Showing posts with label IVF. Show all posts
Showing posts with label IVF. Show all posts

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

Thursday, March 12, 2009

Tubal Ligation Reversal vs. IVF: Age And Pregnancy Success

This article discusses the impact of age on the success of in vitro fertilization (IVF) and tubal ligation reversal surgery. Age is a strong predictor of success in becoming pregnant with either treatment. At Chapel Hill Tubal Reversal Center, the tubal reversal success rates are higher in every age group when compared to IVF using fresh, nondonor eggs. Chapel Hill Tubal Reversal Center has the largest know data base of tubal reversal pregnancies in the world

IVF data has been obtained from the latest available national statistics complied by the US Center for Disease Control (2006 Assisted Reproductive Technology (ART) Annual Report). Shows the average chance of IVF pregnancy success, not considering age, is 35% per cycle. Anyone considering IVF should be aware of their specific age related chance of success when undergoing IVF. The success rate of IVF, when using fresh nondonor eggs, is heavily dependent on patient age. The IVF nondonor egg birth rate begins a gradual decline between 30-32 and then declines more significantly after 36-38. The IVF live birth rate after the age of 44 comes very close to zero. The average IVF pregnancy rate using nondonor eggs is about 35%.

From 2001 to 2007, over 4000 women underwent tubal ligation reversal at Chapel Hill Tubal Reversal Center. The average chance of pregnancy success after reversal of tubal ligation experienced by patients of Chapel Hill Tubal Reversal Center is 70%. The statistics compiled from Chapel Hill Tubal Reversal Center's extensive patient database of over 4000 tubal reversal patients over the last six years clearly demonstrate their patients do similar, if not better, at obtaining pregnancy success when compared to the national average of patients who undergo IVF using nondonor eggs.

The average chance of pregnancy success is 70% after tubal reversal and 35% after a single cycle of IVF and both treatments are adversely impacted upon by age.

Readers are invited to join discussions with other women on our Tubal Reversal Message Board.

Source: http://www.tubal-reversal.net/blog/2009/tubal-ligation-reversal/tubal-ligation-reversal-vs-ivf-age-and-pregnancy-success.html

Thursday, May 8, 2008

Tubal Reversal Surgery More Successful Than IVF

Members of The Chapel Hill Tubal Reversal Center message board discuss having tubal reversal surgery after failed IVF attempts. For most women who have had their tubes tied and now desire more children, tubal reversal surgery is more successful and less expensive than the other option of in vitro fertilization (IVF). With IVF, drugs must be administered and a minor surgical procedure performed each time a women wants to try to conceive. With pregnancy rates of only 27% per cycle - and a cost of approximately $10,000 - $15,000 per cycle, IVF can become expensive quickly. When the reversal is performed by Dr. Gary Berger, success rates are nearly 75% and the cost is a one-time all-inclusive fee of $5900.

This is topic Anyone had a failed IVF cycle then do TR in forum New Message Board Members at Tubal Reversal Message Board.

Posted by VWChick (Member # 12295) on April 15, 2008 11:37 AM:

We just finished with an IVF cycle that failed. We went in for a TR consult but out local (well, a couple hours away) clinic convinced us to do IVF because insurance would pay for part of it and they were "almost positive" it would work the first time. This is a big and well-known reputable clinic. Anyway, even after a "perfect" cycle (according to the doctors and nurses) we still failed to conceive. Now we are rethinking TR. Yes, it would be more expensive. But it wouldn't cost us every time we try either! [Wink] Plus, I am certain that I have PTLS too. DH has a low sperm count but I think a lot of that is do to being a smoker (he's now willing to quit), wearing tight undies, etc. So we're thinking that if we can raise his counts TR might be a better way to go.

Anyone else do IVF first and the TR instead of the other way around? Thoughts from you ladies on my situation?

Posted by Simonsen6 (Member # 10172) on April 15, 2008 11:45 AM:

VWChick

There is a March 07 girl named Martica that did IVF and it failed- That was in Jan 2007 (I think) then they had TR done by Dr. Berger in March 07 and she was our first PG mommie after TR and delivered a beautiful baby boy Dec 17th 2007- Now they are thinking about Tr baby number 2

I say there is NO OTHER like Dr. Berger - Sure we all have local Doctors in our areas but do they have the experiment as DR. Berger and on top of the newsest and best ways to do a TR? Dr. Berger only does Tr's wanting a baby so bad I only wanted the best...

I had PTLS too really really bad and after my TR with each passing month I woucl feel my body as if it were coming back to life and acting normal again.. After 10 months of TTC we finally got our BFP and are due 09-11-08...

With a tr you can try every month and you have already tried IVF so I say go to Dr.Berger and get your TR done... [Big Grin]

Best of Luck on your journey!!!

Lots of LOve,
Becki
Tr 03-09-07
EDD 09-11-08

Posted by in-Gods-hands (Member # 11795) on April 15, 2008 11:49 AM:

I did not try the IVF. I was told the same thing. I instead got a TR. I had mine on 3-24-2008. This will be our first cycle trying. Like you I thought at lest I want have to pay every time we try. Oh and the PTLS has greatly inproved. Just to let you know.


Posted by Sally, RN (Member # 7389) on April 15, 2008 12:00 PM:

VWChick--We have had many women come to Dr. Berger for TR after having failed IVF treatment. In most cases TR has higher pregnancy and birth rates than IVF. I am glad that you are rethinking TR. Please call and speak to one of the nurses if you have questions. Best wishes.
Sally,RN


Posted by berta8133 (Member # 11188) on April 15, 2008 12:11 PM:

VW..yep..we did IVF in 05 cuz dr's said TR was IMPOSSIBLE......and when it wasnt sucessful....dr's said they wouldn't do it again unless we used donor eggs because my eggs were useless.

Had TR 7/23/07 have been pg twice...and hoping 3rd one is a sticky one!

I should have done TR first!

Posted by Bellarose (Member # 11069) on April 15, 2008 12:57 PM:

VWChick,
I did IVF in 2006. One fresh cycle and one frozen. I did conceive with the first cycle, but miscarried at 12 weeks. The frozen cycle was a Chemical pregnancy. We only had 2 embryos survive the freeze and thaw cycle, so we used them both up at the same time. 11 Months later I had my TR surgery. No BFP yet, but we still have hope... and 2 years later I have finally lost all the weight that I gained on the IVF meds.
One more IVF cycle may be in our future, but I haven't gotten to that point yet, I think I will try for another year, then revisit the idea with the DH.
GoodLuck with your decision,
Kim


Posted by kitkat32608 (Member # 12120) on April 15, 2008 01:13 PM:

VWChick. I was convinced also by the doctors to do IVF first because of the same thing. That they where so certain I would get pregnant right off because all the tests where perfect and my eggs where perfect and we made the most perfect embryos. It failed. Then they had us do an FET cycle with the leftover eggs to expend what we had. When the FET didn't work he said not to do another cycle. He said if you where 38 I would tell you to do another cycle but you're young, healthy and your eggs and embryos where of perfect quality. He also said my chances would be better with a TR in the long run. This is after he made me do IVF he admits my chances where better with the TR. I was so pissed and hence why I refused to have him do my TR. Plus something kept pulling me back to Dr. B's site and I'm so glad I did. I had my TR on 3.26.08. I hope this helps. Good luck in whatever decision you make. But I agree with you on making sure that his sperm count is raised before you make your decision.


Posted by Andie (Member # 8626) on April 15, 2008 01:17 PM:

I had a failed cycle in 04 - did my tr with Dr B 10/05 and have a baby boy and all my PTLS symptoms were gone within 2 cycles - yippee!

Good luck!

Posted by Luckypj's (Member # 9974) on April 15, 2008 05:42 PM:

VW Chick,

I too, tried IVF first. Was told I was a perfect candidate. My insurance covered some and it was STILL more expensive than TR. I conceived the first try and had an M/C in the 9th and 12th weeks (twins). 2nd cycle was unsuccessful. I was then told my eggs were old and should consider an egg donor. I had my TR 2/15/06 and BFP 2/9/07. I have a beautiful 6 month old daughter today! BTW - the RE I saw was rated in the top 10 of the U.S and in the end I spent 4 times as much on IVF as TR. Good luck and God Bless!

Posted by jcis4me (Member # 11983) on April 16, 2008 09:55 AM:

I too was steered towards IVF by my doctor of 22 years! In fact, he's the one that did my TL! After 2 IVF cycles costing us over $20k, we decided that TR was our best choice. In my heart, I had felt this was the right answer to begin with, but I was swayed by my docotr and the IVF specialist that IVF was easier and more successful. I now beg to differ! The hormone treatment/injections took a horrible toll on my body and emotions! Anyway, I had my TR in 1/08 and we are ttc this very week! Dr. Berger and his staff are awesome!!!

Posted by Marty (Member # 10659) on April 16, 2008 12:18 PM:

Hi This is Martica, My TR sister Becki wrote here about me. I did have a failed IVF in December 2007 had the surgery in March and was pregnant a couple days later. I have a beautiful baby boy that I never thought could be after the heartbreaking news of the IVF not working. AJ was quite an expensive baby and we call him the golden child 25K in IVF and 5800 in TR but if I had to do it all over I would have probably skipped the IVF. Doctors lie to you and tell you high percentages on getting pregant what they do not emphasize is that its a one shot deal and most of the time does not work. Im glad I went through with my TR (even though I was very down in the dumps) Also they told me that my husbands sperm was not that great... Well I guess it was cause he got me pregnant 2 weeks later!!

Lots of luck to you and hope your decision whatever it may be results in a beautiful healthy baby!

Take Care
Martica

Posted by melij (Member # 12286) on April 17, 2008 10:54 PM:

I am so glad i read these post. Just today i went to my gyn to talk to them about getting my tubes reversed and she told me the same thing that most of you talked about. That my eggs may be to old and few and that I should consider IVF fr a better success. This had me quite upset because i know that i will not be able to fund IVF. Now you ladies have just confirmed that I have made the right choice in having my TR. Thanks so much I know God sent me here for a reason. GOD BLESS!!!

Posted by kendraQ (Member # 11723) on April 19, 2008 09:05 PM:

i just had an ivf cycle. my re said that i had an a+ on all the pre-test and gave me a very high chance of success. well, i over stimulated and my cycle got cancelled. i was devistated. now, im also looking into doing a tr. i wish i would have tried a tr first, but i also had a dr say mine wasnt irreversible.

Posted by mommyofseven (Member # 12271) on April 20, 2008 01:36 AM:

I to tried IVF first and was lucky it was a success. Now after two years my husband and I want another child so are looking in to TR my doctor had told me in the beginning that IVF would be better. It was a good experience but now in order to get pregnant again I have to go through all of the same stuff and the expense is outrageous. So i'm leaning more towards TR if it dosen't work then back to IVF. Good luck though. I have heard nothing but positive on Dr. B's site.

Posted by ztaylor (Member # 12314) on April 20, 2008 08:56 PM:

I tried IVF and it did not work. I am 34 now and I was 33 when I did it. He gave me all kind of hope since I was so young and I already had 2 children. My husband is good too, so there was no problems. I have 1 tube and 1 ovary only but everything went excellent the whole treatment. My doctor told me in the first visit that I did not have any chances of a TR because it has been 13 years since my TL, that's why I decided to go with the IVF. I spent around 16,000 because he did not buy enough medication for my whole treatment and i ran out of it. I apologize girls about my lack of good abbreviations as you guys use but this is my first time writing and i really don't know them.I already send almost all my paperwork to Dr. Berger and i have already been treated like i was there. They are great and i am looking forward to have my surgery. You know what, at the end it doe not matter how many ovaryes, tubes, try outs, ivf cycles or whatever what it really matters is that is up to GOD to work it out!!! so you go with your instincts and pray GOD to give you your miracle!!!! you will be in my prayers...take care and don't give up on GOD...

Posted by Loribeau (Member # 8892) on April 20, 2008 10:45 PM:

I was scheduled for IVF next month, but have decided to cancel it. I just can't risk it. I know it works for some, but my doctor, despite my labs being "very good" said 20% chance it would work. I can't risk OHSS, multiple births or worse yet, BFN-- not for $15,000.

I had my TR 12/05 and I'll keep trying, if it's meant to be it will happen, if not, I'm OK- I guess.

Posted by JESSIKA (Member # 12096) on May 07, 2008 11:17 AM:


Posted by JESSIKA (Member # 12096) on May 07, 2008 11:23 AM:

Sunday, November 25, 2007

Deciding between TR or IVF

Although reversal surgery at Chapel Hill Tubal Reversal Center is statistically and financially the best option for pregnancy 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 statistics 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 woman age 42 for IVF without donor eggs or decline you if your FSH level 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 Message Board.

Posted by Mslisalisaf (Member # 11583) on October 07, 2007 01:01 PM:
Hi, I am new to the message board, 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 pregnancy. 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 FSH level 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 pregnancy, 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 pregnancy 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 statistics 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 pregnancy rates after tubal reversal vs ivf on www.squidoo.com/tubalreversal/ that may be helpful to you.
You can also find statistics 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 pregnancy 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 statistics 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 woman age 42 for IVF without donor eggs or decline you if your FSH level 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