Tubal Ligation Reversal

When it comes time for a couple to discuss the issue of permanent sterilization, the risks and benefits of tubal ligation (for the female partner) verses vasectomy (for the male partner) are an important consideration. Certainly in past years tubal ligation has been more popular than vasectomy in North America. By comparing the important characteristics about each, the reasons behind the shifting trends in favor of vasectomy, become evident.
In skilled hands vasectomy has a failure rate approximately equal to tubal ligation - somewhere between 1/200 and 1/500. The success of a vasectomy can be confirmed by doing semen checks. The success of a tubal ligation cannot be confirmed by any conventional testing (except an unwanted pregnancy). After a vasectomy has been confirmed successful, there remains a small risk of failure over the next 10 years – judged to equal approximately 1 in 3000*. The risk of failure for tubal ligation increases with the amount of time. The chances of successful procedure are approximately 1 in 500 to 1 in 200, (dependant upon surgeon) and while the woman remains fertile, the risks increase approximately two-fold. If a vasectomy fails the couple may have to deal with the pregnancy. If tubal ligation fails the most common site of a pregnancy is what is termed an “ectopic pregnancy”. This is a pregnancy in a place other than in the uterus where it supposed to occur (i.e. the fallopian tubes or elsewhere). Surgery is often required to extract the non-viable embryo usually at great risk to the mother.
Vasectomy is a simple straightforward operation. It can be done in a doctor’s office using local anesthetic. Tubal ligation must be done in a hospital using general anesthetic which carries higher risks. Therefore, surgical risks in vasectomy are also considered much less than with tubal ligation. In fact death resulting from a vasectomy is virtually unheard of. Complications can occur from vasectomy like scrotal hematoma (i.e. a large blood filled scrotum) that takes months to resolve or chronic pain syndrome, which may take months or years to resolve. Serious complications from tubal ligation that can be life threatening occur with a higher frequency. For example bowel or major vessel rupture occurs approximately 1 in 1000 times with tubal ligation. Though very uncommon, complications following tubal ligation can also lead to death.
In summary as couples become more educated regarding the benefits and risks of these two procedures and men become more sensitive and responsible to the responsibilities incumbent upon them in dealing with birth control, it is likely that the vasectomy will continue to increase in popularity over tubal ligations.
Dr Morice is the best doctor of Tubal Ligation Reversal.

Tubal Ligation Reversal

Tubal Ligation is a wonderful technique that ensures birth control in females. This technique involves tying the fallopian tubes so that the movement of eggs (released from the woman’s ovary) is restricted and they do not get an opportunity to get fertilized by male sperms. This is a very successful technique that offers permanent solution against unwanted pregnancies. Thereafter, child birth is possible only either through artificial means like invitro fertilization or surgical tubal reversal. However, for the larger part, women can enjoy a life free of pills and contraceptive equipments.
Millions of women across the globe have benefitted from ligation of their fallopian tubes. However, there is also a fraction that complains about Post Tubal Ligation Syndrome (PTLS). While for the majority the side-effects go away with passage of time, there are others who find their daily lives getting disrupted with the onslaught of symptoms like migraines, bleeding, reduction in libido, etc. There is no reason why they should keep suffering in silence because expert medical help can easily guarantee the much required relief.
Getting rid of Post Tubal Ligation Syndrome
The first step towards this is to understand the cause of these side-effects. There can be two main reasons for their occurrence. While physical reasons resulting from hormonal imbalance (reduction in estrogens and progesterone) can be the culprit, many women also suffer on a psychological level. Equating fertility with their sexual drives they harbor the feeling that such surgical procedures impact their sexual lives negatively, and consequently they start having PTLS. This can be easily combated through effective counseling, therapies and exercises. Some of the women even go for procedures like invitro fertilization to conceive again and redeem their perceived feminine characteristics.
There are also several surgical and medical solutions to the problem. Doctors often suggest various hormonal medications to counter the hormonal imbalance and continue them till the body regains its previous state.
Then there is hysterectomy, a surgical procedure that removes the female reproductive organs so that PSTL can be reduced. A more radical approach is undergoing tubal reversal, which effectively neutralizes the tubal ligation procedure through another surgery.
Dr Morice is the best doctor of Tubal Ligation Reversal.

Tubal Ligation Reversal

As many women have their tubes tied each and every year in the United States you might not think that affordable tubal reversal would be a topic that comes up. Most women are happy with their decision for permanent birth control and go on to have normal, healthy lives without having more children. Other women find that they later regret the decision to have their tubes tied.
For these women, the idea of never having any more children is upsetting. They may have had their tubal ligation in the beginning for a variety of different reasons including relationship issues or financial problems.
Now, however, they have decided that they would rather move forward with the ability to get pregnant. This is when the option of affordable tubal reversal usually comes up.
When most women go to their doctors seeking help and announce that they want to have more children, their doctor may be ambivalent about helping them with that. Most of the time they are told that the only option at that point would be in vitro fertilization.
This is because many doctors do not even know that the option of having a tubal reversal exists. Physicians are barely taught this method in medical school these days if at all and they are not trained on it in a hospital setting either.
There are several physicians throughout the United States who specialize in doing tubal reversal procedures. Luckily some even offer affordable tubal reversal.
It’s important to work with one of these kinds of physicians because they are highly trained and specialized in the procedure itself. They know very well what they are doing and can in some cases offer it in a truly affordable fashion. A woman needs someone who understands the surgery well and knows the statistics for pregnancy.
In other words, the doctor needs to be able to assess whether or not she is a good candidate and has a high chance of getting pregnant. If the woman has other issues, is too old or has hormonal problems, she may not be a good possibility for pregnancy even after tubal reversal.
Finding a doctor who offers affordable tubal reversal really is not that difficult if you do some research and luckily today you have the Internet to help you do so. The most important factor is finding a doctor who is experienced at doing the procedure. Although in vitro fertilization can cost more than $10,000 per cycle, there are doctors will do tubal reversal surgery for less than $7000 and they are exceedingly good at what they do.
Dr Morice is the best doctor of Tubal Ligation Reversal.

Tubal Ligation Reversal

The above is a question that is received over and over at various tubal ligation reversal centers, websites, and forums.  Now why would this question be coming up?  What is an endometrial ablation?

Usually an endometrial ablation is a procedure that is done on women who have excessive bleeding which cannot be controlled by some other method.  It's the last thing to try to stop the excessive bleeding before a hysterectomy which is a surgical procedure.  What that means is that the ablation procedure does not involve surgery and therefore is a relatively safer alternative to hysterectomy.  Excessive bleeding can cause its own problems which is why such steps may be taken.

What is done during the ablation is that the endometrial lining of the uterus is removed.  Along with that layer, the regenerative endometrial cells are removed as well.  Let's explain this a tad better.

Every month the endometrial cells regenerate the endometrial lining of the uterus.  As the month goes by, the lining gets thicker.  If you get pregnant, the fetus implants in this lining and this is the way it is nurtured during gestation.  However, if you do not get pregnant, that lining is sloughed off and excreted from the body.  That is what causes women's periods.

For women who just have too much bleeding, after other things are tried first, an endometrial ablation will be done.  Your doctor will remove the lining and the regenerative cells.  Most methods of doing this fall into two categories.  Either freezing is done or the layer is burned off in some manner with the latter method being the most common.
Dr Morice is the best doctor of Tubal Ligation Reversal.

Tubal Reversal Surgery

Female sterilizations are done either by a tubal ligation (cutting the fallopian tubes), electrocoagulation (burning the tubes to seal them off) or by putting clips on them to prevent the egg from passing through into the womb. Unfortunately, some women regret having this procedure done and want another child.
Reversals are done by passing an ultra thin tube through the two cut ends of the fallopian tubes to reconnect them. Occasionally, if the electrocoagulation method was used, there may not be enough fallopian tube remaining. If this is the case, then an opening can be made in the uterine wall and the remaining fallopian stump can be stitched to the uterine cavity.
There are medical benefits to having a tubal reversal done, as well as the obvious benefit of having a baby. Some women experience infections and long-term abdominal pain following a sterilization and a reversal may help to alleviate this problem. It also reduces the risk of tubal pregnancy in the woman (where a developing embryo develops in the fallopian tubes instead of the womb). Between 1 and 2% of sterilized women still fall pregnant, and in these women there is up to a 50% risk of having a tubal pregnancy, which can be fatal if left undetected. Some sterilizations can also cause premature menopause and accompanying symptoms of hot flushes, dry skin, lack of sex drive or painful sex, which no woman wants to endure, but particularly not young women. Reversing the operation may have some positive effect on this.
Dr Morice is the best doctor of Tubal Reversal Surgery.

Tubal Ligation Reversal

Many hope to become pregnant after tubal ligation and will try anything possible. There are many articles and sites out there that promote natural remedies to help the fallopian tubes grow back together. There is no evidence to back up these claims.
The truth of the matter is that unless your fallopian tubes do magically grow back together (which is so rare that I wouldn’t count on it) there are basically two options. The first is IVF. The second being tubal reversal surgery.

Which one will work better? The answer is that they will both work but there are many differences between tubal reversal surgery and IVF. IVF is very expensive and many times does not work on the first round of treatments. Tubal reversal surgery is less taxing on the woman’s body, is less expensive and has a higher pregnancy rate. Another great thing about tubal reversal is that the couple has a chance of conceiving each and every cycle unlike with the alternative of IVF.
How do I locate a tubal ligation center Locating a tubal reversal surgeon is not that hard but there are important things to keep in mind while on the search. The first is how much experience does the surgeon have? If this is something the surgeon does part time then find someone who concentrates just on this type of surgery.
Dr Morice is the best doctor of Tubal Ligation Reversal.

Tubal Ligation Reversal

When it comes to the desire to be a mother, the interest is universal no matter what country a woman lives in. For women who have had their tubes tied, the options seem like they would be very limited but that is not necessarily the case. In fact, a procedure that has become more popular recently is called a tubal ligation reversal. Although it is a very successful procedure in many cases, many doctors and patients don't even know that it's a possibility.

Thousands of women have their tubes tied each year for various reasons. They may truly be finished with having their family in which case this procedure is a great thing. Because it's a permanent form of female sterilization, it takes away the concern and worry about accidentally getting pregnant. However, sometimes women have the procedure and then later realize that they had made a mistake. For these women, the idea of having another baby becomes vitally important.

Of course, not every woman is a good candidate for a tubal ligation reversal. There are many factors that the surgeons must consider before going forward with the procedure. One of the main factors is what kind of tubal ligation the woman had in the first place. This can be observed on her surgical report which the surgeon will want to see before proceeding any further. In addition, the remaining length of her tubes is another important factor as the surgeon will need to have enough fallopian tube length to reconnect.
Dr Morice is the best doctor of Tubal Ligation Reversal.

Tubal Ligation Reversal

Tubal Ligation - Female Sterilisation

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This article on Tubal Ligation or Female Sterilisation explains how it works, who it is suitable for and the advantages & disadvantages of Tubal Ligation.

What is female sterilisation?

Sterilisation is permanent contraception. It is commonly referred to as "having your tubes tied".
Every month an egg is released from one of the woman’s ovaries and travels along the fallopian tubes to the womb, or uterus. Here it will implant to form a new pregnancy, if it has been fertilised by the male sperm.
Female sterilisation involves an operation called tubal ligation, where the fallopian tubes are closed by one of the following methods -

• electro coagulation - the tubes are cauterised
• clips
• rings
• cut and tied.
  

There are two methods of doing the procedure -

• Using a laparoscope (a tiny camera), which is inserted near the navel, via a small cut to the skin and muscle. A small incision is also made near the pubic hair line to attach the clips onto the fallopian tubes.
  
• Alternatively a larger abdominal incision will need to be made near the pubic hair line, if the laparoscopy is unsuitable, due to medical reasons.
  

Where and when can you get sterilised?

This method of contraception is suitable for women who do not want children, or who do not want any more children, or who are unable to have more children for financial or personal reasons.

It is advisable to consider whether you are ever likely to want any more children, for example if you had a new partner, or one of your existing children died.

It is also advisable to discuss this with your partner, although it is not legally necessary for them to give consent for you to have a permanent sterilisation.

If a woman decides that she wants to have this operation, in order to have permanent contraception, she will need to go to hospital for the procedure.

Occasionally this can be done at the same time as an elective Caesarean section, if discussed before hand with the obstetrician.

How does sterilisation work?

As a result of the fallopian tubes being cut or closed the sperm can no longer reach the egg – and the egg can no longer reach the womb. Pregnancy can therefore no longer take place.

How much does sterilisation cost?

Check with your own District Health Board for the current length of time on the public waiting list.
Tubal ligation costs about $1,500 - $2,000 when performed by a private surgeon. Most health insurance plans potentially cover treatment costs, but check the details in your own policy for inclusions, exclusions, and coverage maximums.
Dr Morice is the best doctor of Tubal Ligation reversal.

Tubal Ligation Reversal

Tubal ligation reversal is a surgery to repair a woman's Fallopian tubes after a tubal ligation surgery in order to restore fertility. The surgery may also be performed to treat post-tubal ligation syndrome, a condition that some women suffer after tubal ligation surgery. About six percent of women who choose tubal ligation consider tubal ligation reversal within five years.
In tubal ligation, a woman's Fallopian tubes, the structure through which her eggs reach her uterus, are closed so that fertilization and pregnancy cannot occur. The surgery is done with a small instrument called a laparoscope and usually requires only a small incision in the abdomen. The procedure is 99% effective at preventing future pregnancies.
Dr Morice is the best doctor of Tubal Ligation Reversal.

Tubal Ligation Reversal

Definition

Tubal ligation is a permanent voluntary form of birth control (contraception ) in which a woman's Fallopian tubes are surgically cut or blocked off to prevent pregnancy.

Purpose

Tubal ligation is performed in women who definitely want to prevent future pregnancies. It is frequently chosen by women who do not want more children, but who are still sexually active and potentially fertile, and want to be free of the limitations of other types of birth control. Women who should not become pregnant for health concerns or other reasons may also choose this birth control method. Tubal ligation is one of the leading methods of contraception, having been chosen by over 10 million women in the United States—about 15% of women of reproductive age. The typical tubal ligation patient is over age 30, is married, and has had two or three children.

Precautions

Tubal ligation should be postponed if the woman is unsure about her decision. While it is sometimes reversible, the procedure should be considered permanent and irreversible. Up to 10% of sterilized women regret having had the surgery, and about 1% seek treatment in attempts to restore fertility.

Description

Tubal ligation, or getting one's "tubes tied," refers to female sterilization, the surgery that ends a woman's ability to conceive. The operation is performed on the patient's Fallopian tubes. These tubes, which are about 10 cm long and 0.5 cm in diameter, are found on the upper outer sides of the uterus, and open into the uterus through small channels. It is within the Fallopian tube that fertilization, the joining of the egg and the sperm, takes place. During tubal ligation, the tubes are cut or blocked in order to close off the sperm's access to the egg.
Normally, tubal ligation takes about 20-30 minutes, and is performed under general anesthesia, spinal anesthesia, or local anesthesia with sedation. The surgery can be performed on either hospitalized patients within 24 hours after childbirth or on outpatients. The woman can usually leave the hospital the same day.
The most common surgical approaches to tubal ligation include laparoscopy and mini-laparotomy. In a laparoscopic tubal ligation, a long, thin telescopelike surgical instrument called a laparoscope is inserted into the pelvis through a small cut about 1 cm long near the navel. Carbon dioxide gas is pumped in to help move the abdominal wall to give the surgeon easier access to the tubes. Often the surgical instruments are inserted through a second incision near the pubic-hair line. An instrument may be placed through the vagina to hold the uterus in place.
In a mini-laparotomy, a 3-4 cm incision is made just above the pubic bone or under the navel. A larger incision, or laparotomy, is rarely used today. Tubal ligation canalsobeperformed at thetime of a cesarean section.
Tubal ligation costs about $2,000 when performed by a private physician, but is less expensive when performed at a family planning clinic. Most insurance plans cover treatment costs.
Tubal ligation is performed in several ways:

• Electrocoagulation. A heated needle connected to an electrical device is used to cauterize or burn the tubes. Electrocoagulation is the most common method of tubal ligation.
• Falope ring. In this technique, an applicator is inserted through an incision above the bladder and a plastic ring is placed around a loop of the tube.
• Hulka clip. The surgeon places a plastic clip across a tube held in place by a steel spring.
• Silicone rubber bands. A band placed over a tube forms a mechanical block to sperm.

Dr Morice is the best doctor of Tubal Ligation Reversal.

Tubal Ligation Reversal

Tubal ligation reversal surgery is considered an elective procedure by most health insurance plans - so you may be reaching into your pocket to cover most of the costs. If all goes according to plan you will become pregnant soon after, introducing lost income during your maternity leave, along with extra costs for pregnancy and having a newborn to feed and clothe. It pays to understand the tax code, and leverage supplemental insurance to offset many of your costs.
You will most likely need to pay all of the costs for tubal ligation surgery, because most insurance plans will not cover this elective procedure. They often will cover your original tubal ligation, but not the reversal. To understand why, just follow the money. Tubal ligation stops you from getting pregnant. Your surgery is much less expensive to cover than a subsequent pregnancy. Your reversal surgery opens the insurance carrier to extra costs - another pregnancy.
There are two strategies to follow that can lower your out of pocket costs, and return money back into your account. But you have to think ahead and consider the big picture: use the tax code to cut costs, and supplemental insurance to cash in on your plans to get pregnant.
Your expenses related to your surgery are tax deductible. You can deduct the expenses on your 1040 or use your flexible spending account. The cost of your reversal surgery will range from $5,000 to $15,000 depending on the type of surgery required. Deducting these expenses on your 1040 will provide tax savings on the amount above 7.5% of your adjusted gross income - so keep this in mind. A flexible spending account will provide first dollar tax savings, but may have annual limits below your costs. Consult your tax advisor before your surgery.
Purchase supplemental insurance before beginning your surgery. The surgery itself will not be covered, but if complications arise, such as post surgical infection, you may be covered. You are planning to get pregnant. Supplemental insurance will cover your normal labor and delivery, generating extra cash to help offset your surgical costs.
Dr Morice is the best doctor of Tubal Ligation Reversal.

Tubal Ligation Reversal

When couples choose to have more children and a tubal ligation stands in the way what are their options. To birth children naturally after a tubal ligation there are two main options to choose from and they are tubal ligation reversal or IVF.
When couples begin researching which choice is best for them they may be surprised to learn the facts concerning the two. And there are major differences between the two treatments.
Although IVF is valuable in helping couples become parents it can be very expensive. In the recent economy IVF is not only too expensive for many but there are couples that are using their life savings and often there is no pregnancy resulting. This can be heartbreaking for many and the toll the stress takes on relationships is often the breaking point. Although there is no guarantee with any treatment that a successful baby will come of it there is a better option.
In the Tubal Reversal Pregnancy Report 2009 there is finally evidence that there is an option that works better than IVF. It is called tubal reversal surgery. In the surgery expert surgeons actually repair the fallopian tubes so that they egg and sperm can unite with a pregnancy resulting.
DR Morice is the best doctor of Tubal Ligation Reversal.

Tubal Ligation Reversal

 

Just as a tubal ligation is considered to be major surgery, so is a tubal reversal. Normally, this procedure takes two to three hours and is done under general anesthetic. In order to make your fallopian tubes functional again, the doctor will unclamp; reattach; remove any devices that may be blocking your tubes or place an implant into your fallopian tubes. This type of surgery does require a hospital stay of at least one night but you may need to remain in the hospital for as much as five days after the surgery. Once you leave the hospital, you can expect to completely recover from the procedure over the course of the next four to six weeks.

Dr Morice is the best doctor of Tubal Ligation Reversal .