Archive for May, 2009

Tubal Reversal and MTR

Monday, May 25th, 2009

Tubal Reversal and MTR are the same. MTR stands for Microsurgical Tubal Reanastomosis. For many reasons (ie lifestyle and financial problems), women make the decision that they do not want to have any more babies. They decide to proceed with a tubal ligation. But there are many factors that occur later in life whereby women want to undergo a tubal reversal (MTR) to reverse this process. After tubal ligation, many women face problems such as irregular, heavy, or painful periods, anxiety, vaginal dryness, hot flashes, trouble sleeping, and even mood swings. While all of these symptoms cannot be attributed directly to the tubal ligation, a tubal reversal can help alleviate some of the psychological issues that may play a role in these symptoms.

Tubal Reversal (MTR) is a safe and effective surgery. It is been in practice for the last 30 years with very successful results. It is a very delicate operation so the doctor should be experienced enough to perform these delicate moves with microsurgical instruments and techniques. To reattach the two fine ends of the fallopian tubes, multilayer, microsurgical techniques are used. After the surgery is performed, a dye is injected through the fallopian tubes to get a confirmation that the fallopian tubes are now opened. Tubal reversal is a very sensitive procedure to be performed because all the delicate and precise moves of the surgeon during the surgery. The success and failure of a tubal reversal procedure is very dependent on these moves as well.

Dr. Morice and his team provide the excellent surgical care that maximizes the chances of a successful tubal reversal. Dr. Morice is an experienced expert in performing tubal reversal surgery with Microsurgical Tubal Reanastomosis (MTR) techniques.

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Precautions After Tubal Reversal:

Monday, May 25th, 2009

After tubal reversal surgery, you will become very eager to start planning your pregnancy. You will dream of holding your cute new baby in your arms. You will start planning to welcome the new member of the family. This is very natural.

After tubal reversal, there are some points to keep in mind. When women get the good news that they are pregnant, they must take good care of themselves, and even some extra care as compared to the normal pregnancy. They must also track their cycle carefully as the chance of a tubal pregnancy or a miscarriage can occur. An early appointment with their physician is very important for tubal reversal patients.

After tubal reversal, if pregnancy is not achieved after a few months, don’t get too upset or worried. In the practical study of patients, pregnancy can occur on average from 6 months to a year. These results are related to the fertility of both parents.

After tubal reversal, some patients are interested in making sure that the reversal has not healed incorrectly and that their tubes are still open. A HysteroSalpingoGram (HSG) is a good method of evaluating the success of a tubal reversal. HSG should be done by an experienced doctor.

Dr. Morice and his team provide the excellent surgical care that maximizes the chances of a successful tubal reversal. Dr. Morice is an experienced expert in performing tubal reversal surgery with Microsurgical Tubal Reanastomosis (MTR) techniques.

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Pregnancy with less tubal length:

Monday, May 25th, 2009

Tubal reversal is the process of reattaching the fallopian tubes that were separated in the tubal ligation process. It is now completely possible to reverse this procedure for those couples who change their mind and decide that they want to have more children. The advancements made in tubal reversal surgery are very good news for those who wanted to have babies again after a tubal ligation.

In tubal ligation, doctors may clip, burn, tie, or cut the fallopian tubes. To adequately counsel the patient and her partner, we must have the detailed previous report of the tubal ligation surgery. Depending on the type of tubal ligation, we can access how many places the tubes are burned, or how much of the fallopian tube was destroyed. If these details are not mentioned, the tubal reversal success rate will not be as accurately determined prior to the surgery. In order to reattach the tubes, there must be some healthy part of fallopian tube for the tubal reversal. The total length of a fallopian tube is normally about 10cm. At least 5 cm of healthy tube on each side is optimal to conceive again with success rate of as high as 80%. Although pregnancies do occasionally occur with tubal lengths as little as 3 cm.

In the burning procedure of a tubal ligation, the normal practice of doctors is burning of three points of 1 cm each on both fallopian tubes. The process can also be performed with burning of tubes from two points. The success rate of a tubal reversal is directly related to the final length of healthy fallopian tube left after the tubal reversal.

Dr. Morice and his team provide the excellent surgical care that maximizes the chances of a successful tubal reversal. Dr. Morice is an experienced expert in performing tubal reversal surgery with Microsurgical Tubal Reanastomosis (MTR) techniques.

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After tubal reversal

Monday, May 25th, 2009

After tubal reversal, patients are discharged home within the same day of surgery. Tubal reversal surgery is an outpatient procedure. After tubal reversal, patients may experience some bleeding from the vagina due to the tubal reversal procedure. Patients may also have minor abdominal swelling and feel shoulder pain, backache, or muscular pain. Patients can take showers after 24 hours after tubal reversal, and baths one week after tubal reversal.

Most patients are also able to return to work one week after tubal reversal surgery. Patients can have intercourse two weeks after tubal reversal surgery, and then return to all other activities.

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Tubal Sterilization Reversal

Monday, May 25th, 2009

Sterilization is the process in which spores, living cells and viruses are completely destroyed. While “tubal sterilization” does not actually ‘kill’ anything, a tubal ligation will prevent the sperm from swimming to the egg for fertilization. When a physician performs a tubal sterilization, the fallopian tube of the woman is blocked on each side to prevent this fertilization according to the woman’s wish not to have babies in future. Unfortunately, up to 15% of women regret this decision and after tubal sterilization they want to become pregnant again. Tubal sterilization reversal is a safe and effective method for those women who wish to become pregnant again.

In the Tubal Sterilization reversal process, doctors remove the blockage of fallopian tube to clear the way for a natural birth procedure. For tubal sterilization reversal women must be emotionally and physically prepared. The best candidates for tubal sterilization reversal are those women who have an adequate amount of fallopian tube left to reanastomose. A microsurgical tubal reanastomosis is best performed if the two sections of tube have a similar tubal diameter to reattach the fallopian tube back together.

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Tubal reversal sugery

Monday, May 25th, 2009

Tubal Ligation reversal is done through a microsurgical technique. This is the reason that tubal reversal surgery is also known as microsurgical tubal reanastomosis. For the tubal reversal surgery procedure, doctors will first test the patient and perhaps the partner to make sure that the tubal reversal will not be performed on a women who might otherwise be infertile. These tests will help determine if the woman is a good candidate for a tubal reversal. The woman must be both physically and emotionally prepared for tubal reversal surgery as well.

Doctors also advise patients to take pre-natal vitamins, engage in as exercise regimen, and to stop smoking before tubal reversal surgery. This not only prepares patient and her partner physically, but also emotionally. Having tubal reversal surgery and a new pregnancy and baby is both very demanding and challenging.

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What is Ligation reversal?

Monday, May 25th, 2009

Before discussing about ligation reversal we will discuss about Tubal ligation. Tubal ligation permanently blocks the fallopian tube through which women are able to conceive a baby. Tubal ligation is generally regarded as a permanent solution to prevent a pregnancy. When most women decide to have a tubal ligation, they are completely certain that they will not want more children for the rest of their life. But later, as life changes, many women wish to have another baby and desire a tubal reversal, also called ligation reversal.

Sometimes women do not want a ligation reversal to have a baby, but they would like to reverse any problems that they have had as a result of the tubal ligation. Some women complain that they have worsened periods, increased weight gain, and tubal ligation syndrome (pain after a tubal ligation). Although a tubal reversal does not always result in fixing these issues, some women do feel better after tubal reversal surgery.

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Can a woman become pregnant even after child birth control?

Tuesday, May 12th, 2009

Quite a large number of women who undergo the procedure known as tubal ligation to prevent them from having more children will eventually change their minds. For some women the reason that they choose to have the procedure reversed is they want to feel whole once more, while for others, it helps to relieve the symptoms that are part of the “post tubal ligation syndrome”. For many of these women pregnancy after tubal ligation is a strong possibility. And this can be done with a tubal reversal surgery.


However, before any woman is able to undergo the procedure to have the tubal ligation reversed the surgeon will need to determine whether they are good candidates for the procedure or not. Although this particular procedure is not right for every woman, in most cases it is the most successful and cost effective way for women who have been sterilized to have children naturally once more.

This is as compared to the alternative of an IVF treatment.
There is an up to 82% chance for a woman who undergoes tubal reversal to become pregnant using the statistics from one doctor’s study of his patients. On the other hand, there is only a 10 – 30% chance for women who undergo IVF (In Vitro Fertilization) treatment of getting pregnant on any one course of treatment.

So what is it that the surgeon will consider in order to determine whether the woman is a suitable candidate for undergoing this tubal reversal procedure? Remember the surgeon wants to increase the chances of a pregnancy after tubal ligation reversal.

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Tubal Reversal Procedure in detail

Tuesday, May 12th, 2009

For a tubal reversal procedure, many factors must be considered: the age of women, the length of the remaining fallopian tube segments, the damage caused by the tubal ligation process, and the fertility issues and medical conditions of both the woman and her partner. The general success rate for a tubal reversal procedure may be as high as 90%, depending on these factors.

During a tubal reversal procedure, Dr. Morice will remove the blockage of the fallopian tube (scar tissue). Dr. Morice will then surgically put back together the two different ends of the fallopian tubes.

Before a tubal reversal procedure, the patient should provide Dr. Morice with her operative reports, pathology reports (if any), partner’s semen analysis, and any present medical condition for a more complete evaluation of her chance of a successful tubal reversal.

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