Reproductive Endocrinology (Fertility)

If you're having difficulties conceiving a child, this may be a discouraging time for you. Unfortunately, about 10% of couples in the United States have problems with fertility and both sexes are affected equally. With the help of conventional therapies such as medication and surgery, many couples can become parents.

At the Fertility Clinic, our goal is to provide high quality, personalized care. We also want your dreams of parenthood to come true. We offer fertility services that are consistent with our Franciscan heritage. The facilities and services we provide include:

  • a private area with an ultrasound suite and special andrology laboratory
  • ovulation induction cycles with ultrasound monitoring, diagnostic ultrasound
  • complete semen analysis testing and intrauterine inseminations
  • tubal ligation reversals
  • surgical procedures to assist in the process of conceiving
  • alternative therapies, such as acupuncture and massage are available at the Center for Health and Healing

Our partnership with Mayo Clinic allows us to provide referrals for other advanced reproductive techniques.

Our quiet, private area is on the east wing of the second floor and includes an ultrasound suite and andrology laboratory. Surgical procedures are performed at Mayo Clinic Health System Franciscan Healthcare in La Crosse.

Monday, Tuesday, Wednesday: 8 a.m. to 1 p.m.
Thursday, Friday: 8 a.m. to Noon

Information and Appointments:
Please call 608-392-5012 or 800-362-5454 ext. 25012.

Tubal Ligation Reversals

For most patients, it is possible to reverse a tubal ligation through a procedure called mini-laparotomy. This means that only one small incision is made on the lower abdomen that is approximately 2 to 3 inches in length. The procedure is done in the outpatient or "same day" surgery unit. Surgery is performed in the early afternoon and usually patients are able to go home by early evening. Total costs for this procedure including the surgeon, anesthesia, and hospital are usually between $7,400 and $7,950.

Before and after the surgery
Prior to surgery, patients have a complete physical exam. A semen analysis may be recommended for the partner. Also, it is important to confirm that ovulation is taking place, either by a history of regular periods, basal body temperature charts or a progesterone level. In some cases, patients may be asked to lose weight prior to surgery or it may be technically difficult to perform the procedure with only a small incision.

After surgery, patients are usually back to work within one to two weeks. Sexual relations may be resumed after two weeks and contraception is recommended for the first month. Complications from the reversal procedure occur infrequently and can include infection, bleeding, or damage to internal organs. On rare occasions, it is not possible to reconnect the tubes because the remaining tubes are too short.

Pregnancy success rate post surgery
About 75 percent of patients will have a successful pregnancy after the reversal. This percentage is higher for younger patients or if the tubal ligation was done with clips or a ring. The chances are lower for older patients or if the tubal ligation was a "burn" procedure. After the reversal, if a period is two weeks late, an ultrasound is recommended. This is done to make sure that the pregnancy is in the uterus and not an ectopic pregnancy. About 5 percent of pregnancies will be ectopic.

Experience you can trust
Dr. Paul Silva has performed over 500 tubal ligation reversals and has published his results in peer review journals. He is a board certified Reproductive Endocrinologist with over 25years of experience with this procedure.

Contact Us

608-392-5000 (appointments)

Where to Find Us

191 Theater Road
Onalaska, WI 54650