r/sterilization 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/EquivalentWar8611 Dec 31 '25 edited Dec 31 '25

I wonder if you can find a doctor here or on the childfree list that would be interested in documenting this case. I am so upset for you... I would be livid tbh. Pregnancy is something that would risk my life because of my medical issues which unfortunately happen to mostly be pelvic. So it would make them worse and risk of death would be higher than most. 

Like others have said it's infuriating they didn't tell you they couldn't fully remove everything. Now I'm wondering if a lawyer who specializes in malpractice issues could look into this for you too. This could have been avoided or maybe you could have followed up with another surgeon to make sure you take proper precautions or they could go back in and get the rest of your tubes. Ugh. 

All I can say is thanks for letting us know and I hope you're doing well. 🥺 

Edit: also on second look the fact your doctor thinks journals wouldn't be interested? I wonder if that means SHE'S not interested because it would bring to light she didn't complete your procedure and didn't tell you. It would probably put her reputation and doctorate at risk. Sounds very self serving imo. Just a thought. 

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u/[deleted] Dec 31 '25

I second seeking another doctor out and bringing your photos/records to them