Dr. Berger: And so I have arrived at the opinion based on good facts not just my own personal belief. Actually based on excellent evidence that repairing the tubes really provides a realistic hope for pregnancy. I have developed a much more liberal attitude about this than many doctors have who are reluctant to recommend tubal surgery because it is complicated or doesn’t have very high success rates. But we really see the opposite. This is a safe and I try to make it a very comfortable operation with a high pregnancy success rate.

TR Patient: That is good to know.

TR Spouse: That is good to know because we have talked to doctors that look at the operative report and immediately say IVF. And we just didn’t want to go that route.

Dr. Berger: I would be interested to hear why you did not want to go through the route of IVF.

TR Patient: It’s expensive.

TR Spouse: It’s expensive and though I know a lot of people use it you either have no babies or two babies, six babies. That was part of the risk that we weighed too. Tubal surgery would be of a natural way to do it.

Dr. Berger: It is. Once the tubes are open there is a chance every month that she may get pregnant.