Tubal ligation is considered a permanent form of contraception for women. The procedure entails the interruption of Fallopian tube continuity which effectively prevents the interaction between the sperm and the ovum. In rare circumstances, a number of people rescind their decision to have the procedure due to one reason or the other and request that it be reversed. If they find themselves in such a situation, there are a number of things on tubal reversal Louisiana residents should know.
Different techniques can be used to achieve ligation of Fallopian tubes in Morgan city. Examples include tying then together, sealing using a clip, cauterization (using electric current) and so on. The choice of technique is determined by surgeon and patient preference. Since some of the techniques are more difficult to reverse than others, you may need to discuss with your gynecologist on what would best apply in your case.
As part of the preparation, your doctor will examine you and take you through a number of investigations. The importance of this step is to establish whether you are fit to have the operation and whether or not it will be beneficial. Both imaging studies and blood tests are usually needed. Among the most important investigation is a test known as hysterosalpingogram (HSG) that is used to check the patency of the remaining tube segments.
This procedure can easily be done in a fertility clinic or any other outpatient department. This is because the main forms of anesthesia used are local and regional (usually spinal). General anesthesia (where you have to be asleep) is reserved for potentially complicated cases that tend to take longer. The approach is usually through the scar used for ligation. The modern trend involves the use of laparoscopic and robotic assisted techniques.
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.
In the absence of major complications, a few days are adequate for recovery. The exact time will vary depending on the technique and the type of anesthesia used. Recovery after the open technique takes generally longer than the laparoscopic technique. Long term complications that you need to be aware of include infections and an increased risk of ectopic pregnancies.
Different techniques can be used to achieve ligation of Fallopian tubes in Morgan city. Examples include tying then together, sealing using a clip, cauterization (using electric current) and so on. The choice of technique is determined by surgeon and patient preference. Since some of the techniques are more difficult to reverse than others, you may need to discuss with your gynecologist on what would best apply in your case.
As part of the preparation, your doctor will examine you and take you through a number of investigations. The importance of this step is to establish whether you are fit to have the operation and whether or not it will be beneficial. Both imaging studies and blood tests are usually needed. Among the most important investigation is a test known as hysterosalpingogram (HSG) that is used to check the patency of the remaining tube segments.
This procedure can easily be done in a fertility clinic or any other outpatient department. This is because the main forms of anesthesia used are local and regional (usually spinal). General anesthesia (where you have to be asleep) is reserved for potentially complicated cases that tend to take longer. The approach is usually through the scar used for ligation. The modern trend involves the use of laparoscopic and robotic assisted techniques.
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.
In the absence of major complications, a few days are adequate for recovery. The exact time will vary depending on the technique and the type of anesthesia used. Recovery after the open technique takes generally longer than the laparoscopic technique. Long term complications that you need to be aware of include infections and an increased risk of ectopic pregnancies.
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