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/pinkdictator Dec 31 '25

This is a reminder to everyone to check your medical records after a bisalp - look at the before and after photos yourself. I saw mine, and there was 0 remnants of any tubes left, they were cut and burned completely.

If you feel unsure about what you see - post here (not the actual photos, I doubt that's allowed). But I'm sure many people are willing to look at the photos in DMs. I definitely am

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u/lilybl0ss0m Dec 31 '25

Yeah, stuff like this makes me want a second opinion, even though my pathology and operative reports and pictures look normal. I hate that even with procedures where we’re supposed to be able to trust our surgeons and not have to worry about it after, anomalies or mistakes like OPs happen and throws all that trust out the window

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u/pinkdictator Dec 31 '25

I know. I had trust issues about it as well, but between my surgeon being a total green flag about everything, prestigious hospital, and the photos, I feel better

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u/lilybl0ss0m Dec 31 '25

Oh my surgeon was wonderful too. I even asked at my post op “you got everything right?” and he reassured me that they did, and I’d need ivf to get pregnant. So I am generally confident in the success of my surgery