tubal reversal? .

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  89. I am 44 years old had a BTL in 1995. is it possible for me to have a reversal. I am in good health, exercise daily with good eating habits.

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  90. Anonymous - It is possible for you to have a reversal. As long as you are having regular menstrual periods, there is a chance for you to become pregnant again.

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  91. I am 39 years old had bilateral tubal ligation in 1995. Is it possible for me have it tubal reversal

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  92. Yes, of course you can have a tubal reversal!

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  93. Hi Dr Berger I am 38 I had a BTL in 2008 cus I hv 5 boys and just recently the luv of my life came back into my life.He asked me to marry him but I told him that I couldn't hv kids.He's fine with it but I'm not because we're gonna b married and I want to b able to hv a baby together.can I fax over my paper work to c if I can get the reversal

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  94. You can fax your operative report to me at 877-979-7941.

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  95. Dr. Berger at what age is best not too have a reversal i would love to have another child

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  96. Tubal reversal can be done at any age, although women over 40 have lower pregnancy rates than younger women.

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  97. I had a tubal after cesarean delivery, that was in 2006 I was 21. My medical records show nothing of the procedure, yet I know it was done the surgeon asked me after delivering the baby, I remember a burning smell so I assume they used some form of coagulation. I am now 29 and like these other ladies want it reversed. Without having the proper records ( I was at a very good hospital so this shocked me) is therea way to let me know if I would still be a good candidate?

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  98. cupcksrswt - At age 29, you are an excellent candidate for tubal reversal even if done by the coagulation method.

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  99. I am now 33 yrs old and in 2003, I had the bipolar coagulation. On my report it states the 3cm was burned. But my HSG test(preformed last week) says 1.5cm left...would that mean they are not repairable at all? Or that there is only 1.5cm from uterus to "blockage"

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  100. There is 1.5 cm from the uterus to the blockage.

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    1. Thank you so much for the quick response! I am currently awaiting approval from the Army hospital where it will be performed. I was just nervous when I read the HSG report. But compared to the Operative report from the original surgery, I could not figure out how there was only 1.5 cm left. So 1.5 cm from uterus to damage makes much more sense!

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  101. That you for such a quick reply! I had a feeling that was the case, but had a moment of panic :) I am currently awaiting approval from the army medical hospital where it will be performed.All my other test were great. Just forgot that there was still length on the other side of the blockage :)

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  104. At your current age, your chances of getting pregnant again after a tubal reversal are about 75% but with vas reversal also to take into consideration, I'd reduce this estimate to about 40%.

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  105. I had a tubel ligation done in 1999 and this month am going to get a tubel reversal am 37 yrs old and what are the possibility of me getting pregnant and well there be any complications with birth or trying to get pregnant?

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  106. The probability of getting pregnant after tubal reversal at age 37 is 68%. There are no birth complications associated with this surgery.

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  107. I had a csection in 2010 and also a btl. I was told they tied, clipped, and burned. I really would like to have another child. I am 33 years old and I was wondering the chances of conceiving?

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  108. At age 33, your chances of conceiving after tubal reversal are 80%.

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  109. I just received my operative report and it says Specimen Removed : bilateral tubal segments. What does that mean ? Is it reversible ?

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    1. This just confirms that segments of the tubes were removed. It is reversible.

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    2. Thank you very much

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  110. Hi am fixing to be 42 in a few weeks. I had a bilaterial tubal ligation in 2005. MY husband and I have recently talked about trying to have another child. Is this procedure reversible and what are our chances of getting pregnant?

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  111. I had a BTL in 2005 my report shows I am about to be 42 and wanted to know what my chances of a reversal and getting pregnant again?

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  112. The procedure is reversible and at age 42 the pregnancy rate is approximately 40%.

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  113. Hey I'm 32 years of age in had a postpartum bilateral tubal ligation done when I was 24 I want to get my tubes reverse so i can have me another child what r my chances.I really don't know what procedure was done.but I'm praying that I can get my tubes reverse

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  114. Can postpartum bilateral tubal ligation be reverse

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    1. Yes, postpartum bilateral tubal ligation can be reversed. In almost all cases, this is called Pomeroy tubal ligation.

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  115. I had a permanent sterilization . My report say procedure: repeat low transverse c section bilatera tubal and my report also say something about bilateral fallopian tube segment I would like to know what this means. I want to have another baby and wanted to know if its possible to have my tubes reversed so I can concieve

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  116. This is a typical Pomeroy method of tubal ligation and it is reversible.

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