The answers to this question are a very important part of the teaching that every patient who comes to our center goes through. Of course, we hope that you come to us if you decide on tubal reversal, but wherever you go you need to be aware of the risk of ectopic or tubular pregnancy. No matter who does you tubal reversal you have an increased risk of ectopic pregnancy. If your tubes are tied, there is an increased risk of ectopic; any surgery on the tubes increases this risk. The good news is that ectopics are easily treated with medicine if you catch them early. The minute you miss a menstrual period, you need to get one of the urine stick tests. If the urine test is positive is positive, you need a blood test. The blood test won’t give a yes or a no; it will give you a number. If that number is high enough you need a vaginal ultrasound to make sure the baby is in the womb. One benefit of dye testing and closing the tube in layers is that we have very few ectopics. Our incidence is between 2 and 5 %. We check our incidence every 6 months. I feel that closing the tube in layers and dye testing the repaired tube is responsible for our success with ectopic pregnancy.
Even if you just have your tubes tied, you have an increase risk of ectopic or tubular pregnancy. I tell patients ectopics are like a problem with the transmission in your car. If you take in to the dealer when it’s not changing gears quite right it won’t be too bad, but if you wait until parts are falling on the ground, that’s going to be costly. If you come here for your tubal ligation reversal you will have a review session with me about ectopic pregnancy early detection and you will be given a cell phone number to call us any time you want. Like so many things in life, there is an easy way to fix this problem and a hard way. If you catch a tubal pregnancy early on you can treat it with a shot or pills. If you let it go on, you will end up having surgery and loose a tube. Wherever you go to have a tubal reversal I hope you remember this.