Tubal ligation is a permanent method of contraception. Many women undergo this method because of the heat of the moment, or because they already have many children, or because they have had somewhat traumatic experiences, however, tubal ligation can be a reason for regret later. Some women do it too early, young and with one or 2 children. After a while they can separate and remake life, thus having a desire to bear fruit from this new relationship or even if they do not separate, they may feel like or beat a baby in their arms. Then there is the regret of having had a tubal ligation so early, but that does not mean that the woman can never have children again, there is a possibility of tubal reversal , did you know?
Little has been said about reversal of tubal ligation, but it can happen. In order for it to become possible, some requirements are necessary in that specific case and it is considered by the doctor. The reversal of tubal ligation is only possible in cases of tubal ligation , in case of tubes removed it is not feasible and impossible because there is no way to reimplant them.
The tubes are more than necessary channels for a new natural pregnancy because it is in the tube that the sperm meets the egg. After intercourse, the sperm swims up the uterus to find the egg and there in the tube the magic happens. After fertilization in the tube, the baby is taken by internal tubes of the tube until it falls into the uterus to fix itself and then the pregnancy happens itself, the nesting of the zygote in the endometrium !
The ligation reversal is only possible in clipped or surgically tied tubes and can be done by videolaparoscopy, two or three holes in the abdomen or even vaginally. Some doctors do the tubal ligation even in childbirth, however, most doctors prefer to do the tubal ligation six months after the birth of the last child in order to make sure the patient’s certainty in making the procedure so complex that it would change her life, she will be infertile! Unfortunately there are cases where the baby may not survive and there are also cases of regret for the woman.
How does pregnancy happen after tubal ligation?
The tubal ligation is reversed by removing the clips or untying the place where it was preventing the pregnancy from happening. Most of the ligation reversal procedures are performed in the same way as it is done, laparoscopically. However, not every situation of reversal of tubal ligation is a guarantee that pregnancy can happen … There are cases in which these procedures can harm maiming or even make this tube unfeasible for new fertilization. The postoperative period is relatively good and fast, 48 hours in the hospital and a month of “protection” for new attempts at pregnancy.
The viability of the tube is tested at the time of the procedure, a dye is injected to find out if the tube is permeable. Pregnancy after tubal ligation is possible if the reversal procedure is reasonably good, a good professional and good health conditions for women make all the difference. The success rate ranges from 8 to 40% in healthy couples , without any type of fertility problem prior to sterilization. The healthier and younger you are, the better the chances of a new natural pregnancy after tubal reversal.
The procedures for reversing the ligation can be done by SUS or by health insurance, but they may have an additional cost for the patient. Some materials are not fully covered and may generate costs outside the procedure as it is an extremely detailed method with micro points. Pregnancy after tubal ligation can also happen even without the reversal of tubal ligation, some couples choose to do IVF , although expensive is a great solution. There are organs that do it free of charge for couples who do the tubal ligation and regret it, but the line is long! At SUS in São Paulo, there is the Pérola Byington hospital and Hospital das Clínicas that the queue for fertilization or ICSIit can reach three years. For many couples this is the way out, as it is a relatively expensive procedure.
Women with tied or clipped tubes can become pregnant if that tube loosens from the “binding”, so we see and hear some cases of pregnancy even after the tubal ligation is done. They are rarer but they still happen. The reversal of tubal ligation should be discussed with your doctor to find out if it is viable, if you do not have contraindications such as more than three cesarean deliveries due to the risk of uterine rupture, blood pressure problems or any other problem that may interfere with a healthy pregnancy after pregnancy. sterilization.
Interested in reversing tubal ligation? Consult your doctor for a couple of tests and if possible do it. Irreversible cases of tubal ligation should seek assisted reproduction centers, whether private or SUS. In São Paulo look for Pérola for more information ( www.hospitalperola.com.br/) .
To the next!
My name is Dr. Alexis Hart I am 38 years old, I am the mother of 3 beautiful children! Different ages, different phases 16 years, 12 years and 7 years. In love with motherhood since always, I found it difficult to make my dreams come true, and also some more after I was already a mother.
Since I imagined myself as a mother, in my thoughts everything seemed to be much easier and simpler than it really was, I expected to get pregnant as soon as I wished, but it wasn’t that simple. The first pregnancy was smooth, but my daughter’s birth was very troubled. Joana was born in 2002 with a weight of 2930kg and 45cm, from a very peaceful cesarean delivery but she had already been born with congenital pneumonia due to a broken bag not treated with antibiotics even before delivery.