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Pregnancy After
Tubal Ligation

Pregnancy After Tubal Ligation...

Tubal ligation or tubectomy is a surgical procedure for sterilization in which your fallopian tubes are clamped and blocked, or severed and sealed, either method of which prevents eggs from reaching the uterus for fertilization.

Tubal ligation is considered a permanent method of sterilization and birth control.

Pregnancy After Tubal Ligation

Pregnancy after tubal ligation is possible, and this may be due to unintentional errors like an ectopic pregnancy or surgical reversal of the procedure, if desired.

Tubal Ligation (Tubes Tied)

Ligation of the tubes is a surgical procedure where each fallopian tube is permanently blocked by means of surgery.

The fallopian tube is a long, narrow tube that connects the ovary to the womb or uterus. It carries the egg towards the uterus and also carries the sperm towards the ovaries.

Tubal ligation blocks the fallopian tubes to prevent the sperm from fertilizing the egg so that you become 'sterile' and cannot get pregnant.

Tubal ligation is the most commonly used method of family planning worldwide and one of the safest surgical procedures.

It can be done in the hospital or in a clinic at anytime, usually after you give birth.

The fallopian tubes are permanently blocked by tying them together, clipping or banding, cutting or burning (cauterized) them shut.

Tubal ligation is also referred to as female sterilization, tubal occlusion, tube tying, or tying the tubes.

Is Pregnancy Possible After Tubal Ligation?

Pregnancy is possible after tubal ligation. Tubal ligation procedures are intended to be permanent and effective.

Although tubal ligation procedure are highly effective at preventing pregnancy, pregnancies can occur after the fallopian tubes have been blocked.

Tubal ligation procedures do have failures and pregnancy can occur after a tubal ligation.

If you become pregnant after tubal ligation you need to see a doctor immediately. Ectopic pregnancy will not proceed to full-term and is a life-threatening condition.

In tubal pregnancy, the foetus grows inside the fallopian tube, which may cause the tube to expand and eventually rupture.

Rupture will lead to significant bleeding and lead to shock, which is a surgical emergency.

Tubal ligation is a permanent procedure but you may regret at having been sterilized. Regret is most common because of divorce, remarriage, death of a child, or the desire to have more children.

Getting Pregnant After Tubal Ligation

What are the options of getting pregnant atfer tubal ligation? Below are the two main options for getting pregnant after tubal ligation...

Option 1 - In Vitro Fertilization (IVF)

This is not only a very expensive way for you to have a pregnancy after tubal ligation but you may need to undergo several treatments in order to achieve success.

With IVF, you will be required to take certain hormones which helps to increase the possibility of several eggs being released from your ovaries.

There are several tests and ultrasounds along the way to check on the development of ovarian follicles.

Once the eggs are developed, they are removed from the body via a needle through the vaginal wall, fertilized by sperm and allowed to mature a bit, and then implanted into the uterus through the cervix.

The success rate of an IVF is 10 to 25%. But this varies greatly and will depend on which clinic you go to for the procedure.

When trying to conceive with an IVF, you have a greater chance of multiple pregnancy. Twins and triplets are not uncommon.

Option 2 - Tubal Ligation Reversal

With tubal ligation reversal a surgeon will need to make an incision in order to reach the fallopian tubes where he will remove the blocked parts and then reconnect the ends that are open.

If you decide to go with this options, you will need to refrain from trying to conceive for at least a month following the reversal procedure to allow the reconnected fallopian tubes to heal properly.

Unlike IVF, there is a much greater chance of becoming pregnant. Records show that around 70% of all women who have this procedure performed will become pregnant within a year.

Chances depend upon your age, the type of tubal ligation, and length of the fallopian tubes left after the damage from the tubal ligation is removed.

Due to this, a pregnancy after tubal ligation may be best achieved via tubal reversal.

Chances of Failed Tubal Ligation

Tubal ligation is one of the most effective contraceptive methods if performed correctly.

The risk of being pregnant after tubal ligation is lower than the risk in the use of other methods of contraception.

Failure of tubal ligation occurs when you become pregnant after the surgery is done.

Causes of Tubal Ligation Failure

There are several causes of failed tubal ligation. It can be classified as failure before or after tubal ligation.

Failure before tubal ligation occurs when pregnancy, called luteal-phase pregnancy, was not detected before the procedure is done.

Failure after tubal ligation represents technical errors done in performing the surgery. This is called true failure of tubal ligation.

The causes of true failure of tubal ligation are incomplete or inadequate closure of the tube, misidentifying a different structure for a fallopian tube, development of a fistula or re-canalization, and a misplaced device used in blocking the fallopian tube.

Failure to identify the fallopian tube maybe due to poor lighting or presence of scarring (adhesions).

Scarring results when you have had conditions that required surgery in the abdomen, for example, endometriosis or pelvic inflammatory disease.

A fistula or an abnormal opening called tuboperitoneal fistula develops between the abdominal (peritoneal) space due to incomplete healing of the ligated end of the fallopian tube.

Re-canalization occurs when the ends of the fallopian tube regenerates and form slit-like spaces and pouches or the ends of the tubes meet and re-establish the patency of the tube.

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