Thursday, May 5, 2016

Important Aspects Concerning Tubal Reversal Louisiana Clients 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.

Different techniques can be used to achieve ligation of Fallopian tubes in Morgan city. Examples include tying then together, sealing using a clip, cauterization (using electric current) and so on. The choice of technique is determined by surgeon and patient preference. Since some of the techniques are more difficult to reverse than others, you may need to discuss with your gynecologist on what would best apply in your case.

As part of the preparation, your doctor will examine you and take you through a number of investigations. The importance of this step is to establish whether you are fit to have the operation and whether or not it will be beneficial. Both imaging studies and blood tests are usually needed. Among the most important investigation is a test known as hysterosalpingogram (HSG) that is used to check the patency of the remaining tube segments.

This procedure can easily be done in a fertility clinic or any other outpatient department. This is because the main forms of anesthesia used are local and regional (usually spinal). General anesthesia (where you have to be asleep) is reserved for potentially complicated cases that tend to take longer. The approach is usually through the scar used for ligation. The modern trend involves the use of laparoscopic and robotic assisted techniques.

There are a number of advantages that the laparoscopic and robotic approaches have over the open procedures. One of them is the fact that since the required incision is small, the resultant scars are also small. Other advantages include less bleeding and a lower risk of damage to pelvic structures. The major disadvantage is that the space is at times too small for some surgeons such that they have to significantly increase the size of incision.

Age has a great influence on the success of fertility restoration. While it does not affect the procedure directly, fertility may not be regained with ease in older females as it may in their younger counterparts. Statistics indicate that the success rate in young females (generally less than 35 years of age) is as high as 85% compared to those that are older than this (40%). Other determinants include length of the remaining tubes, amount of scar tissue found in the pelvis and the skills of your surgeon.

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.

In the absence of major complications, a few days are adequate for recovery. The exact time will vary depending on the technique and the type of anesthesia used. Recovery after the open technique takes generally longer than the laparoscopic technique. Long term complications that you need to be aware of include infections and an increased risk of ectopic pregnancies.




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