Tubal ligation is generally considered a permanent form of birth control for women. It is achieved by interfering with the patency of both Fallopian tubes such that the sperm and the ovum can no longer interact to result in a pregnancy. Occasionally, there is a need to reverse the procedure so as to restore fertility. If they intend to have tubal reversal Louisiana residents need to understand a number of things beforehand.
There are several methods used in interrupting Fallopian tube patency. Some of the most commonly used techniques in Morgan city include burning with electric current (also known as cauterization), tying of the tubes together, and the use of clips. While the results are more or less the same regardless of the technique used, one should remember than some techniques are more challenging to reverse than others.
Before undergoing the reversal procedure, you may be subjected to a number of tests by your doctor. The aim of these tests is to check whether you are fit enough to have this procedure. More importantly, however, the tests will help the doctor establish whether the procedure will be beneficial in the end or other options should be sought from the very beginning. One of the most informative tests at this point is the hysterosalpingogram (HSG).
The reversal procedure is typically performed in the outpatient setting (fertility clinic). Local or regional anesthesia are usually used but general anesthesia may be required if complications are anticipated. The same incision used to perform the ligation procedure is used to access the pelvic cavity once more. The current trend is to use a laparoscopic approach involving the use of small incisions. Another option that may be used is robotic assisted surgery.
There are a number of advantages that the laparoscopic and robotic approaches have over the open procedures. One of them is the fact that since the required incision is small, the resultant scars are also small. Other advantages include less bleeding and a lower risk of damage to pelvic structures. The major disadvantage is that the space is at times too small for some surgeons such that they have to significantly increase the size of incision.
While age is not a determinant of successful reversal, it does affect fertility. The earlier one undergoes the corrective procedure, the higher the chances of success. Young women have a success rate of about 85% while the rate on older women is as low as 40%. Another important determinant is the duration of time between ligation and reverse. The longer the time, the lower the rate of success. Other factors include the length of tubes and amount of scar tissue in the pelvis.
If the restoration of fertility is unsuccessful, there are several options that one can consider. These are generally called assisted reproductive techniques. One of the most widely used is in vitro fertilization (IVF). In this technique, the fertilization process (between the egg and the sperm) is facilitated outside the body and implantation is done artificially after embryo formation.
The time that one needs to recover from the procedure depends on a number of factors. These include the technique and the type of anesthesia used. In case of general anesthesia, you may be retained in hospital for about 24 hours before being discharged. In case of the laparoscopic technique (and regional anesthesia), one can go home on the same day.
There are several methods used in interrupting Fallopian tube patency. Some of the most commonly used techniques in Morgan city include burning with electric current (also known as cauterization), tying of the tubes together, and the use of clips. While the results are more or less the same regardless of the technique used, one should remember than some techniques are more challenging to reverse than others.
Before undergoing the reversal procedure, you may be subjected to a number of tests by your doctor. The aim of these tests is to check whether you are fit enough to have this procedure. More importantly, however, the tests will help the doctor establish whether the procedure will be beneficial in the end or other options should be sought from the very beginning. One of the most informative tests at this point is the hysterosalpingogram (HSG).
The reversal procedure is typically performed in the outpatient setting (fertility clinic). Local or regional anesthesia are usually used but general anesthesia may be required if complications are anticipated. The same incision used to perform the ligation procedure is used to access the pelvic cavity once more. The current trend is to use a laparoscopic approach involving the use of small incisions. Another option that may be used is robotic assisted surgery.
There are a number of advantages that the laparoscopic and robotic approaches have over the open procedures. One of them is the fact that since the required incision is small, the resultant scars are also small. Other advantages include less bleeding and a lower risk of damage to pelvic structures. The major disadvantage is that the space is at times too small for some surgeons such that they have to significantly increase the size of incision.
While age is not a determinant of successful reversal, it does affect fertility. The earlier one undergoes the corrective procedure, the higher the chances of success. Young women have a success rate of about 85% while the rate on older women is as low as 40%. Another important determinant is the duration of time between ligation and reverse. The longer the time, the lower the rate of success. Other factors include the length of tubes and amount of scar tissue in the pelvis.
If the restoration of fertility is unsuccessful, there are several options that one can consider. These are generally called assisted reproductive techniques. One of the most widely used is in vitro fertilization (IVF). In this technique, the fertilization process (between the egg and the sperm) is facilitated outside the body and implantation is done artificially after embryo formation.
The time that one needs to recover from the procedure depends on a number of factors. These include the technique and the type of anesthesia used. In case of general anesthesia, you may be retained in hospital for about 24 hours before being discharged. In case of the laparoscopic technique (and regional anesthesia), one can go home on the same day.
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