Choices for Women with Prior Tubal Ligation
Choices for Women with Prior Tubal Ligation
At some point in their lives many women decide to undergo a surgical procedure known as tubal ligation, more commonly called "getting your tubes tied". Later in their life, they may decide that they wish to have children but are fearful that their tubal ligation procedure was permanent. Actually, this is not the case. There are studies showing a promising future for tubal ligation reversal. This is very reassuring news for women that have undergone a tubal ligation but now plan on having children and raising a family.
Reasons Women Regret "Having Their Tubes Tied"
Many reasons may lead a woman who had previously tied her tubes to regret her decision. Young age at time of the tubal ligation is one of the biggest factors for regret; the younger a woman is at the time of tubal ligation, the higher the chance that at some point she will desire to be pregnant again. Furthermore, some women are pressured by their partners to have their tubes tied, due to various financial or personal issues. In addition, some women may lose their significant other or divorce and subsequently remarry, wishing to have children with their new partner.
Before a woman gets a tubal ligation surgery she should carefully consider how it will impact the rest of her life and if this is something she truly desires. Nevertheless, whatever the reason for regret may by, women with a history of a tubal ligation have excellent options for having more children.
How Tubal Ligation Works
The fallopian tube is the site where an egg and sperm unite to create an embryo. Normally, an egg is released from the ovary into the fallopian tube where it waits to be fertilized by sperm. Following a tubal ligation procedure, sperm cannot reach the egg because the tube is cut off (occluded), which prevents pregnancy.
During a standard tubal ligation procedure, a small incision is made in the abdomen, which allows access to the fallopian tubes. Then, using various surgical techniques, the tubes can be sealed, burned, clipped, or cut. Because of an extremely low failure rate, a tubal ligation is considered a permanent birth control method. However, in the majority of cases, tubal litigations are quite reversible.
Reasons to Consider Tubal Reversal Versus In Vitro Fertilization
Prior to the era of in vitro fertilization (IVF), tubal reversal procedures were extremely common since a tubal reversal was the only way for a woman to become pregnant after a tubal ligation. Since IVF allows for the fertilization of eggs by sperm in the embryology laboratory, rather than the fallopian tube, IVF can bypass the fallopian tube and achieve pregnancy.
Once IVF was developed, IVF became a popular choice for achieving pregnancy for women with a prior tubal ligation. In certain clinical cases, IVF is a better choice for achieving pregnancy with a prior tubal ligation. However, in most cases, because of the lower risk for multiple gestation, lower cost, and high success rate, a tubal reversal procedure is much more beneficial. In experienced hands, this procedure can be performed as an outpatient surgery (requiring no overnight hospitalization) with a fast recovery and excellent results.
Tubal Reversal Results in Successful Pregnancies 65% of the Time.
Multiple studies have shown that a tubal reversal can by highly successful. A recent study out of North Carolina showed promising results for women that wished to become pregnant after having tied their tubes. Of the 2,692 women in the study 1,783 were able to become pregnant after having a tubal ligation reversal, which is about 65 percent of the women involved (better than the best IVF rate of 50.8% as reported by the Jones Institute).
There were many factors which affected the overall success rate including age, method used, and length of the fallopian tubes. Younger women under the age of 30 had a higher success rate than women over the age of 40. Women who had fallopian tubes 7.5 centimeters or longer were much more likely to get pregnant than women who had tubes in length of 2.5 centimeters or shorter.
Overall a majority of women who have a tubal ligation reversal are successful in becoming pregnant. There are many factors that contribute to the success rate of a tubal reversal, and couples interested in having the procedure should discuss these in detail with a doctor experienced in performing the surgery.
The good news is that today, women who have had a tubal ligation have choices, including renewed hope for expanding their families.
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