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What is Bilateral Tubal Ligation

What is Bilateral Tubal Ligation

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Published by Aldrich Arquiza

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Published by: Aldrich Arquiza on Sep 01, 2012
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11/17/2012

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What is bilateral tubal ligation?
Bilateral Tubal Ligation is a procedure in which a womans fallopian tubes are cut, clamped,blocked, or tied to prevent the eggs from the ovary to move to the uterus. The sperm as wellcannot travel up to the fallopian tubes to reach the egg for possible fertilization. Sincefertilization cannot be achieved, pregnancy is thereby prevented. This procedure is considered tobe a permanent form of birth control because reversal of it cannot be guaranteed.This procedure can be done anytime, including right after vaginal deliver or in combination withother abdominal surgeries. It is an out-patient procedure and recovery time right after takes onlya few hours.Back to the top 
Effects of bilateral tubal ligation
Bilateral Tubal Ligation is done for patients who no longer want to bear children in the future.Permanent Sterilization is achieved after surgery.Back to the top 
Candidates for bilateral tubal ligation
Bilateral Tubal Ligation is a procedure intended for women who are considering permanentsterilization after having their desired number of children. This procedure could also be chosenby women who should not become pregnant for health related reasons like cardiac disease oruterine problems.Back to the top 
Your consultation
Tubal Ligation is considered to be a permanent form of sterilization and thus requires a greatdeal of thought and consideration from both the patient and her husband or partner concerned.Generally, patients who undergo this procedure have an intent for it to be permanent. Althoughreversing the surgery is sometime possible, it requires major surgery, and is not alwayssuccessful.During the consultation, your surgeon will inform you about the procedure, its benefits, potentialrisks, and complications. Your complete medical history will be taken and physical exams areperformed. Several pre-operative tests may also be done prior to the surgery. If you do decide tohave the surgery, pre-operative instructions will also be given.Back to the top 
The procedure
 
The laparoscopic approach is usually used when Tubal ligations are done. The patient is first putunder General or Local Anesthesia. An instrument then is inserted thru the vagina to adjust theuterus to the desired position for surgery. After which, a small incision is made in the abdomen,usually around the navel, to insert a flexible telescope-like instrument to see the uterus. Theabdomen is then insufflated (inflated for better visualization) using Carbon dioxide gas andanother flexible-tube instrument is inserted though a second incision to block the tubes. Thetubes can be cauterized, clipped, or incised for it to be blocked. The procedure takes about 30min. to 1 hourBack to the top 
Recovery
The patient is monitored for a few hours before she is allowed to go home. Minimal pain,discomfort and cramping may be felt after the procedure, but proper prescribed medications maybe given to alleviate this. Shoulder pain may also present right after because of the Carbondioxide used during the surgery. She will be instructed on how to take care of her surgical woundand the signs and symptoms she must watch out for to avoid possible complications.Most women return to their normal activities, including work, in a few days, although you maybe advised not to exercise during the first 7 days. You may resume sexual intercourse 1-2 weeksafter the procedure or when you feel ready to do so. You are advised to use some form of contraception until your next menstrual period.In the next 24 hours after anesthesia has been administered, please do not: Drive any motorvehicle Drink alcohol Ingest sedatives or tranquilizers Operate machinery Handle any sharp orpotentially harmful instruments e.g. knife, scissors Make important decisionsArrange for someone to accompany you home and keep you company overnight after thesurgery.Back to the top 
Risks and complications
Although major complications are uncommon after tubal ligation, as with any type of surgery,there are still some risks involved with the procedure. Some of these include bleeding, damage toother organs, and infection. Tubal Ligations are usually almost always 99% effective, with only a0.1-1% failure rate.Follow upMost women recover from the laparoscopic procedure with no complications at all, but follow-ups are recommended for continual assessment. There are no tests to confirm that you are nowsterile (unable to become pregnant) after a laparoscopic procedure. 
 
Q: How effective is a tubal ligation in preventing pregnancy?
A: The chance of you becoming pregnant in the first year following a tubal ligation is less than 1percent. The failure rate increases with the length of time from the procedure. The failure rate isas high as 5 percent after 10 years.Back to the top 
Q: Does a tubal ligation help prevent sexually transmitted diseases?
A: No, a tubal ligation does not protect you against sexually transmitted diseases (STDS)Back to the top 
Q: Does tubal ligation reduce the risk of ovarian cancer?
A: Yes, tubal ligation has reduced the risk of ovarian cancer in several case control studies.Back to the top 
Q: Will there be any menstrual changes associated with Tubal Ligation?
A: There are usually no menstrual changes associated with Tubal Ligation. Normal Menstrualcycle patterns may resume after surgery. Although changes may occur, it would be for secondaryreasons such as stopping birth control before the procedure, or taking them again after.Back to the top 

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