Tubal ligation is a surgical contraception method that has been quite popular due to the convenience that is associated with it. For many years, it was considered a permanent method of family planning. With advances in surgical techniques, it has become possible to reverse the procedure and restore near normal fertility in women. If planning to have tubal reversal Louisiana residents need to understand 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 can be done in an outpatient clinic using either general or regional anesthesia. If general anesthesia is deemed necessary then it should be done within a hospital. As soon as the anesthesia has been administered, one of several surgical techniques may be used. The first involves making a fairly large incision in the lower abdomen. The second, involves the use of an instrument known as a laparoscope and the third is robotically assisted surgery.
Laparoscopic tubal reversal whose popularity has increased markedly in recent times is preferred due to the fact that it is minimally invasive. The resultant scar is much smaller as compared to those that are associated with other techniques. The main downside is the difficulty in operating. In a significant number of cases, it becomes necessary to convert the laparoscopic procedure into an open procedure for ease of access. The operation usually lasts for 2 or 3 hours.
Age is an important consideration when it comes to the restoration of fertility. The chances of having a successful pregnancy are lower in the older women compared to those that are a bit younger. Generally, the chances of having a pregnancy are anywhere between 40% and 85%. Other determinants of success include amount of scar tissue in the pelvis, length of remaining tubes and the skill of the surgeon.
In case the surgery fails to result in a pregnancy, one should not lose hope. There are many other alternatives that exist. A number of assisted fertility options have been tremendously successful. Some, such as in vitro fertilization (IVF), appear to be preferred over the reversal procedure. Your fertility doctor will provide you with options that are applicable in your individual case.
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 can be done in an outpatient clinic using either general or regional anesthesia. If general anesthesia is deemed necessary then it should be done within a hospital. As soon as the anesthesia has been administered, one of several surgical techniques may be used. The first involves making a fairly large incision in the lower abdomen. The second, involves the use of an instrument known as a laparoscope and the third is robotically assisted surgery.
Laparoscopic tubal reversal whose popularity has increased markedly in recent times is preferred due to the fact that it is minimally invasive. The resultant scar is much smaller as compared to those that are associated with other techniques. The main downside is the difficulty in operating. In a significant number of cases, it becomes necessary to convert the laparoscopic procedure into an open procedure for ease of access. The operation usually lasts for 2 or 3 hours.
Age is an important consideration when it comes to the restoration of fertility. The chances of having a successful pregnancy are lower in the older women compared to those that are a bit younger. Generally, the chances of having a pregnancy are anywhere between 40% and 85%. Other determinants of success include amount of scar tissue in the pelvis, length of remaining tubes and the skill of the surgeon.
In case the surgery fails to result in a pregnancy, one should not lose hope. There are many other alternatives that exist. A number of assisted fertility options have been tremendously successful. Some, such as in vitro fertilization (IVF), appear to be preferred over the reversal procedure. Your fertility doctor will provide you with options that are applicable in your individual case.
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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