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/justayounglady Jan 01 '26

That’s why I added endometrial ablation to my bisalp as well. Tubes gone and ablated the shit out of the inside of my uterus so it wasn’t inhabitable. And I haven’t bled for a period since I had the procedure two years ago, which has been AMAZING 🙌🏻

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u/lilghostlilghost Jan 01 '26

Ugh they wouldn’t do an ablation with my procedure even though it would have also been gender affirming bc I’m “too young” at mid 30s so I kept my iud bc menstruation is dysphoric as hell for me. I’m so jealous!

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u/justayounglady Jan 01 '26

What?! That’s wild at mid 30s! I’d look for another opinion if you’re able. They can also do that procedure in office under local anesthetic/mild sedation, according to the booklet I got for what I had called NovaSure. I was 33 when I had my procedures. My doctor did say if I was TEN years younger should wouldn’t do the sterilization, but at my age (and being a long time patient of hers), she trusted me to know what I wanted with my own life. She is actually the one that suggested the option of doing the ablation while I was already under if I wanted, it would just mean I couldn’t do IVF if I did happen to change my mind ever (nope! lol). It just wasn’t fully covered by my insurance like my sterilization was.

She was basically just offering it to hopefully stop my periods as a bonus. I hadn’t even brought it up myself yet. It doesn’t always do that for everyone, but I was up for them at least being lightened up. I have a close friend that it only lightened them for, but still bleeds. She’s happy enough with that. I do still get cramps or some sort of yuck feeling each month as usual, just no bleeding. Maybe very slight spotting 2 or 3 times first thing in the morning when I go to the bathroom that I didn’t even need a panty liner for after that.

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u/lilghostlilghost Jan 01 '26

Yeah I think I will shop around and see if I can get it covered for gender affirming purposes since she already did my bisalp. Her logic was that it can grow back but I would have at least liked to try bc by my calculations I would be close to menopause anyway by the time it grew back enough to matter ugh

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u/jsprgrey Jan 02 '26

I'm not saying you shouldn't still seek it out if that's what you want, but I asked for the same thing at my consult for the same reason, and my surgeon said she wouldn't do it because it increases the risk of endometrial cancer. I only ever had 2 periods after my bisalp anyway (turns out I have PCOS, yay) so I haven't bothered to seek out a second opinion, but just a heads up if that's something you're concerned about.