Chapel Hill Tubal Reversal Center
109 Conner Drive Suite 2200, Chapel Hill, NC 27514 (919) 968-4656

Tubal Reversal Surgeons Reverse Essure Procedure

FOR IMMEDIATE RELEASE CONTACT: Julia Smith RN
August 11, 2009 (919) 656-8204

TUBAL REVERSAL SURGEONS REVERSE ESSURE PROCEDURE
Implantation technique allows for successful reversal of sterilization procedure

(CHAPEL HILL, NC) – Chapel Hill Tubal Reversal Center in Chapel Hill, North Carolina, announces the successful completion of sterilization reversal of the Essure procedure, previously considered a permanent form of female birth control.

More than 115,000 women worldwide have undergone sterilization with the Essure device since 2002. The Essure procedure involves placing a small, flexible plug into each fallopian tube at the junction of the uterus and the tube. Once in place, over a 3-month period, scar tissue grows into the micro inserts blocking the tubes to prevent the sperm from fertilizing the egg. The permanent nature of the procedure is related to this scarring and the previous belief that tubal ligation reversal surgery would be impossible.

The procedure Dr. Gary Berger and Dr. Charles Monteith use to reverse the Essure method involves cutting the device out of the uterine muscle and then implanting the remaining fallopian tube segment into the uterine cavity through a new opening in the uterus. This procedure is called tubouterine implantation. The reason the Essure device is removed is that part of the metal spring projects into the uterine cavity. If a pregnancy were to occur with the device in place, this could be harmful to the pregnancy.

Since the Essure has only been available since 2002 – and most women who have had this sterilization procedure do not desire or seek reversal – there is currently not enough data on the outcomes of Essure reversal to provide pregnancy statistics. However, the tubal reversal surgeons at Chapel Hill Tubal Reversal Center have performed the tubouterine implantation procedure hundreds of times for other situations and the success rate in those cases has been 25% -50% depending on the amount of healthy tube remaining and the age of the patient.

Chapel Hill Tubal Reversal Center is the only facility in the United States that is limited specifically to the practice of tubal reversal surgery. Additional information regarding tubal reversal surgery at Chapel Hill Tubal Reversal Center, including profiles for Dr. Berger and Dr. Monteith, can be found on the website at www.tubal-reversal.net.

More about Reverse Essure Procedure

Video Interview With Dr. Monteith

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

Tubal Reversal Center Does Its Part To Address Tough Economic Times

FOR IMMEDIATE RELEASE CONTACT: Julia Smith RN
December 14, 2008 (919) 656-8204

TUBAL REVERSAL  CENTER  DOES ITS PART TO ADDRESS TOUGH ECONOMIC TIMES
Chapel Hill Tubal Reversal Center lowers tubal surgery fees during the holiday season

(CHAPEL HILL, NC) – Julia Smith, RN, Nurse Administrator at Chapel Hill Tubal Reversal Center, today announced company plans to address the impact of the economic downturn on health care costs. Plans include a significant reduction in tubal surgery fees over the next two months to allow couples to move forward with less financial and emotional stress to have surgical procedures that correct tubal blockage.

Chapel Hill Tubal Reversal Center is dedicated to the practice of tubal ligation reversal surgery. Patients travel from across the United States and around the world for reconstructive tubal surgery with Dr. Gary Berger and Dr. Charles Monteith and the specialized procedure can carry a considerable price tag. However, with the reduced price structure, patients will be offered three fee options, Ms. Smith explained.

1) The standard fee is $6900. With this fee, patients can schedule an appointment and hold a date with a $250 down payment and the balance paid three weeks prior to the surgery date.

2) Between December 15, 2008 and February 1, 2009, surgery can be scheduled with Dr. Berger for a fee of $5400 or with Dr. Monteith for $4900. The discounted fees are due at the time a patient schedules the appointment and surgery must be performed no later than February 15, 2009.

The fees offered by Chapel Hill Tubal Reversal Center are all-inclusive and cover the doctors’ professional fees, the anesthesiologist’s fee, supplies, operating room charges and facility fees, initial consultation with the surgeon and follow-up by phone and e-mail. The company also offers a pre-payment plan for patients interested in long-term payment arrangements. With the pre-payment option, patients can pre-pay the surgical fee without interest prior to the surgery date. To utilize the option, a non-refundable $250 fee is paid to open an account and patients may then make payments of any amount as they are able – for as long as they wish. For discounted fees to apply, the balance must be paid in full prior to scheduling surgery.

“A woman’s natural fertility rate decreases as she ages, so it is best to move forward sooner rather than later when it comes to reproductive procedures,” Ms. Smith explains. “We hope our reduced fee options will allow women to proceed with surgery to restore their fertility without the added stress of waiting until the economy recovers.”

Chapel Hill Tubal Reversal Center is located in Chapel Hill, North Carolina.

More about Tubal Surgery

Choosing the Best Doctor for Untying Your Tubes

Factors to Consider for Untying Your Tubes

Untying your tubes is best performed by a tubal reversal doctor.Determining who is the best doctor for untying your tubes comes down to different factors. Using a patient satisfaction website such as RateMDs.com will give you an opportunity to learn how other women have rated the doctor they used on some of these factors.

Taking a further look at the referenced site above, we can find that physicians are rated on staff, being punctual, helpfulness and knowledge.  These determine the patient satisfaction score each doctor is given.  You should consider looking at the most rated doctor.

Not only is that site available to see patient satisfaction with a doctor, there are several others as well.  However, RateMDs.com does rank number one in a Google search for “rate doctors” so you may find it the best resource.

There are other ways as well to determine those factors for choosing the best doctor for untying your tubes.  You can begin with a simple search around his own website.  He does have a website, does he not?

There you should be able to learn:

1) his training and background,
2) how many surgeries of this type he has performed,
3) how often he does the surgery which leads back to number 2,
4) his personal statistics for success and pregnancy after tubal reversal,
5) about his surgical facility, and
6) the cost for this operation.

Additionally, there should be many testimonials from women who have had him or her perform their operation.

Does he have a message board or some other way available for you to discuss questions and concerns with other women?  That is another good way to learn about how previous patients feel about the surgeon.  Do they stick around afterwards and participate on the message board?

As you look around the Internet for information about tubal reversal, see whose name keeps coming up.  When you read other women’s stories about their tubal ligation reversals, what kind of reports are given about different doctors?

These are just a few of the ways you can find out the patient satisfaction with the doctor you may be considering.  When you do your research, you will find that your local doctor does not provide you with the best choice for untying your tubes, unless that doctor is Dr. Gary Berger of Chapel Hill Tubal Reversal Center.

Finding Help for Post Tubal Syndrome – Andrea’s Story of Tubal Ligation Side Effects

Finding Help for Post Tubal Syndrome – Andrea’s Story of Tubal Ligation Side Effects

Looking for information on tubal ligation side effects? No doubt you have been wondering what is happening to you since having your tubes tied. All these strange ailments have entered your life and are causing havoc in your body. No one can seem to tell you what is going on. You may even have felt like you are all alone.

However, you are not alone in having to put up with tubal ligation side effects. In fact, it is not unusual for you to be suffering these different symptoms. Let’s take a brief look at Andrea’s story and you can see how much like your own it might be.

Andrea lives in Idaho with her husband and four children. After the planned c-section birth of her last child, she had a tubal ligation. This was against the advice of her doctor who may have known her better than she did herself. Even her husband cautioned against the procedure.

Andrea began to suffer all kinds of things she had not experienced before. So many new things were happening that she began to keep a journal of her post syndrome symptoms and experiences.

Now, before we go further into this, you should know that Andrea was only 28 at the time of her tubal. I mention this because one thing many women hear when complaining about tubal ligation side effects is that they are simply entering menopause early.

Andrea tried the usual diet, exercise and breast feeding that had helped her lose her baby weight in the past. This did not work. She could not get the weight off. As a homeschooling mom of four, you have to know Andrea was very active. This just did not make sense to her and is something many women complain about.

In addition she began having cyclical migraines. These would come on at certain times during her cycle and last for several days each time. They brought on severe pain, nausea and vomiting.

Other symptoms she endured were extremely dry skin, being very sad and highly emotional, mid-cycle cramping, and spotting for about another eight or so days beyond her period each month. She believes she even suffered persistent yeast infections because she always having to wear a pad and therefore stayed damp all the time.

Then there was her period which had become very abnormal for her. The cramping became so severe it brought her nearly to tears even though she has a high pain threshold. Her flow was so heavy she would soak a pad in an hour and her doctor thought she might have menstrual anemia. It was so bad she ended up having to leave in the middle of church due to being pale, weak and nauseous.

As any of us would, she turned to her doctors only to have them tell her that heavy and painful periods can be caused by tubal ligation. Her family doctor even told her of having heard of numerous cases of women with severe post syndrome symptoms.

With her doctors’ blessings, Andrea started looking into having a tubal reversal. This was after testing was done to be sure she had none of the other possibilities like cancer, endometriosis, fibroids, infections or cysts. While many doctors in her local area would do the tubal reversal surgery, Andrea was uncomfortable because they could provide her with statistics concerning relief from post syndrome and pregnancy success rates.

Not only that but they wanted to charge her $12,000. For less than that, she could have the world’s foremost tubal reversal team at Chapel Hill Tubal Reversal Center, Dr. Gary Berger and Dr. Charles Monteith, perform the operation. She could also pay for the airplane tickets and hotel room and get change back from that price tag. So, she did the obvious thing and chose Chapel Hill Tubal Reversal Center.

Andrea’s surgery happened at the end of July 2008. Immediately she saw a lessening of her problems starting with a shorter period. Next, the headaches, spotting and cramping went away. Her period became normal for her and she no longer suffered from anemia. Even better for her, Andrea became pregnant within two months of having the tubal reversal surgery.

This is Andrea’s story. You, too, could find your post syndrome symptoms alleviated with a tubal reversal surgery. To no longer suffer from tubal ligation side effects could be your ultimate end goal or to be able to get pregnant again or even both. By having your tubes untied, you can find relief from your own problems just like Andrea.

Chapel Hill Surgeon Completes First Tubal Reversal Fellowship

FOR IMMEDIATE RELEASE: August 1, 2008

Chapel Hill Surgeon Completes First Tubal Reversal Fellowship

Dr. Gary S. Berger, tubal reversal surgeon presents the certificate of completion of tubal reversal fellowship to Dr. Charles W. Monteith

CHAPEL HILL – Dr. Charles W. Monteith completed the first tubal reversal fellowship offered at Chapel Hill Tubal Reversal Center. This is the only known fellowship of its kind.

Dr. Gary S. Berger, medical director and world-renowned tubal reversal surgeon, presented the certificate of completion in a private ceremony at the Chapel Hill center.

Monteith began his fellowship training in January 2008, and has assisted in more than 100 tubal reversal procedures under the guidance of Dr. Berger.

“Dr. Monteith’s experience as a gynecologic surgeon and his dedication to achieving the best patient care made him the ideal physician to complete this fellowship program,” said Berger. “He is the first doctor ever to be certified in outpatient tubal ligation reversal surgery. And I welcome him as a colleague at the Tubal Reversal Center.”

As a tubal reversal specialist, Monteith plans to keep tubal reversal surgery a viable option for women wanting to have another baby after tubal ligation surgery.

“I am very fortunate to have been invited into and accepted by the staff and family of Chapel Hill Tubal Reversal Center,” Monteith said. “I feel like I have arrived home.”

Dr. Monteith graduated summa cum laude from Xavier University in Louisiana. He attended medical school at the University of California at San Francisco where he received a Howard Hughes Medical Research Fellowship used to conduct research in molecular genetics.

After completing his residency in obstetrics and gynecology at the University of North Carolina at Chapel Hill, he accepted a clinical assistant professor position with the department of obstetrics and gynecology in 2001. He also served as assistant professor in obstetrics and gynecology at Wake Medical Hospital in Raleigh for seven years where he practiced high-risk obstetrics and advanced surgical gynecology.

To learn more about Chapel Hill Tubal Reversal Center, visit www.tubal-reversal.net.

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Contact information:
Lisa Hourmouzis, RN
919.968.4656 office
252.339.2322 mobile
LisaH@tubal-reversal.net

New Tubal Reversal Specialist Joins Chapel Hill Center

Contact Information:
Lisa Hourmouzis, RN
919.968.4656 office
252.339.2322 mobile
LisaH@tubal-reversal.net

New tubal reversal specialist joins Chapel Hill center

FOR IMMEDIATE RELEASE: July 21, 2008

CHAPEL HILL, N.C. – Dr. Gary S. Berger, medical director and world-renowned tubal reversal surgeon, welcomes Dr. Charles W. Monteith to the Chapel Hill Tubal Reversal Center surgical team.

Dr. Monteith is the first tubal reversal surgeon to join the practice since the initial tubal reversal microsurgery performed by Dr. Berger in 1982.

Monteith began his fellowship training with the center in January 2008, and has assisted in more than 100 reversal procedures under the guidance of Dr. Berger.

According to Dr. Monteith, his plan is to keep tubal reversal surgery a viable option for women wanting to have children after tubal ligation surgery.

“My interest in becoming a tubal reversal surgeon began when I realized that tubal reversal surgery was gradually becoming less available to patients because of limited training opportunities for younger physicians,” said Monteith.

Dr. Monteith graduated summa cum laude from Xavier University in Louisiana. He attended medical school at the University of California at San Francisco where he received a Howard Hughes Medical Research Fellowship used to conduct research in molecular genetics.

After completing his residency in obstetrics and gynecology at the University of North Carolina at Chapel Hill, he accepted a clinical assistant professor position with the department of obstetrics and gynecology in 2001. He also served as assistant professor in obstetrics and gynecology at Wake Medical Hospital in Raleigh for seven years where he practiced high-risk obstetrics and advanced surgical gynecology.

Chapel Hill Tubal Reversal Center is the only facility in the United States dedicated exclusively to tubal reversal surgery. Dr. Gary Berger has successfully performed over 7,000 tubal reversals using the one-hour outpatient microsurgical technique he developed and refined. His technique has been featured on The Learning Channel and Discovery Health.

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Dr. Charles Monteith to Join Staff at Tubal Reversal Center

Dr. Charles Monteith to Join Staff at Tubal Reversal Center

(Chapel Hill, NC) – Dr. Gary S. Berger, medical director of Chapel Hill Tubal Reversal Center in Chapel Hill, North Carolina, announced today that Dr. Charles Monteith will join the staff at Chapel Hill Tubal Reversal Center effective July 21, 2008.

Dr. Berger has been performing microsurgical tubal anastomosis and tubal implantation at Chapel Hill Tubal Reversal Center since 1982. This is the first time that Dr. Berger has offered fellowship training in tubal reversal surgery.

Under the guidance of Dr. Berger, Dr. Monteith has been undergoing certification in tubal ligation reversal surgery since January 2008, and has assisted in more than 100 reversal procedures.

“My interest in becoming a tubal reversal surgeon began when I realized that tubal reversal surgery was gradually becoming less available to patients because of limited training opportunities for younger physicians,” said Monteith.

His desire to keep tubal reversal surgery as a viable option for women led him to leave a successful practice in obstetrics and gynecology to start a career in tubal ligation reversal.

Dr. Monteith attended college at Xavier University of Louisiana where he graduated summa cum laude. He attended medical school at the University of California at San Francisco where he received a Howard Hughes Medical Research Fellowship and conducted research in molecular genetics. After completing his residency in obstetrics and gynecology at the University of North Carolina at Chapel Hill, Dr. Monteith accepted a clinical assistant professor position with the department of obstetrics and gynecology at the University of North Carolina in 2001.

He worked as an assistant professor in obstetrics and gynecology at Wake Medical Hospital in Raleigh for seven years where he practiced high-risk obstetrics and advanced surgical gynecology. Dr. Monteith spent a significant amount of time training both medical students and residents.

Dr. Monteith is currently operating with Dr. Berger and will be certified as a tubal reversal specialist once his fellowship is completed. Dr. Monteith is now scheduling patients for tubal reversal surgery beginning July 21 at a reduced introductory fee. During July and August, Dr. Berger will assist Dr. Monteith with his tubal reversal procedures. Dr. Berger says that by the time Dr. Monteith is operating on his own, he will be well qualified as an expert and will have participated in more tubal reversal procedures than most other specialists may see in a lifetime of practice.

Dr. Monteith said, “I look forward to a successful career in tubal reversal surgery. It is with special gratitude that I thank Dr. Berger and the staff at the Chapel Hill Tubal Reversal Center for accepting me with open arms and training me in both the science and art of tubal ligation reversal.”

Chapel Hill Tubal Reversal Center is the only facility in the United States that is limited specifically to the practice of tubal reversal surgery. Additional information regarding tubal reversal surgery at Chapel Hill Tubal Reversal Center, including profiles for Dr. Berger and Dr. Monteith, can be found on the Web site at www.tubal-reversal.net.

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Julia Smith, RN
Nurse Administrator
Chapel Hill Tubal Reversal Center
JuliaS@tubal-reversal.net
Phone: (919) 656-8204

References:

http://www.medicalnewstoday.com/articles/108058.php
http://www.tubal-reversal.net/doctor-monteith.htm

Defining Hope At Chapel Hill Tubal Reversal Center

FOR IMMEDIATE RELEASE: June 19, 2008

Defining hope at Chapel Hill Reversal Center

Reproductive surgeon and tubal reversal expert leads the way in tubal reversal field.

CHAPEL HILL, N.C. – At Chapel Hill Tubal Reversal Center, Dr. Gary Berger understands that hope is not just a word to the hundreds of women who come to his center each year. Hope is what they find in him.

When Amanda Nelson first decided to have a tubal ligation in 1997, she never imagined she would find herself in Chapel Hill, North Carolina, 4,000 miles away from her home in Cumbria, England about to undergo a tubal ligation reversal.

“I had been married for a number of years when my marriage broke down,” said Amanda. “I had two boys to look after, so I waited a year and then went ahead with my tubal ligation. At the time, the thought of having children with a different father didn’t appeal to me.”

Like Amanda, many women who come to Chapel Hill Tubal Reversal Center have faced life changes such as divorce, loss of a child or remarriage.

“Years went by, and then I met David. He had no children and happened to mention he would like one of his own some day,” said Amanda. “It took me awhile to think about it, but decided to look up having the operation.”

They began searching online for tubal reversal specialists. Their search brought them to the Chapel Hill Tubal Reversal Center Web site and Dr. Gary Berger.

Over the past 26 years, Dr. Gary Berger has performed over 7,000 tubal reversals as a one-hour, outpatient operation. Recognized as a leader in the field, Dr. Berger has been featured on The Learning Channel and Discovery Health.

Patients come to Chapel Hill from across the United States and abroad to have him perform the procedure. Using microsurgical techniques he developed and refined, Dr. Berger can successfully repair the fallopian tubes in 98 percent of the women who want their tubes untied.

Most women are typically discharged from the facility within two hours after surgery. And most resume normal activities within five to 10 days. This outcome is far better for patients than the standard approach to tubal ligation reversal that requires hospitalization for several days, longer recovery times and unnecessary hospital costs.

To learn more about Dr. Gary Berger and his team at Chapel Hill Tubal Reversal Center, visit www.tubal-reversal.net.

Lisa D. Hourmouzis, RN
Chapel Hill Tubal Reversal Center Nurse
Tel 919.968.4656
LisaH@tubal-reversal.net

How to Choose the Best Tubal Reversal Doctor

Tubal Reversal Surgery – How to choose the best doctor

When women begin researching tubal reversal surgery, there are several questions that are frequently asked. These questions are typically based on the differences that become apparent when they compare various facilities and doctors.

“How do I choose a doctor?” Considering the number of choices, it is one of the most important questions to consider before a woman moves forward with planning her tubal reversal procedure. Training, experience, availability, and patient support can vary greatly between doctors and facilities.

Most women who research the option of tubal reversal surgery after a tubal ligation are interested in how many reversal procedures the doctor has performed. Many reproductive surgeons have performed a tubal reversal procedure, but few perform the procedure routinely and even fewer limit their practice to this specialty. In the case of tubal reversal surgery, experience is an important factor in predicting the outcome of the procedure. Chapel Hill Tubal Reversal Center is the only medical facility specifically for tubal ligation reversal surgery. Dr. Gary Berger performs 4 reversals a day and has performed more than 7000 reversal procedures in his career.

Another question women frequently ask is whether the doctor uses the dye technique or a stent to ensure the tubes are open following surgery. The use of the dye technique is not the most accurate indicator regarding whether the tubes are open following tubal repair to allow conception. The stent technique is the better approach in our opinion to avoid any doubt. The stent is sterile and does not pass through the cervix. The stent not damage the tubes, and it ensures that they are open so a dye test is not necessary. With the stent technique used by Dr. Berger, there is no question regarding tubal patency following surgery, which puts the woman in a much better position for achieving pregnancy following surgery.

A common question during the process of researching tubal reversal facilities is whether the doctor uses permanent or absorbable suture to repair the fallopian tubes and whether he or she reconnects each of the tubal layers. While some doctors may suture all of the tubal layers, Dr. Berger uses permanent suture and sews the muscular and outer serosal layers together. He does not place suture in the inner endothelial layer as this may increase the risk of scar formation within the tubal lumen. In Dr. Berger’s opinion, this is the best approach. Comparing doctors’ data regarding pregnancy outcomes is the best way to assess their techniques since high pregnancy rates are a clear indication that the techniques are successful.

Ultimately, the most frequently asked – and most important – question regarding tubal reversal surgery is, “What are the doctor’s success rates”. Since pregnancy and its outcome are the primary concerns of most women who choose the reversal procedure, the answer to this question should be based on accurate statistical data. On the Internet, claims about tubal reversal pregnancy rates are often made without supporting information or documentation – such as a description of the patient population, study method, and follow-up interval. At Chapel Hill Tubal Reversal Center, Dr. Berger and his staff do everything possible to obtain and report this information on an ongoing basis. This allows them to remain informed about the number of pregnancies achieved and what their outcomes were after tubal reversal and to answer questions and guide patients who are waiting to become pregnant.

The decision to undergo surgery to restore fertility after a previous sterilization is a serious one for any couple. Where to go for surgery and with whom care will be entrusted is an important part of that decision. Potential patients should expect that they have been given detailed, accurate information regarding costs and recovery times, as well as careful analysis and reporting of accurate statistics regarding pregnancy and birth rates. This is referred to as “evidence based medicine” and is consistent with the mission of Chapel Hill Tubal Reversal Center. It is one of the many reasons why the facility has become known as the best place to have tubal reversal surgery.


Special Report

Answers to seven important questions to find out if tubal reversal is right for you.

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Chapel Hill Tubal Reversal Center.
109 Conner Drive Suite 2200, Chapel Hill, NC 27514
Tel: (919) 968-4656     Fax: (919) 869-1976