Vasectomy Reversal Tips » Insight http://www.vasectomyreversaltips.com My Tips on Vasectomy Reversal Fri, 27 Jan 2012 16:42:27 +0000 en hourly 1 http://wordpress.org/?v=3.0.1 Tubal Reversal Surgical Technicians http://www.vasectomyreversaltips.com/tubal-reversal-surgical-technicians.html http://www.vasectomyreversaltips.com/tubal-reversal-surgical-technicians.html#comments Tue, 19 Oct 2010 06:22:03 +0000 Mike Malone http://www.vasectomyreversaltips.com/tubal-reversal-surgical-technicians.html

Chapel Hill Tubal Reversal Center (www.tubal-reversal.net) — Tubal Reversal at Chapel Hill Tubal Reversal Center explain their job roles. Their first priority is the safety and comfort of tubal reversal patients. Working closely with the tubal reversal doctors ensures the safety and comfort of patients. This video gives insight into what goes on “behind the scene” at the world’s only facility dedicated solely to tubal ligation reversal.

Dr. Richard Levin – world renowned tubal microsurgeon and one of the top tubal reversal specialists – will talk to you about the step to follow after your tubal reversal procedure to get pregnant as soon as possible. Following these instructions will allow you to speed up this process and get one step closer to achieving your dream of . The support, personal attention and follow-up care that Dr. Richard Levin provides are examples of why he is thebest choice to make when selecting a surgeon for your Tubal Reversal. Among the top tubal microsurgeons in the world, he delivers one of the highest at an affordable price in a world-class hospital environment. Dr. Levin will follow through with you after your surgery to make sure that your successful getting pregnant and monitor you through your first trimester free of charge. Dr. Levin and his staff are here to help you fulfill your dream of ! www.-by-levin.com
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]]> http://www.vasectomyreversaltips.com/tubal-reversal-surgical-technicians.html/feed 3 Deciding between TR or IVF http://www.vasectomyreversaltips.com/deciding-between-tr-or-ivf-3.html http://www.vasectomyreversaltips.com/deciding-between-tr-or-ivf-3.html#comments Thu, 08 Jul 2010 00:55:56 +0000 Mike Malone http://www.vasectomyreversaltips.com/?p=1351 Although reversal surgery at Chapel Hill Tubal Reversal Center is statistically and financially the best option for after a tubal ligation, women over age 40 have a special set of circumstances that are – unfortunately – often not addressed during an IVF consultation. The truth is, most IVF clinics will not accept patients over age 40 or 42 unless they agree to use donor eggs (eggs from a younger woman). This is to help keep their high. We performed IVF for many years at Chapel Hill Tubal Reversal Center and Dr. Berger is now limiting his practice to tubal reversal surgery for a reason: It gives women who have previously had a sterilization the chance to conceive naturally again — without medications, shots, and continued expense each time they want to conceive. Most of the women who contact us have already considered IVF – and have definitely ruled out donor egg IVF -and for good reason. It will be very important to ask your reproductive specialist very directly whether he/she will accept a 42 for IVF without donor eggs or decline you if your is slightly elevated (as many clinics do).

For almost all women, reversal surgery is the most successful and least expensive option to have a baby after a previous tubal ligation.
The following is topic “Deciding between TR or IVF” in forum Age and Tubal Reversal at Tubal Reversal .
Posted by Mslisalisaf (Member # 11583) on October 07, 2007 01:01 PM:
Hi, I am new to the , and I am still not sure if I want TR because I am 41 years old. I want the procedure that will give me the highest possible result of . Please give me some insight on what you think.
Unsure Lisa
Posted by Cjl (Member # 11408) on October 07, 2007 01:48 PM:
Hi Lisa,
I am 42 and just had my TR done on 9/28/07. I choose do to the TR for several reasons. First I did the 3 day FSH, LH and Estradiol testing to see if having another baby was even in range for me. My FSH came back 5.1, my LH came back 3.8 and my Estradiol came back at 39. All are excellent. So from there, I went to see a Fertility specialist, who told me that I do still have eggs, but they don’t know which eggs are good and which eggs are bad. So if I chose the IVF they would extract as many as they could, for about 18K, but that doesn’t mean the eggs they extract would be good, but all the things to do along the way, shots etc to get there and not even know if it will work for 18K, was a little to risky for me. But the TR gives me a chance to try every month, possibly trying a few other medications to make the TR work for much less maoney. So for me the TR was the right choice. $5900 out of pocket, and several changes to keep trying…
Carla 42 TR 9/28/07
Posted by Jan, RN (Member # 10035) on October 07, 2007 02:14 PM:
This page should give you some more information to help with your decision about Tubal Reversal Surgery. Look forward to meeting you, hopefully!!
http://www.tubal-reversal.net/ubb/ultimatebb.php/topic/1/3236.html
Posted by TheMzD (Member # 6500) on October 08, 2007 01:44 AM:
Lisa, welcome to the board. THis is a tough decision to have to make.
I agree with what Carla posted – have your doctor do the prelim. fertility workup on day 3 of your cycle (its OK if you are still bleeding). Get the checked (this is like the gas pedal that gets the ovaries working), LH and estradiol (high estradiol can mask high FSH). These levels will give you some idea of how to proceed.
A good FSH is a good indicator that you still have eggs left – your body isnt having to work too hard to get follicles started. BUT – keep in mind that our eggs are as old as we are. Having a lot left at this point doesnt mean they are any good. IVF can not guarantee a , and is quite a bit more expensive for each attempt.
In fact, at our ages – I’m 41 today – IVF has pretty low odds for the expense.
Good luck as you make your choice!
Kay
Posted by Luckypj’s (Member # 9974) on October 08, 2007 12:57 PM:
Lisa,
I will tell you my experience. I was told I was a perfect candidate for IVF. I had the FSH and all the prelims done. After my first round of IVF I became pregnant with twins, I lost both by 12 weeks and had to have a D & C. After much thought we decided on 1 more cycle that was unsuccessful. IVF is emotionally, physically, and financially draining. After my 2nd cycle the RE told me I was too old (I was 37) and so were my eggs and that I would probably need an egg donar. Thank goodness I found Dr. Berger! I had my TR in Dec of 06 and found out I was PG in February! I am due to deliver any day now! I know that IVF has worked for many but you should definitely do some soul searching before you plunge in. With IVF you only have the opportunity to conceive a couple of times a year and then you have to pay for it every time. With a reversal you can try to conceive once a month. I also believe that with IVF there is too much human interference. Natural is always better for your body! I thank God everyday for giving Dr. Berger the skill and the compassion to help out all of us who regret their TL. Sorry this is so lengthy! Whichever you choose I wish you much success and will remember you in my prayers!
Posted by nshelia7 (Member # 11224) on October 10, 2007 11:25 AM:
Hi Lisa I just wanted to chime and say that I agree with all the post you have received. I had my TR June 2007 and I am in the 2WW now.
I had 4 cycles of IVF two were successful,but 1 ended in M/C and the other ended right after the procedure. The other two were stopped because I was not responding. Luckpjs is correct that it is draining. My fertility Dr made me believe IVF was my only option. I have been on the IVF road since 2003. I feel like I have wasted a lot of money and hundreds,possibly thousands of viable eggs. IVF is extremely expensive. I can honestly say not including insurance payments we have spent over 50 grand. For the price of one of my prescription I could have had TR surgery twice. Do the math. The TR will give you the oppurtunity to try month after month as opposed to waiting to complete an IVF cycle. Just remember there are no guarantees with IVF even when the eggs are transferred they is no guarantee a will happen. Talk to your DH and make a joint decision. God bless you and good luck in whatever decision you make.
Posted by nshelia7 (Member # 11224) on October 10, 2007 11:49 AM:
One other thing I did not mention those shots can be pretty painful OUCH Will you administer your own shots or will your DH have to? And if so have either of you given shots before? Its not an easy thing. My DH gave me my shots and sometimes I felt as if he were sticking me too hard, but I think i was just being paranoid and stressed. You will alos have to have vaginal ultrasounds, a battery of test
and your DH will have to his semen analyzed. Will your insurance cover this?
Just thought I would add that in , I found out about a lot of the additional charges after the fact.
Shelia
Posted by chrissybear (Member # 10248) on October 10, 2007 03:40 PM:
Hi Lisa, I had tried IVF last year around time and it is very emotionally and finaicaly draining. I wish I would have had my TR done 1st. To go though the process of IVF not having it work is the worst experience I ever had. I had my TR in May 2007 no BFP yet, but aleast we can try every and not a one or two time deal.
Good luck
Chrissy
TR 05/21/07
Posted by berta8133 (Member # 11188) on October 10, 2007 05:13 PM:
Lisa..I’m 37 (38 in a few weeks)…I went thru IVF in 05…’perfect’ candidate..no reason it shouldn’t take on first try…. well didn’t work and all that $$ gone on one shot. After many DR’s telling me TR was not option…DR B did the TR this year…7/23/07, I came out with lengths of 3cm on each side. We were blessed with a BFP 9/12/07 (first cycle TTC), sadly though ended as Ectopic 9/25/07. Even with the ectopic we are estatic to know we did get PG……and have another chance and another chance. Spending $6000 for chance after chance compared to easily $15-$17,000 one chance IVF…I’d go for the TR — hands down.
I also have a friend that did IVF too– a couple of cycles – no success…had her TR 10/06 and is expecting baby any day now…and Dr B did her TR as well…and she is 40.
Good luck to you with whatever decision you make.
Berta
TR 7/23/07
Ectopic 9/25/07
Posted by berta8133 (Member # 11188) on October 13, 2007 09:22 AM:
I’m sorry you feel that way Jerseygirl…however it is everyone’s opinion….and we are all speaking from experience. Having tried IVF and it didn’t work…then doing TR and having the CHANCE to do a repeat month after month is better than having the chance to do nothing because of financial reasons and insurance not covering IVF. I know there are women on the boards that have been sucessful with IVF..however on that one too…the rate of it working first time….of ALL women that choose it…it is low.
Blocked tubes – everyone knows is a risk we take with TR… everything is a risk. I’m very sorry yours are blocked….but the chance was there for you, just as it would have been had you went with IVF first time. Bad hand dealt to you and once again very very sorry for you.
It doesn’t matter if those that have posted have yet carried a baby to term….
Bottom line…everything happens for a reason. If we are meant to have a baby then we will..if not…then we wont regardless of the medical intervention used to try……
Not meaning to ruffle feathers..just expressing my opinion.
Posted by berta8133 (Member # 11188) on October 13, 2007 10:23 AM:
Tarebear…
I REALLY think you hit the nail on the head…with saying all should be tested / checked over prior to TR or IVF….this a valid and smart point..that really I’m sure alot of sisters just thought they could have the surgery and all would be great…not knowing the underlying problems.
I’m sorry for your situation as well. Good luck with your dr appt next week!!!
Berta
Posted by Tarebear38 (Member # 9544) on October 13, 2007 10:27 AM:
Thank you Berta! (I was editing while you were responding).
Posted by Mslisalisaf (Member # 11583) on October 13, 2007 01:12 PM:
Thank you ladies for all of the advice and personal histories with TR and IVF. Because of your insightful information I am going to have a battery of test and weigh my options. With prayer I know I will be strong no matter what the outcome. Thanks again ladies!
Posted by Tarebear38 (Member # 9544) on October 13, 2007 01:58 PM:
Good luck to you!
Posted by berta8133 (Member # 11188) on October 14, 2007 09:31 AM:
Mslisalisaf
Good luck to you on this journey!!
Berta
Posted by TR Moderator (Member # 5545) on October 14, 2007 11:58 AM:
Mslisalisaf – Dr. Berger has a graph that compares rates after tubal reversal vs ivf on www.squidoo.com/tubalreversal/ that may be helpful to you.
You can also find comparing tubal reversal and IVF here: http://news.tubal-reversal.net/pregnancy-study-2007-tubalreversal_vs_ivf.htm
Posted by marly (Member # 9980) on October 16, 2007 06:46 PM:
hi All,
im considering reversal soon, but after having
4 c-sections in the past, would i have scar tissue? i was never told about this, and will it effect the surgery and it,s result,s. have had 4 goes at IVF with no success.
thanks marly x
Posted by Tarebear38 (Member # 9544) on October 16, 2007 11:37 PM:
Marly, I would definitely think about getting checked to see if you have any scar tissue or any other "plumbing" problem that could be preventing you from getting a sticky bean after all those IVF attemps. Good luck to you!
Posted by Julia Smith, RN (Member # 10) on November 22, 2007 11:40 PM:
Hi, Lisa. Although reversal surgery is statistically and financially the best option for after a tubal ligation, women over age 40 have a special set of circumstances that are – unfortunately – often not addressed during an IVF consultation. The truth is, most IVF clinics will not accept patients over age 40 or 42 unless they agree to use donor eggs (eggs from a younger woman). This is to help keep their high. We performed IVF for many years at our office and Dr. Berger is now limiting his practice to tubal reversal surgery for a reason: It gives women who have previously had a sterilization the chance to conceive naturally again — without medications, shots, and continued expense each time they want to conceive. Most of the women who contact us have already considered IVF – and have definitely ruled out donor egg IVF – and for good reason.
It will be very important to ask your reproductive specialist very directly whether he/she will accept a 42 for IVF without donor eggs or decline you if your is slightly elevated (as many clinics do).
For almost all women, reversal surgery is the most successful and least expensive option to have a baby after a previous tubal ligation.
I hope this is helpful.
Julia Smith RN
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]]> http://www.vasectomyreversaltips.com/deciding-between-tr-or-ivf-3.html/feed 0 Choosing The Best Tubal Reversal Surgery Doctor http://www.vasectomyreversaltips.com/choosing-the-best-tubal-reversal-surgery-doctor-3.html http://www.vasectomyreversaltips.com/choosing-the-best-tubal-reversal-surgery-doctor-3.html#comments Tue, 06 Jul 2010 06:01:19 +0000 Mike Malone http://www.vasectomyreversaltips.com/?p=1395 After researching tubal reversal doctors and sending her tubal ligation records for review, a member of the Chapel Hill Tubal Reversal Center discusses her journey to choose the best tubal reversal surgeon to perform her reverse tubal ligation. Women who have chosen Dr. Gary Berger or Dr. Charles Monteith as their tubal reversal doctor discuss the events that led them to choose Chapel Hill Tubal Reversal Center and travel to North Carolina for surgery and describe their experience to potential patients. Dr. Berger is widely known as the most experienced tubal reversal doctor. He has performed more successful tubal reversals – resulting in the birth of more tubal reversal – than any doctor worldwide.

This is topic Need Help Making a Choice-PLEASE.. in forum Preparing for Tubal Reversal at Tubal Reversal Message Board.

Posted by darkfeary474 June 09, 2009 04:34 PM:
Hi Ladies!!!
I know it has been a long time sense I have posted on here and I am sorry for that!!!… but I am still on my journey to get my TR done, It’s just with the research that I have been doing I am just not sure as to what direction I want to go,…. here is my problem.. – when I first started my search for a TR doctor, Dr. Berger was the first Doctor that I ran into on the net and he has already seen my post-Op report and said that I am a good candidate for the TR…. but I have sense ran into on my search another Doctor .. Whom I wont mention here out of respect for Dr. berger of coarse , but my problem is I am just not sure who to go with it this is driving me CRAZY!!!! .. can anyone possibly give me some insight or advice?… its not just a price thing either I am thinking of my Safety and health also , like one of my questions is if something was to happen out of the ordinary while getting the TR and an emergency occurred how would that be handled? is there an emergency room or area at Chapel Hill?
Thanks SOOO much For all the Insight that I can get.. I need this info kind of soon. as our funds will be coming threw soon!!
Dana W From Ohio.
Posted by alwayshope June 09, 2009 04:43 PM:
I can understand your concern but there is a hospital very close if anything were to happen but I had my done on the 29th of May and I do have heart problems and they just had me get some test done to make sure that I was cleared t have surgery and they can handle most things and I will tell you as a nursing student and working in the medical field for 13 years I freak my self out by knowing a little too much but he and his staff are very knowledgeable about what they do and I trusted them 100 percent…..but at the end of the day go with whom ever you feel confident with I hope this helped soon best of luck to you in your TR journey. Miasha
Posted by AngieMP June 09, 2009 05:34 PM:
I believe they mentioned on the off chance that should something unexpected come up, that you would be transported to a nearby hospital. I am thinking, but don’t quote me, that I was told that it only happened like 3 times in 08, and it was done for precautionary measures, not serious issues. You will be asked about your health history and anything of concern would have to be addressed before you have surgery. We traveled to NC (18 hours from home) and had complete trust in CHTRC. I would not have done it any other way. We loved the experience and would do it all over again! (yes, I really mean that) [Big Grin]
Posted by StephSH June 09, 2009 05:55 PM:
Hi Dana,
I too looked at other websites in my search for the right Dr for my TR, and I’m from Southern Ohio, so there was one in particular that was MUCH closer to me than NC is.
The deciding factor for me was mostly the websites. I know that seems stupid, but I decided based that the professionalism put forward in Chapel Hill’s website was a good way to judge the professionalism of the practice and staff in general. I found the other website to be childish, unprofessional and it spent more time saying why you should NOT go to someone else than just simply stating why you SHOULD go to them.
Chapel Hill didn’t even hint that they had any “competition” they simply state their business, and their website is classy.
Not sure if that helps, but that is how I made MY decision :-)
Steph
Posted by cindy0714 June 09, 2009 06:00 PM:
I struggles a little bit trying to decide who to use. I have a doctor right here where I live that specializes in TR. My heart kept pulling me toward Chapel Hill so I went with it. I used Dr. Monteith and 2 months after surgery I was pregnant. I am now 11 weeks. I promise you will not receive the kind of patient care Chapel offers anywhere else. That I am sure of.
Posted by 1forhubby&me June 09, 2009 06:11 PM:
Dana,
I also looked at other sites and decided on Chapel Hill because the “other doctor” had more negativity about everyone else and could not prove to me that he was worth the time. As for Dr Berger and staff they are always professional and willing to answer questions no matter how silly they may seem. The decision is ultimately yours if you are uneasy about anything just call and speak to the staff. Good luck on your decision and I’ll keep you in my prayers. I’m scheduled for next week so I’ll let you know about how I felt being face to face with everyone but looking at the posts and the conversation confirming my appointment today, I look forward to a great experience.
Tee
Posted by darkfeary474 June 09, 2009 07:01 PM:
Thanks for all of your opinions ladies!!! it is much appreciated.
And StephSH You Make ALLOT Of Valid Points about the “Other Site” I never looked at it from that point of view but you are completely right! .. Have You had any luck conceiving yet sense getting your TR?
Dana W From Ohio.
Posted by ismagirl June 09, 2009 07:02 PM:
Dana
I too am from Ohio (columbus)
I looked at rate my md dot com and they had very good comments one negative but it was directed to a nurse specifically and not to the doctors or chapel hill. and as you know being human you can’t please everyone all the time. I went to Chapel Hill because God lead me there, plain and simple it was Gods will. I had my tr in Dec 08 and am now 6wks preggo saw heartbeat today.
Ireally think that you already want to go with chapel hill cause you are asking ladies who have nothing but good to say about them.
Ihope that no matter what you go with that all is well for you and that you follow your heart.
Shawna
Posted by StephSH June 09, 2009 08:00 PM:
Dana,
I got one BFP the second cycle after my TR but it ended in MC about a week after I found out I was pregnant. Haven’t gotten another BFP since then, but I’m starting Clomid this month, both tubes are open, and I have very regular cycles, so I’m hoping that it will happen soon. I have short tubes, 3.5 on each side and that is probably what’s causing the delay.
What part of Ohio are you in? I’m in Western Ross Co.
Posted by pkubes68 June 09, 2009 08:11 PM:
darkfeary474
CH told me IF you needed some kind of ER care you would be transported to The University of North Carolina Medical Center (hospital). It isn’t likely but they do let you know just in case.
When I found CH on the internet I just knew that was the place to go. I’m so glad I did and I have no regrets. Go with your gut instinct. Good Luck.
Posted by Julia, RN June 09, 2009 10:02 PM:
Thanks to each of you for the helpful posts (and very nice comments)! In the unlikely event a patient needs hospitalization, we do have a transfer agreement with The University of North Carolina Hospitals approximately 1 mile from our facility. Dr. Berger and Dr. Monteith have both been on staff there, so we have a nice relationship…if needed. All of our nurses are ACLS (advanced cardiac life support) certified and we have only board certified MD’s. As some of you know based on the testing we have asked for pre-operatively, we err on the side of caution and have policies and procedures in place to ensure patient safety. This occasionally means that additional testing – or a delay in surgery – is required, but it is based on our commitment to safe and professional care.
Please let us know if you have questions!
Julia S., RN
Posted by darkfeary474 June 09, 2009 10:31 PM:
Thanks Steph Again . and sorry to here about your MC, I hope the clomid helps ya!
Also Thank You Julia for your info on – just in case there is an emergency , wow I didn’t realize that the hospital was only 1 mile away from CHTRC that in itself sets my mind at ease,
I do not have any kind of major medical problems so that shouldn’t be a problem the only problem I do have which isn’t to much of a problem now is, I am a Type 2 Diabetic but have my Diabetes under complete control with an A1C level of 5.3 which my Doctor told me is at Non-Diabetic Levels!!!! Whoohooo… I have worked hard to get where I am at right now and in turn have also lost 66pounds in the process [Embarrassed] ).. the only medication I am taking right now is Metformin.
As of now my husband and I have talked over and it looks like we will be going with Dr. Berger for my TR!…. so I will be getting in contact and finding out what is left for me to do.. [Embarrassed] )
Thanks Again!!!!
Dana
Posted by darkfeary474 June 09, 2009 10:32 PM:
Thanks Steph Again . and sorry to here about your MC, I hope the clomid helps ya!
Also Thank You Julia for your info on – just in case there is an emergency , wow I didn’t realize that the hospital was only 1 mile away from CHTRC that in itself sets my mind at ease,
I do not have any kind of major medical problems so that shouldn’t be a problem the only problem I do have which isn’t to much of a problem now is, I am a Type 2 Diabetic but have my Diabetes under complete control with an A1C level of 5.3 which my Doctor told me is at Non-Diabetic Levels!!!! Whoohooo… I have worked hard to get where I am at right now and in turn have also lost 66pounds in the process [Smile] .. the only medication I am taking right now is Metformin.
As of now my husband and I have talked over and it looks like we will be going with Dr. Berger for my TR!…. so I will be getting in contact and finding out what is left for me to do.. [Smile]
Thanks Again!!!!
Dana
Posted by TulipGarden June 10, 2009 12:01 AM:
Dana,
I had my surgery on June 4, 2009. All I can tell you is that we traveled half way across the country, and it was well worth it. I don’t think I have ever gone into surgery and felt more comfortable. They are a terrific group of people.
What steered us was the fact that Dr. Berger has a long standing history of focusing just on TR; we did not want someone who was going to try to push us into IVF. I could have gone to someone here right in town and it cost much more, but they only perform 3 or 4 a month. Dr. Berger’s credentials are impressive and he specializes in TR. Once I met with Dr. B I felt confident in choosing him, he answered my questions very thoroughly and was open to any and all questions. He was realistic, and I appreciate that more than anything. I can tell he intelligent but yet willing to explain it understandable terms. As far as my surgery, I liked the fact that I went into surgery a little later than anticipated because this meant that Dr. B took his time with the patient before me, which in turn assured me that when it came my turn that Dr. Berger would also give me the same care and attention, and he did just that. Dr. Monteith caught my eye with practicing in high-risk OB. I guess because I am considered high risk. While I chose Dr. B, I have heard many great things about Dr. M.
This is what my husband said: Marc liked that Dr. Berger is straight forward, logical, professional, and has excellent knowledge about his specialty. He liked that Dr. Berger takes good care of himself, and while you should’t judge by looks, it shows that his character exudes some type of concern and determination that most likely carries over into his work. And I agree, Dr. Berger is a very handsome man. But that is not what made me comfortable lol!
Regarding the staff, if I haven’t said it a million times, it’s true what everyone says. They work so well together as a team. They made me smile, and feel so comfortable. The anesthesiologists made me feel comfortable also. They asked questions that made me feel confident that they knew what they were doing. Goodness, even the receptionists made me feel comfortable.
I never worried for a moment there would be a situation in which I would’t be taken care of if there was an emergency, but I also attributed that to my husband whom I trust. My husband is intelligent and on high alert when it comes to my well-being. In my state of consciousness I know that my husband would not allow me to be in any type of sub-standard situation.
Even if we are never able to conceive, without a doubt, we picked the best surgeon to give us the very best chance. I do not regret it for a moment.
HTH. Lots of luck to you and your journey.
Cindy & Marc
Posted by BearsGirl June 10, 2009 12:30 AM:
I am going through the same thoughts also. When I first started my journey for a TR I thought about Chapel Hill for sure. I do have a TR Dr. right here in my town but it was the site and the communication here at Chapel Hill that attracted me. The care that is taken to give responses is just wonderful. I have a couple of months to do some soul searching and will be ready for TR. I believe my choice will be Chapel Hill though!
Posted by purplelisa12 June 10, 2009 08:55 AM:
I agree with TulipGarden,
I’m always the one who “shops around” but kept coming back to Chapel Hill. It was a matter of who has been doing “ONLY TUBAL REVERSALS” for me. At my age etc, if I was really going to do this I wanted “the best” and I found that to be Dr. Berger. I too must admit that the website and all the info they share as well as having this very board was also a deciding factor for me. It just feels more like a “home” for us who decide this is the journey we want to take. Where there is support, there is knowledge. And I think in this journey we all need as much knowledge as possible. The staff are great and very caring. Dr. Berger is “yes, handsome” but very professional, and I felt like he cared about each of us that day. So you will ultimately have to decide what’s best for you. But if you do choose Chapel Hill and Dr. Berger you will NOT be sorry.
Posted by AnitaA68 June 10, 2009 09:11 AM:
I called clinics and doctors in my area that performed TRs. I had a list of questions including how many performed, costs, success and website availability.
What I found was very few did as many as CH, the cost was less at CH, the others didn’t keep records of pregnancies, and they had no web site.
I feel that since CH specializes in TR, they would be better than someone who did them only a couple of times a year. I also liked being able to see and be in contact with people who were sharing my experience.
From vervilledeb1.vox.com When choosing the right tubal reversal surgeon, patients prefer to choose the surgeon who is more involved with them and not the competition. Women are opting for tubal reversal surgery to have a child and are not concerned with websites that are there for bashing other physicians. They are choosing to be well informed and make an educated decision. Many couples have made the final decision and that is to proceed with tubal reversal surgery. After many hours of searching information and reading the moment has arrived to choose the right surgeon that will fit your needs and provide the surgery with the results you are looking for.
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]]> http://www.vasectomyreversaltips.com/choosing-the-best-tubal-reversal-surgery-doctor-3.html/feed 0 Choosing The Best Tubal Reversal Surgery Doctor http://www.vasectomyreversaltips.com/choosing-the-best-tubal-reversal-surgery-doctor-2.html http://www.vasectomyreversaltips.com/choosing-the-best-tubal-reversal-surgery-doctor-2.html#comments Wed, 30 Jun 2010 04:43:30 +0000 Mike Malone http://www.vasectomyreversaltips.com/?p=938 After researching tubal reversal doctors and sending her tubal ligation records for review, a member of the Chapel Hill Tubal Reversal Center discusses her journey to choose the best tubal reversal surgeon to perform her reverse tubal ligation. Women who have chosen Dr. Gary Berger or Dr. Charles Monteith as their tubal reversal doctor discuss the events that led them to choose Chapel Hill Tubal Reversal Center and travel to North Carolina for surgery and describe their experience to potential patients. Dr. Berger is widely known as the most experienced tubal reversal doctor. He has performed more successful tubal reversals – resulting in the birth of more tubal reversal – than any doctor worldwide.

This is topic Need Help Making a Choice-PLEASE.. in forum Preparing for Tubal Reversal at Tubal Reversal Message Board.

Posted by darkfeary474 June 09, 2009 04:34 PM:
Hi Ladies!!!
I know it has been a long time sense I have posted on here and I am sorry for that!!!… but I am still on my journey to get my TR done, It’s just with the research that I have been doing I am just not sure as to what direction I want to go,…. here is my problem.. – when I first started my search for a TR doctor, Dr. Berger was the first Doctor that I ran into on the net and he has already seen my post-Op report and said that I am a good candidate for the TR…. but I have sense ran into on my search another Doctor .. Whom I wont mention here out of respect for Dr. berger of coarse , but my problem is I am just not sure who to go with it this is driving me CRAZY!!!! .. can anyone possibly give me some insight or advice?… its not just a price thing either I am thinking of my Safety and health also , like one of my questions is if something was to happen out of the ordinary while getting the TR and an emergency occurred how would that be handled? is there an emergency room or area at Chapel Hill?
Thanks SOOO much For all the Insight that I can get.. I need this info kind of soon. as our funds will be coming threw soon!!
Dana W From Ohio.
Posted by alwayshope June 09, 2009 04:43 PM:
I can understand your concern but there is a hospital very close if anything were to happen but I had my done on the 29th of May and I do have heart problems and they just had me get some test done to make sure that I was cleared t have surgery and they can handle most things and I will tell you as a nursing student and working in the medical field for 13 years I freak my self out by knowing a little too much but he and his staff are very knowledgeable about what they do and I trusted them 100 percent…..but at the end of the day go with whom ever you feel confident with I hope this helped soon best of luck to you in your TR journey. Miasha
Posted by AngieMP June 09, 2009 05:34 PM:
I believe they mentioned on the off chance that should something unexpected come up, that you would be transported to a nearby hospital. I am thinking, but don’t quote me, that I was told that it only happened like 3 times in 08, and it was done for precautionary measures, not serious issues. You will be asked about your health history and anything of concern would have to be addressed before you have surgery. We traveled to NC (18 hours from home) and had complete trust in CHTRC. I would not have done it any other way. We loved the experience and would do it all over again! (yes, I really mean that) [Big Grin]
Posted by StephSH June 09, 2009 05:55 PM:
Hi Dana,
I too looked at other websites in my search for the right Dr for my TR, and I’m from Southern Ohio, so there was one in particular that was MUCH closer to me than NC is.
The deciding factor for me was mostly the websites. I know that seems stupid, but I decided based that the professionalism put forward in Chapel Hill’s website was a good way to judge the professionalism of the practice and staff in general. I found the other website to be childish, unprofessional and it spent more time saying why you should NOT go to someone else than just simply stating why you SHOULD go to them.
Chapel Hill didn’t even hint that they had any “competition” they simply state their business, and their website is classy.
Not sure if that helps, but that is how I made MY decision :-)
Steph
Posted by cindy0714 June 09, 2009 06:00 PM:
I struggles a little bit trying to decide who to use. I have a doctor right here where I live that specializes in TR. My heart kept pulling me toward Chapel Hill so I went with it. I used Dr. Monteith and 2 months after surgery I was pregnant. I am now 11 weeks. I promise you will not receive the kind of patient care Chapel offers anywhere else. That I am sure of.
Posted by 1forhubby&me June 09, 2009 06:11 PM:
Dana,
I also looked at other sites and decided on Chapel Hill because the “other doctor” had more negativity about everyone else and could not prove to me that he was worth the time. As for Dr Berger and staff they are always professional and willing to answer questions no matter how silly they may seem. The decision is ultimately yours if you are uneasy about anything just call and speak to the staff. Good luck on your decision and I’ll keep you in my prayers. I’m scheduled for next week so I’ll let you know about how I felt being face to face with everyone but looking at the posts and the conversation confirming my appointment today, I look forward to a great experience.
Tee
Posted by darkfeary474 June 09, 2009 07:01 PM:
Thanks for all of your opinions ladies!!! it is much appreciated.
And StephSH You Make ALLOT Of Valid Points about the “Other Site” I never looked at it from that point of view but you are completely right! .. Have You had any luck conceiving yet sense getting your TR?
Dana W From Ohio.
Posted by ismagirl June 09, 2009 07:02 PM:
Dana
I too am from Ohio (columbus)
I looked at rate my md dot com and they had very good comments one negative but it was directed to a nurse specifically and not to the doctors or chapel hill. and as you know being human you can’t please everyone all the time. I went to Chapel Hill because God lead me there, plain and simple it was Gods will. I had my tr in Dec 08 and am now 6wks preggo saw heartbeat today.
Ireally think that you already want to go with chapel hill cause you are asking ladies who have nothing but good to say about them.
Ihope that no matter what you go with that all is well for you and that you follow your heart.
Shawna
Posted by StephSH June 09, 2009 08:00 PM:
Dana,
I got one BFP the second cycle after my TR but it ended in MC about a week after I found out I was pregnant. Haven’t gotten another BFP since then, but I’m starting Clomid this month, both tubes are open, and I have very regular cycles, so I’m hoping that it will happen soon. I have short tubes, 3.5 on each side and that is probably what’s causing the delay.
What part of Ohio are you in? I’m in Western Ross Co.
Posted by pkubes68 June 09, 2009 08:11 PM:
darkfeary474
CH told me IF you needed some kind of ER care you would be transported to The University of North Carolina Medical Center (hospital). It isn’t likely but they do let you know just in case.
When I found CH on the internet I just knew that was the place to go. I’m so glad I did and I have no regrets. Go with your gut instinct. Good Luck.
Posted by Julia, RN June 09, 2009 10:02 PM:
Thanks to each of you for the helpful posts (and very nice comments)! In the unlikely event a patient needs hospitalization, we do have a transfer agreement with The University of North Carolina Hospitals approximately 1 mile from our facility. Dr. Berger and Dr. Monteith have both been on staff there, so we have a nice relationship…if needed. All of our nurses are ACLS (advanced cardiac life support) certified and we have only board certified MD’s. As some of you know based on the testing we have asked for pre-operatively, we err on the side of caution and have policies and procedures in place to ensure patient safety. This occasionally means that additional testing – or a delay in surgery – is required, but it is based on our commitment to safe and professional care.
Please let us know if you have questions!
Julia S., RN
Posted by darkfeary474 June 09, 2009 10:31 PM:
Thanks Steph Again . and sorry to here about your MC, I hope the clomid helps ya!
Also Thank You Julia for your info on – just in case there is an emergency , wow I didn’t realize that the hospital was only 1 mile away from CHTRC that in itself sets my mind at ease,
I do not have any kind of major medical problems so that shouldn’t be a problem the only problem I do have which isn’t to much of a problem now is, I am a Type 2 Diabetic but have my Diabetes under complete control with an A1C level of 5.3 which my Doctor told me is at Non-Diabetic Levels!!!! Whoohooo… I have worked hard to get where I am at right now and in turn have also lost 66pounds in the process [Embarrassed] ).. the only medication I am taking right now is Metformin.
As of now my husband and I have talked over and it looks like we will be going with Dr. Berger for my TR!…. so I will be getting in contact and finding out what is left for me to do.. [Embarrassed] )
Thanks Again!!!!
Dana
Posted by darkfeary474 June 09, 2009 10:32 PM:
Thanks Steph Again . and sorry to here about your MC, I hope the clomid helps ya!
Also Thank You Julia for your info on – just in case there is an emergency , wow I didn’t realize that the hospital was only 1 mile away from CHTRC that in itself sets my mind at ease,
I do not have any kind of major medical problems so that shouldn’t be a problem the only problem I do have which isn’t to much of a problem now is, I am a Type 2 Diabetic but have my Diabetes under complete control with an A1C level of 5.3 which my Doctor told me is at Non-Diabetic Levels!!!! Whoohooo… I have worked hard to get where I am at right now and in turn have also lost 66pounds in the process [Smile] .. the only medication I am taking right now is Metformin.
As of now my husband and I have talked over and it looks like we will be going with Dr. Berger for my TR!…. so I will be getting in contact and finding out what is left for me to do.. [Smile]
Thanks Again!!!!
Dana
Posted by TulipGarden June 10, 2009 12:01 AM:
Dana,
I had my surgery on June 4, 2009. All I can tell you is that we traveled half way across the country, and it was well worth it. I don’t think I have ever gone into surgery and felt more comfortable. They are a terrific group of people.
What steered us was the fact that Dr. Berger has a long standing history of focusing just on TR; we did not want someone who was going to try to push us into IVF. I could have gone to someone here right in town and it cost much more, but they only perform 3 or 4 a month. Dr. Berger’s credentials are impressive and he specializes in TR. Once I met with Dr. B I felt confident in choosing him, he answered my questions very thoroughly and was open to any and all questions. He was realistic, and I appreciate that more than anything. I can tell he intelligent but yet willing to explain it understandable terms. As far as my surgery, I liked the fact that I went into surgery a little later than anticipated because this meant that Dr. B took his time with the patient before me, which in turn assured me that when it came my turn that Dr. Berger would also give me the same care and attention, and he did just that. Dr. Monteith caught my eye with practicing in high-risk OB. I guess because I am considered high risk. While I chose Dr. B, I have heard many great things about Dr. M.
This is what my husband said: Marc liked that Dr. Berger is straight forward, logical, professional, and has excellent knowledge about his specialty. He liked that Dr. Berger takes good care of himself, and while you should’t judge by looks, it shows that his character exudes some type of concern and determination that most likely carries over into his work. And I agree, Dr. Berger is a very handsome man. But that is not what made me comfortable lol!
Regarding the staff, if I haven’t said it a million times, it’s true what everyone says. They work so well together as a team. They made me smile, and feel so comfortable. The anesthesiologists made me feel comfortable also. They asked questions that made me feel confident that they knew what they were doing. Goodness, even the receptionists made me feel comfortable.
I never worried for a moment there would be a situation in which I would’t be taken care of if there was an emergency, but I also attributed that to my husband whom I trust. My husband is intelligent and on high alert when it comes to my well-being. In my state of consciousness I know that my husband would not allow me to be in any type of sub-standard situation.
Even if we are never able to conceive, without a doubt, we picked the best surgeon to give us the very best chance. I do not regret it for a moment.
HTH. Lots of luck to you and your journey.
Cindy & Marc
Posted by BearsGirl June 10, 2009 12:30 AM:
I am going through the same thoughts also. When I first started my journey for a TR I thought about Chapel Hill for sure. I do have a TR Dr. right here in my town but it was the site and the communication here at Chapel Hill that attracted me. The care that is taken to give responses is just wonderful. I have a couple of months to do some soul searching and will be ready for TR. I believe my choice will be Chapel Hill though!
Posted by purplelisa12 June 10, 2009 08:55 AM:
I agree with TulipGarden,
I’m always the one who “shops around” but kept coming back to Chapel Hill. It was a matter of who has been doing “ONLY TUBAL REVERSALS” for me. At my age etc, if I was really going to do this I wanted “the best” and I found that to be Dr. Berger. I too must admit that the website and all the info they share as well as having this very board was also a deciding factor for me. It just feels more like a “home” for us who decide this is the journey we want to take. Where there is support, there is knowledge. And I think in this journey we all need as much knowledge as possible. The staff are great and very caring. Dr. Berger is “yes, handsome” but very professional, and I felt like he cared about each of us that day. So you will ultimately have to decide what’s best for you. But if you do choose Chapel Hill and Dr. Berger you will NOT be sorry.
Posted by AnitaA68 June 10, 2009 09:11 AM:
I called clinics and doctors in my area that performed TRs. I had a list of questions including how many performed, costs, success and website availability.
What I found was very few did as many as CH, the cost was less at CH, the others didn’t keep records of pregnancies, and they had no web site.
I feel that since CH specializes in TR, they would be better than someone who did them only a couple of times a year. I also liked being able to see and be in contact with people who were sharing my experience.
From vervilledeb1.vox.com When choosing the right tubal reversal surgeon, patients prefer to choose the surgeon who is more involved with them and not the competition. Women are opting for tubal reversal surgery to have a child and are not concerned with websites that are there for bashing other physicians. They are choosing to be well informed and make an educated decision. Many couples have made the final decision and that is to proceed with tubal reversal surgery. After many hours of searching information and reading the moment has arrived to choose the right surgeon that will fit your needs and provide the surgery with the results you are looking for.
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]]> http://www.vasectomyreversaltips.com/choosing-the-best-tubal-reversal-surgery-doctor-2.html/feed 0 Deciding between TR or IVF http://www.vasectomyreversaltips.com/deciding-between-tr-or-ivf-2.html http://www.vasectomyreversaltips.com/deciding-between-tr-or-ivf-2.html#comments Tue, 29 Jun 2010 23:09:26 +0000 Mike Malone http://www.vasectomyreversaltips.com/?p=852 Although reversal surgery at Chapel Hill Tubal Reversal Center is statistically and financially the best option for after a tubal ligation, women over age 40 have a special set of circumstances that are – unfortunately – often not addressed during an IVF consultation. The truth is, most IVF clinics will not accept patients over age 40 or 42 unless they agree to use donor eggs (eggs from a younger woman). This is to help keep their high. We performed IVF for many years at Chapel Hill Tubal Reversal Center and Dr. Berger is now limiting his practice to tubal reversal surgery for a reason: It gives women who have previously had a sterilization the chance to conceive naturally again — without medications, shots, and continued expense each time they want to conceive. Most of the women who contact us have already considered IVF – and have definitely ruled out donor egg IVF -and for good reason. It will be very important to ask your reproductive specialist very directly whether he/she will accept a 42 for IVF without donor eggs or decline you if your is slightly elevated (as many clinics do).

For almost all women, reversal surgery is the most successful and least expensive option to have a baby after a previous tubal ligation.
The following is topic “Deciding between TR or IVF” in forum Age and Tubal Reversal at Tubal Reversal .
Posted by Mslisalisaf (Member # 11583) on October 07, 2007 01:01 PM:
Hi, I am new to the , and I am still not sure if I want TR because I am 41 years old. I want the procedure that will give me the highest possible result of . Please give me some insight on what you think.
Unsure Lisa
Posted by Cjl (Member # 11408) on October 07, 2007 01:48 PM:
Hi Lisa,
I am 42 and just had my TR done on 9/28/07. I choose do to the TR for several reasons. First I did the 3 day FSH, LH and Estradiol testing to see if having another baby was even in range for me. My FSH came back 5.1, my LH came back 3.8 and my Estradiol came back at 39. All are excellent. So from there, I went to see a Fertility specialist, who told me that I do still have eggs, but they don’t know which eggs are good and which eggs are bad. So if I chose the IVF they would extract as many as they could, for about 18K, but that doesn’t mean the eggs they extract would be good, but all the things to do along the way, shots etc to get there and not even know if it will work for 18K, was a little to risky for me. But the TR gives me a chance to try every month, possibly trying a few other medications to make the TR work for much less maoney. So for me the TR was the right choice. $5900 out of pocket, and several changes to keep trying…
Carla 42 TR 9/28/07
Posted by Jan, RN (Member # 10035) on October 07, 2007 02:14 PM:
This page should give you some more information to help with your decision about Tubal Reversal Surgery. Look forward to meeting you, hopefully!!
http://www.tubal-reversal.net/ubb/ultimatebb.php/topic/1/3236.html
Posted by TheMzD (Member # 6500) on October 08, 2007 01:44 AM:
Lisa, welcome to the board. THis is a tough decision to have to make.
I agree with what Carla posted – have your doctor do the prelim. fertility workup on day 3 of your cycle (its OK if you are still bleeding). Get the checked (this is like the gas pedal that gets the ovaries working), LH and estradiol (high estradiol can mask high FSH). These levels will give you some idea of how to proceed.
A good FSH is a good indicator that you still have eggs left – your body isnt having to work too hard to get follicles started. BUT – keep in mind that our eggs are as old as we are. Having a lot left at this point doesnt mean they are any good. IVF can not guarantee a , and is quite a bit more expensive for each attempt.
In fact, at our ages – I’m 41 today – IVF has pretty low odds for the expense.
Good luck as you make your choice!
Kay
Posted by Luckypj’s (Member # 9974) on October 08, 2007 12:57 PM:
Lisa,
I will tell you my experience. I was told I was a perfect candidate for IVF. I had the FSH and all the prelims done. After my first round of IVF I became pregnant with twins, I lost both by 12 weeks and had to have a D & C. After much thought we decided on 1 more cycle that was unsuccessful. IVF is emotionally, physically, and financially draining. After my 2nd cycle the RE told me I was too old (I was 37) and so were my eggs and that I would probably need an egg donar. Thank goodness I found Dr. Berger! I had my TR in Dec of 06 and found out I was PG in February! I am due to deliver any day now! I know that IVF has worked for many but you should definitely do some soul searching before you plunge in. With IVF you only have the opportunity to conceive a couple of times a year and then you have to pay for it every time. With a reversal you can try to conceive once a month. I also believe that with IVF there is too much human interference. Natural is always better for your body! I thank God everyday for giving Dr. Berger the skill and the compassion to help out all of us who regret their TL. Sorry this is so lengthy! Whichever you choose I wish you much success and will remember you in my prayers!
Posted by nshelia7 (Member # 11224) on October 10, 2007 11:25 AM:
Hi Lisa I just wanted to chime and say that I agree with all the post you have received. I had my TR June 2007 and I am in the 2WW now.
I had 4 cycles of IVF two were successful,but 1 ended in M/C and the other ended right after the procedure. The other two were stopped because I was not responding. Luckpjs is correct that it is draining. My fertility Dr made me believe IVF was my only option. I have been on the IVF road since 2003. I feel like I have wasted a lot of money and hundreds,possibly thousands of viable eggs. IVF is extremely expensive. I can honestly say not including insurance payments we have spent over 50 grand. For the price of one of my prescription I could have had TR surgery twice. Do the math. The TR will give you the oppurtunity to try month after month as opposed to waiting to complete an IVF cycle. Just remember there are no guarantees with IVF even when the eggs are transferred they is no guarantee a will happen. Talk to your DH and make a joint decision. God bless you and good luck in whatever decision you make.
Posted by nshelia7 (Member # 11224) on October 10, 2007 11:49 AM:
One other thing I did not mention those shots can be pretty painful OUCH Will you administer your own shots or will your DH have to? And if so have either of you given shots before? Its not an easy thing. My DH gave me my shots and sometimes I felt as if he were sticking me too hard, but I think i was just being paranoid and stressed. You will alos have to have vaginal ultrasounds, a battery of test
and your DH will have to his semen analyzed. Will your insurance cover this?
Just thought I would add that in , I found out about a lot of the additional charges after the fact.
Shelia
Posted by chrissybear (Member # 10248) on October 10, 2007 03:40 PM:
Hi Lisa, I had tried IVF last year around time and it is very emotionally and finaicaly draining. I wish I would have had my TR done 1st. To go though the process of IVF not having it work is the worst experience I ever had. I had my TR in May 2007 no BFP yet, but aleast we can try every and not a one or two time deal.
Good luck
Chrissy
TR 05/21/07
Posted by berta8133 (Member # 11188) on October 10, 2007 05:13 PM:
Lisa..I’m 37 (38 in a few weeks)…I went thru IVF in 05…’perfect’ candidate..no reason it shouldn’t take on first try…. well didn’t work and all that $$ gone on one shot. After many DR’s telling me TR was not option…DR B did the TR this year…7/23/07, I came out with lengths of 3cm on each side. We were blessed with a BFP 9/12/07 (first cycle TTC), sadly though ended as Ectopic 9/25/07. Even with the ectopic we are estatic to know we did get PG……and have another chance and another chance. Spending $6000 for chance after chance compared to easily $15-$17,000 one chance IVF…I’d go for the TR — hands down.
I also have a friend that did IVF too– a couple of cycles – no success…had her TR 10/06 and is expecting baby any day now…and Dr B did her TR as well…and she is 40.
Good luck to you with whatever decision you make.
Berta
TR 7/23/07
Ectopic 9/25/07
Posted by berta8133 (Member # 11188) on October 13, 2007 09:22 AM:
I’m sorry you feel that way Jerseygirl…however it is everyone’s opinion….and we are all speaking from experience. Having tried IVF and it didn’t work…then doing TR and having the CHANCE to do a repeat month after month is better than having the chance to do nothing because of financial reasons and insurance not covering IVF. I know there are women on the boards that have been sucessful with IVF..however on that one too…the rate of it working first time….of ALL women that choose it…it is low.
Blocked tubes – everyone knows is a risk we take with TR… everything is a risk. I’m very sorry yours are blocked….but the chance was there for you, just as it would have been had you went with IVF first time. Bad hand dealt to you and once again very very sorry for you.
It doesn’t matter if those that have posted have yet carried a baby to term….
Bottom line…everything happens for a reason. If we are meant to have a baby then we will..if not…then we wont regardless of the medical intervention used to try……
Not meaning to ruffle feathers..just expressing my opinion.
Posted by berta8133 (Member # 11188) on October 13, 2007 10:23 AM:
Tarebear…
I REALLY think you hit the nail on the head…with saying all should be tested / checked over prior to TR or IVF….this a valid and smart point..that really I’m sure alot of sisters just thought they could have the surgery and all would be great…not knowing the underlying problems.
I’m sorry for your situation as well. Good luck with your dr appt next week!!!
Berta
Posted by Tarebear38 (Member # 9544) on October 13, 2007 10:27 AM:
Thank you Berta! (I was editing while you were responding).
Posted by Mslisalisaf (Member # 11583) on October 13, 2007 01:12 PM:
Thank you ladies for all of the advice and personal histories with TR and IVF. Because of your insightful information I am going to have a battery of test and weigh my options. With prayer I know I will be strong no matter what the outcome. Thanks again ladies!
Posted by Tarebear38 (Member # 9544) on October 13, 2007 01:58 PM:
Good luck to you!
Posted by berta8133 (Member # 11188) on October 14, 2007 09:31 AM:
Mslisalisaf
Good luck to you on this journey!!
Berta
Posted by TR Moderator (Member # 5545) on October 14, 2007 11:58 AM:
Mslisalisaf – Dr. Berger has a graph that compares rates after tubal reversal vs ivf on www.squidoo.com/tubalreversal/ that may be helpful to you.
You can also find comparing tubal reversal and IVF here: http://news.tubal-reversal.net/pregnancy-study-2007-tubalreversal_vs_ivf.htm
Posted by marly (Member # 9980) on October 16, 2007 06:46 PM:
hi All,
im considering reversal soon, but after having
4 c-sections in the past, would i have scar tissue? i was never told about this, and will it effect the surgery and it,s result,s. have had 4 goes at IVF with no success.
thanks marly x
Posted by Tarebear38 (Member # 9544) on October 16, 2007 11:37 PM:
Marly, I would definitely think about getting checked to see if you have any scar tissue or any other "plumbing" problem that could be preventing you from getting a sticky bean after all those IVF attemps. Good luck to you!
Posted by Julia Smith, RN (Member # 10) on November 22, 2007 11:40 PM:
Hi, Lisa. Although reversal surgery is statistically and financially the best option for after a tubal ligation, women over age 40 have a special set of circumstances that are – unfortunately – often not addressed during an IVF consultation. The truth is, most IVF clinics will not accept patients over age 40 or 42 unless they agree to use donor eggs (eggs from a younger woman). This is to help keep their high. We performed IVF for many years at our office and Dr. Berger is now limiting his practice to tubal reversal surgery for a reason: It gives women who have previously had a sterilization the chance to conceive naturally again — without medications, shots, and continued expense each time they want to conceive. Most of the women who contact us have already considered IVF – and have definitely ruled out donor egg IVF – and for good reason.
It will be very important to ask your reproductive specialist very directly whether he/she will accept a 42 for IVF without donor eggs or decline you if your is slightly elevated (as many clinics do).
For almost all women, reversal surgery is the most successful and least expensive option to have a baby after a previous tubal ligation.
I hope this is helpful.
Julia Smith RN
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]]> http://www.vasectomyreversaltips.com/deciding-between-tr-or-ivf-2.html/feed 0 Choosing The Best Tubal Reversal Surgery Doctor http://www.vasectomyreversaltips.com/choosing-the-best-tubal-reversal-surgery-doctor.html http://www.vasectomyreversaltips.com/choosing-the-best-tubal-reversal-surgery-doctor.html#comments Tue, 16 Feb 2010 05:44:05 +0000 Mike Malone http://www.vasectomyreversaltips.com/?p=155 After researching tubal reversal doctors and sending her tubal ligation records for review, a member of the Chapel Hill Tubal Reversal Center discusses her journey to choose the best tubal reversal surgeon to perform her reverse tubal ligation. Women who have chosen Dr. Gary Berger or Dr. Charles Monteith as their tubal reversal doctor discuss the events that led them to choose Chapel Hill Tubal Reversal Center and travel to North Carolina for surgery and describe their experience to potential patients. Dr. Berger is widely known as the most experienced tubal reversal doctor. He has performed more successful tubal reversals – resulting in the birth of more tubal reversal – than any doctor worldwide.

This is topic Need Help Making a Choice-PLEASE.. in forum Preparing for Tubal Reversal at Tubal Reversal Message Board.

Posted by darkfeary474 June 09, 2009 04:34 PM:
Hi Ladies!!!
I know it has been a long time sense I have posted on here and I am sorry for that!!!… but I am still on my journey to get my TR done, It’s just with the research that I have been doing I am just not sure as to what direction I want to go,…. here is my problem.. – when I first started my search for a TR doctor, Dr. Berger was the first Doctor that I ran into on the net and he has already seen my post-Op report and said that I am a good candidate for the TR…. but I have sense ran into on my search another Doctor .. Whom I wont mention here out of respect for Dr. berger of coarse , but my problem is I am just not sure who to go with it this is driving me CRAZY!!!! .. can anyone possibly give me some insight or advice?… its not just a price thing either I am thinking of my Safety and health also , like one of my questions is if something was to happen out of the ordinary while getting the TR and an emergency occurred how would that be handled? is there an emergency room or area at Chapel Hill?
Thanks SOOO much For all the Insight that I can get.. I need this info kind of soon. as our funds will be coming threw soon!!
Dana W From Ohio.
Posted by alwayshope June 09, 2009 04:43 PM:
I can understand your concern but there is a hospital very close if anything were to happen but I had my done on the 29th of May and I do have heart problems and they just had me get some test done to make sure that I was cleared t have surgery and they can handle most things and I will tell you as a nursing student and working in the medical field for 13 years I freak my self out by knowing a little too much but he and his staff are very knowledgeable about what they do and I trusted them 100 percent…..but at the end of the day go with whom ever you feel confident with I hope this helped soon best of luck to you in your TR journey. Miasha
Posted by AngieMP June 09, 2009 05:34 PM:
I believe they mentioned on the off chance that should something unexpected come up, that you would be transported to a nearby hospital. I am thinking, but don’t quote me, that I was told that it only happened like 3 times in 08, and it was done for precautionary measures, not serious issues. You will be asked about your health history and anything of concern would have to be addressed before you have surgery. We traveled to NC (18 hours from home) and had complete trust in CHTRC. I would not have done it any other way. We loved the experience and would do it all over again! (yes, I really mean that) [Big Grin]
Posted by StephSH June 09, 2009 05:55 PM:
Hi Dana,
I too looked at other websites in my search for the right Dr for my TR, and I’m from Southern Ohio, so there was one in particular that was MUCH closer to me than NC is.
The deciding factor for me was mostly the websites. I know that seems stupid, but I decided based that the professionalism put forward in Chapel Hill’s website was a good way to judge the professionalism of the practice and staff in general. I found the other website to be childish, unprofessional and it spent more time saying why you should NOT go to someone else than just simply stating why you SHOULD go to them.
Chapel Hill didn’t even hint that they had any “competition” they simply state their business, and their website is classy.
Not sure if that helps, but that is how I made MY decision :-)
Steph
Posted by cindy0714 June 09, 2009 06:00 PM:
I struggles a little bit trying to decide who to use. I have a doctor right here where I live that specializes in TR. My heart kept pulling me toward Chapel Hill so I went with it. I used Dr. Monteith and 2 months after surgery I was pregnant. I am now 11 weeks. I promise you will not receive the kind of patient care Chapel offers anywhere else. That I am sure of.
Posted by 1forhubby&me June 09, 2009 06:11 PM:
Dana,
I also looked at other sites and decided on Chapel Hill because the “other doctor” had more negativity about everyone else and could not prove to me that he was worth the time. As for Dr Berger and staff they are always professional and willing to answer questions no matter how silly they may seem. The decision is ultimately yours if you are uneasy about anything just call and speak to the staff. Good luck on your decision and I’ll keep you in my prayers. I’m scheduled for next week so I’ll let you know about how I felt being face to face with everyone but looking at the posts and the conversation confirming my appointment today, I look forward to a great experience.
Tee
Posted by darkfeary474 June 09, 2009 07:01 PM:
Thanks for all of your opinions ladies!!! it is much appreciated.
And StephSH You Make ALLOT Of Valid Points about the “Other Site” I never looked at it from that point of view but you are completely right! .. Have You had any luck conceiving yet sense getting your TR?
Dana W From Ohio.
Posted by ismagirl June 09, 2009 07:02 PM:
Dana
I too am from Ohio (columbus)
I looked at rate my md dot com and they had very good comments one negative but it was directed to a nurse specifically and not to the doctors or chapel hill. and as you know being human you can’t please everyone all the time. I went to Chapel Hill because God lead me there, plain and simple it was Gods will. I had my tr in Dec 08 and am now 6wks preggo saw heartbeat today.
Ireally think that you already want to go with chapel hill cause you are asking ladies who have nothing but good to say about them.
Ihope that no matter what you go with that all is well for you and that you follow your heart.
Shawna
Posted by StephSH June 09, 2009 08:00 PM:
Dana,
I got one BFP the second cycle after my TR but it ended in MC about a week after I found out I was pregnant. Haven’t gotten another BFP since then, but I’m starting Clomid this month, both tubes are open, and I have very regular cycles, so I’m hoping that it will happen soon. I have short tubes, 3.5 on each side and that is probably what’s causing the delay.
What part of Ohio are you in? I’m in Western Ross Co.
Posted by pkubes68 June 09, 2009 08:11 PM:
darkfeary474
CH told me IF you needed some kind of ER care you would be transported to The University of North Carolina Medical Center (hospital). It isn’t likely but they do let you know just in case.
When I found CH on the internet I just knew that was the place to go. I’m so glad I did and I have no regrets. Go with your gut instinct. Good Luck.
Posted by Julia, RN June 09, 2009 10:02 PM:
Thanks to each of you for the helpful posts (and very nice comments)! In the unlikely event a patient needs hospitalization, we do have a transfer agreement with The University of North Carolina Hospitals approximately 1 mile from our facility. Dr. Berger and Dr. Monteith have both been on staff there, so we have a nice relationship…if needed. All of our nurses are ACLS (advanced cardiac life support) certified and we have only board certified MD’s. As some of you know based on the testing we have asked for pre-operatively, we err on the side of caution and have policies and procedures in place to ensure patient safety. This occasionally means that additional testing – or a delay in surgery – is required, but it is based on our commitment to safe and professional care.
Please let us know if you have questions!
Julia S., RN
Posted by darkfeary474 June 09, 2009 10:31 PM:
Thanks Steph Again . and sorry to here about your MC, I hope the clomid helps ya!
Also Thank You Julia for your info on – just in case there is an emergency , wow I didn’t realize that the hospital was only 1 mile away from CHTRC that in itself sets my mind at ease,
I do not have any kind of major medical problems so that shouldn’t be a problem the only problem I do have which isn’t to much of a problem now is, I am a Type 2 Diabetic but have my Diabetes under complete control with an A1C level of 5.3 which my Doctor told me is at Non-Diabetic Levels!!!! Whoohooo… I have worked hard to get where I am at right now and in turn have also lost 66pounds in the process [Embarrassed] ).. the only medication I am taking right now is Metformin.
As of now my husband and I have talked over and it looks like we will be going with Dr. Berger for my TR!…. so I will be getting in contact and finding out what is left for me to do.. [Embarrassed] )
Thanks Again!!!!
Dana
Posted by darkfeary474 June 09, 2009 10:32 PM:
Thanks Steph Again . and sorry to here about your MC, I hope the clomid helps ya!
Also Thank You Julia for your info on – just in case there is an emergency , wow I didn’t realize that the hospital was only 1 mile away from CHTRC that in itself sets my mind at ease,
I do not have any kind of major medical problems so that shouldn’t be a problem the only problem I do have which isn’t to much of a problem now is, I am a Type 2 Diabetic but have my Diabetes under complete control with an A1C level of 5.3 which my Doctor told me is at Non-Diabetic Levels!!!! Whoohooo… I have worked hard to get where I am at right now and in turn have also lost 66pounds in the process [Smile] .. the only medication I am taking right now is Metformin.
As of now my husband and I have talked over and it looks like we will be going with Dr. Berger for my TR!…. so I will be getting in contact and finding out what is left for me to do.. [Smile]
Thanks Again!!!!
Dana
Posted by TulipGarden June 10, 2009 12:01 AM:
Dana,
I had my surgery on June 4, 2009. All I can tell you is that we traveled half way across the country, and it was well worth it. I don’t think I have ever gone into surgery and felt more comfortable. They are a terrific group of people.
What steered us was the fact that Dr. Berger has a long standing history of focusing just on TR; we did not want someone who was going to try to push us into IVF. I could have gone to someone here right in town and it cost much more, but they only perform 3 or 4 a month. Dr. Berger’s credentials are impressive and he specializes in TR. Once I met with Dr. B I felt confident in choosing him, he answered my questions very thoroughly and was open to any and all questions. He was realistic, and I appreciate that more than anything. I can tell he intelligent but yet willing to explain it understandable terms. As far as my surgery, I liked the fact that I went into surgery a little later than anticipated because this meant that Dr. B took his time with the patient before me, which in turn assured me that when it came my turn that Dr. Berger would also give me the same care and attention, and he did just that. Dr. Monteith caught my eye with practicing in high-risk OB. I guess because I am considered high risk. While I chose Dr. B, I have heard many great things about Dr. M.
This is what my husband said: Marc liked that Dr. Berger is straight forward, logical, professional, and has excellent knowledge about his specialty. He liked that Dr. Berger takes good care of himself, and while you should’t judge by looks, it shows that his character exudes some type of concern and determination that most likely carries over into his work. And I agree, Dr. Berger is a very handsome man. But that is not what made me comfortable lol!
Regarding the staff, if I haven’t said it a million times, it’s true what everyone says. They work so well together as a team. They made me smile, and feel so comfortable. The anesthesiologists made me feel comfortable also. They asked questions that made me feel confident that they knew what they were doing. Goodness, even the receptionists made me feel comfortable.
I never worried for a moment there would be a situation in which I would’t be taken care of if there was an emergency, but I also attributed that to my husband whom I trust. My husband is intelligent and on high alert when it comes to my well-being. In my state of consciousness I know that my husband would not allow me to be in any type of sub-standard situation.
Even if we are never able to conceive, without a doubt, we picked the best surgeon to give us the very best chance. I do not regret it for a moment.
HTH. Lots of luck to you and your journey.
Cindy & Marc
Posted by BearsGirl June 10, 2009 12:30 AM:
I am going through the same thoughts also. When I first started my journey for a TR I thought about Chapel Hill for sure. I do have a TR Dr. right here in my town but it was the site and the communication here at Chapel Hill that attracted me. The care that is taken to give responses is just wonderful. I have a couple of months to do some soul searching and will be ready for TR. I believe my choice will be Chapel Hill though!
Posted by purplelisa12 June 10, 2009 08:55 AM:
I agree with TulipGarden,
I’m always the one who “shops around” but kept coming back to Chapel Hill. It was a matter of who has been doing “ONLY TUBAL REVERSALS” for me. At my age etc, if I was really going to do this I wanted “the best” and I found that to be Dr. Berger. I too must admit that the website and all the info they share as well as having this very board was also a deciding factor for me. It just feels more like a “home” for us who decide this is the journey we want to take. Where there is support, there is knowledge. And I think in this journey we all need as much knowledge as possible. The staff are great and very caring. Dr. Berger is “yes, handsome” but very professional, and I felt like he cared about each of us that day. So you will ultimately have to decide what’s best for you. But if you do choose Chapel Hill and Dr. Berger you will NOT be sorry.
Posted by AnitaA68 June 10, 2009 09:11 AM:
I called clinics and doctors in my area that performed TRs. I had a list of questions including how many performed, costs, success and website availability.
What I found was very few did as many as CH, the cost was less at CH, the others didn’t keep records of pregnancies, and they had no web site.
I feel that since CH specializes in TR, they would be better than someone who did them only a couple of times a year. I also liked being able to see and be in contact with people who were sharing my experience.
From vervilledeb1.vox.com When choosing the right tubal reversal surgeon, patients prefer to choose the surgeon who is more involved with them and not the competition. Women are opting for tubal reversal surgery to have a child and are not concerned with websites that are there for bashing other physicians. They are choosing to be well informed and make an educated decision. Many couples have made the final decision and that is to proceed with tubal reversal surgery. After many hours of searching information and reading the moment has arrived to choose the right surgeon that will fit your needs and provide the surgery with the results you are looking for.
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]]> http://www.vasectomyreversaltips.com/choosing-the-best-tubal-reversal-surgery-doctor.html/feed 0 Deciding between TR or IVF http://www.vasectomyreversaltips.com/deciding-between-tr-or-ivf.html http://www.vasectomyreversaltips.com/deciding-between-tr-or-ivf.html#comments Sat, 13 Feb 2010 14:23:21 +0000 Mike Malone http://www.vasectomyreversaltips.com/?p=124 Although reversal surgery at Chapel Hill Tubal Reversal Center is statistically and financially the best option for after a tubal ligation, women over age 40 have a special set of circumstances that are – unfortunately – often not addressed during an IVF consultation. The truth is, most IVF clinics will not accept patients over age 40 or 42 unless they agree to use donor eggs (eggs from a younger woman). This is to help keep their high. We performed IVF for many years at Chapel Hill Tubal Reversal Center and Dr. Berger is now limiting his practice to tubal reversal surgery for a reason: It gives women who have previously had a sterilization the chance to conceive naturally again — without medications, shots, and continued expense each time they want to conceive. Most of the women who contact us have already considered IVF – and have definitely ruled out donor egg IVF -and for good reason. It will be very important to ask your reproductive specialist very directly whether he/she will accept a 42 for IVF without donor eggs or decline you if your is slightly elevated (as many clinics do).

For almost all women, reversal surgery is the most successful and least expensive option to have a baby after a previous tubal ligation.
The following is topic “Deciding between TR or IVF” in forum Age and Tubal Reversal at Tubal Reversal .
Posted by Mslisalisaf (Member # 11583) on October 07, 2007 01:01 PM:
Hi, I am new to the , and I am still not sure if I want TR because I am 41 years old. I want the procedure that will give me the highest possible result of . Please give me some insight on what you think.
Unsure Lisa
Posted by Cjl (Member # 11408) on October 07, 2007 01:48 PM:
Hi Lisa,
I am 42 and just had my TR done on 9/28/07. I choose do to the TR for several reasons. First I did the 3 day FSH, LH and Estradiol testing to see if having another baby was even in range for me. My FSH came back 5.1, my LH came back 3.8 and my Estradiol came back at 39. All are excellent. So from there, I went to see a Fertility specialist, who told me that I do still have eggs, but they don’t know which eggs are good and which eggs are bad. So if I chose the IVF they would extract as many as they could, for about 18K, but that doesn’t mean the eggs they extract would be good, but all the things to do along the way, shots etc to get there and not even know if it will work for 18K, was a little to risky for me. But the TR gives me a chance to try every month, possibly trying a few other medications to make the TR work for much less maoney. So for me the TR was the right choice. $5900 out of pocket, and several changes to keep trying…
Carla 42 TR 9/28/07
Posted by Jan, RN (Member # 10035) on October 07, 2007 02:14 PM:
This page should give you some more information to help with your decision about Tubal Reversal Surgery. Look forward to meeting you, hopefully!!
http://www.tubal-reversal.net/ubb/ultimatebb.php/topic/1/3236.html
Posted by TheMzD (Member # 6500) on October 08, 2007 01:44 AM:
Lisa, welcome to the board. THis is a tough decision to have to make.
I agree with what Carla posted – have your doctor do the prelim. fertility workup on day 3 of your cycle (its OK if you are still bleeding). Get the checked (this is like the gas pedal that gets the ovaries working), LH and estradiol (high estradiol can mask high FSH). These levels will give you some idea of how to proceed.
A good FSH is a good indicator that you still have eggs left – your body isnt having to work too hard to get follicles started. BUT – keep in mind that our eggs are as old as we are. Having a lot left at this point doesnt mean they are any good. IVF can not guarantee a , and is quite a bit more expensive for each attempt.
In fact, at our ages – I’m 41 today – IVF has pretty low odds for the expense.
Good luck as you make your choice!
Kay
Posted by Luckypj’s (Member # 9974) on October 08, 2007 12:57 PM:
Lisa,
I will tell you my experience. I was told I was a perfect candidate for IVF. I had the FSH and all the prelims done. After my first round of IVF I became pregnant with twins, I lost both by 12 weeks and had to have a D & C. After much thought we decided on 1 more cycle that was unsuccessful. IVF is emotionally, physically, and financially draining. After my 2nd cycle the RE told me I was too old (I was 37) and so were my eggs and that I would probably need an egg donar. Thank goodness I found Dr. Berger! I had my TR in Dec of 06 and found out I was PG in February! I am due to deliver any day now! I know that IVF has worked for many but you should definitely do some soul searching before you plunge in. With IVF you only have the opportunity to conceive a couple of times a year and then you have to pay for it every time. With a reversal you can try to conceive once a month. I also believe that with IVF there is too much human interference. Natural is always better for your body! I thank God everyday for giving Dr. Berger the skill and the compassion to help out all of us who regret their TL. Sorry this is so lengthy! Whichever you choose I wish you much success and will remember you in my prayers!
Posted by nshelia7 (Member # 11224) on October 10, 2007 11:25 AM:
Hi Lisa I just wanted to chime and say that I agree with all the post you have received. I had my TR June 2007 and I am in the 2WW now.
I had 4 cycles of IVF two were successful,but 1 ended in M/C and the other ended right after the procedure. The other two were stopped because I was not responding. Luckpjs is correct that it is draining. My fertility Dr made me believe IVF was my only option. I have been on the IVF road since 2003. I feel like I have wasted a lot of money and hundreds,possibly thousands of viable eggs. IVF is extremely expensive. I can honestly say not including insurance payments we have spent over 50 grand. For the price of one of my prescription I could have had TR surgery twice. Do the math. The TR will give you the oppurtunity to try month after month as opposed to waiting to complete an IVF cycle. Just remember there are no guarantees with IVF even when the eggs are transferred they is no guarantee a will happen. Talk to your DH and make a joint decision. God bless you and good luck in whatever decision you make.
Posted by nshelia7 (Member # 11224) on October 10, 2007 11:49 AM:
One other thing I did not mention those shots can be pretty painful OUCH Will you administer your own shots or will your DH have to? And if so have either of you given shots before? Its not an easy thing. My DH gave me my shots and sometimes I felt as if he were sticking me too hard, but I think i was just being paranoid and stressed. You will alos have to have vaginal ultrasounds, a battery of test
and your DH will have to his semen analyzed. Will your insurance cover this?
Just thought I would add that in , I found out about a lot of the additional charges after the fact.
Shelia
Posted by chrissybear (Member # 10248) on October 10, 2007 03:40 PM:
Hi Lisa, I had tried IVF last year around time and it is very emotionally and finaicaly draining. I wish I would have had my TR done 1st. To go though the process of IVF not having it work is the worst experience I ever had. I had my TR in May 2007 no BFP yet, but aleast we can try every and not a one or two time deal.
Good luck
Chrissy
TR 05/21/07
Posted by berta8133 (Member # 11188) on October 10, 2007 05:13 PM:
Lisa..I’m 37 (38 in a few weeks)…I went thru IVF in 05…’perfect’ candidate..no reason it shouldn’t take on first try…. well didn’t work and all that $$ gone on one shot. After many DR’s telling me TR was not option…DR B did the TR this year…7/23/07, I came out with lengths of 3cm on each side. We were blessed with a BFP 9/12/07 (first cycle TTC), sadly though ended as Ectopic 9/25/07. Even with the ectopic we are estatic to know we did get PG……and have another chance and another chance. Spending $6000 for chance after chance compared to easily $15-$17,000 one chance IVF…I’d go for the TR — hands down.
I also have a friend that did IVF too– a couple of cycles – no success…had her TR 10/06 and is expecting baby any day now…and Dr B did her TR as well…and she is 40.
Good luck to you with whatever decision you make.
Berta
TR 7/23/07
Ectopic 9/25/07
Posted by berta8133 (Member # 11188) on October 13, 2007 09:22 AM:
I’m sorry you feel that way Jerseygirl…however it is everyone’s opinion….and we are all speaking from experience. Having tried IVF and it didn’t work…then doing TR and having the CHANCE to do a repeat month after month is better than having the chance to do nothing because of financial reasons and insurance not covering IVF. I know there are women on the boards that have been sucessful with IVF..however on that one too…the rate of it working first time….of ALL women that choose it…it is low.
Blocked tubes – everyone knows is a risk we take with TR… everything is a risk. I’m very sorry yours are blocked….but the chance was there for you, just as it would have been had you went with IVF first time. Bad hand dealt to you and once again very very sorry for you.
It doesn’t matter if those that have posted have yet carried a baby to term….
Bottom line…everything happens for a reason. If we are meant to have a baby then we will..if not…then we wont regardless of the medical intervention used to try……
Not meaning to ruffle feathers..just expressing my opinion.
Posted by berta8133 (Member # 11188) on October 13, 2007 10:23 AM:
Tarebear…
I REALLY think you hit the nail on the head…with saying all should be tested / checked over prior to TR or IVF….this a valid and smart point..that really I’m sure alot of sisters just thought they could have the surgery and all would be great…not knowing the underlying problems.
I’m sorry for your situation as well. Good luck with your dr appt next week!!!
Berta
Posted by Tarebear38 (Member # 9544) on October 13, 2007 10:27 AM:
Thank you Berta! (I was editing while you were responding).
Posted by Mslisalisaf (Member # 11583) on October 13, 2007 01:12 PM:
Thank you ladies for all of the advice and personal histories with TR and IVF. Because of your insightful information I am going to have a battery of test and weigh my options. With prayer I know I will be strong no matter what the outcome. Thanks again ladies!
Posted by Tarebear38 (Member # 9544) on October 13, 2007 01:58 PM:
Good luck to you!
Posted by berta8133 (Member # 11188) on October 14, 2007 09:31 AM:
Mslisalisaf
Good luck to you on this journey!!
Berta
Posted by TR Moderator (Member # 5545) on October 14, 2007 11:58 AM:
Mslisalisaf – Dr. Berger has a graph that compares rates after tubal reversal vs ivf on www.squidoo.com/tubalreversal/ that may be helpful to you.
You can also find comparing tubal reversal and IVF here: http://news.tubal-reversal.net/pregnancy-study-2007-tubalreversal_vs_ivf.htm
Posted by marly (Member # 9980) on October 16, 2007 06:46 PM:
hi All,
im considering reversal soon, but after having
4 c-sections in the past, would i have scar tissue? i was never told about this, and will it effect the surgery and it,s result,s. have had 4 goes at IVF with no success.
thanks marly x
Posted by Tarebear38 (Member # 9544) on October 16, 2007 11:37 PM:
Marly, I would definitely think about getting checked to see if you have any scar tissue or any other "plumbing" problem that could be preventing you from getting a sticky bean after all those IVF attemps. Good luck to you!
Posted by Julia Smith, RN (Member # 10) on November 22, 2007 11:40 PM:
Hi, Lisa. Although reversal surgery is statistically and financially the best option for after a tubal ligation, women over age 40 have a special set of circumstances that are – unfortunately – often not addressed during an IVF consultation. The truth is, most IVF clinics will not accept patients over age 40 or 42 unless they agree to use donor eggs (eggs from a younger woman). This is to help keep their high. We performed IVF for many years at our office and Dr. Berger is now limiting his practice to tubal reversal surgery for a reason: It gives women who have previously had a sterilization the chance to conceive naturally again — without medications, shots, and continued expense each time they want to conceive. Most of the women who contact us have already considered IVF – and have definitely ruled out donor egg IVF – and for good reason.
It will be very important to ask your reproductive specialist very directly whether he/she will accept a 42 for IVF without donor eggs or decline you if your is slightly elevated (as many clinics do).
For almost all women, reversal surgery is the most successful and least expensive option to have a baby after a previous tubal ligation.
I hope this is helpful.
Julia Smith RN
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