The good news is that we sew the tubes in layers from inside out which not only sews the tubes together but sews the tubes open. This method of tubal reversal is much more expensive and time consuming but we feel it is less likely to result in ectopic pregnancies. We have just finished an analysis of all our patients from 2006 to 2010, and our ectopic rate was between 2% and 5%. Some facilities have posted their ectopic rates at 10% or higher.
With currently available drug therapy no one should lose a tube to an ectopic pregnancy. All of our tubal reversal patients get instructions on how to detect an ectopic pregnancy early on and seek drug therapy to cause the woman’s body to absorb the pregnancy. If patients pay attention to their menstrual cycles, get testing as soon as they miss a period and non surgical therapy the tube is saved and they can try again.
There are a lot of lawsuits about ectopic pregnancy and in areas where lawsuits are common doctors tend either to do too much or too little. Don’t let someone tell you that they never see pregnant patients until they are 6 weeks or 8 weeks. You are special. Even if your tubes are not untied you have an increase risk of ectopic.