Wednesday, December 16, 2009

Pregnancy success can happen after tied tubes are untied

Tubal Reversal Message Board members discuss testing for pregnancy after outpatient tubal ligation reversal surgery. One tube reversal patient had her menstrual period, but found out a few days later she was actually pregnant. Another sterilization reversal patient had a very faint line two days in a row and confirmed a positive pregnancy after tubes reversed by having a blood test at her doctor's office. Pregnancy success can happen after tied tubes are untied!

This is topic Not sure how to take this BFP! in forum After Tubal Reversal at Tubal Reversal Message Board.
Posted by bpmommyof5
Well ladies, my Af was almost two days lat but showed up on Dec 3rd. I started having CM thick on Friday cd8 so I tested for ovulation came back positive. Sunday still continuing with thick cm went to church was there 30 minutes and began to get hot and sick at my stomach 5 minutes later was n the bathroom throwing up. Threw up twice then left church went home and threw up again. Took some phenergan and slept most of day. Woke up this morning got ready for my HSG test . Took a HPT not sure why just did. Came back positive! went to test told DR she ordered a HCG went home took 3 more HPT all had faint pink lines. Still waiting for test results had DH pee tested ( no faint pink line) So I knew I was pregnant but now need the numbers. Numbers came back @ 40. So if i calculated correct I would be 24 past ovulation! Do these numbers seem low to anyone? I also am cramping so worried!
Posted by paprika0601
I wish none of us worried as much as we do, and I find it almost funny that we are the first ones to say "try not to worry" but worried our little heads off. I've seen lower numbers and successful tubal reversal pregnancies . I cramped up until my 13th week. I worried until I quit cramping. I hope that makes you feel better and maybe worry a little less. Lets wait and see how your numbers do the 2nd and 3rd draw. Good luck. I will be praying for you
Posted by AngieMP
My first number was 44. I am a little confused though .. AF showed on Dec 3? Or do you mean Nov 3? Dec 3 would only make you CD 13 .. and many don't even ovulate by CD 13. Maybe I am reading it wrong ..
Posted by in-Gods-hands
I wish you all the best. It is known that some ladies can O right after AF. So there is a chance you are just very early. What ever is going on I hope you get answers. Hang in there. Miranda
Posted by Abby C
I honestly can say I was one that did not worry. I took a HPT once AF didn't show up. It was a very faint line (barely visible). Took another the next day with FMU and the same result. I called the doctor and went to have BW. My HCG was 72 then the second draw it was 225. I never had another draw and went in for US at 6 weeks and everything was right where it was supposed to be.

As long as your numbers are doubling it doesn't matter where it starts out at. If you read the back of the HPT box it will tell you also that you are more likely to get a - result when you are actually pregnant than you are to get a + result when you aren't. Relax and keep breathing!!!
Posted by cdb
Congrats to you! I couldn't be happier if it were me! I mean that. I think going through this tubal reversal journey together makes this so much more special. We had our surgeries the same day and have grown closer and closer since then. Like I told you last night, just be excited!! I know it is hard but this is great news! I love you girl!!

diane
Posted by Jo Ann01
Congrats! I hope that everything works out great for you - however.... You are right, if you really are 24 DPO than the number is low. I wonder if you didn't ovulate later that you thought? You know a OPK will react as a +++ if it detects hcg in your urine. It happened to me.

AF was a day late and I tested and got a BFN. AF arrived the next day. But my bb's stayed swollen and AF was very short and light. At around CD 9 I felt right sided and rectal pain. It went away after one day. Then it came back very lightly. I used an OPK on what I thought was CD14 on the new cycle and it was +++. Then 2 days later I started bleeding again this odd purplish blood.

I went in for a blood draw and my level was 120. They did an u/s and found my right tube was swollen huge. They admitted me to the hospital and checked my level the next morning - it had dropped to 84. They sent me home and I continued to bleed and watch my numbers down to zero.

The right sided pain continued and they finally removed my tube 6 weeks later. It was sealed on both ends and full of old blood.

(9 months later I got pregnant again with my one tube left and my son is 13 weeks old)

I am not trying to scare you or discourage you, but the reality is that you are right to be cautious. I hope that you ovulated later than you thought and that your numbers will rise and everything will be fine. But I have had 2 TR babies and 2 m/c since my TR, so I know firsthand that it doesn't always work out.

Please be aware of symptoms of an ectopic pregnancy and go to the doc ASAP if you have any.

I really hope this is your keeper!

Jo Ann
Posted by HeWants2BeADaddy

Diane is so right... we have been on this journey together for months before out TR and everyday since. Your BFP is our BFP... I do have to say I am not as good a person as Diane lol, when I heard about your BFP I got so anxious to finally see one myself, but yes I am thrilled for you and DH. You both mean the world to us. The best news thus far is that you can get pregnant... and it gives us hope! Here's to the 8-3-09 TR sisters and a happy and healthy nine months for you Beverly.
Love,
Neva
Posted by HeWants2BeADaddy
I am waiting by the phone for your call Beverly, and just want you to know that I love you and Tony! We are praying for you sticky bean [Kiss]

Love, Sam & Neva
Posted by bpmommyof5
Well got my second hcg draw back this afternoon. Wasn't good they went from 40 to 52 in 48 hrs. The dr is thinking ectopic. But I will go again friday for a 3rd draw to see if the hcg numbers will double.
I'm really sad but trying to stay hopeful! I have been praying for a baby for xmas for months! I really thought my prayers were answered and I was getting my baby! I guess god must have other plans for me!
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Wednesday, December 9, 2009

Fallopian Tube Lengths after Tubal Surgery

The fallopian tube lengths remaining after a tubal ligation procedure are important determinants of the chances of getting pregnant after tubal reversal surgery. (Normal fallopian tube length before a tubal ligation is approximately 10 cm or 4 inches.)

Tubal segment lengths are measured routinely during surgery at Chapel Hill Tubal Reversal Center. The average length of the two fallopian tubes after repair was correlated with the likelihood of pregnancy after tubal reversal (Table 6). Women with longer tubal lengths had higher pregnancy rates than women with shorter lengths following tubal reversal. Women with tubal lengths of 7.5 cm or longer had a pregnancy rate of 77%. The pregnancy rate declined as tubal length decreased, but even women with the shortest tubes (less than 2.5 cm) became pregnant (38%). Although previously unreported in the medical literature, it became apparent during this study that a repaired fallopian tube of any length can result in pregnancy. Based on reports by women with only 1 fallopian tube, we now know that tubal lengths as short as 1 cm can result in a normal pregnancy.

Table 6. Pregnancy Rates by Tubal Length (cm)
LengthTotal WomenPregnant (No.)Pregnant (%)
7.5+46936277%
5.0-7.42826196670%
2.5-4.9160292057%
<2.51124238%
This is topic The Tubes in forum After Tubal Reversal at Tubal Reversal Message Board.


Posted by 31plumber

Hello everyone. I was wondering how much does the tubal length ; after TR, have to do with your chances of pregnancy ? I have pretty good length tubes, but don't want to get to excited, if it really doesn't matter at all.

Thanks.

Posted by Ericka P.

Dear 31plumber,

The fallopian tube lengths remaining after a tubal ligation procedure are important determinants of the chances of getting pregnant after tubal reversal surgery. For additional information, please click on the following link: http://press.tubal-reversal.net/2009/tubal-reversal-pregnancy-report-2009-pregnancy_rates-tubal-lengths.html

Hope this helps!

Ericka P.
[CHTRC]

Posted by 31plumber

Thank you so much Erika...I can't believe I missed that (thought I researched the whole site). Thanx much

Posted by motherbug
This post made me even more depressed. I never saw this stat board. Wish I didn't know....oh well. [Frown]

Posted by GodisGood68
motherbug, please don't be depressed, there are women that have 1cm tubes or even just one tube which was repairable at 1cm and still got BFP . Nothing is impossible with God! Be Blessed! [Smile]
[Love] Roslyn

Posted by TulipGarden

Think of it like this, even though I know it's hard. I have 2cm both sides, there is more chance than there was before the tubal reversal ! [Smile] A chance is a chance, so stay hopeful motherbug.

Posted by motherbug
OH. LOL! I know.....I was just having a moment....I guess I never really expected to be left with such short tubes....it shocked me when Dr. Monteith told me after the surgery....and I know I have a lot to be thankful for....sorry to sound ungrateful....I just get moody sometimes. I never really thought About how stressful ttc can be escpecially when you have tubal issues. Thanks for the kinds words.....

Posted by GodisGood68

Girl, we all have those days, before or after tubal reversal . WE ARE WOMEN!!! That's our genetic make-up, LOL!!! That is what we are here for, to support one another. Baby dust to you!!!!
[Love] Roslyn
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Monday, December 7, 2009

Questions about Tubal Reversal Surgery

Many people contact Chapel Hill Tubal Reversal Center seeking information about tubal ligation reversals with Dr. Berger and Dr. Monteith. Their most frequent questions are about success rates, pregnancy rates, the procedure and recovery, cost and insurance, risks and alternatives. The Chapel Hill Tubal Reversal Center website provides answers to these questions and the interactive Tubal Reversal Message Board provides an additional source of support that women who want to restore their fertility after a previous sterilization can go to communicate with other women who have had their tubes untied or are preparing to have reverse tubal ligations.

This is topic TTC over 40 in forum Questions about Tubal Reversal at Tubal Reversal Message Board.
Posted by WIMom27
Hello ladies.... I have been doing all my homework, have been to visit several Dr's looking for the right one, have read and read and read about TR, TTC, statistics, risks, etc. BUT.... I want to hear from REAL women over 40 about your successes or failures with TTC, BFP, and what your pregancies were like. I am 41 and am getting concerned about the whole process. The doctors like to point out all the negatives, of course. I know the risks are high for chromosome issues, low pregnancy rates, etc. I just really need to hear some information from those of you who have been through this process.
Posted by Momzilla
Well, my experience was actually pre-TL but I had an OOPS baby (#3) delivered when I was 40 and it was my longest gestation, easiest C-Section and quickest recovery ...40 is the new 30 you know...I have a friend who had baby #3 at 44 and had zero issues getting pregnant or delivering..There is hope! Tracy
Posted by Jen G.
WImom: Thanks for asking for some positive information. You're right. Most of what you get when you're over 40 is gloom and doom. I'm not saying it's going to be easy, and I've seen more than a few over 40s on these boards have to deal with tragic losses but we have to remain positive. Momzilla gives us just one example of an over 40 success story. There are many others. Someone suggested that I check out the Pregnant at 40 message board on ivillage. Those ladies are inspirational. I wish you all the luck. I know I've seen your display name before. Have you had TR yet? I'm hoping for Feb. Then it's GAME ON!
Posted by GodisGood68
I'm 41 and I'm getting my TR Dec 29th. I'm very excited and looking forward to a quick BFP. I'm not concerned about the age factor. I got my FSH and it was a great number. As long as your ovulating and the eggs have been tested and they are in good shape, you shouldn't have a problem with a BFP. I wish you all the best in your TR journey. I'm looking forward to BDing after the TR.
[Love] Roslyn
Posted by AnitaA68
Roslyn, best wishes on that quick BFP.
Unfortunately, even though lab results show your ovarian reserve may be good, that doesn't always mean a quick BFP. There is no way to tell the condition of your eggs. Age is sadly a big factor, and fertility does greatly decline after 35. Believe me, I know. I had my TR at 37 and tried for two years to get a BFP, with none to be seen, before I went to an RE. So, please be agressive with TTC and don't wait too long. I do not mean to be negative, I'm just encouraging you to be proactive.
I was worried that the pregnancy would be hard on me, but it was actually the easiest.
Posted by WIMom27
Thank you ladies! No, I have not had my TR yet. I am still trying to get the money together, which is proving to be more difficult that I originally planned! I am also still hoping for Feb, but will more likely be March or April
Posted by caroljean776
WIMom.. come join us in the Over 35 TTC thread... I am 43 and we are all ladies of "Advanced Maternal Age" TTC. We can put you on our "Waiting" list.
Posted by Momzilla
I know that there are probably more struggles than victories once we get to the so-called "advanced maternal age" (I hate labels!) but I wanted to show that there is hope. I know many women who were young and still struggled with fertility while other "older" women have had succesful pregnancies..It is such a far from exact science. My co-workers wife was 36 when they started trying and she got pregnant in only a few months but, sadly, miscarried and has since been unable to get PG. Two IVF attempts have failed, one failed to implant and the other..the embryos did not survive the transfer. She has eggs that basically have "weak shells" for lack of a better term. They let in more than 1 sperm and the embyros just die. There is nothing they can do but keep trying and hope to get one strong one or use donor eggs down the road. I really feel for them...Everyone who gets PG in their lives causes them such a mixed bag of joy and anguish..Heartbreaking...On the other side of the coin, my friend and I had healthy babies at 40 and 43 without charting, temping, meds, ovulation kits, etc. She tried for hers and I did not. You just never know what is in store for you sometimes and I truly believe if it is meant to be it will be (and who is to say that some meds and due diligence are not the helping hand in "meant to be" either) I was at my visit to discuss meds (after 2 miscarriages and a year of trying at 37) when she ran bloodwork and told me I was atually PG. That was my second son. In total, I had 6 pregnancies and 3 miscarriages on my journey to get to the 3 kids I have. I started out TTC close to advanced maternal age so I am a a pro! I used to call them "these old eggs" but apparently they had legs! I did not have my 1st until I was 3 months shy of 35. The second came 1 month shy of 38 and #3 was at 40..#3 was not planned and resulted from failed BC..He turned out to be a good natured sweetheart and a treasure..I hope all of you here receive BFPs soon and I sincerely hope that they all result in new babies to cherish.
Good luck and keep the faith..sometimes things happen when you least expect them.
Tracy
Posted by AnitaA68
Tracey, " if it is meant to be it will be (and who is to say that some meds and due diligence are not the helping hand in "meant to be" either)" AMEN! Thank you for saying that.
Posted by caroljean776
Absolutely Anita... meds and good monitoring have resulted in many healthy babies that are all "meant to be"... prayers and good luck to all of us that need that little extra help! [Big Grin]
Posted by Swestra
AnitaA68- I really need some hope. I am 39, had TR July 09. Already had RE test ovarian reserve, FSH, etc and it all looked good. Before TR I NEVER had any problem getting pg (never used OPK's, didn't need to) but now my new hubby and I have been using OPK"s and no BFP yet. My insurance won't cover an HSG (plus it's a bit too early to do that) but I am parnoid that tubes have already closed back up. You mentioned meds- what kind of meds helped you get your BFP? Hubby is getting SA next week. Any advise is appreciated!!!!!!
Posted by AnitaA68
Swestra, I never had to use anything to get pregnant before either. Never even had to think about it. LOL I wish it was that way now. I spent years trying not to get pregnant, and now I've spent a few trying TO get pregnant. I wish it was easier. I was diagnosed w/ unexplained infertility even though my tubes were open and had to go the IVF route to get my LO. I did get an unassisted BFP this past Valentine's Day, but unfortunately it was apparently a chemical, because it didn't last for long. The only thing you can do is be proactive. Research, seek medical advise, and try things, within reason. My insurance didn't cover things either. You have to make choices...."do I need this new thing, or do I want to save the money for this?" OOP, our HSG was about $600. Contact the hospital, tell them you have no coverage, and they may give you a lesser fee if you pay cash. You can get decreases in charges this way one a lot of things. HTH and good luck.
Posted by Swestra
Thanks Anita! Did you try Clomid or anything like that?

Pregnancy Rates After Tubal Reversal

From July 2000 to June 2008, 5046 women underwent tubal ligation reversal at Chapel Hill Tubal Reversal Center. The operative techniques of microsurgical tubal anastomosis, tubouterine implantation, and salpingostomy were used as appropriate to each patient’s situation, and often these techniques were combined in a single case. Including all women’s ages, methods of tubal ligation, and operative techniques used for tubal reversal, the overall pregnancy rate was 66% based on 3317 pregnancies reported during this 8 year interval.The following pages show pregnancy rates specific for age, method of tubal ligation, and remaining tubal lengths available for repair and the interaction between these factors:

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