Thursday, May 5, 2016

By Pamela Jones


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.

One of the main benefits of the laparoscopic procedure is that it results in smaller scars compared to those that are seen with open procedures. Other advantages are that the likelihood of injuring pelvic organs is less and the risk of excessive blood loss is also lower. The main disadvantage is that the space may be too small such that there is a need to increase the size of incision.

Age has a great influence on the success of fertility restoration. While it does not affect the procedure directly, fertility may not be regained with ease in older females as it may in their younger counterparts. Statistics indicate that the success rate in young females (generally less than 35 years of age) is as high as 85% compared to those that are older than this (40%). Other determinants include length of the remaining tubes, amount of scar tissue found in the pelvis and the skills of your surgeon.

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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