Everything you need to know before performing a tubal ligation

Since the decision overturned the Roe v. Wade case in the last few months. Wade has been released, The number of searches for female sterilization has quadrupledTrends that are likely to continue The right to legal abortion has been overturned by the Supreme Court.. Given that Judge Clarence Thomas of the Supreme Court stated his desire in his opinion. Rethinking previous court decisions, including the right to access contraceptives, You may be wondering if sterility, a permanent form of contraception, is the right decision for you.

If you are still of childbearing age and are 100% sure Sterilization may be the best option to prevent unwanted pregnancies, as you don’t want any more children.The procedure is more invasive and requires longer recovery time Have your partner undergo a vasectomyHowever, the advantage is that as a person who can become pregnant, as a person who can become pregnant, it directly eliminates the risk.

Two types of fallopian tube sterility

first, Two types of fallopian tube sterility proceduresIt depends on how the fallopian tubes are blocked. Eggs are released from one of your ovaries each month to provide a review course in reproductive anatomy. It passes through the fallopian tubes, which can be fertilized. Once the egg is fertilized, it can be transplanted into the uterus.

Sterilization works by blocking or removing the fallopian tubes that prevent sperm from reaching the egg. There are two types of surgery to do this: tubal ligation and bilateral salpingectomy. Tubal ligation is closed, amputated, Or remove a small part of the fallopian tubes. Bilateral salpingectomy works by completely removing the fallopian tubes.

Bilateral tubal ligation was relatively rare compared to tubal ligation, but previously The percentage is increasingAs studies have shown, they are more effective in reducing the risk of ovarian cancer.

Is sterility suitable for me?

Planned parent-child relationship Sterilization is not recommended For those who are wondering if they want children in the future. Friends, family, Or a partner. Or those who think that sterility solves temporary problems such as marriage and money problems. Also, it cannot be protected from sexually transmitted diseases.

in terms of How well it works, Sterilization is more than 99% effective in preventing pregnancy.. If you need a contraceptive option that is reversible but has a similar level of effectiveness, IUD Implants are also more than 99% effective in preventing pregnancy.

What if I regret my decision?

Given that sterility is permanent, there is always the risk of regretting the decision.according to study Approximately 10% of sterilized women, announced in March of this year, regret it.

nevertheless Tubal ligation allows technical reversal. This is not a viable option as surgery is expensive and often not covered by insurance. Pregnancy success rates after reversal range from 40-85%, only if you are a candidate for surgery.

Another option for getting pregnant after sterilization is in vitro fertilization. In vitro fertilization involves fertilizing an egg in the laboratory and then transplanting it into the uterus.However, for this Expensive price tag, It ranges from $ 15,000 to $ 30,000 per cycle and is not guaranteed to work.

How do I perform a sterility procedure?

If sterility is the right option for you, you will need to discuss this with your doctor. When it comes to getting the procedure, many women often have to jump over many (very sexist) hoops.Woman has report The procedure was rejected because they were too young, had no children, or had not enough children. Some doctors require the husband to approve the procedure. For women using Medicaid, there is a 30-day waiting period.

If the doctor gives you a problem, it may be worth introducing to them opinion About the practice of ethical sterilization published by the Institutional Review Board of the American College of Obstetrics and Gynecology. Prepared in 2007 and reaffirmed in 2020, this statement outlines best practices for assessing the adequacy of optional sterility.

In their published opinion, the ACOG stated that “respect for the reproductive autonomy of individual women should be a primary concern”, “compulsory or compulsory sterility practices are unethical. Yes, it should never be done, “and” obstetricians and gynecologists should provide pre-sterility counseling. ” This includes a discussion of a woman’s reproductive desires and puts her wishes at the center of care. “

Also consider ACOG Women without children are ethically allowed to perform sterilization surgery as long as they wish, and we advise that requests from young women without children should not be considered the basis for mental health counseling. As they point out, “Doctors naturally want to avoid causing sterile regrets in women, but paternalism should also be avoided.”

Unfortunately, like everywhere else, paternity is still alive and well in medicine. So if your doctor refuses, you’ll have to find something else.If possible, a healthy person who respects the physical autonomy of women is desirable. Some childless organizations have a crowdsourced list of doctors who are willing to perform sterilization without unnecessary hurdles.

What to expect during the procedure

If you decide to get the procedure, it’s probably Laparoscopic surgery, The surgeon makes some small cuts through which the camera and surgical instruments are inserted. This reduces the amount of cutting required and shortens the recovery time.

With Laparoscopic sterilityThe surgeon makes a small incision near the navel to insert the laparoscope and a second small incision to close or remove the fallopian tubes.

The Recovery time, This depends on your overall health, the worst should be done within a few days, but you should refrain from lifting heavy objects for at least a week. When it comes to sterility, surgery will be effective sooner, but you should talk to your doctor about when it’s safe to have sex again.