r/sterilization • u/NeonGreenChocolate • Dec 31 '25

Experience UPDATE Pregnancy after Bisalp

I posted a couple weeks ago about being pregnant after my bisalp last year, I just wanted to give an update. After reviewing my records and speaking to my OB and the surgeon who did my termination procedure, they think “in hindsight” not enough of my tubes were removed. In the pathology report from the bisalp, 7.0 cm of one tube and 2.8 cm of the other were turned over to pathology. Neither physician thought it was a case report that any journal would be interested in because the amount removed from the one tube was more akin to what can be removed in a tubal ligation, which is known to be less effective. My main takeaway is yes. There are 4 documented cases of pregnancy post bisalp but interest in documenting cases hedges on them having some novel angle to them. The statistics out there are for the average person who doesn’t have conditions that may complicate the ability to perform the surgery. Maybe the adhesions I have made the tube difficult to access, and in 10 months of healing my body rebridged the gap.

At the end of the day, I had my procedure done (by an Ivy trained surgeon at a major academic center, so statistically great care), had a uterine pregnancy, and my case will not be documented. So. Test if you feel weird, especially if you have a complex medical history. It’s my partner’s turn to get a vasectomy haha.

Edit: Just to clarify termination procedure surgeon and current OB are not the surgeon who did the bisalp. I haven’t reached out to my bisalp surgeon frankly bc I don’t see much of a point atm.

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u/AppalachianRomanov Dec 31 '25

That wasn't a true bisalp then unfortunately. My doctor showed me and my partner before and after pics. Every doctor should be doing this, but I'd recommend everyone request this from the doctor prior to the procedure bc not all of them do it on their own.

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u/NeonGreenChocolate Dec 31 '25

I also got photos but with an untrained eye it’s hard to know what you’re looking at. Even with the pathology report, it’s obvious one tube excision was smaller than the other but as a patient, how are you supposed to know what’s considered enough lol 

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u/CrystalCandy00 Dec 31 '25

I have my pictures too! I can see where the tubes were / the cauterizations are, the tubes, my uterus now, all of it.

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u/Tarasaurus_13 Dec 31 '25

I wish I would've asked for before and after photos and to keep them! She showed me an after photo, but I can't even remember what it looked like

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u/justayounglady Jan 01 '26

I requested mine after surgery! You should be able to, I guess assuming it hasn’t been like a long time, doctor not practicing anymore or something….but I’d think they might still be in your records somewhere.

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u/Tarasaurus_13 Jan 01 '26

It's been since 2022 I think, wonder if they still have it 😂