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 .