Our Fertility Surgery Services

Tubal Reversal clinic in Los Angeles

TUBAL LIGATION REVERSAL SURGERY (TLRS)

Tubal Reversal clinic in Los Angeles

ESSURE REVERSAL

Tubal Reversal clinic in Los Angeles

ESSURE REMOVAL

Understanding Tubal Ligation  Surgery

Tubal Ligation Reversal Surgery (TLRS) offers a beacon of hope for women who wish to regain their fertility after undergoing tubal ligation. This procedure has the potential to significantly restore natural fertility, opening the door to the possibility of pregnancy.

Endorsed by the American Society for Reproductive Medicine (ASRM), tubal reanastomosis stands out as a highly effective method for reversing tubal sterilization. The ASRM advocates for this surgery as a preferable option to in-vitro fertilization (IVF), highlighting its superior cumulative pregnancy rates and cost-effectiveness, even for women aged 40 and above. This support underscores the procedure’s viability and success in offering women a path back to natural conception.

Premier Facilities

Our clinics in Beverly Hills and Marina Del Rey, California, are more than just medical centers; they are state-of-the-art havens where advanced technology meets comfort. Designed to provide the best in surgical care, our facilities ensure your journey is supported by the latest advancements in tubal reversal procedures.

Expert Care Team

At the core of our practice is a team of seasoned professionals, each bringing years of expertise and a compassionate approach to patient care. We’re not just here to guide you through the process; we’re here to support you, offering personalized care that extends well beyond the surgery room, all with the goal of adding a new member to your beautiful family.

Unmatched Affordability

We understand the financial considerations that come with medical procedures, which is why we’re committed to providing the most cost-effective solutions without compromising on quality. Our promise is simple: the lowest possible prices for top-tier services. And if you find a lower offer elsewhere, we’re prepared to discuss options to meet or beat it. Experience exceptional care that’s within reach.

Complimentary Consultation

Begin your journey with a no-cost phone consultation, offering you personalized attention and evaluation from the start. This initial step is our way of ensuring you feel informed, valued, and understood, setting the foundation for a successful path to extending your family.

WHAT IS ESSURE?

Essure is a form of tubal occlusion. A hysteroscope ( a device that scopes inside of the uterus) is used to place two separate sterile metallic coils into each fallopian tube. They stimulate an inflammatory response and scar into the lining of the fallopian tube. This is how they occlude the fallopian tubes where they connect to the uterus. Essure was first approved by FDA for use in the United States in 2002.

In September 2015, the U.S. Food and Drug Administration (FDA) convened a meeting of the Obstetrics and Gynecology Advisory Board Committee to address the sudden increase of patient-reported adverse events surrounding Essure, a sterile coil that is inserted into the fallopian tube through hysteroscopy. After a review of the premarketing and postmarketing data and existing scientific literature, the FDA concluded there was insufficient evidence to remove the device from the market. However, the FDA did release a new guidance document requiring a black box warning for the device and ordered a new postmarketing study comparing Essure’s safety and efficacy with laparoscopic tubal sterilization. 

These were all due to extensive complications such as experienced complications such as:

  • pain
  • cramping
  • vaginal bleeding
  • pelvic or back discomfort
  • headaches
  • nausea and/or vomiting
  • Fatigue
  • Weight changes
  • Hair loss
  • Mood changes and depression
  • Allergy and hypersensitivity reactions
  • Joint or muscle pain
  • Muscle weakness

For these reasons, many patients desire to have their Essure coils removed from their body regardless of their future plans for pregnancy. Patients travel  nationally and internationally to come to our center to have their Essure coils removed or removed and reversed with a desire for future pregnancy. We have the most seasoned Essure removal and reversal experts at our center. Don’t wait! Get those coils out of your body.
 

GETTING PREGNANT AFTER ESSURE

Two choices exist.

  1. in-vitro fertilization (IVF)
  2. Essure removal and reversal

We specialize in the surgical removal of Essure coils and surgical reversal of Essure sterilization.  Isthmic –Interstitial ( two anatomical segments of the fallopian tube with the smallest caliber could be re-connected in expert hands utilizing a special microscope. Alternatively, re-implantation of the fallopian tubes into the uterus could also be done. Our experts perform this procedure under general anesthesia through a 5 cm (2 inch – Fig.2) incision into your lower bikini line. We use a special microscope. This is to improve success rates and help reduce postoperative pain while improving fast and smooth postoperative recovery. Surgery is about 2 hours in uncomplicated cases. Patients go home the same day on painkillers and antibiotics. Patients will have 24-7 access directly to the surgeon’s cell phone for any and all concerns.

 

The literature lacks evidence-based articles to explore different techniques, success rates, complications, and outcome measurements. It is unclear what the effects of the Essure micro-insert devices are on IVF success rates and pregnancy outcomes.  Pregnancy with Essures in place may have its own risks. Maternity candidates should make themselves aware of the composition of the Essure micro-insert system and reasons for concern with pregnancy.
 
Our world-class clinics are in Beverly Our world-class clinics are in Los Angeles California. Our guests are referred to us from all over the world. We pride ourselves in providing the latest techniques in the hands of our world-renowned experts in a safe, cost-effective, compassionate, and private manner.
 

ESSURE REMOVAL

It should be done in expert hands. The coils should be removed in their entirety. They tend to get fragmented and broken if not properly handled. That could continue to give the patient the same symptoms and complications that we discussed above.

Hysterectomy

Through different approaches, i.e. abdominal, vaginal or laparoscopically assisted methods this is a straight forward outpatient surgery in the hands of our experts. This method does not involve removing of the ovaries that are the woman’s source of hormone production.

Complete bilateral Salpingectomy

This involves complete removal of both fallopian tubes. Must be done meticulously in expert hands to remove both Essures without fragmentation. This could be achieved through laparoscopic approach with 10 millimeters ( less than half of an inch) incisions. This procedure also helps reduce the chances of ovarian and fallopian tube cancers.

Partial bilateral salpingectomy

Only the segments of the fallopian tubes that contain the Essures would be removed. This could also be achieved through laparoscopic approach with 10 millimeters ( less than half of an inch) incisions.

Salpingostomy and Essure removal

This technique is used to just extract the Essure coils and their surrounding fibrotic scar tissues utilizing a special microscope. In expert hands, this method is more commonly used if Essure reversal and future pregnancy is desired.

Schedule your consultation now and explore our Tubal Ligation, Essure Reversal & Removal Services in Los Angeles!

Tubal Ligation Reversal Surgery

Depends on what their definition of major surgery is. We perform this through one very small incision about 5 cm or about 2 in long using the most advanced state-of-the-art surgical microscope. We do it outpatient and it’s very well tolerated in general.
Many different factors come to play a role such as your BMI previous number of cesarean sections and abdominal surgeries other complicating uterine or fallopian tube procedures, and the type of tubal ligation to name a few.
For you to become a mommy again you either have to do the tubal reversal or choose to go with in vitro fertilization. In vitro fertilization for ladies 40 and above has about a 10% success rate and for ladies under 35 is at best around 30% per cycle. The cost is about $30,000 per cycle which is usually two months. The chance of success with tubal reversal is much higher than that although it depends on many other factors such as the type of tubal ligation the length and the quality of the leftover tube.
Surgical pain usually is consistent with the size of the incision length of the operation blood loss to name a few. In our practice, we use an advanced surgical microscope through a single small incision. Our patients can go back to sitting jobs within days and usually completely recover within 2 weeks. Post-operative pain is a subjective matter but most patients are very well controlled with non-narcotic painkillers.
This procedure is outpatient and after the surgery, you’ll be able to go home.
The downtown also depends on many other comorbid factors such as BMI other medical conditions previous surgeries the length of the surgery length of anesthesia and its related side effects but in our practice, this usually is about 2 weeks.

It’s like any other surgery ie e. bleeding, infection, injury to internal organs, risks of anesthesia, the possibility of admission to hospital for various reasons, and complications.

In our practice, this is relatively fast since we make a very small incision and use the most advanced surgical microscope for the delicate manipulation of tissues. Usually 2 weeks.

Our Clients Reviews

5/5
"I was very happy with the experience. At first I was hesitant to fly to another State. First I had a phone consultation, and still wasn't sure. So I had another one. I liked the doctor and the staff. Every time I needed something they were always there. I finally had it done, and was a little frustrated when after five months I wasn't pregnant so I had another phone consult. The doctor ordered a test and only after it showed my tubes were open could I relax. Ten months later I'm PREGNANT!!!!!!!!!!! THANK YOU."
L. M. from Los Angeles
“I had a tubal reversal done at this center and both the doctor and his staff were really great and answered all of my questions. The doctor here told me from the beginning there are never any guarantees and you have to understand that going into this but that after he performed the surgery I would have a great chance of conceiving. I think for those of you who have not became pregnant yet just relax and don't stress on it so much, remember good things come when you least expect it.”
N. S. from San Jose
“I had my tubal reversal surgery a year and a half ago. I got pregnant six months after the surgery. The doctor and staff were great and always were there to answer any questions I had. Initially I was thinking of doing the In Vitro Fertilization (IVF) but I am glad I decided to have the Tubal Ligation Reversal procedure instead. It was effective and cost much less than IVF.”
C. J. from Denver
“My name is Phyllis and I live in northern California. I was 39 years old and had mild lupus when I had my tubal reversal done at this center in Los Angeles. The doctor at this center explained everything to us and that the surgery was not guaranteed. He gave us a small chance of pregnancy. I got pregnant 3 months later and had our baby girl. I did have a highrisk pregnancy but all went well. Both the doctor and his staff were great. ”
Phyllis R. from Irvine
I got my tubes reversal on Jan 2018 and today I found out I’m 6 weeks pregnant. Thank you so much doctor for male our dreams come true. Definitely recommend this place. Every woman is different and your body heals differently. For me it took 2 years . We can’t wait to hold our baby.
Azalia
He is the best ... I had my tubes cut and burned 7 years ago. and my husband and I wanted to have a baby and in March of this year 2018 he did my tubal reversal surgery. AND SURPRISE I ALREADY HAVE 6 WEEKS OF PREGNANCY. My husband and I are more than happy with the new wait. 08/28/2018
Ms. Martinez
Dr. Bonnie did my surgery may of 2020 and on thanksgiving 2021 I found out I am 5 weeks and 3 days !!!!!I was getting worried at first but I couldn’t be more happy now thank you to the staff at this office as well the girls were amazing Dr Bonnie thank you so much!!!!
Savannah
Very nice facility. My procedure was done efficiently and the staff was knowledgeable and kind. Dr. Bonni is a pro at this 💯
Mi
He’s prompt caring and professional
Tiffany
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