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Important Aspects On Tubal Reversal Louisiana Women Should Know


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 techniques that can be employed in achieving tubal ligation. Those that are commonly used in Morgan city include sealing using clips, tying using surgical sutures and cauterizing using an electric current. The method that is employed is mainly determined by the preference of the surgeon and the patient. It is important to bear in mind that some techniques are easier 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 major advantages of the laparoscopic and robotic techniques over the open procedure is that the resultant scar is smaller. Others are that there is minimal bleeding and the risk of pelvic organ damage is lower. The main downside is that there is a small space through which to operate which may necessitate an enlargement of the incision. The average time for the operation is between two and three hours.

Although age does not directly affect the success of this operation, it has an influence on the fertility in general. The chances of having a pregnancy after the operation are higher in younger women (about 85%) compared to older women (about 40%). The success rate is also influenced by the length of time between the ligation and the reversal. The longer one waits, the less likely they are to succeed.

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.

One can go home on the same day that they are operated but an overnight stay is usually needed in case general anesthesia is used. A few days are required for one to recover from the effects of the operation. The exact time depends on the technique that was used. Long term complications include infections and an increased risk of ectopic pregnancies.