pregnantagain.com
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Submitted URL: https://www.tubal-ligation-reversal.com/
Effective URL: https://pregnantagain.com/
Submission: On August 22 via api from US — Scanned from US
Effective URL: https://pregnantagain.com/
Submission: On August 22 via api from US — Scanned from US
Form analysis
4 forms found in the DOMGET /
<form action="/" method="get" class="search-form">
<div class="inner-wrapper">
<i class="fa fa-search" aria-hidden="true"></i>
<input type="text" name="s" id="search" placeholder="Search">
</div>
</form>
GET /
<form action="/" method="get" class="search-form">
<div class="inner-wrapper">
<i class="fa fa-search" aria-hidden="true"></i>
<input type="text" name="s" id="search" placeholder="Search">
</div>
</form>
POST /?wpforms_form_id=619
<form id="wpforms-form-619" class="wpforms-validate wpforms-form" data-formid="619" method="post" enctype="multipart/form-data" action="/?wpforms_form_id=619" data-token="79b80da769d9ea780c5b26dd4592e2a2" data-token-time="1724308388"
novalidate="novalidate"><noscript class="wpforms-error-noscript">Please enable JavaScript in your browser to complete this form.</noscript>
<div class="wpforms-field-container">
<div id="wpforms-619-field_2-container" class="wpforms-field wpforms-field-text wpforms-one-half wpforms-first" data-field-id="2"><label class="wpforms-field-label" for="wpforms-619-field_2">First Name <span
class="wpforms-required-label">*</span></label><input type="text" id="wpforms-619-field_2" class="wpforms-field-large wpforms-field-required" name="wpforms[fields][2]" required=""></div>
<div id="wpforms-619-field_1-container" class="wpforms-field wpforms-field-text wpforms-one-half" data-field-id="1"><label class="wpforms-field-label" for="wpforms-619-field_1">Last Name (at time of surgery) <span
class="wpforms-required-label">*</span></label><input type="text" id="wpforms-619-field_1" class="wpforms-field-large wpforms-field-required" name="wpforms[fields][1]" required=""></div>
<div id="wpforms-619-field_3-container" class="wpforms-field wpforms-field-text wpforms-one-half wpforms-first" data-field-id="3"><label class="wpforms-field-label" for="wpforms-619-field_3">Last Name (current)</label><input type="text"
id="wpforms-619-field_3" class="wpforms-field-large" name="wpforms[fields][3]"></div>
<div id="wpforms-619-field_18-container" class="wpforms-field wpforms-field-email wpforms-one-half" data-field-id="18"><label class="wpforms-field-label" for="wpforms-619-field_18">Email Address <span
class="wpforms-required-label">*</span></label><input type="email" id="wpforms-619-field_18" class="wpforms-field-large wpforms-field-required" name="wpforms[fields][18]" spellcheck="false" required=""></div>
<div id="wpforms-619-field_23-container" class="wpforms-field wpforms-field-text wpforms-one-half wpforms-first" data-field-id="23"><label class="wpforms-field-label" for="wpforms-619-field_23">Hometown <span
class="wpforms-required-label">*</span></label><input type="text" id="wpforms-619-field_23" class="wpforms-field-large wpforms-field-required" name="wpforms[fields][23]" required=""></div>
<div id="wpforms-619-field_8-container" class="wpforms-field wpforms-field-date-time wpforms-one-half" data-field-id="8"><label class="wpforms-field-label" for="wpforms-619-field_8">Date of Reversal <span
class="wpforms-required-label">*</span></label>
<div class="wpforms-datepicker-wrap"><input type="text" id="wpforms-619-field_8" class="wpforms-field-date-time-date wpforms-datepicker wpforms-field-required wpforms-field-large flatpickr-input" data-date-format="F j, Y"
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</div>
<div id="wpforms-619-field_9-container" class="wpforms-field wpforms-field-select wpforms-one-half wpforms-first wpforms-field-select-style-classic" data-field-id="9"><label class="wpforms-field-label" for="wpforms-619-field_9">Doctor Who
Performed Surgery <span class="wpforms-required-label">*</span></label><select id="wpforms-619-field_9" class="wpforms-field-large wpforms-field-required" name="wpforms[fields][9]" required="required">
<option value="Dr. William Greene Jr.">Dr. William Greene Jr.</option>
<option value="Dr. Wendell A. Turner">Dr. Wendell A. Turner</option>
</select></div>
<div id="wpforms-619-field_13-container" class="wpforms-field wpforms-field-text wpforms-one-half" data-field-id="13"><label class="wpforms-field-label" for="wpforms-619-field_13">Age at Time of Reversal</label><input type="text"
id="wpforms-619-field_13" class="wpforms-field-large" name="wpforms[fields][13]"></div>
<div id="wpforms-619-field_15-container" class="wpforms-field wpforms-field-select wpforms-one-half wpforms-first wpforms-field-select-style-classic" data-field-id="15"><label class="wpforms-field-label" for="wpforms-619-field_15">Type of Tubal
Ligation <span class="wpforms-required-label">*</span></label><select id="wpforms-619-field_15" class="wpforms-field-large wpforms-field-required" name="wpforms[fields][15]" required="required">
<option value="Tubal Clips (clamps)">Tubal Clips (clamps)</option>
<option value="Tubal Rings (bands)">Tubal Rings (bands)</option>
<option value="Resection (tied or cut)">Resection (tied or cut)</option>
<option value="Coagulation (burned)">Coagulation (burned)</option>
<option value="Fimbriectomy">Fimbriectomy</option>
<option value="Essure">Essure</option>
<option value="Adiana">Adiana</option>
<option value="Other/unknown">Other/unknown</option>
</select></div>
<div id="wpforms-619-field_14-container" class="wpforms-field wpforms-field-text wpforms-one-half" data-field-id="14"><label class="wpforms-field-label" for="wpforms-619-field_14">Finished Tube Length</label><input type="text"
id="wpforms-619-field_14" class="wpforms-field-large" name="wpforms[fields][14]"></div>
<div id="wpforms-619-field_24-container" class="wpforms-field wpforms-field-file-upload" data-field-id="24"><label class="wpforms-field-label" for="wpforms-619-field_24">Baby's Photo</label>
<div class="wpforms-uploader dz-clickable" data-field-id="24" data-form-id="619" data-input-name="wpforms_619_24"
data-extensions="jpg,jpeg,jpe,gif,png,bmp,tiff,tif,webp,avif,ico,heic,asf,asx,wmv,wmx,wm,avi,divx,mov,qt,mpeg,mpg,mpe,mp4,m4v,ogv,webm,mkv,3gp,3gpp,3g2,3gp2,txt,asc,c,cc,h,srt,csv,tsv,ics,rtx,css,vtt,mp3,m4a,m4b,aac,ra,ram,wav,ogg,oga,flac,mid,midi,wma,wax,mka,rtf,pdf,class,tar,zip,gz,gzip,rar,7z,psd,xcf,doc,pot,pps,ppt,wri,xla,xls,xlt,xlw,mpp,docx,docm,dotx,dotm,xlsx,xlsm,xlsb,xltx,xltm,xlam,pptx,pptm,ppsx,ppsm,potx,potm,ppam,sldx,sldm,onetoc,onetoc2,onepkg,oxps,xps,odt,odp,ods,odg,odc,odb,odf,wp,wpd,key,numbers,pages"
data-max-size="2097152" data-max-file-number="1" data-post-max-size="2097152" data-max-parallel-uploads="4" data-parallel-uploads="true" data-file-chunk-size="2097152">
<div class="dz-message">
<svg viewBox="0 0 1024 1024" focusable="false" data-icon="inbox" width="50px" height="50px" fill="currentColor" aria-hidden="true">
<path
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</path>
</svg>
<span class="modern-title">Click or drag a file to this area to upload.</span>
</div>
</div>
<input type="text" autocomplete="off" readonly="" class="dropzone-input"
style="position:absolute!important;clip:rect(0,0,0,0)!important;height:1px!important;width:1px!important;border:0!important;overflow:hidden!important;padding:0!important;margin:0!important;" id="wpforms-619-field_24" name="wpforms_619_24"
value="">
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<div id="wpforms-619-field_22-container" class="wpforms-field wpforms-field-textarea" data-field-id="22"><label class="wpforms-field-label" for="wpforms-619-field_22">Testimonial</label><textarea id="wpforms-619-field_22"
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</div><!-- .wpforms-field-container -->
<div class="wpforms-field wpforms-field-hp"><label for="wpforms-619-field-hp" class="wpforms-field-label">Website</label><input type="text" name="wpforms[hp]" id="wpforms-619-field-hp" class="wpforms-field-medium"></div>
<div class="wpforms-recaptcha-container wpforms-is-hcaptcha">
<div class="g-recaptcha" data-sitekey="a66e11b1-5676-4937-adfd-6137da2cc56a" data-recaptcha-id="09noide8xzr9"><iframe
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<div class="wpforms-submit-container"><input type="hidden" name="wpforms[id]" value="619"><input type="hidden" name="page_title" value="Home"><input type="hidden" name="page_url" value="https://pregnantagain.com/"><input type="hidden"
name="page_id" value="48"><input type="hidden" name="wpforms[post_id]" value="48"><button type="submit" name="wpforms[submit]" id="wpforms-submit-619" class="wpforms-submit" data-alt-text="Sending..." data-submit-text="Submit"
aria-live="assertive" value="wpforms-submit">Submit</button></div>
</form>
POST /
<form id="wpforms-form-618" class="wpforms-validate wpforms-form" data-formid="618" method="post" enctype="multipart/form-data" action="/" data-token="f587547f76e5559f8e04fbce4eeeac4c" data-token-time="1724308388" novalidate="novalidate"><noscript
class="wpforms-error-noscript">Please enable JavaScript in your browser to complete this form.</noscript>
<div class="wpforms-field-container">
<div id="wpforms-618-field_2-container" class="wpforms-field wpforms-field-text wpforms-one-half wpforms-first" data-field-id="2"><label class="wpforms-field-label" for="wpforms-618-field_2">First Name <span
class="wpforms-required-label">*</span></label><input type="text" id="wpforms-618-field_2" class="wpforms-field-large wpforms-field-required" name="wpforms[fields][2]" required=""></div>
<div id="wpforms-618-field_1-container" class="wpforms-field wpforms-field-text wpforms-one-half" data-field-id="1"><label class="wpforms-field-label" for="wpforms-618-field_1">Last Name (at time of surgery) <span
class="wpforms-required-label">*</span></label><input type="text" id="wpforms-618-field_1" class="wpforms-field-large wpforms-field-required" name="wpforms[fields][1]" required=""></div>
<div id="wpforms-618-field_3-container" class="wpforms-field wpforms-field-text wpforms-one-half wpforms-first" data-field-id="3"><label class="wpforms-field-label" for="wpforms-618-field_3">Last Name (current)</label><input type="text"
id="wpforms-618-field_3" class="wpforms-field-large" name="wpforms[fields][3]"></div>
<div id="wpforms-618-field_4-container" class="wpforms-field wpforms-field-text wpforms-one-half" data-field-id="4"><label class="wpforms-field-label" for="wpforms-618-field_4">City <span class="wpforms-required-label">*</span></label><input
type="text" id="wpforms-618-field_4" class="wpforms-field-large wpforms-field-required" name="wpforms[fields][4]" required=""></div>
<div id="wpforms-618-field_5-container" class="wpforms-field wpforms-field-select wpforms-one-half wpforms-first wpforms-field-select-style-classic" data-field-id="5"><label class="wpforms-field-label" for="wpforms-618-field_5">State <span
class="wpforms-required-label">*</span></label><select id="wpforms-618-field_5" class="wpforms-field-large wpforms-field-required" name="wpforms[fields][5]" required="required">
<option value="Alabama">Alabama</option>
<option value="Alaska">Alaska</option>
<option value="Arizona">Arizona</option>
<option value="Arkansas">Arkansas</option>
<option value="California">California</option>
<option value="Colorado">Colorado</option>
<option value="Connecticut">Connecticut</option>
<option value="Delaware">Delaware</option>
<option value="Florida">Florida</option>
<option value="Georgia">Georgia</option>
<option value="Hawaii">Hawaii</option>
<option value="Idaho">Idaho</option>
<option value="Illinois">Illinois</option>
<option value="Indiana">Indiana</option>
<option value="Iowa">Iowa</option>
<option value="Kansas">Kansas</option>
<option value="Kentucky">Kentucky</option>
<option value="Louisiana">Louisiana</option>
<option value="Maine">Maine</option>
<option value="Maryland">Maryland</option>
<option value="Massachusetts">Massachusetts</option>
<option value="Michigan">Michigan</option>
<option value="Minnesota">Minnesota</option>
<option value="Mississippi">Mississippi</option>
<option value="Missouri">Missouri</option>
<option value="Montana">Montana</option>
<option value="Nebraska">Nebraska</option>
<option value="Nevada">Nevada</option>
<option value="New Hampshire">New Hampshire</option>
<option value="New Jersey">New Jersey</option>
<option value="New Mexico">New Mexico</option>
<option value="New York">New York</option>
<option value="North Carolina">North Carolina</option>
<option value="North Dakota">North Dakota</option>
<option value="Ohio">Ohio</option>
<option value="Oklahoma">Oklahoma</option>
<option value="Oregon">Oregon</option>
<option value="Pennsylvania">Pennsylvania</option>
<option value="Rhode Island">Rhode Island</option>
<option value="South Carolina">South Carolina</option>
<option value="South Dakota">South Dakota</option>
<option value="Tennessee">Tennessee</option>
<option value="Texas">Texas</option>
<option value="Utah">Utah</option>
<option value="Vermont">Vermont</option>
<option value="Virginia">Virginia</option>
<option value="Washington">Washington</option>
<option value="West Virginia">West Virginia</option>
<option value="Wisconsin">Wisconsin</option>
<option value="Wyoming">Wyoming</option>
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<div id="wpforms-618-field_7-container" class="wpforms-field wpforms-field-select wpforms-one-half wpforms-field-select-style-classic" data-field-id="7"><label class="wpforms-field-label" for="wpforms-618-field_7">Country <span
class="wpforms-required-label">*</span></label><select id="wpforms-618-field_7" class="wpforms-field-large wpforms-field-required" name="wpforms[fields][7]" required="required">
<option value="United States">United States</option>
<option value="Afghanistan">Afghanistan</option>
<option value="Albania">Albania</option>
<option value="Algeria">Algeria</option>
<option value="American Samoa">American Samoa</option>
<option value="Andorra">Andorra</option>
<option value="Angola">Angola</option>
<option value="Anguilla">Anguilla</option>
<option value="Antarctica">Antarctica</option>
<option value="Antigua and Barbuda">Antigua and Barbuda</option>
<option value="Argentina">Argentina</option>
<option value="Armenia">Armenia</option>
<option value="Aruba">Aruba</option>
<option value="Australia">Australia</option>
<option value="Austria">Austria</option>
<option value="Azerbaijan">Azerbaijan</option>
<option value="Bahamas">Bahamas</option>
<option value="Bahrain">Bahrain</option>
<option value="Bangladesh">Bangladesh</option>
<option value="Barbados">Barbados</option>
<option value="Belarus">Belarus</option>
<option value="Belgium">Belgium</option>
<option value="Belize">Belize</option>
<option value="Benin">Benin</option>
<option value="Bermuda">Bermuda</option>
<option value="Bhutan">Bhutan</option>
<option value="Bolivia">Bolivia</option>
<option value="Bosnia and Herzegovina">Bosnia and Herzegovina</option>
<option value="Botswana">Botswana</option>
<option value="Bouvet Island">Bouvet Island</option>
<option value="Brazil">Brazil</option>
<option value="British Indian Ocean Territory">British Indian Ocean Territory</option>
<option value="Brunei Darussalam">Brunei Darussalam</option>
<option value="Bulgaria">Bulgaria</option>
<option value="Burkina Faso">Burkina Faso</option>
<option value="Burundi">Burundi</option>
<option value="Cambodia">Cambodia</option>
<option value="Cameroon">Cameroon</option>
<option value="Canada">Canada</option>
<option value="Cape Verde">Cape Verde</option>
<option value="Cayman Islands">Cayman Islands</option>
<option value="Central African Republic">Central African Republic</option>
<option value="Chad">Chad</option>
<option value="Chile">Chile</option>
<option value="China">China</option>
<option value="Christmas Island">Christmas Island</option>
<option value="Cocos (Keeling Islands)">Cocos (Keeling Islands)</option>
<option value="Colombia">Colombia</option>
<option value="Comoros">Comoros</option>
<option value="Congo">Congo</option>
<option value="Cook Islands">Cook Islands</option>
<option value="Costa Rica">Costa Rica</option>
<option value="Cote D'Ivoire (Ivory Coast)">Cote D'Ivoire (Ivory Coast)</option>
<option value="Croatia (Hrvatska">Croatia (Hrvatska</option>
<option value="Cuba">Cuba</option>
<option value="Cyprus">Cyprus</option>
<option value="Czech Republic">Czech Republic</option>
<option value="Denmark">Denmark</option>
<option value="Djibouti">Djibouti</option>
<option value="Dominica">Dominica</option>
<option value="Dominican Republic">Dominican Republic</option>
<option value="East Timor">East Timor</option>
<option value="Ecuador">Ecuador</option>
<option value="Egypt">Egypt</option>
<option value="El Salvador">El Salvador</option>
<option value="Equatorial Guinea">Equatorial Guinea</option>
<option value="Eritrea">Eritrea</option>
<option value="Estonia">Estonia</option>
<option value="Ethiopia">Ethiopia</option>
<option value="Falkland Islands (Malvinas)">Falkland Islands (Malvinas)</option>
<option value="Faroe Islands">Faroe Islands</option>
<option value="Fiji">Fiji</option>
<option value="Finland">Finland</option>
<option value="France">France</option>
<option value="France, Metropolitan">France, Metropolitan</option>
<option value="French Guiana">French Guiana</option>
<option value="French Polynesia">French Polynesia</option>
<option value="French Southern Territories">French Southern Territories</option>
<option value="Gabon">Gabon</option>
<option value="Gambia">Gambia</option>
<option value="Georgia">Georgia</option>
<option value="Germany">Germany</option>
<option value="Ghana">Ghana</option>
<option value="Gibraltar">Gibraltar</option>
<option value="Greece">Greece</option>
<option value="Greenland">Greenland</option>
<option value="Grenada">Grenada</option>
<option value="Guadeloupe">Guadeloupe</option>
<option value="Guam">Guam</option>
<option value="Guatemala">Guatemala</option>
<option value="Guinea">Guinea</option>
<option value="Guinea-Bissau">Guinea-Bissau</option>
<option value="Guyana">Guyana</option>
<option value="Haiti">Haiti</option>
<option value="Heard and McDonald Islands">Heard and McDonald Islands</option>
<option value="Honduras">Honduras</option>
<option value="Hong Kong">Hong Kong</option>
<option value="Hungary">Hungary</option>
<option value="Iceland">Iceland</option>
<option value="India">India</option>
<option value="Indonesia">Indonesia</option>
<option value="Iran">Iran</option>
<option value="Iraq">Iraq</option>
<option value="Ireland">Ireland</option>
<option value="Israel">Israel</option>
<option value="Italy">Italy</option>
<option value="Jamaica">Jamaica</option>
<option value="Japan">Japan</option>
<option value="Jordan">Jordan</option>
<option value="Kazakhstan">Kazakhstan</option>
<option value="Kenya">Kenya</option>
<option value="Kiribati">Kiribati</option>
<option value="Korea (North)">Korea (North)</option>
<option value="Korea (South)">Korea (South)</option>
<option value="Kuwait">Kuwait</option>
<option value="Kyrgyzstan">Kyrgyzstan</option>
<option value="Laos">Laos</option>
<option value="Latvia">Latvia</option>
<option value="Lebanon">Lebanon</option>
<option value="Lesotho">Lesotho</option>
<option value="Liberia">Liberia</option>
<option value="Libya">Libya</option>
<option value="Liechtenstein">Liechtenstein</option>
<option value="Lithuania">Lithuania</option>
<option value="Luxembourg">Luxembourg</option>
<option value="Macau">Macau</option>
<option value="Macedonia">Macedonia</option>
<option value="Madagascar">Madagascar</option>
<option value="Malawi">Malawi</option>
<option value="Malaysia">Malaysia</option>
<option value="Maldives">Maldives</option>
<option value="Mali">Mali</option>
<option value="Malta">Malta</option>
<option value="Marshall Islands">Marshall Islands</option>
<option value="Martinique">Martinique</option>
<option value="Mauritania">Mauritania</option>
<option value="Mauritius">Mauritius</option>
<option value="Mayotte">Mayotte</option>
<option value="Mexico">Mexico</option>
<option value="Micronesia">Micronesia</option>
<option value="Moldova">Moldova</option>
<option value="Monaco">Monaco</option>
<option value="Mongolia">Mongolia</option>
<option value="Montserrat">Montserrat</option>
<option value="Morocco">Morocco</option>
<option value="Mozambique">Mozambique</option>
<option value="Myanmar">Myanmar</option>
<option value="Namibia">Namibia</option>
<option value="Nauru">Nauru</option>
<option value="Nepal">Nepal</option>
<option value="Netherlands">Netherlands</option>
<option value="Netherlands Antilles">Netherlands Antilles</option>
<option value="New Caledonia">New Caledonia</option>
<option value="New Zealand">New Zealand</option>
<option value="Nicaragua">Nicaragua</option>
<option value="Niger">Niger</option>
<option value="Nigeria">Nigeria</option>
<option value="Niue">Niue</option>
<option value="Norfolk Island">Norfolk Island</option>
<option value="Northern Mariana Islands">Northern Mariana Islands</option>
<option value="Norway">Norway</option>
<option value="Oman">Oman</option>
<option value="Pakistan">Pakistan</option>
<option value="Palau">Palau</option>
<option value="Panama">Panama</option>
<option value="Papua New Guinea">Papua New Guinea</option>
<option value="Paraguay">Paraguay</option>
<option value="Peru">Peru</option>
<option value="Philippines">Philippines</option>
<option value="Pitcairn">Pitcairn</option>
<option value="Poland">Poland</option>
<option value="Portugal">Portugal</option>
<option value="Puerto Rico">Puerto Rico</option>
<option value="Qatar">Qatar</option>
<option value="Reunion">Reunion</option>
<option value="Romania">Romania</option>
<option value="Russian Federation">Russian Federation</option>
<option value="Rwanda">Rwanda</option>
<option value="Saint Kitts and Nevis">Saint Kitts and Nevis</option>
<option value="Saint Lucia">Saint Lucia</option>
<option value="Saint Vincent and The Grenadines">Saint Vincent and The Grenadines</option>
<option value="Samoa">Samoa</option>
<option value="San Marino">San Marino</option>
<option value="Sao Tome and Principe">Sao Tome and Principe</option>
<option value="Saudi Arabia">Saudi Arabia</option>
<option value="Senegal">Senegal</option>
<option value="Seychelles">Seychelles</option>
<option value="Sierra Leone">Sierra Leone</option>
<option value="Singapore">Singapore</option>
<option value="Slovak Republic">Slovak Republic</option>
<option value="Slovenia">Slovenia</option>
<option value="Solomon Islands">Solomon Islands</option>
<option value="Somalia">Somalia</option>
<option value="South Africa">South Africa</option>
<option value="S. Georgia and S. Sandwich Isls.">S. Georgia and S. Sandwich Isls.</option>
<option value="Spain">Spain</option>
<option value="Sri Lanka">Sri Lanka</option>
<option value="St. Helena">St. Helena</option>
<option value="St. Pierre and Miquelon">St. Pierre and Miquelon</option>
<option value="Sudan">Sudan</option>
<option value="Suriname">Suriname</option>
<option value="Svalbard and Jan Mayen Islands">Svalbard and Jan Mayen Islands</option>
<option value="Swaziland">Swaziland</option>
<option value="Sweden">Sweden</option>
<option value="Switzerland">Switzerland</option>
<option value="Syria">Syria</option>
<option value="Taiwan">Taiwan</option>
<option value="Tajikistan">Tajikistan</option>
<option value="Tanzania">Tanzania</option>
<option value="Thailand">Thailand</option>
<option value="Togo">Togo</option>
<option value="Tokelau">Tokelau</option>
<option value="Tonga">Tonga</option>
<option value="Trinidad and Tobago">Trinidad and Tobago</option>
<option value="Tunisia">Tunisia</option>
<option value="Turkey">Turkey</option>
<option value="Turkmenistan">Turkmenistan</option>
<option value="Turks and Caicos Islands">Turks and Caicos Islands</option>
<option value="Tuvalu">Tuvalu</option>
<option value="Uganda">Uganda</option>
<option value="Ukraine">Ukraine</option>
<option value="United Arab Emirates">United Arab Emirates</option>
<option value="United Kingdom">United Kingdom</option>
<option value="US Minor Outlying Islands">US Minor Outlying Islands</option>
<option value="Uruguay">Uruguay</option>
<option value="Uzbekistan">Uzbekistan</option>
<option value="Vanuatu">Vanuatu</option>
<option value="Vatican City State (Holy See)">Vatican City State (Holy See)</option>
<option value="Venezuela">Venezuela</option>
<option value="Viet Nam">Viet Nam</option>
<option value="Virgin Islands (British)">Virgin Islands (British)</option>
<option value="Virgin Islands (US)">Virgin Islands (US)</option>
<option value="Wallis and Futuna Islands">Wallis and Futuna Islands</option>
<option value="Western Sahara">Western Sahara</option>
<option value="Yemen">Yemen</option>
<option value="Yugoslavia">Yugoslavia</option>
<option value="Zaire">Zaire</option>
<option value="Zambia">Zambia</option>
<option value="Zimbabwe">Zimbabwe</option>
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<div id="wpforms-618-field_8-container" class="wpforms-field wpforms-field-date-time wpforms-one-half wpforms-first" data-field-id="8"><label class="wpforms-field-label" for="wpforms-618-field_8">Date of Reversal <span
class="wpforms-required-label">*</span></label>
<div class="wpforms-datepicker-wrap"><input type="text" id="wpforms-618-field_8" class="wpforms-field-date-time-date wpforms-datepicker wpforms-field-required wpforms-field-large flatpickr-input" data-date-format="F j, Y"
data-disable-past-dates="0" data-input="true" name="wpforms[fields][8][date]" required="" readonly="readonly"><a title="Clear Date" data-clear="" class="wpforms-datepicker-clear" style="display:none;"></a></div>
</div>
<div id="wpforms-618-field_9-container" class="wpforms-field wpforms-field-select wpforms-one-half wpforms-field-select-style-classic" data-field-id="9"><label class="wpforms-field-label" for="wpforms-618-field_9">Doctor Who Performed Surgery
<span class="wpforms-required-label">*</span></label><select id="wpforms-618-field_9" class="wpforms-field-large wpforms-field-required" name="wpforms[fields][9]" required="required">
<option value="Dr. William Greene Jr.">Dr. William Greene Jr.</option>
<option value="Dr. Wendell A. Turner">Dr. Wendell A. Turner</option>
</select></div>
<div id="wpforms-618-field_10-container" class="wpforms-field wpforms-field-date-time wpforms-one-half wpforms-first" data-field-id="10"><label class="wpforms-field-label" for="wpforms-618-field_10">Date of Last Menstrual Period <span
class="wpforms-required-label">*</span></label>
<div class="wpforms-datepicker-wrap"><input type="text" id="wpforms-618-field_10" class="wpforms-field-date-time-date wpforms-datepicker wpforms-field-required wpforms-field-large flatpickr-input" data-date-format="F j, Y"
data-disable-past-dates="0" data-input="true" name="wpforms[fields][10][date]" required="" readonly="readonly"><a title="Clear Date" data-clear="" class="wpforms-datepicker-clear" style="display:none;"></a></div>
</div>
<div id="wpforms-618-field_11-container" class="wpforms-field wpforms-field-date-time wpforms-one-half" data-field-id="11"><label class="wpforms-field-label" for="wpforms-618-field_11">Date of Positive Pregnancy Test <span
class="wpforms-required-label">*</span></label>
<div class="wpforms-datepicker-wrap"><input type="text" id="wpforms-618-field_11" class="wpforms-field-date-time-date wpforms-datepicker wpforms-field-required wpforms-field-large flatpickr-input" data-date-format="F j, Y"
data-disable-past-dates="0" data-input="true" name="wpforms[fields][11][date]" required="" readonly="readonly"><a title="Clear Date" data-clear="" class="wpforms-datepicker-clear" style="display:none;"></a></div>
</div>
<div id="wpforms-618-field_12-container" class="wpforms-field wpforms-field-date-time wpforms-one-half wpforms-first" data-field-id="12"><label class="wpforms-field-label" for="wpforms-618-field_12">Due Date</label>
<div class="wpforms-datepicker-wrap"><input type="text" id="wpforms-618-field_12" class="wpforms-field-date-time-date wpforms-datepicker wpforms-field-large flatpickr-input" data-date-format="F j, Y" data-disable-past-dates="0"
data-input="true" name="wpforms[fields][12][date]" readonly="readonly"><a title="Clear Date" data-clear="" class="wpforms-datepicker-clear" style="display:none;"></a></div>
</div>
<div id="wpforms-618-field_13-container" class="wpforms-field wpforms-field-text wpforms-one-half" data-field-id="13"><label class="wpforms-field-label" for="wpforms-618-field_13">Number of Pregnancies Since TR</label><input type="text"
id="wpforms-618-field_13" class="wpforms-field-large" name="wpforms[fields][13]"></div>
<div id="wpforms-618-field_14-container" class="wpforms-field wpforms-field-text wpforms-one-half wpforms-first" data-field-id="14"><label class="wpforms-field-label" for="wpforms-618-field_14">Outcome fo Previous TR Pregnancies and
Dates</label><input type="text" id="wpforms-618-field_14" class="wpforms-field-large" name="wpforms[fields][14]"></div>
<div id="wpforms-618-field_15-container" class="wpforms-field wpforms-field-select wpforms-one-half wpforms-field-select-style-classic" data-field-id="15"><label class="wpforms-field-label" for="wpforms-618-field_15">Type of Tubal Ligation <span
class="wpforms-required-label">*</span></label><select id="wpforms-618-field_15" class="wpforms-field-large wpforms-field-required" name="wpforms[fields][15]" required="required">
<option value="Tubal Clips (clamps)">Tubal Clips (clamps)</option>
<option value="Tubal Rings (bands)">Tubal Rings (bands)</option>
<option value="Resection (tied or cut)">Resection (tied or cut)</option>
<option value="Coagulation (burned)">Coagulation (burned)</option>
<option value="Fimbriectomy">Fimbriectomy</option>
<option value="Essure">Essure</option>
<option value="Adiana">Adiana</option>
<option value="Other/unknown">Other/unknown</option>
</select></div>
<div id="wpforms-618-field_17-container" class="wpforms-field wpforms-field-divider" data-field-id="17">
<h3 id="wpforms-618-field_17">How May We Contact You?</h3>
</div>
<div id="wpforms-618-field_18-container" class="wpforms-field wpforms-field-email wpforms-one-half wpforms-first" data-field-id="18"><label class="wpforms-field-label" for="wpforms-618-field_18">Email Address <span
class="wpforms-required-label">*</span></label><input type="email" id="wpforms-618-field_18" class="wpforms-field-large wpforms-field-required" name="wpforms[fields][18]" spellcheck="false" required=""></div>
<div id="wpforms-618-field_19-container" class="wpforms-field wpforms-field-phone wpforms-one-half" data-field-id="19"><label class="wpforms-field-label" for="wpforms-618-field_19">Work Phone</label><input type="tel" id="wpforms-618-field_19"
class="wpforms-field-large wpforms-masked-input" data-inputmask="'mask': '(999) 999-9999'" data-rule-us-phone-field="true" data-inputmask-inputmode="tel" name="wpforms[fields][19]" inputmode="tel"></div>
<div id="wpforms-618-field_20-container" class="wpforms-field wpforms-field-phone wpforms-one-half wpforms-first" data-field-id="20"><label class="wpforms-field-label" for="wpforms-618-field_20">Cell Phone</label><input type="tel"
id="wpforms-618-field_20" class="wpforms-field-large wpforms-masked-input" data-inputmask="'mask': '(999) 999-9999'" data-rule-us-phone-field="true" data-inputmask-inputmode="tel" name="wpforms[fields][20]" inputmode="tel"></div>
<div id="wpforms-618-field_21-container" class="wpforms-field wpforms-field-phone wpforms-one-half" data-field-id="21"><label class="wpforms-field-label" for="wpforms-618-field_21">Home Phone</label><input type="tel" id="wpforms-618-field_21"
class="wpforms-field-large wpforms-masked-input" data-inputmask="'mask': '(999) 999-9999'" data-rule-us-phone-field="true" data-inputmask-inputmode="tel" name="wpforms[fields][21]" inputmode="tel"></div>
<div id="wpforms-618-field_22-container" class="wpforms-field wpforms-field-textarea" data-field-id="22"><label class="wpforms-field-label" for="wpforms-618-field_22">Please enter additional information or comments</label><textarea
id="wpforms-618-field_22" class="wpforms-field-medium" name="wpforms[fields][22]"></textarea></div>
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Text Content
* Facebook Group * Learn More in Our Blog * Contact Us TOLL FREE877-588-5594 * Video Resources * Tubal Reversal * Overview * The Procedure * What to Expect * Steps of Tubal Reversal * Follow-up Care * Comfort Considerations * Chance of Success * Tubal Reversal vs IVF * Essure Reversal * Essure Removal * About * Our Facility * Our Success Rate * Our Physicians * Getting Started * Schedule Appointment * Free Consultation * Lab Tests * FAQ * Accommodations * Pricing * Testimonials * Patient Center * Submit A Testimonial * Pregnancy Report Form * Tubal Reversal * Overview * The Procedure * What to Expect * Steps of Tubal Reversal * Follow-up Care * Comfort Considerations * Chance of Success * Tubal Reversal vs IVF * Essure Reversal * Essure Removal * About * Our Facility * Our Success Rate * Our Physicians * Our Staff * Getting Started * Schedule Appointment * Free Consultation * Lab Tests * FAQ * Accommodations * Pricing * Schedule Appointment * Patient Center * Pregnancy Report Form * Submit A Testimonial * Facebook Group * For Physicians * Blog * Contact Us SPECIALIZING IN TUBAL REVERSALS SINCE 1991 Learn More WELCOME TO LAKESHORE TUBAL REVERSAL CENTER We specialize in tubal ligation reversal, also known as tubal reversal, an operation to repair tied or obstructed fallopian tubes. For most women, a tubal reversal is the most cost-effective treatment to get pregnant after a tubal ligation. Many women who have been told their only hope is through In Vitro Fertilization (IVF) or similar technologies can get pregnant at a fraction of the cost and with less risk through tubal ligation reversal. ATLANTA TUBAL REVERSAL Dr. William Greene, Jr., M.D. is the medical director at Lakeshore Tubal Reversal Center and has more than 34 years of experience in tubal surgery. Dr. Greene’s state-of-the-art tubal reversal clinic includes the latest in microsurgery technology and a highly trained staff. We specialize in tender loving care. Our years of experience in outpatient surgeries of all types have prepared us to keep you comfortable and relaxed. We realize that decisions about pregnancy and parenthood are difficult enough, and we will do everything we can to make your experience an enjoyable one. We encourage you to spend some time on our site and read the testimonies of past patients. Learn more about tubal ligation reversal and about Dr. Greene. Read about the things we do to keep you at peace in both mind and body. Our tubal reversal procedure is a proven and effective means of giving people another chance at pregnancy and parenthood at tubal ligation. Our Facility TUBAL REVERSAL A tubal ligation reversal is an operation to permit someone who has had a tubal ligation to try to get pregnant again. Dr. Greene and Dr. Turner have performed over 3100 tubal ligation reversals. Learn More ESSURE REVERSAL Lakeshore Tubal Reversal Center was the first to reverse an Essure Tubal Ligation on November 5th 2007. Our first “Essure” baby was born January 27th 2009 and this was widely reported in the press because of the reported inability to reverse, as Essures are supposed to be permanent. Learn More ESSURE REMOVAL The Essure Removal procedure is for patients who would like their Essure coils removed but have their tubes ligated so that they will NOT become pregnant again.The Essure Removal procedure was developed due to the increased demand from patients who wanted their Essure coils removed. Learn More TESTIMONIALS In 2011, I was 27 and I had just given birth to my third child. I made a difficult decision to permanently, and irreversibly end my fertility. At the time, I couldn’t imagine a life where more children would be […] SHELBY K. ESSURE REVERSAL OUR DOCTORS DR. WILLIAM GREENE JR. MEDICAL DIRECTOR TUBAL REVERSAL SPECIALIST DR. WENDELL TURNER TUBAL REVERSAL SPECIALIST JESSE KAISER CERTIFIED REGISTERED NURSE ANESTHETIST NANCY BLACK PATIENT COORDINATOR JENNIFER TOMLIN SURGICAL TECHNICIAN DEBBIE SITTER PATIENT COORDINATOR MELISSA WILLIS MEDICAL ADMINISTRATOR NICOLE MIXON BUSINESS FINANCIAL MANAGER DD DAVIS MEDICAL ADMINISTRATOR HAVE A LOT OF QUESTIONS? VISIT OUR FAQ PAGE View Page PROCEDURES * Tubal Ligation Reversal * Essure Reversal * Essure Removal ABOUT * Testimonials * Our Facility * Our Success Rate * Our Physicians GETTING STARTED * Schedule Appointment * Free Consultation * Lab Tests * FAQ * Accommodations * Pricing PATIENT CENTER * Pregnancy Report Form * Submit A Testimonial * Blog * Contact Us Disclaimer & Copyright copyright © 2024 Lakeshore Tubal Reversal Center | All Rights Reserved website design by Barta Media Group Google Recaptcha TESTIMONIAL SUBMISSION Please enable JavaScript in your browser to complete this form. First Name * Last Name (at time of surgery) * Last Name (current) Email Address * Hometown * Date of Reversal * Doctor Who Performed Surgery *Dr. William Greene Jr.Dr. Wendell A. Turner Age at Time of Reversal Type of Tubal Ligation *Tubal Clips (clamps)Tubal Rings (bands)Resection (tied or cut)Coagulation (burned)FimbriectomyEssureAdianaOther/unknown Finished Tube Length Baby's Photo Click or drag a file to this area to upload. Testimonial Website Submit × PREGNANCY REPORT Please enable JavaScript in your browser to complete this form. First Name * Last Name (at time of surgery) * Last Name (current) City * State *AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Country *United StatesAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling Islands)ColombiaComorosCongoCook IslandsCosta RicaCote D'Ivoire (Ivory Coast)Croatia (HrvatskaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea (North)Korea (South)KuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussian FederationRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and The GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSeychellesSierra LeoneSingaporeSlovak RepublicSloveniaSolomon IslandsSomaliaSouth AfricaS. Georgia and S. Sandwich Isls.SpainSri LankaSt. HelenaSt. Pierre and MiquelonSudanSurinameSvalbard and Jan Mayen IslandsSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUS Minor Outlying IslandsUruguayUzbekistanVanuatuVatican City State (Holy See)VenezuelaViet NamVirgin Islands (British)Virgin Islands (US)Wallis and Futuna IslandsWestern SaharaYemenYugoslaviaZaireZambiaZimbabwe Date of Reversal * Doctor Who Performed Surgery *Dr. William Greene Jr.Dr. Wendell A. Turner Date of Last Menstrual Period * Date of Positive Pregnancy Test * Due Date Number of Pregnancies Since TR Outcome fo Previous TR Pregnancies and Dates Type of Tubal Ligation *Tubal Clips (clamps)Tubal Rings (bands)Resection (tied or cut)Coagulation (burned)FimbriectomyEssureAdianaOther/unknown HOW MAY WE CONTACT YOU? Email Address * Work Phone Cell Phone Home Phone Please enter additional information or comments Message Submit × JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember SunMonTueWedThuFriSat 28293031123456789101112131415161718192021222324252627282930311234567 JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember SunMonTueWedThuFriSat 28293031123456789101112131415161718192021222324252627282930311234567 JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember SunMonTueWedThuFriSat 28293031123456789101112131415161718192021222324252627282930311234567 JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember SunMonTueWedThuFriSat 28293031123456789101112131415161718192021222324252627282930311234567 JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember SunMonTueWedThuFriSat 28293031123456789101112131415161718192021222324252627282930311234567