Tubal ligation is a popular contraception method offered to women. It is, for practical purposes, regarded a permanent method of family planning. The advances that have taken place in surgical practice in recent times have made it possible to reverse it and restore the fertility of women that underwent it in the past. If they intend to have tubal reversal Louisiana residents need to be aware of a number of things.
There are different methods that are used to interrupt the patency of fallopian tubes. They include sealing using a clip, tying them together and burning (cauterizing) using electric current. All these methods are effective in achieving contraception. The main difference is the ease with which they can be reversed if restoration of fertility is desired later on.
Before one is taken through the procedure, they need to be subjected to a comprehensive medical checkup. The aim of this checkup is to determine whether the reversal procedure will provide any benefits as relates to the fertility of the woman. Several blood tests and radiological images are usually studied at this point. One of the vital tests is known as the hysterosalpingogram, HSG, used to check for patency of tubes. It is important to evaluate the male partner.
The operation itself, a rather minor procedure may be done in an outpatient setting or within a hospital. The latter is preferred because general anesthesia is usually used. Once you are asleep under the influence of the anesthesia, the surgeon has several options; to make a large incision in the lower abdomen and perform an open operation, to use a laparoscope interested in a small incision or to perform the operation using robotic assistance.
The laparoscopic procedure involves minimal access hence the resultant scar is a lot smaller. The associated bleeding and injury to pelvic structures are also minimal. The main disadvantage is that the surgeon may not be comfortable operating in the small space which necessitates the creation of a larger incision. When the tubes have been accessed they will be untied, unblocked or rejoined depending on the technique that was used initially. The operation lasts for two to three hours.
Success rates are determined by a number of factors. Age is one of the most important. The chances of having a successful pregnancy are higher among younger women compared to those who undergo the surgery at an older age. In general, the success of pregnancy is between 40% and 85%. Other important determinants include length of remaining tubes, the skills of your surgeon and the extent of scar tissue within the pelvis.
If the procedure fails to yield results, there are a number of other alternatives that can be considered. Assisted fertility options such as in vitro fertilization (IVF), have had tremendous success. As a matter of fact, a good number of women are opting for this options at the expense of reversal procedures. Ensure that you discuss your possible options with your fertility doctor.
The time needed for recovery from the operation is dependent on the method of reversal that has been used. If the open technique is employed, the patient is likely to be retained in hospital for between one and three days. When the laparoscopic technique has been used, on the other hand, you can go home on the same day. Complications include bleeding, infections and an increased risk of having ectopic pregnancies.
There are different methods that are used to interrupt the patency of fallopian tubes. They include sealing using a clip, tying them together and burning (cauterizing) using electric current. All these methods are effective in achieving contraception. The main difference is the ease with which they can be reversed if restoration of fertility is desired later on.
Before one is taken through the procedure, they need to be subjected to a comprehensive medical checkup. The aim of this checkup is to determine whether the reversal procedure will provide any benefits as relates to the fertility of the woman. Several blood tests and radiological images are usually studied at this point. One of the vital tests is known as the hysterosalpingogram, HSG, used to check for patency of tubes. It is important to evaluate the male partner.
The operation itself, a rather minor procedure may be done in an outpatient setting or within a hospital. The latter is preferred because general anesthesia is usually used. Once you are asleep under the influence of the anesthesia, the surgeon has several options; to make a large incision in the lower abdomen and perform an open operation, to use a laparoscope interested in a small incision or to perform the operation using robotic assistance.
The laparoscopic procedure involves minimal access hence the resultant scar is a lot smaller. The associated bleeding and injury to pelvic structures are also minimal. The main disadvantage is that the surgeon may not be comfortable operating in the small space which necessitates the creation of a larger incision. When the tubes have been accessed they will be untied, unblocked or rejoined depending on the technique that was used initially. The operation lasts for two to three hours.
Success rates are determined by a number of factors. Age is one of the most important. The chances of having a successful pregnancy are higher among younger women compared to those who undergo the surgery at an older age. In general, the success of pregnancy is between 40% and 85%. Other important determinants include length of remaining tubes, the skills of your surgeon and the extent of scar tissue within the pelvis.
If the procedure fails to yield results, there are a number of other alternatives that can be considered. Assisted fertility options such as in vitro fertilization (IVF), have had tremendous success. As a matter of fact, a good number of women are opting for this options at the expense of reversal procedures. Ensure that you discuss your possible options with your fertility doctor.
The time needed for recovery from the operation is dependent on the method of reversal that has been used. If the open technique is employed, the patient is likely to be retained in hospital for between one and three days. When the laparoscopic technique has been used, on the other hand, you can go home on the same day. Complications include bleeding, infections and an increased risk of having ectopic pregnancies.
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