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.
This procedure can be performed in the outpatient clinic with ease. Since general anesthesia may be needed in some cases, a number of surgeons prefer to perform it within a hospital. Once the anesthesia has taken effect, the surgeon can access the tubes using a number of approaches. The first involves the creation of a fairly large incision in the lower abdomen. The second involves the use of a tubular instrument known as a laparoscope and the third involves robotic assistance.
The laparoscopic technique is one of the most popularity. Part of the reason as to why this is the case is the fact that it involves minimal access of the pelvic region. This means that the resultant scar is much smaller as compared to other methods. A major disadvantage is limited access of the operation field by the surgeon. In some cases, the incision has to be increased in size. On average, the entire operation lasts between 2 and 3 hours.
The success of having a pregnancy after the procedure is determined by a number of factors. One of the most important is age. It has been shown that the chance of succeeding is higher among younger women and decreases with advancing age. Generally, success rates fall anywhere between 40% and 85%. Other factors that may play important role include skills of the surgeon, the extent of scar tissue within the pelvis and the length of fallopian tubes remaining.
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.
This procedure can be performed in the outpatient clinic with ease. Since general anesthesia may be needed in some cases, a number of surgeons prefer to perform it within a hospital. Once the anesthesia has taken effect, the surgeon can access the tubes using a number of approaches. The first involves the creation of a fairly large incision in the lower abdomen. The second involves the use of a tubular instrument known as a laparoscope and the third involves robotic assistance.
The laparoscopic technique is one of the most popularity. Part of the reason as to why this is the case is the fact that it involves minimal access of the pelvic region. This means that the resultant scar is much smaller as compared to other methods. A major disadvantage is limited access of the operation field by the surgeon. In some cases, the incision has to be increased in size. On average, the entire operation lasts between 2 and 3 hours.
The success of having a pregnancy after the procedure is determined by a number of factors. One of the most important is age. It has been shown that the chance of succeeding is higher among younger women and decreases with advancing age. Generally, success rates fall anywhere between 40% and 85%. Other factors that may play important role include skills of the surgeon, the extent of scar tissue within the pelvis and the length of fallopian tubes remaining.
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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