This procedure is of great attention and responsibility for the care of female fertility, which is why one of our fertility specialists, Dr. Eduardo Castro Valderrama, tells us about the most relevant factors of a tubal ligation surgery.
How is the procedure?
It is aimed at women who have already had the number of children they want and are looking for a form of definitive contraception, thus, they think of ligation of tubes as the solution as it is a procedure in which the doctor with a small incision in the abdomen seals the fallopian tubes through various techniques.
Keep in mind that currently, since a person is an adult and has the ability to express their consent, this procedure can be carried out at any age.
Does the ligation have classes or types?
There are different techniques but in general I would say that currently two are fundamentally used:
1. In which the tubes are ligated with a suture materialand then a small fragment of the trunk is cut.
2. In which the tubes are blazing,That is, they are burned with a special device called a bipolar cautery and then cut.
How difficult is it to get pregnant after a ligation?
The possibility that the ligation fails is more or less 1 in 11 thousand, that is, it is very scarce, apart from this, if a woman wants to get pregnant again even if she has her tubes linked, she has two options, one is to have surgery to rejoin the fragments of tube and the other is to undergo in vitro fertilization treatment.
Dr. Eduardo Castro Valderrama assures that surgery to collect the tube fragments is especially useful when there is an adequate length of the fallopian tube by more than 5cm and to the extent that the cautery are used more and more to burn the tubes before cutting them. The possibility of finding a tube segment is less and less.
The reversal of tubal ligation in the best hands works between 60 to 70 percent of the cases and if it fails, the other methodology must be used, which is to think of one of the assisted reproduction techniques such as in vitro fertilization, where the possibilities of pregnancy They will range between 45 and 65 percent, a greater factor in younger women.
Can the woman after ligation make egg donation?
Yes, perfectly. The requirements to be an egg donor have to do with the age and health of the person, if the woman has a tubal ligation but meets the requirements, she can donate without any problem and help a couple get a pregnancy through assisted reproduction treatment in Bogotá.
Finally, Dr. Eduardo Castro Valderrama recommends that women not bind their tubes unless they are absolutely sure of not wanting to have more children since today there are planning methods that are not definitive such as intrauterine devices, such as Mirena, which has a Failure rate very similar to tubal ligation but that are reversible. It is also important to check that it has been identified if there are causes of infertility of the couple for the clinical history.
We invite you to advise yourself by experts in male and female fertility, if you decide, we will be waiting for you. always reprotected on his side.