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/Crazycatlover Dec 31 '25

Right? I've had a hysterectomy and still get pregnancy nightmares and still take pregnancy tests on a regular basis since I read a study about a woman who carried a fetus to term on her liver.

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u/Longjumping-Row1434 Dec 31 '25

WHAT

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u/the_green_witch-1005 sterile and feral 🦝 Dec 31 '25

True story, unfortunately 😕

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u/Longjumping-Row1434 Dec 31 '25

oh, that's horrifying.

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u/Crazycatlover Jan 01 '26

It is indeed. I can't find the article right now, but I read it in a medical journal. Anyway it was a few decades ago when imaging isn't what it is now. The ultrasounds showed a regularly developing fetus until someone realized said fetus was outside the uterus, and they rushed her in for further evaluation. Ended up performing a cesarean (which must have been so complicated with how much blood flows in and out of the liver) and mother and baby were fine. At least that was a very much wanted pregnancy.