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Tubal Ligation and What You Need To Know for Pregnancy

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Most people have heard of a procedure known as “having your tubes tied” but what does that really mean and how will it affect future pregnancies and fertility.

In medical terms it is known as a tubal ligation and is used as a permanent form of birth control. It is often done after a birth of a child or in conjunction with another abdominal surgery such as a C-section.

At times, your physician may recommend that you also remove your fallopian tubes especially if you are at risk for certain cancers. This removal is used to decrease the chances of ovarian cancer in women who may be at greater risk or find the risk of ovarian cancer unacceptable. If you are a diabetic or overweight you may be at greater risk for complications with this surgery.

If you are a diabetic or overweight you may be at greater risk for complications.

Can Tubal Ligation be Reversed?

In most cases, a tubal ligation is not reversible however repair can be attempted but the desired outcome is not always possible. Discussing with your doctor the risks and benefits associated with this procedure is important to understand.

Currently, your options for additional children are in vitro fertilization (IVF) or surgical tubal reversal attempt. The American Society for Reproductive Medicine Committee supports surgical tubal anastomosis (TA) as an option for post-tubal ligation fertility and when considering options, reports age as the most important predictor for success. If you want to reverse your past tubal ligation, our Inovi fertility specialists can guide you through the steps and process of both reversal and IVF.

What Is a Tubal Ligation Procedure?

When you have a tubal ligation the doctor cuts then ties or blocks the tubes to prevent future pregnancies. While not disrupting your menstrual cycle, this procedure stops your egg from traveling from the ovaries through the fallopian tubes and prevents the sperm from moving up them.

It can be performed in an outpatient setting usually known as an laparoscopic tubal ligation. In this method, a small incision or needle is inserted to inflate your abdomen with a gas. Afterwards the surgeon places the laparoscope through one incision into your abdomen to perform the procedure while also inserting instruments through a second small incision. These are used to close your tubes.

After the surgeon is finished, the gas will be removed from your abdomen.

Additional Information About Previous Tubal Ligation or Pregnancy

What Are the Risks Associated with Tubal Ligation?

Since this procedure involves anesthesia, your risks of reaction to these medications are prevalent. Additional risks include but are not limited to these only:

  • Bowel or Bladder Damage
  • Blood Vessel Disruption
  • Infection
  • Pelvic Pain and Abdominal Pain
  • Procedure Complications or Future Pregnancy

Can I Still Get A Sexually Transmitted Disease After Tubal Ligation?

Yes. You are still at risk to get these diseases and must use protection if you think you may be sexually active and with multiple partners.

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