CHTRC News Archives 2007 Page 1

Chapel Hill Tubal Reversal Center RSS News Archives from the year 2007

1) Watch My TR Baby Grow!
Lori underwent tubal reversal surgery with Dr. Berger in early 2007 and is currently pregnant with her first reversal baby, who is due in June 2008. She is sharing her baby's ultrasound pictures with other members of the Chapel Hill Tubal Reversal Center Message Board, who thank her for sharing the pictures, try to guess the baby's gender, and wish her luck with the rest of her pregnancy.

2) A Tubal Reversal Pregnancy Update
Monique, a member of the Chapel Hill Tubal Reversal Center Message Board, is expecting her first tubal reversal baby (a boy) in 5 1/2 weeks. She is very excited to meet the "little miracle that's coming to join our family soon." Monique lets everyone know how thankful she is to have had tubal reversal surgery with Dr. Berger and that she can't wait for the delivery.

3) Anyone In Their 20s Having A Tubal Reversal?
Members of Dr. Berger's message board and Chapel Hill Tubal Reversal Center's staff discuss having reversal surgery between age 20 and 29. Pregnancy rates are among the highest for patients in age group 20-29. The pregnancy rates of Dr. Berger's patients in their 20s are almost triple the pregnancy rates after IVF.

4) Anesthesia at Chapel Hill Tubal Reversal Center
The Anesthesia Team at Chapel Hill Tubal Reversal Center ensures your comfort before, during, and after your tubal reversal procedure. To make your tubal reversal surgery safe and comfortable our team consists of TWO board certified anesthesiologists and a registered nurse anesthetist specializing in outpatient anesthesia. Their experience working every day with Dr. Berger results in the best care for each tubal reversal patient.

5) Patients Travel From All Over The World To Have Tubal Reversal Surgery With Dr. Berger
Patients have traveled from throughout the world and 23 foreign countries to have tubal reversal surgery with Dr. Berger. When you come to Chapel Hill Tubal Reversal Center for your tubal reversal, you will be under the care of a highly trained and respected specialist who is recognized for the improvements he has brought to the field of tubal reconstructive surgery.

6) Comparing Dr. Berger's Tubal Reversal Techniques
Many potential tubal reversal surgery patients have inquired about the techniques pioneered by Dr. Gary Berger for performing outpatient tubal reversal surgery compared to those used by other doctors. One thing to consider is that everyone on the Chapel Hill Tubal Reversal Center Message Board who has undergone reversal surgery had their surgery with Dr. Berger -- not any other doctor. They are each a testament to how well all of the techniques Dr. Berger uses work! When you take a look at our pregnancy reports and statistics and read about pregnancies here, it is with the knowledge that each was obtained following reversal surgery by Dr. Berger using the techniques he developed and refined. Dr. Berger's successful and safe outpatient operation has been featured on television on The Discovery and Learning Channels.

7) Tubal Reversal By Salpingostomy
Salpingostomy is creating an opening in the fallopian tube. It is also called neosalpingostomy, which more clearly indicates the creation of a new opening in the tube. Salpingostomy is the appropriate tubal reversal procedure when the end closest to the ovary is closed and the fallopian tube has not been divided into separate segments. This is what results from a fimbriectomy tubal ligation. The success of salpingostomy for fimbriectomy tubal reversal depends upon having an adequate length of ampullary segment of the fallopian tube. The length of the remaining ampullary tubal segment can be determined from a hysterosalpingogram (HSG) or from diagnostic laparoscopy.

8) Is Tubal Reversal Surgery The Right Step For You And Your Partner?
Many times the partners of potential patients have questions and concerns regarding the right physician for tubal reversal surgery. The Chapel Hill Tubal Reversal Center message board offers an avenue of information for partners to discuss tubal reversal surgery and to gain the support and information that they need to chose the right step for their family .

9) Dr. Berger Explains The Tubal Reversal Procedure Called Tubal Anastomosis
Tubal anastomosis is connecting two separated segments of the fallopian tube. Because most tubal ligation methods separate the fallopian tube into detached segments, bilateral tubotubal anastomosis is the most common tubal reversal procedure, accounting for 90% of the tubal reversals at Chapel Hill Tubal Reversal Center.

10) How to Decide Between Tubal Reversal Surgery and IVF
A member of the Chapel Hill Tubal Reversal Center Message Board is considering coming to Chapel Hill for tubal reversal surgery with Dr. Berger. However, she is unsure whether or not she should pursue IVF (which her local physician is recommending) or tubal reversal surgery and asks other message board members for their opinions and support. Tubal reversal surgery with Dr. Berger provides the best opportunity for pregnancy after tubal ligation because tubal reversal allows women to try to conceive naturally every month and is less expensive than IVF. Both pregnancy rates and birth rates after tubal reversal surgery arehigher than after IVF in every age group.

11) I'm Pregnant with My Second Tubal Reversal Baby
Kendall, a member of the Chapel Hill Tubal Reversal Center Message Board, is pleased to announce that she just found out that she is pregnant with her second tubal reversal baby. She had several positive home pregnancy tests and has already started Dr. Berger's recommended pregnancy protocol, which starts with HCG bloodwork every 2-3 days and then a vaginal ultrasound once the HCG reaches 1500. Kendall endured six miscarriages in the three years after her tubal reversal surgery before having her first TR baby and reports feeling excited, but a bit nervous, about this pregnancy and will keep everyone updated with her progress.

12) Tubal Reversal After Fimbriectomy Tubal Ligation
Many doctors think that tubal reversal cannot be successful following a fimbriectomy because of the loss of the egg-capturing fimbria. This is a mistaken notion. The inner lining of the remaining ampullary tubal segment can be folded outward after opening the tube and can function as a new fimbrial end. The tubal reversal procedure for fimbriectomy reversal is called ampullary salpingostomy.

13) Welcome To Chapel Hill Tubal Reversal Center
A member of Dr. Gary Berger's tubal reversal anesthesia team welcomes patients and potential patients on the Chapel Hill Tubal Reversal Center Message Board. Ladies who have already chosen Dr. Berger as their tubal reversal doctor respond that this type of welcome is one of the reasons they chose Dr. Berger as their tubal reversal doctor. Dr. Berger and his staff moderate the board days and evenings, weekends, and holidays to help provide education and support to women interested in tubal reversal surgery.

14) Tubal Reversal Possible After An Essure Procedure
Essure is a permanent birth control device that has recently become available as an alternative to traditional tubal ligation methods. The spring-like device is inserted through the uterine cavity into the tubal openings using a hysteroscope. Because of the scar formation, it cannot be pulled out of the tube. It is advertised by the manufacturer as a permanent method of birth control. In this respect, it is similar to other tubal ligation methods that are considered by most doctors to be permanent. Dr. Gary Berger of Chapel Hill Tubal Reversal Center has successfully repaired the tubes following an Essure procedure. Dr. Berger accomplished this by cutting the Essure device out of the uterine muscle and implanting the remaining fallopian tube into the uterine cavity through a new opening in the uterus in a procedure called tubouterine implantation. The reason Dr. Berger removed the device was 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. To our knowledge, this is the first time that the Essure sterilization procedure has been reversed.

15) Reversal Of Tubal Ligation After Clips And Rings
The Falope ring and the Hulka clip are occlusive methods of birth control. Clips and rings provide the best situation we see for pregnancy following sterilization reversal surgery. During this procedure, a plastic clip is placed across the tube to prevent pregnancy form occurring. Fortunately, this generally damages a minimal amount of tube leaving adequate tubal lengths remaining for the sterilization reversal procedure. Dr. Gary Berger has published a comprehensive study showing pregnancy rates as high as 86% following tubal reversal surgery after these tubal ligation methods.

16) Chapel Hill Tubal Reversal Center Message Board Provides Answers For Patients
A new member of the Chapel Hill Tubal Reversal Center Message Board posts her excitement that she has found the board and that Dr. Gary Berger's website has already provided answers to many of her questions. Women who have chosen Dr. Berger as their tubal reversal doctor already welcome her and offer support as she begins her tubal reversal journey. Dr. Berger and his staff are dedicated to educating women about tubal reversal surgery and their options for having more children after a tubal ligation.

17) Pomeroy Tubal Ligation Reversal Results in Excellent Pregnancy Rates
At Chapel Hill Tubal Reversal Center, pregnancy rates after reversal of a Pomeroy tubal ligation are 79% for women under 30, 74% for women ages 30-34, 67% for ages 35-39, and 44% for women age 40 or more. These results come from the Tubal Reversal Pregnancy Study Report 2007 and are discussed by the study author, Dr. Gary Berger.

18) Receiving Excellent Care Before, During, and After Tubal Reversal Surgery
With any medical procedure it is incredibly important to find a doctor and staff that will be with you for every step of the way. And 'every step of the way' doesn't mean until you walk in the door until the minute you walk out the door - it means all the way through the decision to have the procedure, discussing your options, having the procedure done, and any questions you have after the procedure. At Chapel Hill Tubal Reversal Center, Dr. Gary Berger understands this and feels this way, too. He posts on the message board, he answers emails from his patients, and he even gives each patient his pager number in case they ever need him. He and his staff are available seven days a week to answer your question and concerns.

19) How Do I Determine Which Tubal Reversal Information Is Accurate
A member of The Chapel Hill Tubal Reversal Center Message Board posts her concerns that she has read a lot of conflicting information about the best tubal reversal techniques. Members of Dr. Gary Berger's staff - as well as other patients - offer information and encouragement. 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. Most Internet sites about tubal reversal do not provide any factual data at all. Any doctor may say that his patients have a particular success rate, but supporting the claim with actual data involves considerable effort. Performing a follow-up study such as the one Dr. Berger compiles requires keeping an accurate record of patients and their findings, as well as maintaining ongoing patient contact to determine the outcomes of treatment. Without this detailed type of information, the accuracy of any claim of success rates should be questioned.

20) Recommended Testing During Pregnancy After Tubal Reversal Surgery
Because of his ongoing commitment to patient care and patient education, Dr. Gary Berger and his staff at Chapel Hill Tubal Reversal Center have compiled a protocol for early pregnancy monitoring for tubal reversal patients. Diagnosed early, a tubal pregnancy can often be treated medically, avoiding the need for surgical intervention. Dr. Berger has published this protocol on his website and each patient receives counseling about the information at the time of their tubal reversal procedure.

21) Women From Across The United States Travel To See Dr. Gary Berger For Tubal Reversal Surgery
After traveling from Portland, Oregon to North Carolina for surgery with Dr. Berger at Chapel Hill Tubal Reversal Center, Jeannine reports that she is recovering from her tubal reversal and is excited about her tubal lengths following surgery. She shares her news with members of the message board and looks for support as she begins trying to conceive after surgery. Dr. Berger's patients travel from across the US and from abroad since he has the most experience with performing tubal reversal surgery.

22) Why Choose Chapel Hill Tubal Reversal Center?
Our tubal reversal center is unique as Dr. Berger is the only physician in the country with a practice that is specifically limited to tubal reversal surgery.

23) Tubal Reversal Specialist Co-Authors Book On Treatment For Infertility
Dr. Gary S. Berger and Dr. Marc Goldstein - specialists in male and female reproductive treatment - thoroughly examine the causes of infertility, the tests you may undergo, and the state-of-the-art treatments that can help you to have a baby, including tubal reversal surgery. The Couple's Guide To Fertility is also a great resource manual and contains a list of doctors around the country who specialize in fertility issues. The book is now in its third edition.

24) Why Tubal Reversal?
Dr. Berger's blog about tubal ligation reversal discusses the reasons people give for having a tubal reversal procedure. These include new marriages, expanding a familywithin an existing marriage, religious considerations, change in financial stability, death of a child, regretting a tubal ligation chosen as a way out of a bad situation or a hasty decision when having a C-section delivery, and the hope for relief from Post Tubal Ligation Syndrome symptoms.

25) Chapel Hill Tubal Reversal Center Weekly Pregnancy Report
During the week of November 17, 2007 - November 23, 2007, eleven new pregnancies were reported by women who chose Dr. Gary Berger as their tubal reversal doctor. Included on the list were pregnancies reported by two women age 40 or over and two women who conceived with only one tube. In once case, pregnancy was achieved with one tube that was 2.5cm in length, showing that tubal reversal surgery is usually the best option for women to achieve pregnancy after a tubal ligation, including for women over age 40 and for women with only one tube.

26) Is Tubal Ligation Permanent?
Most articles about tubal ligation stress that it is permanent. Most people, including many doctors, believe this to be true. However, the experience of Dr. Berger at Chapel Hill Tubal Reversal Center shows that tubal ligation can be reversed in over 95% of cases.

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