Among a wide variety of contraceptive methods, tubal ligation is the most effective. Sometimes it is done according to the testimony, but most often at the request of the woman herself. It happens that over time a woman still wants to have a baby, and then the question arises whether it is possible to become pregnant if the fallopian tubes are bandaged. Consider all aspects of this process.
How is the fallopian tubes bandaged after childbirth, and who is allowed?
Not all women decide on such a cardinal method of contraception. There are contraindications to this procedure for tubal ligation. But sometimes it is carried out for medical reasons.
To whom it is shown to carry out tubal ligation:
- a woman whose new pregnancy or childbirth threatens life and health;
- a woman at an age close to menopause and if there is a history of severe genetic diseases that can be transmitted to the unborn baby;
- if there are already two or more children, but the woman is less than 35 years old;
- women over the age of 35 when they already have a child;
- when the couple decided not to have children anymore.
So that the question does not arise whether it is possible to get pregnant with bandaged tubes, a woman undergoes a comprehensive examination, including a psychologist. The operation itself is not complicated, but you need to carefully prepare for it by passing a series of tests that minimize the risk of side effects and complications.
Most often, tubal ligation is performed using laparoscopy, under local or general anesthesia. This method is also called sterilization, and it can be carried out already three days after the birth. This time is considered the most favorable for the procedure, since the fallopian tubes are near the navel, which facilitates the constriction process. In addition, rehabilitation will be quick and without consequences.
How is tubal infertility research done?
Most often, tubal ligation is performed for women who already have children, and as a method of contraception. But before carrying out the procedure, the representative of the fair sex undergoes a series of studies. If a woman decides to become pregnant after sterilization, she must also undergo a series of examinations with her partner.
The study after sterilization includes:
- analysis of basal temperature over the past few months (the doctor needs to make sure whether the woman is ovulating and on what day of the menstrual cycle);
- a blood test for the detection of hormonal disorders (indicates the ability of the ovaries to produce eggs);
- partner spermogram to identify possible deviations in indicators;
- diagnosis and determination of a possible method of conception.
A woman can become pregnant if the tubes are bandaged, but for this it is important to eliminate other factors of infertility using the above tests. If all the tests gave a positive result, including the partner's spermogram, then IVF and artificial insemination are most often recommended.
Can I get pregnant after sterilization?
Reading expert opinions and reviews, is it possible to get pregnant with bandaged pipes, you can give a positive answer to this question. There are chances, but they are minimal, especially in the first two years after the procedure. This primarily depends on how qualitatively and in what way sterilization was carried out. It is believed that the ligation of pipes with clamps and terminals has the highest rates of unwanted pregnancy. But, if you look at the situation on the other hand, this method also provides the opportunity for the reverse operation of decoupling the pipes.
It is believed that with a constriction of pipes, the chance of becoming pregnant naturally is 9%, but the risks of an ectopic pregnancy increase significantly. The procedure is not recommended for women over 35+, since at this age the chances of having a baby are reduced.
The main risk of tube constriction is an ectopic pregnancy, which can be extremely dangerous for a woman's life and health. It is impossible to protect yourself from it, but it is important to notice on time, although in most cases it is not amenable to early diagnosis.
Can I get pregnant with bandaged pipes naturally?
It is quite possible to successfully conceive naturally after tubal ligation, although the chances are minimal (less than 10%).
The percentage of conception naturally increases after sterilization:
- in the case of a poorly performed operation, after which significant defects were identified;
- when the process of fusion of soldered fallopian tubes occurs (in this case, a small passage for sperm is formed);
- already had a successful pregnancy after the dressing.
To check how much fallopian tubes can function, an ultrasound scan is performed. It is also worth remembering that the risk of developing an ectopic pregnancy in the case of bandaged tubes is great, since the passages for the eggs are limited.
Pregnancy after tubal ligation: features
It is possible to conceive and bear a child with bandaged fallopian tubes, but more often this happens with the help of artificial insemination, and not in a natural way. According to statistics, one out of 10 women after sterilization, which was not protected, was able to successfully conceive. But one cannot fail to note also a higher percentage of ectopic pregnancy.
A woman who is thinking about tubal ligation should know:
- sterilization does not affect the hormonal background (although it is rarely done to women under 30 years old);
- ligation of pipes also does not affect sexual activity and sexual desire.
In vitro fertilization is done to women even with two bandaged tubes and often has a positive result. Hormone therapy is prescribed before the procedure, and the patient undergoes ultrasound monitoring at all stages of the process. In order for the conception and gestation of the baby with the help of IVF to be successful, a woman must observe physical and emotional peace, because the embryos respond to any condition of the mother. There are times when the first attempt was unsuccessful, so the procedure is carried out again and again.
IVF or plastic
Many people ask if it is possible to get pregnant with bandaged tubes only through IVF. Of course not, although in this case the chances are only increasing. As you know, artificial insemination is a rather expensive procedure that not everyone can afford. But there is also an alternative to IVF - surgical plastic. This is a common manipulation among women with bandaged pipes, but the process is lengthy. If several years have passed after ligation, then plastic surgery may not bring results, since muscles will completely atrophy during this time.
It is possible to conceive a baby with bandaged pipes, although it is difficult. Therefore, before deciding on such a method of contraception, it is worth considering the other options that do not affect the condition and viability of the reproductive organs.
Can an ectopic pregnancy occur with bandaged tubes?
Often women ask: “Can I get pregnant if the pipes are bandaged?” All gynecologists unanimously answer that sterilization prevents unwanted pregnancy in 95% of cases. But at the same time, the risk of developing an ectopic pregnancy is increased, since the fertilized egg has a closed path through the tubes into the uterus, and somewhere needs to mature.
Also, the onset of an ectopic pregnancy is increased if there are any pathologies in the fallopian tubes, there were abortions, other gynecological operations or chronic inflammation associated with the genitourinary system.
Somehow to prevent or prevent an ectopic pregnancy is impossible. There are no general recommendations, as this can happen even with completely healthy women, although rarely.
Reverse operation: untying the fallopian tubes - is this possible?
Those who are wondering if it is possible to get pregnant with bandaged tubes, is also interested in the possibility of the reverse process. The decoupling of pipes, which is carried out by surgeons, is perceived by them not so literally. If sterilization was carried out using rings and clamps or only a small part of the tube was removed, then it is possible to reverse the process, and the woman has a great chance of becoming a mother again. Also, there is a high probability of restoring fully reproductive function in those women who did the constriction of pipes immediately after childbirth, and not much time has passed.
In order to "untie the pipe" is taken into account:
- patient age;
- difficulties that occurred in previous pregnancies;
- the presence of pathologies in the reproductive organs;
- other diseases in the acute or chronic stage;
- complications arising after sterilization;
- motives of the woman herself.
The process of pipe constriction, as well as the reverse operation, should be approached carefully. Therefore, in the first case, and in the second there is a comprehensive examination of a woman’s health.
Output
The answer to the question, can I get pregnant with bandaged fallopian tubes or not, positive. But before deciding on a procedure, it is worth weighing the pros and cons. Sterilization is not the only method of protection against unwanted pregnancy.