Thursday, November 11, 2010

Choosing The Most Experienced Tubal Reversal Doctor

Tubal Reversal Message Board Member, Rajsan04, comes to the board with questions and concerns about choosing a tubal reversal doctor with the most experience and financing her reverse tubal procedure. For the most successful tubal reversal surgery, it is important for the doctor to have performed at least 500 tubal reversals and that he or she is reversing tied tubes daily. Dr. Gary Berger has performed over 8000 tubal reversals and Dr. Monteith nearly 1000 reversal procedures. Experience is also an important indicator on whether reversal surgery will be performed if a woman has a difficult situation due to short tubes, missing tubal segments, fimbriectomy, or inherent diseases of the tubes. While most doctors would be unwilling – or unable - to perform a tubal reversal in one of these situations, Dr. Berger and Dr. Monteith are able to repair the tubes in 98% of cases, regardless of the type of sterilization that has been performed. Dr. Berger pioneered this technique for outpatient tubal reversal surgery and the procedure takes approximately an hour. Chapel Hill Tubal Reversal Center is a specialty clinic for tubal ligation reversal and Dr. Berger and Dr. Monteith are the only doctors in the US who limit their practice specifically to untying tied tubes. This experience has led to the most tubal reversal babies born worldwide.

Tubal Reversal Surgery or In Vitro Fertilization?

Is in-vitro fertilization or tubal reversal surgery better after tubes have been tied? Tubal Reversal Message Board Member writes about her experiences while considering IVF and sterilization reversal surgery. She is researching which of the two is the right choice to restore her fertility after her tubal ligation. Chapel Hill Tubal Reversal Center staff and other Tubal Reversal Message Board members offer their support and information. After researching her options, this member writes "We both feel very confident with Dr. Berger and his team." Dr. Berger and Dr. Monteith are the only doctors in the US who limit their practice specifically to tubal reversal surgery. Chapel Hill Tubal Reversal Center is a unique medical facility exclusively for tubal ligation reversal; helping couples from all over the world realize their dream of having children after a tubal sterilization. With their surgical reversal experience tubal reversal can be a better option than IVF for many couples seeking more children after a tubal ligation procedure.

Posted by rajsan04 (Member # 15108) on November 10, 2010 09:11 AM :
Hi, My name is Sandy and my husband and I have been married for 8 years and for the past few years we have been talking about having a baby. He has a daughter from a previous marriage and I have two sons from a previous marriage. We are both 39 and thought this would be the best time before its to late to get a tubal reversal and give it a try. I have my first appointment with an RE yesterday and I'm feeling very discouraged. I was assuming because this RE has many options for pregnancy, such as IVF , egg donation and tubal reversal, I was expecting him to be very supportive of our decision to have a tubal reversal and to have a child but he didn't sound like it! Before I had any examination he kept going on and on about my age and the risk of getting pregnant at my age. He was pushing me towards IVF (no way we could afford that) Luckily my health insurance covers the tubal reversal 100%, I am a state employee. I told him I'm aware of the risk but I would like to get the tubal. He didn't seem very happy about my decision and said, well lets exam you first..if I don't see many follicles or if they are in bad shape the tubal reversal wont even be an option! He seemed to be full of attitude the entire time and I felt a little uncomfortable to be honest. While my feet was up and ready to be examined, the doctor made the comment "Your kids are grown now, you are out of the woods finally, why would you want to do this all over again? I was completely floored, I couldn't believe I was hearing this coming from someone who was suppose to be encouraging my chances of having another child! I didn't know quite what to say, I just kind of chuckled at his comment and kept quiet. So he starts to exam me, and here comes the problems! He jumps because he sees a polyp on my cervix the size of a walnut, which he removes right away. There was some heavy bleeding after that which he got to stop after about 10 minutes. He gives me the pap smear and pelvic exam, breast exam, then gets me ready for the ultrasound of my ovary's and uterus. The good news is, and at his surprise, I have many healthy cyst and follicles on my left ovary and also saw that I was ovulating! Which I already knew because I test for a surge everyday with OPK. I know that is probably ridiculous since my tubes are tied but I just wanted to see if some of my parts are still working and get use to the idea of checking for it every month when I do get the reversal. When I told him I detected a surge that same day he seemed annoyed that I was even checking! Anyways, here comes another problem! My right ovary has good follicles, not as many as the left ovary but he saw a shadow of some mass inside my right ovary. He looked at me and said, well your just full of surprises aren't you? I was freaking out at this point of course! Come to find out I have a dermoid cyst in my right ovary, those weird ones that contain teeth and hair, sometimes eyes and bone fragments. After the exam and my husband and I are back in his office all of a sudden he seems to be more encouraging about the tubal reversal (because of the shape and amount of follicles I have) but is trying to decide if I should get my cyst removed and tubal at the same time or have 2 separate surgeries. Also, my husband and I had intercourse within a 12 hour period of my exam so he checked for any signs of sperm and not that I had enough bad news to work with, he tells me he didn't see any signs of sperm at ALL. He said there was a possibility the large polyp blocked it from getting to the point he had checked but he would need to get his semen checked before we go any further with anything. So he has an appt. to do that on Friday. Before leaving the doctor told me the tubal reversal surgery was not a walk in the park, I would practically be hanging upside down, blood rushing to my head for 4 hours and pressure put on my diaphragm, which wasn't good for me because I was over weight, so another thing, he suggest I lose at least 60 lbs before I have any surgery performed. I can lose the weight but just very discouraged about everything else, I was not happy when I left there, I was crying all the way home, my husband was driving feeling helpless for me, not sure what to say to me except everything was going to be okay. I get the results of the pap and polyp on Friday.

The reason I'm talking about all of this is because I'm so discouraged I feel like just giving up now. My husband and I want a child so much. I don't feel very encouraged to continue with all of this. I'm just not sure what to do. My husband wants to go all the way and try all our options. I wanted to try who seems to be very popular with tubal reversals, Dr. Berger in North Carolina, which is very close to me, I am in Virginia, but my insurance wont cover the expenses with him being in a different state, so I have no choice but to use this doctor. There are other RE's in Virginia but further away than he is but I'm willing to drive the distance if I have to. The RE I'm seeing right now has a good track record. He said his tubal reversals are successful but he is worried about the health of my eggs because of my age. I understand he is right in what he is saying but I wasn't very encouraging at all.

I know this is a lot to digest lol, just need some sort of advice here, not sure what to do, thanks!


Posted by NJgirlinWI (Member # 12872) on November 10, 2010 09:39 AM :
Hi Sandy, I hope you've had a chance to catch your breath after that difficult office visit. Your age is not a factor but your reproductive health is... I would see what this RE comes back with as far as test results and then contact CHTRC for their opinion. I don't know about other clinics but I was never "hanging upside down" for my TR surgery, LOL!
There is a weight requirement for the surgery, it is based on BMI and you can find the details on this website to see where you fall within the range.
I hope you are able to sort this all out and move ahead with your TR. I promise that the staff at CHTRC will help you every step of the way, they are terrific at what they do!!
Take care and keep us posted

Posted by Hopeful1970 (Member # 14190) on November 10, 2010 09:43 AM :
I wouldn't let him get to you. I am 40 at present and I am currently 31 week pregnant. I also had PTLS bad and had battled it for 19 years before having my TR done. I just can not begin to tell you how many uncaring doctors I have seen about the problems I was having before my TR. I had talked to a few doctors also about having a TR done before we made up our mind to have it done at CHTRC. If you have it it done I would go with CHTRC no matter the cost. That is their job every day and in my opinon they are the best at what they do. The last doctor that I had seen about having my TR done, before making the drive to NC. Told me that I would need to have a tubal implant done. Meaning that they would have to cut a hole in my uterus and putting the tube into that hole and stetch it in. I told this to Dr. M when he seen me the day of surgery. He told me not to worry and to let him figure that part out during surgery. When I woke up Dr. M said to me I did not need to do the implant and you have really good lengths on your tubes. When I had my surgery done last November. My DH was over seas. Two week after he came home. I got my first and only BFP for now. As I said I would go with the best right off the bat, no matter the cost. And please, please do not let the things that the RE said to you get to you. Most will always always try to push you to what will cost you the most money. Good luck, Sabrina OH yeah, by the way. Dr M didn't have me in surgery long enough to have me hanging up side down for 4 hours. I was in surgery maybe 1 hr and 15 mins before waking up in recovery. So you can chock that up as one lie that that doctor told you.

Posted by ismagirl (Member # 13074) on November 10, 2010 09:51 AM :
i had ivf 2 rounds first round my egg didn't form fully and second round i had 3 grade a embryo implanted and i had a miscarriage. your egg health is going to be the same with ivf or tubal with ivf they give you egg stimulating hormones and if needed after tr you can take clomid to increase your eggs. of course clomid cost 20 and ivf meds hundreds. tr surgery by dr at chapel hill are very easy to have and very easy to heal from so i would be scared to have a tr from a dr who is telling you that you will be hanging upside down blood rushing etc. tr surgery at chapel hill takes about an hour and there really isn't much pain involved. if you can afford to go to chapel hill you should. they take credit cards and have other payment options available. either way i hope everything goes well for you
oh yeh i am almost 37 and i have a 9month old daughter from tr now working on #2

Posted by eneitge (Member # 14887) on November 10, 2010 09:53 AM :
Sandy, sweetie, you had an awful experience and I sure feel for you! Maybe you and your husband can look at your finances and find a way for Dr. Berger or Dr. Monteith to do your surgery so you're with someone who is encouraging and helpful. And they don't hang you upside down for four hours either My surgery in June took a little over an hour I believe, and I don't think Dr. Berger had me bat-ways at any point If going to CHTRC and paying out of pocket isn't financially realistic, then please look into the other REs in your insurance coverage availability, this guy sounds like he is not the right person for you if you left feeling hopeless and your husband felt helpless to comfort you. Just my opinion, but you deserve someone who will give you realistic information AND encouragement. Get a second opinion, and a third, and fourth...find the right person for YOU no matter what the distance My husband and I are from WI, and we never questioned going the distance to NC for great care, this was the right fit for us. Good luck hun, hoping you find the right fit for you and your husband soon

Posted by strawberry (Member # 14961) on November 10, 2010 10:05 AM :
I'm sorry for the experience you had with that RE. I can tell you my surgery did not last 4 hrs. It was under 1hr. No surgery is a picnic so to speak but I did not have any problems. CHTRC took great care of me! They were the only ones I would consider for my TR and I have regrets! Please don't be discouraged!

Posted by rajsan04 (Member # 15108) on November 10, 2010 10:28 AM :
Thanks so much for your encouraging and supportive responses! I'm shocked that none of you were hanging upside down during the surgery lol. He told me several times during our meeting that I would be at an angle (not completely upside down) but enough of an angle that blood would be rushing to my head and pressure on my diaphragm. I forgot to mention that he said DEATH is always a factor in any surgery. I was like geezz! My husband and I can cover the cost for Dr. Berger, we can manage, just thought it was nice we wouldn't have to pay for it and we were lucky enough to have insurance to cover it 100%. But after that experience, I'm not the least bit worried about paying for it. I've wanted to see Dr. Berger or Dr. M before anyone and now I feel like they are the best for the job right now. But what about the Dermoid Cyst that has to be removed from my right ovary? Should I continue with this doctor to at least get the dermoid removed or find someone else to do it? I would like for my insurance company to at least cover the expenses of this surgery.

Posted by Julia, RN (Member # 10) on November 10, 2010 11:17 AM :
Dear Rajsan04: We frequently hear from potential patients that a local doctor performs reversals when, in fact, their expertise in in vitro fertilization (IVF). For tubal reversal surgery, it is important for the doctor to have performed at least 500 tubal reversals and that he or she performs this surgery daily. (Dr. Berger has performed over 8000 reversals and Dr. Monteith nearly 1000.) Experience is also an important indicator on whether surgery will be performed if a woman has a difficult situation due to short tubes, missing tubal segments, fimbriectomy, or inherent diseases of the tubes. While most doctors would be unwilling – or unable - to perform a reversal in one of these situations, Dr. Berger and Dr. Monteith are able to repair the tubes in 98% of cases, regardless of the type of sterilization that has been performed. Pregnancy rates for our patients in your age group average 64%. Dr. Berger pioneered this technique for outpatient tubal reversal surgery and the procedure takes approximately an hour. The majority of patients return to work in 3-5 days and are back to the majority of normal activities within 7 - 10 days. Compare this to the operating and recovery times in other facilities, with less experienced doctors, where surgery takes 3 - 4 hours and patients may spend 2 - 3 nights in the hospital and have a 6 week recovery. Dr. Berger and Dr. Monteith are the only doctors in the US who limit their practice specifically to tubal reversal surgery only. This means you will be with other women going through the same experience and will have a nurse and your doctor available 24/7 following surgery. I hope this is helpful. We do have a few appointments during November that are available at a discounted fee if you would like to contact me at JuliaS@tubal-reversal.net. Julia S., RN

Posted by prayingfor3 (Member # 14807) on November 10, 2010 11:38 AM :
Hi Sandy,
I am Heather(37) and live in Marion, Virginia. I had my TR surgery 5/12/10 much against dr advise also. I was told by 2 RE that I was too old and had too many abdominal surgeries 8 Before the tr!
Dr M did my surgery, and he said I was in better shape than he expexcted. As of today I am 10 weeks pregnant. It took only 4 ovulation cycles to conceive little bean. So far so good!
It is hard not to get discouraged but try not to. You do what you feel is best for you and your family. I do recommend CHTRC over any I looked into.
Oh, and if you dh SA is not as good as it should be, try Fertil- Aid ( get it from Babyhopes.com) My hubbys SA was pretty bad 10% motility..but after 6 months on it we were pregnant!!!
Don't give up hope and pray alot.
Baby dust to you and all trying!
Heather

Posted by rajsan04 (Member # 15108) on November 10, 2010 12:31 PM :
Heather, congrats on your pregnancy! Your story gives me much hope! Thank you for the baby dust and prays, I sure do need it!

Posted by Simonsen6 (Member # 10172) on November 10, 2010 02:59 PM :
Dear Rajsan04
WOW- ur appointment with the RE sounds a lot like how mine went and I too left there crying and feeling so discouraged... except I had already had my TR (by dr berger) before I went there but I was being seen by the RE because of a massive mass on my uterus that they found a month earlier when I had kidney stones... SO the Re is mad that ONE - I had the Tr done by someone else and when he found out it was Dr berger he became a total jerk to me and told me my odds where not good or ever conceiving and IVF would be my only hope. TWO- I have had endo my whole life and have had 7 surguries to remove it and this RE questioned if I had "really" ever had endo at all. I have all the symptoms and that was just too much of a red flag that I had been making it up my whole life... Told you he was a Jerk! Then he did the ultra sound and couldn't find the mass, there wasn't one to be found and refered to the Er dr's as stupid and didn't know what they were talking about... the exam he did he told me I was probably perimenopausal and just wasted all this money on a tr - where if I would have went with him he would have pointed me in the rigt direction instead of giving me false hope...
Left there crying - It had been 8 months since my TR and I had also already had an HSG to confirm my tubes were both open.. I emailed dr berger that night with questions and thngs this dr had told me... The funny thng was this RE had once applied for a job with Dr. Berger and I am SO SO SO glad Dr.Berger could see the type of guy this was and for what ever reasons this RE didn't get the job... I think that is why he was such a jerk to me once he found out I had had my Tr done by Dr. Berger. Dr Berger email me back with + thougts and things do and not to stress...... I became PG THAT cycle with my first TR baby!!!!! I am currently 27 1/2 weeks Pg with my second Tr baby.. Don't give up hope and DO NOT let this quack of an RE do your TR. Really you want the best go to Chapel Hill and have Dr. Berger or Dr. Monteith do your TR. This is what they do and teh only thing they do. Did you know for an extra $1,000 you have have them do a lap before the Tr - where they can take care and make sure everything looks good before the Tr? The day of My TR there was one Tr sister the day before that during her TR Dr. Berger noticed she had a hernia and took care of it, the day of my surgery there was another lady after me that also had something like that and he took care of that for her too... Chapel hill is teh only place I would go and know I am truley in good hands... As far as being 39 follow your heart and do whats best for you two... I say GO FOR IT...
DOn't lose faith nor hope!
Lots of Love
Becki

Posted by Julie B., RN (Member # 14875) on November 10, 2010 03:28 PM :
Hi, ladies. It is disheartening to hear that many of you have had what you consider "bad experiences" with various doctors. Health is extremely important, and we should all feel we can talk to and trust the doctors we depend on as a general rule. Of course, I can't speak to your specific situations since I was not there and don't know the doctors. But I can certainly vouch for Dr. Berger and Dr. Monteith , as well as for the nurses and staff members here at Chapel Hill Tubal Reversal Center. I am very proud to work in an establishment that puts patients first, and has so much emphasis on excellent care and patient safety. As you can see from other comments, the surgeons here are absolutely at the top of their field, and each surgeon does between 12 and 15 tubal reversal surgeries each week. Just to put your fears at rest, Rajsan04, nobody is ever "hanging upside down" during surgery with Dr. Berger or Dr. Monteith. The surgery is quick, there is very little blood loss, and patients recover quickly and are able to go rest in comfort at the hotel (rather than in a hospital). Rasjan04, please note that on the home page of this Web site there is a link that allows you to request a free DVD of Dr. Berger performing tubal reversal surgery. We encourage anybody who is considering TR and has questions about what happens during surgery to click the link and watch your video when it arrives. As you will see in the video, there certainly isn't any hanging upside down! I hope that helps ease any fears you have. Please, for all of you ladies, don't hesitate to keep sharing questions or concerns with us. We want to make your TR journey as smooth as possible. Julie B., RN

Posted by jacquelynwilliamseid (Member # 14943) on November 10, 2010 09:27 PM :
Hi Sandy my name is Jacque and I am very sorry to hear about the experience that you have had. I also had a very bad experience with RE and OB was told by RE that TR was not really and option for me due to 2 c-sections and having TL over 9 years ago. He told me that I would have too much scar tissue and it would not be very good idea to even consider it. He however was very willing to take my money for IVF . I also went to a OB in my area that does TR he told me that he would not do the surgery either that scar tissue would be too much and that it was a waste of time that I should have IVF. The thing is that me and my DH just wanted to have the oppurtunity to try to have a child on our own. The problem is that at every turn we felt shut down and like there was no hope. I sit here now having had my TR on September the 14th 2010. I will say this CHTRC gives back hope to thousands of women who have had their hope taken away from them. No one can tell you what is the right decision for you we can only tell you of the experience that we have all had and hope that this helps. Try not to give up or get discouraged. CHTRC has payment plans for saving up for the surgery. I was wondering if the doctor did a FSH test on you to tell you wether or not your eggs were good or not for all you know you could have more eggs than someone younger than you. Try not to give up hope and stay strong. Good luck to you in what ever decision that you choose and I hope that all goes well with you.

Jacque

Posted by rajsan04 (Member # 15108) on November 11, 2010 10:10 AM :
Thank you Jacque and all you ladies for sharing your experiences and encouraging words. My husband and I talked last night for hours. I shared with him your replies to my message and emails. We both feel very confident with Dr. Berger and his team. Plus we are only 3 hours away! I also talked with my insurance company and because they do cover the cost of the tubal 100% and we are PPO, that they will reimburse the cost after the TR is done. Which of course is nice, but after what we have been through with the local RE and after hearing your experiences and the encouragement from the staff with Dr. Berger and Dr. M, it wouldnt really matter if we were to be reimburse or not! I am excited and honor to become apart of this journey with the rest of you and to share the bond of wanting this dream to happen for all of us. I will be spending the next 3 to 4 months losing the weight I need to lose. If anything is a motivator, it is this for sure! I look forward to letting all of you know I'm in Chapel Hill and ready to get my TR! Until then you will be in my prayers and thoughts! Love, Sandy 


Source: http://www.tubal-reversal.net/forum-topic-tubal_reversal-1t003725.htm

Wednesday, November 3, 2010

Choosing Where To Have Your Tubal Reversal

Women explain why they decided to go to Chapel Hill Tubal Reversal Center to have their tubes repaired.

An active topic on the Tubal Reversal Message board was started by 'WIMom27' who asked other women why they decided to go to Chapel Hill Tubal Reversal Center to have their tubes repaired. She gets a lot of responses such as these from 'tammyfromWI' who posts, "I was actually directed to CHTRC thru the UW-Madison's Infertility Clinic. They told me that it was well know all over the U.S and throughout the world. I could have had it done at the UW's clinic but they told me it would cost around $20,000 and have to do an inpatient stay. I talked to them for about five more minutes, came home, researched the website, and then made the call to CHTRC. I scheduled my surgery for 3/24/10. We decided to wait a couple months to TTC and in June started. We did end up with a BFP. It was a keeper. I'm currently 19 weeks pregnant and so happy with my decision to go with them. They do this everyday and know what they are doing." 'Yumenut' writes, "I flew to NC from Moscow Russia to have my surgery at CHTRC on 10/14/10. I don't regret one dime that we spent on the trip or the surgery. You can tell from the message boards and the information on this website that the entire staff cares about every patient." 'ChrisNbrian' follows up with, "I choose Chapel Hill ultimately because that is where my doctor recommended. He said that one of his associates does the TR but Dr Berger is less expensive and has a higher success rate. I just kept hearing my doctors words in my head telling me that reversals are all that CH does and Dr Berger is the best in the business!" In short, if you want the best chance of becoming pregnant after tubal ligation, go to Chapel Hill Tubal Reversal Center.

Posted by WIMom27 (Member # 14187) on November 01, 2010 02:43 PM :
A couple of years ago when I first found CHTRC and started doing my research on TR, I might have already asked this question.... but, I am back to doing my research AGAIN and trying to really get all the info I can to make an informed decision! I am torn between deciding between 2 different TR facilities and just want to know how others made their decision to use CHTRC? How do you feel about your decision? What factors helped you make that decision? I just want to be absolutely sure I am making the right decision, because I cannot afford the time or money to do this more than once!

Posted by michellela (Member # 14794) on November 01, 2010 02:54 PM :
It would be to my surprise if you were able to find "1" person who didn't have the most upmost respect for the doctors and staff at CHTRC. You will not find any better care at any other facility. If you read on this message board, you will see the amazing stories that have taken place in many of our lives from the moment we left CHTRC a new woman, with the chance to conceive again. Every member of their staff truly cares about your well being and gives you the highest level of care. As you can see, I am a huge fan.

Posted by jtcrazynluv (Member # 11201) on November 01, 2010 02:57 PM :
WImom, I am in the same position as you and I think we're trying to decide between the same places lol!

Posted by faithhopelove3 (Member # 14930) on November 01, 2010 02:58 PM :
WImom27~ the question is~ This other doctor that you found, does he/she only do this surgery every day or do they do other things??? I know I would only want the best doing this surgery and in my opinion CH is the best!!!! I had my surgery on Thursday and feel great!!!! You will not be disappointed by going to CH!!! They really do care!!!

Posted by eneitge (Member # 14887) on November 01, 2010 03:00 PM :
I chose CHTRC because I liked the statistics I saw for success on the site, everything you wanted to know was laid out right there for you, even the hotel and transportation to and from it, no stressful navigating in a foreign land, risking being late or anything else. If you have any questions, the staff are all super friendly, and if they don't have the answer, they get it for you and get back to you that day or the next day. I also like that they use out of office responses on e-mail, so if it's going to take some time to get back to you, you know what day that person will be back. I liked that the doctors' experience in the field was explained on the site, and that the doctors are accessable to the patients, it's not "Please contact my nurse who will talk to me for you." I liked that the payment options were affordable and easy to arrange. Everything you needed to know about before, during, and after was easy to understand, everything they needed was easy to get to them. I have not regretted our decision at all, I have had a few surgeries in my life, all the others locally, and this was, by far, the easiest, and it was done by people I'd never met, in a place I'd never been!! Hope this helps, good luck on making your decision and for a successful procedure!! ~Liz

Posted by NJgirlinWI (Member # 12872) on November 01, 2010 03:17 PM :
I also live in WI, in Weston (just south of Wausau). We debated because NC was the farthest of the places that we researched but for many reasons, they seemed to be the best choice. My best friend is also a nurse so I asked her opinion. She was so impressed with the details, statistics, pictures, message board and care that was put into the website that she agreed that we should go to CHTRC. TR surgery is ALL that they do there and in my opinion, they have it perfected! After we sent our money, I kept thinking that it was too good to be true. On our drive I thought, what if we get there and it's a vacant lot?! Sure enough it was as wonderful as everyone says. You will not regret it...

Posted by eneitge (Member # 14887) on November 01, 2010 03:57 PM :
Wow...lots of us WI girls on here!! LOL I'm just north of Eau Claire

Posted by Tanya from VA (Member # 9507) on November 01, 2010 07:18 PM :
I liked so much about CH but it just had the right feel. It came down to CH and a place in Georgia and frankly, CH just felt right. After coming to CH, having my TR and having so much history on the boards - I would tell anyone that this place is second to none.

Posted by chrisNbrian (Member # 12818) on November 01, 2010 09:29 PM :
I'm from Wisconsin too! (Appleton) I choose CH ultimately because that is where my doctor recommended. He said that one of his associates does the TR but Dr Berger is less expensive and has a higher success rate. I did lots of research looking at other places but kept coming back to CH. I just kept hearing my doctors words in my head telling me that reversals are all that CH does and Dr Berger is the best in the business! NJgirlinWI, my husband and I thought what if we show up and there is just this dumpy old run down building with a "doctor" standing at the door waiting to do the surgery. We actually kept joking about it the 2 days before surgery. (we arrived on Saturday and surgery was Monday) Everytime the shuttle took us anywhere or when we went out for a walk we tried to find the trashiest place and say to the other one "yep, that's CH, step right up". I guess we have a weird sense of humor but I really think the joking part kept me from getting too nervous. Once we arrived at the real CHTRC we couldn't have been more pleased. The place was spotless and everyone was super nice.

Posted by tammyfrmWI (Member # 14506) on November 01, 2010 09:58 PM :
I was actually directed to CHTRC thru the UW-Madison's Infertility Clinic. They told me that it was well know all over the U.S and throughout the world. I could have had it done at the UW's clinic but they told me it would cost around $20,000 and have to do an inpatient stay. I talked to them for about five more minutes, came home, researched the website, and then made the call to CHTRC. I scheduled my surgery for 3/24/10. We decided to wait a couple months to TTC and in June started. We did end up with a BFP. It was a keeper. I'm currently 19 weeks pregnant and so happy with my decision to go with them. They do this everyday and know what they are doing. They make you feel at peace with your decision up until you close your eyes for surgery. I understand that everyone goes into this journey with the "what if" questions. I did. That's normal. Not everyone is gonna have the same outcomes. There are negatives along with many positives to it. That's why it's called a journey. I can promise you one thing. You will walk away from CHTRC and be very happy that you did it. I wish you the best of luck in whatever you decide to do!!

Posted by WIMom27 (Member # 14187) on November 01, 2010 11:23 PM :
NJgirlinWI.... WOW... we are practically neighbors! I live only about 35-40 mins. from you, near Shawano! Thank you everyone for your responses. The issue I am having in deciding is that both places I am deciding between are "state of the art" facilities with TR specialists that ONLY perform TR surgeries and have both been doing it for over 30 years! Both places have support groups... but CH's website is definitely more informative and more supportive! I have just been afraid of choosing based solely on a good website..... Thank you for your feedback on your experiences.

Posted by yumenut (Member # 15030) on November 02, 2010 01:50 AM :
WIMom27, I flew to NC from Moscow Russia to have my surgery at CHTRC on 10/14/10. I don't regret one dime that we spent on the trip or the surgery. You can tell from the message boards and the information on this website that the entire staff cares about every patient. They think of everything!!! I love the fact that they require you to stay at a certain hotel, which is fantastic, so a nurse can come check on you. If you decide on CHTRC, you won't be disappointed!

Posted by NJgirlinWI (Member # 12872) on November 02, 2010 09:32 AM :
I forgot to mention that in my last post. As you are in the waiting area just before it's "your turn", there are 2 huge maps on the wall. One map is the US and one is the world, seriously! You put your pin into the map indicating where you are from. We were amazed at how far women come to have CHTRC do their surgery. My husband stayed at the hotel with our kiddo's and my mom drove up from SC to accompany me. She was skeptical at first but when she saw those maps, her eyes got big and her jaw dropped. For once, my darling (and very opinionated) mother was speechless!! It truly is impressive to see all of those colored pins on those maps. It made me realize just how many families have trusted Dr Berger (and now Dr M) to give them another chance...

Posted by laurie,CST (Member # 14932) on November 02, 2010 09:53 AM :
This is so true. CHTRC is the only place that specializes in tubal-reversal. So many people come all over the world to get their tubes reversed. Dr. Berger and Dr. Monteith have follow-up statistics on the outcomes of their surgeries and publish them for everyone to see. No other doctor does this or even has this information! The center keeps in touch with each patient over the long term. CHTRC is the most dedicated tubal-reversal in the world. If you want the best results, this is the place you should come to.

Posted by NJgirlinWI (Member # 12872) on November 02, 2010 01:05 PM :
WIMom27 be sure and keep us posted as to what you decide! Too bad we didn't find eachother sooner, we live so close to eachother that we could have carpooled to CHTRC

Posted by Megan, RN (Member # 14922) on November 03, 2010 09:33 AM :
Dr. Berger and Dr. Monteith are the only physicians in the country with a practice that is specifically limited to tubal reversal surgery. Reversal surgery is the only procedure we perform here with each doctor performing 2 - 4 reversals daily. We have a high staff/patient ratio with one or two nurses devoted specifically to your care while you are here. All of our nurses have advanced certification in cardiac life support (ACLS) and our anesthesiologists are MD's with board certification in anesthesia. The anesthesiologists are employees here and not anesthesia staff from another hospital or anesthesia service. So everyone here has expertise in caring for and performing reversal surgery. While you are here, you will only be with other women and couples who are here specifically for the same purpose. Please do not hesitate to contact our office with any questions or concerns while making your decision. Megan, RN

Posted by Tarajo (Member # 15087) on November 03, 2010 01:25 PM :
WIMom27 CHTRC was the 1st center I cam across when I began thinking about a reversal. And at the time didn't think I wanted to travel from Iowa to NC. Then something in me changed. At that point...I have to tell you that I researched, visited, and had phone contact with more then 25 fertility/tubal reversal specialists across the country. At the time we started our search each of those centers/specialist advised me that the cost of the procedure would be $12000-$20000. My husband and I thought to ourselves, if that was the price we were going to have to pay to have another child, then so-be-it. Each of the offices received my surgical reports, took my $150 consultation fee, either scheduled an appointment or called me on the phone. And each one of them crushed my dreams by telling me that since my tubes were burned I really didn\'t't have a chance at conception even after a reversal and that I should go the IVF route. At that point I was very close to having my mind made up on a center in WI, but something in me told me to give CHTRC a call. So I did...and I think from the second I was greeted over the phone my mind was made up. Each time I have called with an issue, my questions and concerns have all been address by the most friendly, knowledgeable, and caring staff in which I have ever encountered. I send over my surgical report and other information, and within an hour received confirmation that regardless of having my tubes burned during the ligation, they saw no reason why I would not have a very successful chance of conception. The very next day I scheduled my surgery and am now exactly 30 days from my surgery date. I am not only anxious for my surgery, but feel like I have already been made a part of a big CHTRC family and can't wait to meet everyone that has contacted me via phone and email. So if I can tell you anything to help you make your decision it is to call and speak with staff as much as you need to before making your desicion. As woman you know what is best for you and will ultimately make the right choice for you and only you!
~Best Wishes~

Posted by Megan, RN (Member # 14922) on November 03, 2010 03:09 PM :
Another Iowan!! Yay! I just moved from Des Moines in August and came to work at CHTRC. I absolutely think you are making the best decision by coming here. The staff and physicians actually care about their patients and have the most knowledge and experience of anyone in the tubal reversal business! Megan, RN

Posted by WIMom27 (Member # 14187) on November 03, 2010 10:05 PM :
Thank you for all of your comments everyone... I honestly feel that I have made my decision final to have my TR at CHTRC! I keep hearing from the other center I was looking at about how wonderful their after care is, etc.... but I have yet to see any of their staff participate in their support board like CHTRC does. Not only do the nurses and other staff join in on discussions but I have seen several posts by Dr. M on here as well, which has really impressed me. I think the longer it takes for me to get the money together and get this going the more doubts I tend to have.... then I get those doubts under control.... then start wondering about things again. I do appreciate all of the support on this board and I haven't even scheduled my surgery yet! Hoping that I can at least send in my deposit to open my account within the next couple of weeks!

Posted by Koah's mom (Member # 15041) on November 03, 2010 10:30 PM :
WImom, i wish you all the best! I'm in CA and having the hardest time trying to decide on TR and where to go?! I'm almost 41, need to lose 15 pounds, and need to make my decision by Jan 2011, time is ticking away. I love coming onto this site and feeling all of the moms on here, going through the same stuggles as myself!

Posted by Koah's mom (Member # 15041) on November 03, 2010 10:30 PM :
WImom, i wish you all the best! I'm in CA and having the hardest time trying to decide on TR and where to go?! I'm almost 41, need to lose 15 pounds, and need to make my decision by Jan 2011, time is ticking away. I love coming onto this site and feeling all of the moms on here, going through the same stuggles as myself!

Posted by Julie B., RN (Member # 14875) on November 04, 2010 09:58 AM :
Hi, ladies! I'm so glad to see you all exchanging thoughts and supporting each other as you make the decision to have tubal reversal surgery. As someone who gets to be with the surgeons every day in surgery, I can tell you that you will be in excellent hands if you choose to come to Chapel Hill Tubal Reversal Center. The expertise of the surgeons and staff is absolutely unparalleled. I'm very proud to be a part of such a special place. Julie B., RN

Posted by ALLtiedUP (Member # 13201) on November 04, 2010 10:28 AM :
WImom27, You will not regret having your surgery at CHTRC! I too researched just about every place there was and I just kept coming back to CH. No other place could compare to the statistics and like you said, the support and care shows here on the message board, but just WAIT until you see how you are cared for in person! I don't know which TR center you are talking about and I am not sure what I am allowed to say here, but I considered one b/c it looked so fabulous on their website...at first..and they had a message board yes. But I decided to steer clear of that place. I decided that a lot of effort made to make comparison charts to other TR centers and promises to re-reverse tubes if they become blocked is not a good way to try to reel in business, when CHTRC just has facts and REAL numbers that show their success without having to make cheap shots like that. Does that make sense? That was just how I felt about it. I am pretty sure I know which center you are talking about I hope this helps! Jill
TR 7-19-10
L-8
R-6.5
No regrets!! (tubes are OPEN b/c PTLS is GONE!)

Posted by WIMom27 (Member # 14187) on November 04, 2010 06:16 PM :
alltiedup.... I'm pretty sure we are talking about the same other TR center.... and the things you mentioned are part of my reasons for not being sure about that one.... I have kept coming back to CH for several years, because of the support board, the wonderful information, the support from the staff, and the statistics, etc. I think I need to stop 2nd guessing and just go with my gut on this one! Thanks for all the support everyone! Now, if I can just pull together the money... we will be in business!

Posted by Tammylee (Member # 14383) on November 05, 2010 10:59 AM :
Another Wisconsin girl here (Ashland). I was referred to a University Minnesota hospital to do my surgery, for a starting price of $12,000. I had a feeling that it did not cover lab fees, consultations and so forth. Turns out I was right when I called and talked to their financial representative. That made me start looking on the web for alternatives. The thing I was immediately aware of was that I would have to travel across country no matter which place I choose, being that the quiet of northern Wisconsin is quiet for a reason. The reason I chose Chapel Hill Tubal Reversal Center was there commitment to their cause. We are what they do. They listen and respond. Right from initial phone questions to panic attacks before surgery, they are there with a gentle hand on your back.
The surgery was simple, the flight back to Minneapolis uneventful. My biggest concern was the 4 hour ride home from airport the day after surgery but with a few pain pills that too was a piece of cake. My baby making skills are not working for me yet, but I am not 25 anymore. There are days when I want to quit(usually CD2, when depression hits) but then by CD10 I am ready to try again.
The only advice I have is to live your life when going through this. Buy those jeans that are on sale, take that little trip, laugh when you can and hold as many babies that are offered to you. Tammy

Posted by Koah's mom (Member # 15041) on November 05, 2010 11:23 AM :
Wow Tammy, what wise words!!! I'm pre TR and so, so, so, worried that it is going to consume my entire soul, as it already has started, even before i've made my final decisionl! I need to remember to LIVE while i am trying to create another life. Thank you!!!
Source: http://www.tubal-reversal.net/forum-topic-tubal_reversal-1t003718.htm