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by Sandra Wilson
If you are like many women who have decided they want a tubal reversal after having their tubes tied, you have most likely been searching on line for information. There are all kinds of information you need to know. If you have just started, maybe this article and the resources given will help shorten the search for answers. At the very least, you will know the questions to be answered by the resources below or in our other articles.
Usually a woman and her husband will want to know things like the cost of a tubal reversal, where they can get some financial aid, information about tubal reversal doctors, and about the surgical center. Are you doing it in a hospital or a reversal center specifically for this operation? What are the pros and cons of each action?
You also need to know about how the surgery is done. Questions regarding the length of the surgery and recovery period are just a few things that need to be found out.
Now you need to ask questions about the doctor. Can you get the information about his education, training and experience easily? Does he even communicate with you at all? How many of these surgeries has he done in the last year, last three years, or last ten years? In other words, does he know what he is doing and have the experience to back it up? Can you even get the information from his office or his website as to what his success rates are? Does he return your calls for information or make sure someone is there to answer?
After the doctor comes questions about his staff, usually. Or do you just accept whatever “luck of the draw” you get? Do you know the qualifications of your anesthesiologist and her staff? What about the surgical team? Is it made up of whoever is on call or are you getting team members who have been doing the tubal reversal surgical “dance” for years?
Going back to the tubal reversal center again. Is this operation to have your tubes untied going to take place in a hospital? Or do you want it to take place in a tubal reversal center where that is all they do? Have you ever seen a surgical center with a fountain? For that matter, can you get even a virtual tour of where you are thinking of having your surgery done?
How easily can you talk to the doctor, the people in his office or even to other women who are patients or planning on being patients? Is there some type of support system, like through a message board, available to you for contacting all these people? Can the staff be easily reached by phone and email? Do they respond?
There are more questions that you need the answers to. Our other articles address many of these type of questions and provide answers, but for all the answers to your questions, just seek out the resources listed next.
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by Sandra Wilson
Knowing about tubal reversal success is probably a key piece of information you are wanting to know. That is, if you have decided you want another child and to get your tubes untied. If you are wanting to do it for relief of post tubal ligation syndrome problems, then maybe the tubal reversal pregnancy success rates aren’t quite as important.
If you have done any looking around you may already know that success after reversing your tubal will generally depend upon three things provided you are healthy otherwise. Those three major determining factors are the method used to tie your tubes, what your age is at the time of the reversal and what length of tubes are left after any damage has been removed and the tubes sutured back together.
For the remainder of this article, and to discuss those three areas and how they affect tubal reversal success, we will use the published statistics from the Chapel Hill Tubal Reversal Center website. Now those statistics mostly apply just to Dr. Berger’s patients as he has done more than 7000 reversals. You should understand that these may not readily apply to whoever you go to locally that says they will do the reversal, simply because they do not have the experience of Dr. Berger and are not under his tutelage. But these statistics are all we have to work with.
Let’s begin with the tubal ligation method used and its affect upon success. In order from best to worse are: rings or clips, ligation/resection, coagulation/cautery, and then fimbriectomy. It’s not unknown for a doctor to use more than one method or to be fairly brutal with the method used such as burning the tubes all along their length. For the rings/clips, you have 76% chance of becoming pregnant. With the fimbriectomy, it goes down to 56%. But that is still a better shot than one course of IVF in most cases.
Here’s the big factor - age. If you are still in your 20s, you have an 82% success rate to work with. However if you are over 40, it goes down to 41%. But then you know that the older you get the harder it is to get pregnant anyway.
Looking at the length of the fallopian tubes left after removal of any damaged tube portions and the anastomosis, you will find the longer the tube, the higher the rate of success. Women with a 7.5 cm or longer tube had a 80% chance of becoming pregnant while women with less than 2.5 cm of tube left had about a 38% chance.
One more statistic I feel I should present in all fairness is that you do have an increased risk of ectopic pregnancy after tubal reversal success. However, this is only 10%. You should take it into consideration.
Using our resources below will let you see more of the statistics available regarding tubal reversal success. See where you fit on the tables of statistics linked below. You can also browse through the other resources to find answers to all your questions regarding tubal reversal.
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by Sandra Wilson
If you have had your tubes tied and want another baby now for whatever change in circumstances precipitated the desire, you are left looking at a tubal reversal or at in vitro fertilization. But before you make up your mind which one to go for, there are usually a few questions you want to ask. Some of those questions are answered below.
1 - Usually a big one is why has my doctor never heard of tubal reversal? Why does he push in vitro fertilization? The answer to the second question is partially the answer to the first. He pushes IVF because he does not know about tubal reversals especially if he was educated and trained in the last 15 years or so. You just don’t find this surgery being done in hospitals so doctors can’t be trained in it. If they aren’t trained, then many think that means it’s not possible. Tubal reversals used to be the new and upcoming technique. Then IVF became the new and upcoming fertility technique and reversals fell out of favor. Why? Just look at the price tag difference and you’ll know the answer to that.
2 - What are the statistics for tubal reversal and IVF? You will average three cycles of IVF though I have read on one woman who had 75. She must have been rich. Why? Because in the U.S., each cycle costs around $11,000. That’s an average and for each cycle. Maybe she lived elsewhere. Remember to factor in what the treatments do to your body and the risk factors. With tubal reversal, the average is about $8500 though you can find it cheaper as well as much more expensive. Same for IVF. The leading tubal reversal doctor in the U.S., maybe the world, charges $6900. That is all he does. Success for each cycle of IVF is ten to thirty percent. The range has to do with the number of eggs implanted. For tubal reversal, using the leading doctor’s published statistics, the average success rate is 69% but yours could be higher depending on your age.
3 - How does my age affect things? Well, the older you are the less likely you will get pregnant. After 40, it starts really going downhill but that doesn’t mean it’s a total wipe out. Using that leading doctor’s published statistics, even a woman over 40 has a 41% chance with a tubal reversal. That still beats an IVF cycle. But if you’re under 30, the chances are 82%.
4 - It has been X years since my tubal ligation. Does that matter? Here’s an example. Suppose two women had their tubes tied 11 years ago. One was 21 when it was done and is now 32. The other was 32 then and is now 43. The one who is now 32 will definitely have a better chance of getting pregnant after the surgery than the 43 year old. See the last question.
5 - How long does the surgery take? It will depend upon the surgeon’s skill, experience, training, how many he has done and the way he does the surgery. You could have a doctor that has done this maybe three times in the last four years or you could get a doctor that does it four times a day, five days a week like Dr. Berger. The first can take several hours due to lack of experience. The longer you are under anesthesia, the more potential problems and harder recovery you will have. Or with Dr. Berger, the surgery will be done in about an hour. You will be back home or in your hotel room just a couple hours later.
6 - Does my doctor do only tubal reversal? This is a question you should ask if you aren’t. Why? Because if he does IVF as well, you only need to look above at 1 and 2 to understand what he wants to do regardless of your situation. And if he does other types of surgeries as well, how experienced and practiced is he? When you have the choice of the Chapel Hill Tubal Reversal Center where tubal reversals are all that is done, just think of all the experience they have.
There are more questions but this article is long enough. Get the answers to these questions for yourself. Then you can decide if IVF or tubal reversal is best for you. You can also decide which surgeon will be best to go with as well.
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by Sandra Wilson
Many women who have had a tubal ligation have been told it is a permanent form of birth control. When they change their minds about wanting another child, their doctors usually counsel having an in vitro fertilization or IVF. What these women usually don’t know is that tying their tubes can be reversed with an operation. So you are left wanting to know about IVF vs. tubal reversal and which is best.
A tubal reversal is a micro-surgical technique of repairing the fallopian tubes where they were cut. The preparation is minimal for the surgery including some review of your tubal ligation operative records. If you have a BMI greater than 30, it is suggested you get it down for your own surgical safety. You can check out this page to determine your BMI if you need to: www.tubal-reversal.net/body-mass-index-bmi.php
To undergo the IVF process, you will need to have a series of injections. Some will be subcutaneous which means just under the skin but some have to be put into the muscle. For each drug you get, you will have to go in each day for a few days to receive the shots. This is just to prepare your body such as stimulating it to produce more eggs at once than normal.
Next will be the removal of your eggs. Of course, the doctor will need to be sure of the right time to do so and will do this by monitoring to be sure to catch the eggs at the right time. Your system has been stimulated to produce many more eggs than normal. You will get another shot before ovulation is due. Then, when all is ready, the doctor will use a needle to remove the egg. Ouch again!
Now, comes the part you have been taking all those shots for. You will have the fertilized eggs implanted into your body. This will happen after some time in the lab where the fertilization and the beginning development of the embryo takes place. You will most likely get more than one fertilized egg, which actually has begun developing into an embryo, placed back into your uterus. One possibility with the remaining embryos is to have them frozen for when this cycle does not give you the hoped for result of a pregnancy. You will get more injections at this point as well.
Will all this be successful? That depends on several things which can include something as “simple” as how careful your doctor is and whether or not he rushed the implant procedure and if he put the embryo in a good place. At any rate, you will need more injections now to help sustain things and make your chances better. With all these shots, you should be aware that there are some dangers not only to you but to your child as well, if you should be lucky enough to carry to term. Look around the web to see what the potential dangers are from IVF.
Add to all of the above the success rates of each individual course of treatments. Depending upon where you look it is from a 10 - 30% chance you will get pregnant. Higher percentages for more embryos being implanted.
Now compare all that and all the things left out of this article due to space limitations and you will see that having a tubal reversal could be a much better option. The success rates for tubal reversal can vary depending upon your chosen surgeon. This makes choosing the best tubal reversal doctor and center a matter of utmost importance. At the Chapel Hill Tubal Reversal Center where they publish their specific pregnancy rates after a tubal reversal, you will see that it is an overall 69%. Your potential success rate will depend upon several things including your age, tube length left and type of ligation procedure used. The good news is that once the surgery is done, you get to try over and over again to “make a baby” without having to pay any more money.
Finally is the cost comparison. A cycle of IVF is averaging $10,000 to $12,000 in the U.S. It can be as high as $20,000 though that goes for tubal reversals as well. However, chances are you will undergo more than one cycle of IVF. Doctors say to expect an average of three cycles. Add it up yourself. Now a tubal reversal will average $8,000 to $9,000 with some doctors charging much more. But you don’t have to undergo an average of three tubal reversals to get the job done. Taking this into account along with all the above and you can truly see the best answer in IVF vs. tubal reversal.
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by Sandra Wilson
Many women who have had a tubal ligation have been told it is a permanent form of birth control. When they change their minds about wanting another child, their doctors usually counsel having an in vitro fertilization or IVF. What these women usually don’t know is that tying their tubes can be reversed with an operation. So you are left wanting to know about IVF vs. tubal reversal and which is best.
A tubal reversal is a micro-surgical technique of repairing the fallopian tubes where they were cut. The preparation is minimal for the surgery including some review of your tubal ligation operative records. If you have a BMI greater than 30, it is suggested you get it down for your own surgical safety. You can check out this page to determine your BMI if you need to: www.tubal-reversal.net/body-mass-index-bmi.php
To undergo the IVF process, you will need to have a series of injections. Some will be subcutaneous which means just under the skin but some have to be put into the muscle. For each drug you get, you will have to go in each day for a few days to receive the shots. This is just to prepare your body such as stimulating it to produce more eggs at once than normal.
Now your doctor gets to remove the eggs…or does he? Well, yes, but not before another injection just before ovulation. Your doctor will also be monitoring you to make sure he can catch the eggs before they being their journey to your uterus. He will use a needle to capture the eggs that your body has been overstimulated to produce. Seems like you are to be around a lot of needles.
Finally, you will have to wait for a few days while the fertilization process goes on in the lab after which you come back for the implantation. Usually you will get more than one fertilized egg implanted. You will be at risk for a multiple birth if everything works right but more eggs will increase your chances of a resultant pregnancy. And you will get more shots.
Your chances of success will depend upon many things. Did the doctor do a careful and carefully placed implantation meaning is he experienced enough? However, all the eggs that were not implanted can be frozen for a future implantation…if you want to go through all the shots and what they do to you again. There will be added risks to you and your child by using IVF. You will want to do some research online to make sure you are aware of these.
Before you make a decision to have IVF done, you should probably take a look at the success rates. Most commonly the success rates of any one cycle are given as 10 - 30% that you will be successful. You have a higher likelihood of success with more eggs implanted but don’t want to go overboard as that could lead to some problems as well. You will find that three embryos is about the max any doctor will implant.
You will need to learn more about IVF in order to make the best decision but you can see that a tubal reversal surgery just might be a better choice. Starting with success rates for tubal reversal you will find it varies with the doctor you choose. Actually most will only give you the industry wide statistics because they don’t collect their own nor know them. However, when looking at a center such as Chapel Hill Tubal Reversal Center, you will find their success rates posted on their website. Overall the success rate for them for tubal reversals is 69%. Take a look at the charts to see where you with your specific circumstances fit in. But, barring any other problems, after the surgery you get to try and try again to conceive all for the same cost.
So let’s look at the cost of IVF vs. tubal reversal. One course of IVF treatments will average $10,000 to $12,000 with some going as high as $20,000. That’s just one cycle. On average, doctors will tell you to expect to go through at least three cycles. On the other hand, the average cost of a tubal reversal is $8,000 to $9,000 and you will find that, too, can go up to $20,000 or higher. Don’t pick one of those later surgeons costing that much. You can see that it usually is much cheaper to go with tubal reversal rather than IVF
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by Joe Martin
The popularity of acoustic guitars over electric is largely due to the mystique and romance associated with them. The soft strumming of an instrumental acoustic guitar can cause people to stop what they are doing and just listen to the beautiful music. But, the instrumental acoustic guitar is not just for mellow music. For instance, it brings fiery passion to flamenco music. Though people do not often think or talk about the versatility of an acoustic guitar, nearly everyone appreciates the beautiful sounds it is capable of producing.
Is playing a guitar a skill that you always wanted to take up? You could just look at a guitar on the rack and imagine the wonderful melody of notes as you strum across the strings. You question how difficult it actually would be the play guitar and how much money you will have to spend to learn how to play.
As you continue your dream of playing, you imagine how your family and friends will be in shock when your bring out your instrumental acoustic guitar and show off your new talent. You dream of having the ability to play like your favorite musician but then shake your head and back on the rack the guitar goes.
Even though it may seem that acoustic guitars are magical, that’s not really the case. The music produced is the magic, not the guitar. This is the same as when you were young and learning to use a pencil. After a time you learned to write very well and you soon were able to write essays, book reports and all sorts of things. Your pencil was merely the tool used to create your writing. This is what it’s like with an acoustic guitar. The guitar is the tool that makes your music. Learning the guitar evolves in the same way. When you’re in the music store, you play around with a guitar, just as you scribbled with your pencil. You hear what happens each time you move your hands a certain way. When you start to learn to play an instrumental acoustic guitar you begin to feel at ease and soon your fingers begin to move correctly on their own. After a while the guitar becomes an extension of your hands and your thoughts begin to flow through it naturally.
Many who have never played guitar are drawn to them and may be a little star-struck by them. Sometimes, they may think the guitar is more than what it is. Being able to use it to make music seems magical. It is overwhelming to say that least that you may be able to create music, a powerful universal language.
Music is such a intense expression of sound and emotion that it can be overwhelming to think that anyone could produce such beautiful sounds. This outlook can make people apprehensive with learning to play an acoustic guitar. Remember, the acoustic guitar was built to speak this language.
The investment of time and energy it takes to learn to play an instrumental acoustic guitar will not be wasted. So dig out the one in the attic or purchase one at your local music store or even online but either way you won’t be disappointed.
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by Sandra Wilson
Did you know there that problems reported following having your tubes tied all the way back 50+ years ago? Yes. What we call post tubal ligation syndrome has been reported for decades. You can read story after story online, especially if you go to the www.tubal-reversal.net message board, about the suffering women are having post tubal. Why are all these women being ignored? Why is this happening?
Using an article from medicinenet.com (please do a search at that site on post tubal ligation syndrome) as the source of information about what some doctors believe, we find out what Dr. Stephen Corson thinks about it. He has done a study about hormone levels in PTLS women versus those who did not have their tubes tied. He has decided that all these women who report symptoms are really just suffering from a combination of aging and discontinuing the usage of birth control pills.
What is really strange about this conclusion is that so many women simply don’t fit into this category. However, no mention of this is made in the article so one is left wondering how the doctor explains symptoms in women who were in their 20s when they had a tubal ligation and started suffering from Post Tubal Syndrome, as it is also called, during the same decade of life. Nor does it explain the many women who had tubals done right after delivering a child. That means they weren’t on birth control of any kind.
Just check out Miranda. She is 27 now and had her tubes tied in 2003 after the birth via C-section of her daughter. That means she was 22 when she had her tubal. With all the pain she was suffering, among other symptoms, from post tubal ligation syndrome, I doubt you could put it down to aging or to birth control pills. Fortunately, she has a doctor who took good notes and who supported her in having a tubal reversal. He’s even looking more into ptls.
Now Skate is another case of a woman who had a tubal ligation surgery performed after the birth of her child in 2002. Although told the symptoms she suffered must be menopause, she simply did not buy it. After all, her mom didn’t go through menopause till she was in her 50s and Skate’s two older sisters still haven’t gone through it yet, either.
Let’s take a look at Dannygirl as she is called on the tubal-reversal.net message board. Although she did not have her tubes tied right after the birth of her daughters, she did have it done only a month and a half later. Even if she was on birth control pills, I doubt that was long enough to really cause a major upset with her system going off them and certainly not the awful symptoms she suffers after her tubal. Match that up with the fact that she was only 19 when she had the surgery and you can see age doesn’t play a part here either.
If we go back to the article from medicinenet.com, you can read that many women are put onto birth control after the tubal ligation surgery to control the symptoms they experience. Seems rather a strange way to do things. Isn’t tubal ligation supposed to be birth control? But the women still have to take pills to control symptoms that are side effects of the surgery? Well, certainly that proves that birth control pills, or more precisely going off them after the surgery, are the cause of all the symptoms.
But living on birth control pills to control the symptoms or just living with the symptoms are not the only choices available to post tubal ligation syndrome sufferers. One other option is having a hysterectomy. You should research this option and find out the side effects of it. The other option is to have things put back the way they were or as best as can be done. This is done via a tubal reversal. Do your research to find the best tubal reversal doctor you can.
About the Author:
Discover info about the tubal ligation reversal alternative to ending PTS. Check out Dr Berger, the best tubal reversal doctor available. Visit our forum to talk with other women and find help.
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by Sandra Wilson
Some women may have questions about their cycles after tubal reversal surgery not be sure what will happen and how fast they can get pregnant. They have been told by their tubal ligation reversal surgeon that they may have to stick around one or two days after surgery to be sure there are no immediate post op complications and that the incision looks good. They are also told that they must restrict their activity to only light exercise for several weeks while allowing their bodies to heal internally. But knowing just what to expect from their cycles after tubal reversal and how soon they can get pregnant is something that many forget to find out about.
Now this healing process takes about four to six weeks before all the work done on their tubes is completely healed. And they might think they can rush to get pregnant right away. However, it is best for a woman that has had tubal ligation reversal surgery done to go through a couple complete cycles before really attempting to get pregnant even if it seems like everything is happening as it should.
Some women are lucky, however. They find themselves pregnant almost immediately at the first cycle. Others, better than six cycles after tubal reversal surgery, still find they can’t get pregnant.
If it has been six months or more and they have not gotten pregnant, then it is best to have a doctor check for other concerns that may be affecting the woman and why she can’t conceive. Sometimes, it comes down to the length of time from the original operation to have the tubes tied. It just seems to be easier for those that have more recently had the original operation than for those who may have had it ten or more years ago.
What a doctor will do, if after 6 months and the woman is still having difficulty actually getting pregnant, is inspect her fallopian tubes again to see if they are fully open and nothing untoward has happened since the procedure took place. If they discover that these are okay, then there may be some other underlying cause which is preventing the woman from getting pregnant. Women who are worried or become anxious because they are not getting pregnant as soon as they would like will often find it much more difficult to conceive than those that don’t.
Sometimes they find that just because they have a period, it doesn’t actually mean that ovulation is taking place. What this means in the end, is that even if they are late, it doesn’t necessarily mean they are pregnant. Any woman with enough years knows that even the smallest upset in patterns and schedules can throw your system and cycles off.
What your doctor will also need to pay attention to after your cycles after tubal reversal reappear, is the possibility of an ectopic pregnancy. As this only happens in 3 - 5 percent of women after this type of surgery, it is not something that they should worry about overmuch.
Knowing when you are ovulating, and when you may actually have conceived, it is best to utilize an ovulation prediction kit in the cycles after tubal reversal surgery. Lastly, if you find you are late by two days, go get a pregnancy test done by your doctor.
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by Sandra Wilson
Have you had a tubal ligation? Have you had weird things happening to your body? And no matter how many trips you make to the doctor nor how many tests she runs, you still don’t have a diagnosis…or one that makes any real sense. If so, then it’s possible that you are suffering from the symptoms of post tubal ligation syndrome. Others call is post tubal syndrome.
Regardless of whether or not the medical community as a whole believes in ptls or not, you still are having problems. No doubt you have been researching on the web and learned about some of the different symptoms associated with this syndrome. Below you will find a few first hand accounts of the symptoms some suffering women have gone through probably just like you.
Take for instance the case of Brenda. Her complaints began with feeling numb in the pelvic area, a sensation which did not improve over time as she thought it would after surgery. She also had hot flashes and night sweats, fatigue, depression, mood swings, bad cramps, and heavier bleeding. Her libido dropped away. Loss of libido is a very common complaint. Of the night sweats, she said she would wake up with her nightgown stuck to her and soaking wet. I don’t think we can put it down to aging and menopause as she was only 33.
Tracy complains of being fatigued a lot and having no interest in sex. She couldn’t sleep and just stayed tires all the time. Her periods went crazy. What had once been like clockwork became longer, much more intense with heavy bleeding and clotting, then trail off only to start again a day later. She had bad cramps as well. Her other symptoms included occasional dizziness, a memory that got worse, feeling like she was in a fog all the time, headaches, hair breaking and fingernails cracking, tingling in her extremities and acne.
On the forums.tubal-reversal.net/ message board, courtnipadortni told us about her post tubal ligation syndrome symptoms. These included loss of libido, weight gain, memory loss, short temper, and bad period pains. Maybe some of these could be put down to aging as we all know it gets harder to lose weight the older you get. However, when measured against all the stories of other women who suffer through ptls, it’s hard to draw the line.
Christie like so many women who suffer from this after effect of tubal ligation had mood swings with crying spells and uncontrollable fits of rage. She thinks this was the biggest problem she had due to her religion besides being bedridden while she suffered through her periods. They were eight days long and very painful. Besides these, she also suffered with hair loss and loss of libido. Her hair loss was bad enough she had to begin to style her hair differently to try to hide it. She had depression such that her doctor put her on an antidepressant. Of course, her doctor just told her she was getting older when she sought help.
If you find while reading this article that these stories seem to sound just like what you are going through, then the first thing you may want to do is seek out some support. A search on the web will help you find a forum where others who suffer as you do congregate to provide that virtual shoulder to cry on. Further they may just help you find the information you need to find out what you can actually do for yourself to remedy, as much as possible, what you are going through with post tubal ligation syndrome.
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by Sandra Wilson
If you are one of the many women each year that begins a search for tubal reversal clinics due to changing your mind about your sterilization procedure, you should read through the below for help in determining which will be best for you. Whether you want another child due to some unforeseen change of mind or simply for relief from post tubal syndrome (PTS), you will want to be sure you go to the best clinic and doctor for your circumstances.
Probably the first thing you want to consider in tubal reversal clinics is whether or not doing tubal ligation reversal surgeries is the only thing done there. After all, if given a choice, do you want to go to a clinic where that is all they do? Or do you want to go to one where they do in vitro fertilization (IVF), vasectomy reversals and who knows what else? Kind of dilutes the experience of the staff, doesn’t it? Not only that. I think you will find that the staff just might try to persuade you to the more expensive, yet less successful, IVF. The clinic will simply make more money with that procedure than a tubal reversal because the success rate of each cycle is only about 30% and costs much more than a reversal surgery.
You will most likely also want to know something about how the clinic is accredited. Who has done the accreditation? Does the clinic even have one? Is it licensed to operate as a business? Can you easily find all this information on a website or a brochure from the clinic?
Now you will also want to know the reputation of the clinic and its doctors and staff. Can you check with former patients about how they were treated and what their results were? Will the clinic you are looking at provide this to you? Are they caring or do they make you feel like you are just a number? What type of follow up care do they give? Do they even answer your questions when you call or does it take days and weeks to get a response?
Of course, the clinic isn’t actually the one doing the surgery. What is the reputation of the surgeon from this tubal reversal clinic? How was he or she trained and educated? How many of these surgeries has he done in the last couple years? Does he have a good reputation among his patients? Do they say nice things about him? Does he respond to questions from patients or make sure someone does?
Going further into reputation, what are the surgical statistics for a tubal reversal by the doctors at the clinic? Can you easily and readily locate to learn the success rates after tubal reversal given your age, type of tubal ligation, tubes lengths and so on from that specific clinic? If you are going to have someone operating on you for that shot of having another child, I would think you would want to know what your chances of success are.
Although the price can be a very important factor, especially if you have to pay for it, don’t let this be the only factor. Prices for tubal reversals vary widely. You can find reversals for a few thousand or more than twenty thousand. Be sure to look at all the factors. You sure don’t want to end up with a cheap surgeon who has a lousy reputation or even pay for one that costs more than $20,000 who still doesn’t meet well all the criteria above.
Take all the above and search out which of the tubal reversal clinics will be the right one for you. Each of us have different criteria and different needs. These factors just give you a basis for making your decision. Good luck in your choice.
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by Sandra Wilson
There are many factors which will need to be taken into consideration by a woman after tubal reversal surgery has been carried out and she is looking to conceive. Certainly for some women once the procedure has been done, they find they become pregnant quite quickly afterwards, but for others it will take some time. There are a number of different factors a woman will need to consider in relation to her pregnancy after tubal reversal actually being successful.
A woman’s age - As a woman grows older the chances of her conceiving become greatly reduced even if she hasn’t had tubal ligation. However for those women that have had tubal ligation and then choose to have the operation reversed, they may find it even more difficult to conceive no matter their age. Although the chances of a woman conceiving after having the tubal ligation reversed are greatly increased the younger they are.
For women who are under the age of 30 the chances of them getting pregnant after this procedure is around 77% but the older the woman is the chances of them conceiving are greatly reduced. For those women aged between 35 and 39 the chances of them getting pregnant drops to 62% and for women over the age of 40 their success rate is only 34%.
Now the next thing that affects your getting pregnant after tubal reversal is what happened in your original tubal ligation surgery. Did that surgeon take too much of the fallopian tubes when he did his cutting and what condition were the tubes left in. The longer the tubes were and the better condition they are in when you undergo your reversal surgery the better your chances of getting pregnant. Even at that, some women just take more time. One woman can get pregnant almost seemingly immediately while another can take five years plus. But another factor is the length of the tubes and the condition they are in.
Next factor is how long ago did you have the original tubal ligation procedure? It is an unfortunate fact but the longer it has been the more likely there has been some damage done to the tubes and thus lowering your chances of the reversal surgery being successful. Time just plays a big role in reversing the original procedure with several of the factors and this is one more. But that does not mean it is impossible. It just means your chances are less than someone who had it done more recently.
Something else you may have considered, or are considering, is using in vitro fertilization, or IVF, instead of undergoing the reversal surgery. Your doctor may even push this option. However, a number of studies found that women having the tubal ligation reversal are more successful in conception than those undergoing the IVF treatment.
In fact in one study carried out by Chapel Hill Tubal Reversal Center, www.tubal-reversal.net, they found that more of their patients who under went tubal reversal surgery rather than IVF treatment were able to conceive more easily. Also the number of live births occurred after the woman became pregnant following tubal reversal were much higher than with IVF treatment. Also because this procedure only takes on average an hour to complete the woman can attend the clinic as an out patient and this in turn lowers the cost of even further and is far less expensive than IVF treatment.
All these items above need to be considered when you are making your decision concerning tubal ligation reversal. Keep it all in mind when you are looking at pregnancy after tubal reversal as any of the factors, or indeed all of the factors, could have an impact on your ability to conceive and have the child you are dreaming of. However, the factors affect you, this could still be your best bet.
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by Sandra Wilson
Among the methods of stopping conception available to women is the method of having their tubes tied. Along with the normal surgical risks a woman undergoing this procedure has to be aware of, there is the addition of Post Tubal Ligation Syndrome. Looking around the Internet will provide you with story after story of the painful and embarrassing experiences of the women who suffer it.
Want to know what the symptoms of Post Tubal Ligation Syndrome, or ptls, are? Well, a search will bring up a list of about 35 possibilities. Some say these are problems you can have with any type of surgery and that may well be true of some of them. However, the ones most commonly found in the stories of the sufferers are very heavy bleeding and/or longer periods, stronger pms symptoms, migraines, weight gain or inability to lose weight, terrible cramping to the point of being bed ridden for some and little to no libido. Some women even complain of thinning hair and terrible mood swings that have caused relationship problems.
Perhaps what is even worse for these women are the responses from their doctors and surgeons when these symptoms are brought to light. They range from a “there’s nothing wrong and so you’ll have to learn to live with it” attitude to outright telling these women it’s all in their heads and they need professional counseling. One doctor has been quoted as saying that PTLS is a “medical myth” on medicinenet.com.
Many women are told they need to go on birth control pills or even undergo another surgery to “correct” whatever is wrong up to and including a hysterectomy. If you need to be on birth control pills, what good did it do to have a tubal ligation in the first place? However, you will find in the medical literature that many doctors believe the problems found after the surgery are actually caused by the women going off birth control pills and other factors related to age.
This is why our quoted medical myth doctor suggests that women about to undergo a tubal ligation surgery should go off birth control pills several months before the procedure. I’m guessing that the supposed age-related factors are something you just have to live with. However, I’m not sure these suggestions will do much to help those women who were pregnant and had their tubes tied upon having their child. Obviously no birth control pills were being used prior to the surgery. Nor do the “age related factors” seem to have any application to those women still in their 20’s and experiencing these problems.
Another way to help with these effects and syndromes would be a better notification of potential complications before the surgery. Even the government’s FDA website only lists the following as possible “rare” complications from the surgery: infection, ectopic pregnancy, hemorrhage and problems related to the use of general anesthesia. No mention of the effects that so many women suffer from PTLS. Maybe a more informative consent form would stop some women from going through with the surgery. At least they would be better informed with a consent form that included PTLS which is what the “Coalition for Post-Tubal Women” is trying to accomplish.
However, for women who have already undergone tubal surgery, there has to be other action taken. These can include, as mentioned above, going onto birth control pills, having a hysterectomy or having a tubal ligation reversal surgery performed. By getting a tubal reversal ptls symptoms seem to be reduced for about 90% of patients. That’s the results of a study Dr. Berger of the Chapel Hill Tubal Reversal Center cites at press.tubal-reversal.net/2008/post-tubal-ligation-syndrome.html
The women on the message board at Chapel Hill Tubal Reversal Center and in stories you will find there will tell you how they have felt better and had a return to their old lives by having a tubal reversal surgery. No more suffering from post tubal ligation syndrome at best for the vast majority of the ones who have suffered from it. Perhaps, given the particular circumstances of any woman of course, a tubal ligation reversal is the best answer for someone suffering from ptls. Talk to your doctor, or better yet, discuss this with Dr. Berger’s staff.
About the Author:
by Sandra Wilson
When you begin your search among all the tubal reversal doctors available, or at least say they will do a tubal ligation reversal, how do you choose? In the following paragraphs, we will list some of the questions you need to ask that will lead you to choose the best surgeon for you.
Probably the first thing you should check is the doctor’s background including his education and training. Where did he go to school? During his internship and residency, did he train under anyone or at a hospital where he even saw a tubal reversal being done? Most doctors simply do not see this procedure being done at all throughout their training because many hospitals don’t perform the operation very often. Why? Simply because most insurance will not cover the procedure and, therefore, the hospitals don’t do them. So, has his training and educational background provided him with enough training to do the job well?
Now, let’s ask about their experience. What kind of experience do any of the tubal reversal doctors you are looking at have in actually performing the surgery? How many times a year do the surgeons you are looking at actually perform this operation? Many doctors who are happy to perform the operation for you do this as a sometimes occurrence. Does the doctor you are looking at perform this operation every working day of the year, except for vacation and holidays? Or has he maybe done three in the last four years or some other ridiculous statistic? Is this all your doctor does or is this a very sometime thing that he does now and then in addition to doing lots of other things? How well can he possibly do the surgery if he doesn’t keep in practice?
You should also find out what method the doctor uses to do the surgery, especially if he does them seldom and hasn’t kept up with the latest. Does he use a stint to make sure your tubes are aligned and that there is no blockage? Or does he simply “stick” them together and hope for the best? If using a dye test after the job is done and it shows a blockage, what is your recourse? Just live with it? Will the doctor do a very invasive surgery by cutting you open and using clamps to get muscles and else wise out of the way thus creating a much more intensive and lengthy recovery time? Or does he do the surgery in the least invasive manner possible?
Communication - Is it easy for you to communicate with the doctor and his staff? Can you get your questions answered relatively quickly? Or does it take days and weeks to get a response to any of your questions? What do the other patients of the doctor say about him/her? Can you even get into touch with them to see if they would do it all over again with this doctor? Being the day of the Internet, does this doctor have an on line forum where you can talk to him, his staff and other patients and would-be patients?
Because it is most likely that one way or another, you will end up paying for this surgery out of your own pocket, how much does the operation cost you? Sure, we all know that you can’t put a price tag on that smiling new face or the relief from pts but you have to be realistic. However, don’t let price fool you. In this case, the most expensive doctor is most assuredly not the best surgeon. Be sure you take all the other factors into consideration as well including factors about the facility where the operation will take place.
How about the statistics surrounding this doctor’s success rates to reverse tubal ligation? Does he even collect the information? What kind? Can you look at it to find what chances your tube length or age or even the tubal procedure you had done will give you with him? I’m not talking about statistics for all tubal reversals done around the world or just in your country. I mean his specific stats that will let you know how well he does at this. Of course, if he hasn’t done more than a few, it won’t do you much good to have the information any way.
These points above are a good start on the things you need to think about when looking for your surgeon. They are all part of what goes to make up a good and positive experience for you. There are more factors to be considered as well, but begin with these. Find the one surgeon, from all the tubal reversal doctors, who will best fit all these areas of concern and you will have a better experience.
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by Sandra Wilson
Many, many women regret their tubal ligation each year for one reason or another. Once they have decided upon having a reversal surgery done, finding funding for tubal reversal becomes the biggest part of their lives as well as picking the best doctor to do the surgery. As these reversal can be quite costly, there usually is no other option but to seek out ways to scratch up the fees.
As most women will not have the full amount required for the surgery in their bank account, this means coming up with another way to get the money for the doctor’s fees, testing and whatever else is needed to carry out the procedure. Below we have included several different methods for finding the funding for tubal reversal.
Let’s start our list with the old tried and true savings account. In this you will put “extra” money. If you have a jar to catch the extra change you hate to carry in your purse or your husband hates to carry in his pocket, empty it every week into your savings account. Look around for whatever ways you can find of cutting costs in your home and add these savings to your account. The web and the libraries are full of information and books on budgeting and living frugally. You might even consider having a savings account set up just as your tubal reversal fund. Nothing gets pulled from it till it’s time to pay the doctor.
Next is a version of the first in that you will end up saving to come up with the full amount. In this version, you go out and get a job. If necessary, you get a second job. Then put that money aside into your savings account till you have the full amount all saved up.
The next method of funding for tubal reversal is a payment plan. This will be set up with your surgeon, or more precisely his office. You will have to find out if this is available to you from your surgeon. If you choose world renown Dr. Gary S. Berger to do your surgery, you will find that this option is available. Simply contact his office to get further details on how this will work.
A good way to help either your savings account or your payment plan along is to add your income tax refund into it. This can be a nice big boost, depending upon the size of the refund. It could sure give you the incentive to keep carrying out your savings or payment plan.
Usually the first place you will look for funding for tubal reversal is your health insurance provider. However, most will not cover this type of elective procedure though some may cover some of the initial testing. I hate to say it, but it all depends. It will really take a call to your company to get the real scoop and even then two different people there may tell you two opposite answers. If you do get someone to tell you a tubal reversal is covered, then get it in writing. You don’t want to be surprised after the surgery and find you have to pay it all with no reimbursement.
While still talking about health insurance there are two ways that you just might, that it’s just possible, you can get them to provide the funding for tubal reversal. If you suffer from post tubal ligation syndrome and you can get your primary doctor on board, he/she could state in writing for your insurance company that you need your tubes repaired. Not that you need a tubal reversal but that you need your tubes repaired. The second way you might get some money returned to you is if your insurance has a health expenses cap and you go over it with the surgery.
Lacking health insurance to pay for the tubal ligation reversal, you might be lucky enough to have a flexible spending account for health at your or your husband’s employment. Some of these will allow you to take out the full amount in advance. You’ll just have to see what the particulars are during your enrollment season. As the amount you pay into the flex spending account is pulled from the paycheck before you ever see it, you most likely won’t even notice it.
Another such source from your work would be taking out a 401(k) or IRA to pay for the full cost. You will end up paying a penalty and that money won’t be building your retirement so you will just have to decide what is most important to you. If it’s for ptls relief, I know what I would choose.
Of course, no talk of financing would be complete without addressing using credit cards. Unlike most of what we discussed above, this one will put you into debt. You will have to decide if it is good debt or bad debt. If your physician won’t accept your credit card, you could try taking out a cash advance. Some credit cards will even give you checks you can write out just like a normal check but the amount you write it out for will be added to your credit card balance. Check and see what interest rates you will be paying for these checks or a cash advance.
I hope these ideas above will give you some food for thought to decide on your funding for tubal reversal. Discuss this with your husband or significant other to decide which will best fit your situation. Some are slow and some will get you there faster. Good luck.
About the Author:
by Sandra Wilson
Email phishing is a very dangerous and potentially financially fatal trap that is sent via email from what appears to be a financial institution to an individual. Most of the phishing emails that one will receive are very easy to notice as fraud emails, but there are some that are very sophisticated and can take time to identify.
Most email phishing is seen as the attempt of an individual to gain your account numbers or other personal information. This information can then be used to complete a transaction which includes them removing money from your account or stealing your identity.
One type of common email phishing scheme is where someone from another country supposedly needs to transfer funds to a bank account in the U.S. He requests you please help him get his inheritance, or whatever he claims he needs, out of his country. You can do this by allowing him to put the money in your bank account and for this service, you will receive a percentage or set amount. To show good faith, a small amount of money will be transferred to your account. Looks good but the next thing you know, most, if not all, of your money will be drained out of your account. This scam works by addressing your greed - do next to nothing and get paid for it.
There is another type of phishing email that is even harder to catch. It is an official looking email from your bank or credit card company or some other financial company. It requests that you update or modify your personal information at their site and provides you with a link to go there. Since it looks very official, many people click the link, go to the site and enter their login and password. After all, it looks just like your bank’s site. This is what can make these scamming emails so much harder to detect. Everything looks like it should. However, you should be aware that most financial companies will not ask you to update your information this way.
What you can do the most to help with this email phishing problem is to take action and report any email that doesn’t look right. If you receive emails from anyone asking you to do something money wise that you did not request, report it to the authorities. You would much rather report a perfectly legitimate email and have made a mistake than to not have and end up losing your identity or money.
About the Author:
by Sandra Wilson
Tea has been around a long time. Myth has the beginning of tea as a beverage dating back to about 2737 B.C. in China. Although long thought to be older than beer and wine, recent research shows tea to be about as old as beer but wine, as a fermented beverage, is older. Tea is, however, older than coffee.
In addition to being old, tea is a very popular product. According to the Food and Agriculture Organization of the United Nations, the yield in 2006 was about 3.6 million tonnes. When you consider it takes only about two grams of tea to make a cup of tea, you can see we are swimming in it.
Some people worry about the amount of caffeine in their coffee and drink tea as a means of reducing it. How much caffeine you will get though depends upon several factors such as the type of tea, the brewing time, and preparation. The most is about 110mg in a six ounce cup of black tea. But even black tea can have less.
Vitamins, minerals, flavonoids, and polyphenols are among the benefits you get from drinking a cup of tea. These help fight off the effects of our daily lives by getting rid of free radicals and also boost our bodies’ defenses. Some studies show positive effects in preventing cancer and warding off the dreaded disease Alzheimer’s. All from drinking a simple cup of what I would argue is the world’s favorite drink.
Certainly most people don’t care about all the many benefits to tea, even if that is why they first started to drink it. After a time, it simply becomes a way of life because it is simply a wonderful beverage. There are so many wonderful types of tea and if you add in herbal teas, or tisanes, the varieties are almost endless.
Over time, tea has not only been a drink. It has served as the basis for many ceremonies and events. You no doubt have heard of the Japanese tea ceremony in which a tea master will strive for excellence all his life. Then there is the afternoon tea that began in Great Britain by Anna, the Duchess of Bedford as a means of tiding one over from the morning breakfast till dinner which was served late at night. It developed into quite the thing to do and became part of English society.
All around the world, one thing many people can agree upon is the cup of tea as a part of daily life. Whether it’s a glass of iced sweet tea in the southern United States, a cup of Darjeeling from India, or Pu-erh from China, tea makes the world go round. Regardless of philosophy or politics, tea is something we can agree upon even if we might not agree upon the type.
So regardless of what type of tea you prefer, there is a tea for you whether it is black, green, white or red. And don’t forget the herbal teas that aren’t created from the tea tree. No matter what, you can’t resist a cup of the most perfect drink there is…tea.
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by Sandra Wilson
With all the available systems you might be confused at how to find the best house alarm system for your place. The wide array of choices might leave you a bit bewildered. We hope that this article will give you some guidelines to help you in making your choice among the available home security systems.
Buying a security system to install or have installed in your home seems a most practical thing to do today. Even once pretty secure places have become such that you have to worry about someone breaking into your home whether you are there or not. It just makes lots of sense to have some type of an alarm or notification system in place.
Yet once you have chosen to get a house alarm system installed in your home, whether by a company or by doing it yourself, then this is where the difficulties begin to arise. Because there are so many different alarms now available, actually deciding which is the right one and which meets your particular requirements can be tough.
The first thing that you should do is check out several alarm companies to see what they have on offer. This can be done in your local area or through the Internet. Also it is a good idea to talk to friends, family and neighbors who have alarm systems already fitted to see if they would recommend the company that they used. By doing this you will be able to see what the differences are in each system that is available.
Getting your list of potential alarm systems together is your first step. Then it’s time to look at each with regards to the following items which will allow you to compare the pros and cons of each.
Check that each company has the proper insurance to be doing the work they are doing. After the fact could lead to you having to cover any losses on your own. You might want to check your own insurance company for suggestions as well.
Secondly, it is important that you check to make sure that company you wish to use has a valid business license to operate in the city where you live. A great way of doing this is by contacting the Better Business Bureau or an association which provides licenses to all security system companies.
The last thing you will want to check is whether or not the company you are looking at does their own installation work or if they subcontract out the work to someone else. Not that subcontracting is necessarily bad. But you will want to be sure just what arrangements are made for handling any problems that may develop with your house alarm system later on like who is responsible and who will do the work.
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