Pregnancy process in women with tubal ligation
Tubal ligation does not prevent a woman from becoming pregnant and gestating without impediments until the baby is born. The only thing is that it alters the daily process to develop the embryo. Needing external assistance from a specialized clinic in order to reverse the process or perform in vitro fertilization (IVF).
Many women of a certain age decide for different personal or medical reasons to have their fallopian tubes tied. The initiative can be carried out at any age, with the approval of the interested woman. This decision can be made after giving birth, or requires scheduled surgery.
Although, as the years go by and for reasons such as the constitution of a family, either to form a larger nucleus or the desire to be new mothers. They start looking for a way to reverse the process. And this is where it will depend on the type of ligament that has been made and the age.
The tubal ligament can be obstructed in different ways, in order to prevent the passage of sperm to the ovum for fertilization. Among which we can highlight:
A device that transmits an electrical current is connected to the body to seal a segment of the fallopian tubes. Coagulating the area and preventing the passage of sperm to the ovum.
Staples or rings
There are different types of staples or rings that stop the normal passage of the tubes to the interior, generating a small scar that remains for years. The unique thing about each type of staple is that some need a small incision that makes the procedure irreversible for future decisions of the woman.
It is the most used method among doctors, due to its simplicity to learn it and the ease of materials it requires. It consists of an occlusion operation, where a section of the fallopian tubes is cut and removed to seal the area.
It does not require a tubal incision. A micro-insert is inserted with a catheter and calibrated to the size of the area, creating a natural barrier. It is a permanent contraceptive.
There are two ways in which a woman can get pregnant, by reversing the ligament process or by in vitro fertilization.
For the first option, it is sought to reverse the ligament of the fallopian tubes. The attempt can only be made if an excision was not performed, since it is made up of a muscle that the doctor will seek to join again, and that can perform the function normally. After the operation, the patient must take a rest and later a medical check-up to ensure normal functioning.
If after the operation the patient cannot get pregnant for a period of approximately one year, in vitro fertilization is carried out. Despite being a muscle, it is covered by a delicate tissue.
Currently it is still a little used practice among the female population. Around 120 million women have been sterilized, and less than half have tried by different methods to get pregnant again.
The chances of having a new pregnancy increase with the age of the woman. If you proceed under the age of 35, you have a 70% chance of success. Likewise, each success rate is proportional to the specific treatment applied in the area and the probability of salvation.
Surgery to reverse the process is more complicated than tubal ligation. Since it seeks to unite the occlusion and reestablish the constant flow. The most advisable thing is to go to a doctor who knows the medical history of the patient, and to choose the medical center that gives a pre-surgery report.
The second option is the in vitro fertilization , which is the most popular option because the effectiveness of the treatment is much higher. And you don't need surgery, only three internal processes need to be done.
- Ovarian stimulation with the patient
- Extraction of mature oocytes to be fertilized with sperm outside the uterus. When the embryos are formed, they are ready for the last phase.
- Embryo implantation. From there, the effectiveness is confirmed with a pregnancy test, and the mother begins to develop the fetus. The interventions do not last more than 15 minutes, and the patient returns to her usual routine.
IVF covers young people up to those over 40 years of age, they also have a margin of effectiveness depending on the age.
Although today it is an idea that may be possible, and it continues to be refined to increase the effectiveness of the surgery.
Women looking to reverse the process have a clear idea of what they want, and these are topics that are discussed with the trusted doctor. It does not mean it was a wrong decision (the ligament process). At the time it was the best option and due to different situations it can change, generating satisfaction in the couple.