Tubal ligation is the most effective method of contraception. However, it is not perfect as it can have side effects. What is tubal ligation? What are the consequences of this treatment? Does Tubal Ligation Affect Hormones, Menstruation, and Libido? Is it true that an ectopic pregnancy may be a complication after female sterilization? Is ovarian ligation reversible?

Tubal ligation(you can also meet the incorrect termovarian ligation ) is a procedure aimed at permanently depriving a woman of fertility.Female sterilizationconsists in breaking the continuity of the fallopian tubes, and thus - breaking the path that the egg goes to the uterus and which the sperm travels to the egg. Thus, tubal ligation is considered to be the most effective method of contraception. According to Pearl index, its effectiveness is 0.15-0.10. This means that the average number of unwanted pregnancies resulting from sexual intercourse in 100 couples using this method of contraception is 0.15-0.10.

Tubal Ligation - Methods

1) Laparotomy

To get to the fallopian tubes, the doctor opens the abdominal cavity. Then he ligates the fallopian tubes using one of several methods:

  • crushing the fallopian tube using the Mandler method - involves crushing the fallopian tubes and putting on a ligature
  • Pomeroy's operation - involves cutting out a fragment of the fallopian tube and attaching ties to both ends
  • excision of the fallopian tube using the Labhardt method - a 1-2 cm segment of the fallopian tube is cut out, and the resulting stump is placed in a "pocket" made of the peritoneum
  • cutting the fallopian tube using the Irving method - the doctor ligates the fallopian tubes on both sides and then cuts them. The resulting stumps are treated as in the Labhardt method
  • clip sterilization - special clips are attached to the fallopian tubes

2) Laparoscopy

Laparoscopy involves the insertion of special tools for surgical procedures through a hole made in the navel using the troakar of a laparoscope with a visual track and through small incisions above the symphysis pubis. Laparoscopy makes it possible to conductall surgeries on the fallopian tube, including electrocoagulation of the fallopian tubes.

Facts about contraception

Worth knowing

Tubal ligation - is it reversible?

Treatments that reverse the effects of tubal ligation can be performed, but they are not very effective - only 30 percent. cases are successful.

Tubal Ligation - Side Effects

  • tubal ligation and menstruation

Ovarian ligation does not upset the menstrual cycle. Ovulation occurs normally and bleeding is not, which is often a fear in women, is irregular and painful. There are also no breakthrough bleeding. There was also no amenorrhea after tubal ligation.

  • tubal ligation and libido

Tubal ligation does not decrease libido. On the contrary, a woman who is no longer afraid of an unwanted pregnancy may open up to new sexual experiences.

Worth knowing

Tubal ligation and pregnancy

Even if a woman decides to have the fallopian tubes tied, she can still get pregnant, but only by IVF.

In addition, the procedure may be successful (this is the case in 1 in 200 cases), which may result in pregnancy.

  • tubal ligation and hormones

Tubal ligation does not lead to hormonal changes, therefore a woman does not have to worry about, for example, premature menopause.

  • tubal ligation and ectopic pregnancy

Ectopic (tubal) pregnancy is the most serious complication after tubal ligation, and the risk of its occurrence is high in women who have undergone electrocoagulation of the fallopian tubes.

  • tubal ligation and infection

After tubal ligation, for example, wound infection, bleeding and other complications can occur, but these are rare.

Important

Tubal Ligation - Is It Legal?

In Poland, tubal ligation at the request of a woman is illegal. In our country, they can be made only in two cases:

  • when a possible pregnancy may pose a threat to the he alth or life of a woman
  • when suspected, the child will have a severe genetic disease

Category:

Pregnancy