Tubal Reversal
Albany GYN in Albany, NY offers women in the Capital Region gynecological care with an experienced, caring staff for each phase of your life. Albany GYN offers basic annual exams and gynecological care, fertility treatments, surgeries including those using the da Vinci robot, menopause and incontinence care. We would be honored to care for you and answer your questions.
Tubal ligation or “tying the tubes” is the most common form of permanent contraception for women. Often times, women might regret this decision and desire another child. Studies show that this regret is about twice as likely for women undergoing tubal ligation under the age of 30.
Options for having another child after tubal ligation include In Vitro Fertilization and Tubal Reversal. In Vitro Fertilization involves stimulating the ovaries to produce many eggs and then removing those eggs from the ovaries and joining them with sperm. Uniting the egg and sperm produces an “embryo” which can be placed back inside the uterus where it will, hopefully, implant.
An alternative option is reversing the tubal ligation. This can be done surgically. The success rate of opening, at least, one tube is about 90%. This depends on what type of tubal ligation was originally performed. As long as there is enough of the fallopian tubes left, then tubal reversal can be quite successful. Pregnancy rates following reversal are variable but can be about 70%. Advantages over In Vitro Fertilization include a lower cost, less risk of twins and triplets, and the ability to have more children in the future at no additional cost.
If you or someone you know is interested in tubal ligation reversal, please call our office at 518-482-1007 to schedule a consultation.
Dr. Nicholas Montalto Talks About Screening for Cancers
Our mission at Albany Gynecology and Fertility is the overall well being of our patients. Screening for cancers, such as breast cancer and cervical cancer are part of that mission. Physical examination and radiologic imaging comprise this screening. There have been changes recently in the guidelines for cervical and breast cancer screening.
We have learned that whether or not a woman has Human Papilloma Virus (HPV) is critical to her chances of developing cervical cancer or precancer. If negative for HPV and over 65-70 years old with normal pap smears, continued screening is probably unnecessary. Furthermore, after hysterectomy with no abnormal pap smears, screening can be discontinued.
Breast cancer screening changes are much more controversial. Recently, the United States Preventative Services Task Force (USPSTF) has recommended NOT performing screening mammography on women until the age of 50 instead of age 40. After age 50, screen every two years until age 74. There is insufficient evidence on mammographic screening after age 74. The American Congress of Obstetricians and Gynecologists still advocates screening every 1-2 years from age 40 to 50 and yearly afterwards. They are reviewing the new USPSTF guidelines.
Cancer screening guidelines will continue to change as we gain more advanced understanding of the disease processes, as well as, advances in screening technology. At Albany Gynecology and Fertility we strive to keep you informed of changes and provide you with the most “up to date” care.
Albany Gynecology and Fertility, 130 Everett Road, www.albanygyn.com, 518.482.1007
Urinary Incontinence is Treatable – Dr. Nicholas Montalto
Urinary incontinence is the involuntary or unintentional loss of urine. It is one of the most under-treated problems facing an estimated 10 million woman in America. Read more
Hot Flashes in Menopause – Dr. Nicholas Montalto
Menopause is a journey experienced differently by each woman, but according to collected data, about 75 percent of women will experience vasomotor symptoms (VMS). VMS are commonly defined as hot flashes or night sweats usually due to hormonal fluctuations in peri-menopause and menopause, however, there is no consensus on the cause. Read more
