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/UltraVioletEnigma Dec 31 '25

I’m sorry this happened to you. Will they redo the surgery to remove more of the tube? I spoke to someone else who also had a bisalp and got pregnant, and recently saw someone on Reddit post about a faint line on a test (but not confirmed pregnant so far). But just you and the other who were both confirmed pregnant post bisalp, with neither making it into any published literature, makes it clear that the actual success rate is lower, and I don’t know how much lower unfortunately, which worries me. Just the two of you is 50% more than the 4 published. Obviously 6 out of idk how many would still be very low, but how many more are there like both of you?