Tubal ligation is one of the most commonly used birth control options for women. It is a surgical procedure in which the Fallopian tubes are tied to prevent the process of fertilization. For a long time, the option has been considered permanent and it is only until recently that advances in surgery in Morgan city have made it possible to regain fertility. If they have plans of having tubal reversal Louisiana residents should understand a number of things on the procedure.
There are different techniques that are used in tubal ligation with the choice being determined by the surgeon and whether or not there is a possibility of a reversal in future. Placement of clips is one of the easiest. The clips exert pressure on the Fallopian tubes and block the passage of the sperm as well as the ovum. The advantage of this approach is that it can be easily reversed. Other options include burning with electric current and cutting.
The preparation that is required before one undergoes the surgery is fairly simple and similar to what is required for other operations. Blood tests and imaging studies may be done to establish whether one is fit enough to undergo this procedure. The hysterosalpingogram, HSG, is a test that is used in determining the patency of tubes. It is conducted by introducing a dye through the cervix and examining how it moves through the genital tract.
This procedure is usually done in an outpatient clinic because local anesthesia is usually used. This means that you will be awake as the operation is conducted. The abdomen will be opened by making one small incision. This is also known as mini-laparotomy. An alternative approach is the use of three smaller incisions that are used for laparoscopy. In the latter technique, a monitor is used to guide the surgeon.
The laparoscopic technique is the more popular choice among surgeons and patients alike. Part of the reason for this is the use of small openings in accessing the tubes which subsequently results in less prominent scars. Another advantage is that the risk of injuring pelvic organs is significantly lowered. The main disadvantage is that some surgeons find the operating space quite limiting and this may require that they convert to an open approach.
The operation is deemed successful if it results in a pregnancy. In the event that a pregnancy is not attained, then efforts should be made to rule out other causes of infertility among both partners before terming it a failure. Factors that may affect the success rates include infertility in the male partner, presence of extensive scar tissue within the pelvis and advanced age.
The time that is needed for recovery is dependent on the type of technique that has been employed. If one has had the reversal through the open procedure, they may be required to remain within the hospital for a day or two for observation. This is usually not necessary when laparoscopy is used. Complications that may be encountered during this period include bleeding, infections and ectopic pregnancies.
Although tubal reversal can be done successfully in a majority of candidates, failure is not uncommon. The failure should not be taken as a sign of infertility until all other causes have been explored. More importantly, assisted reproduction options that do not require the presence of Fallopian tubes now exist. An example is in vitro fertilization.
There are different techniques that are used in tubal ligation with the choice being determined by the surgeon and whether or not there is a possibility of a reversal in future. Placement of clips is one of the easiest. The clips exert pressure on the Fallopian tubes and block the passage of the sperm as well as the ovum. The advantage of this approach is that it can be easily reversed. Other options include burning with electric current and cutting.
The preparation that is required before one undergoes the surgery is fairly simple and similar to what is required for other operations. Blood tests and imaging studies may be done to establish whether one is fit enough to undergo this procedure. The hysterosalpingogram, HSG, is a test that is used in determining the patency of tubes. It is conducted by introducing a dye through the cervix and examining how it moves through the genital tract.
This procedure is usually done in an outpatient clinic because local anesthesia is usually used. This means that you will be awake as the operation is conducted. The abdomen will be opened by making one small incision. This is also known as mini-laparotomy. An alternative approach is the use of three smaller incisions that are used for laparoscopy. In the latter technique, a monitor is used to guide the surgeon.
The laparoscopic technique is the more popular choice among surgeons and patients alike. Part of the reason for this is the use of small openings in accessing the tubes which subsequently results in less prominent scars. Another advantage is that the risk of injuring pelvic organs is significantly lowered. The main disadvantage is that some surgeons find the operating space quite limiting and this may require that they convert to an open approach.
The operation is deemed successful if it results in a pregnancy. In the event that a pregnancy is not attained, then efforts should be made to rule out other causes of infertility among both partners before terming it a failure. Factors that may affect the success rates include infertility in the male partner, presence of extensive scar tissue within the pelvis and advanced age.
The time that is needed for recovery is dependent on the type of technique that has been employed. If one has had the reversal through the open procedure, they may be required to remain within the hospital for a day or two for observation. This is usually not necessary when laparoscopy is used. Complications that may be encountered during this period include bleeding, infections and ectopic pregnancies.
Although tubal reversal can be done successfully in a majority of candidates, failure is not uncommon. The failure should not be taken as a sign of infertility until all other causes have been explored. More importantly, assisted reproduction options that do not require the presence of Fallopian tubes now exist. An example is in vitro fertilization.
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