Tubes Tied side effects

Having your tubes “tied” is an extraordinarily simple procedure, and in each method, the results are pretty much the same: Your tube is left with a gap between the portion attached to the uterus and the “fimbriae” which drape over the ovaries, ready to catch any egg that is released. 

The eggs themselves are microscopic, or very nearly so, and after they are released into the tube, further passage toward the uterus is blocked.

On the uterine side, the spermatozoa also reach a dead end, and just hang out in the tube until they die, when they break down as well.

Every combination of “My tubes were {tied}{cut}{burnt}, but they weren’t {cut}{burnt}{tied}. In actual fact, the end result is the same despite the technique; a small (10 mm) incision is made just below the navel, and the patient’s abdomen is inflated like a balloon. Two smaller incisions are made just above the pubic bone, one for a probe and one for the device that will somehow cut blood supply along the tube. The probe is to help make a positive identification that you are indeed cauterizing the tube and not some other pelvic structure. It could be an electrocautery, where a current is passed between the two paddles of the cautery, burning it and coagulating the tissue, which breaks down and leaves a gap between two scarred and blocked ends. It could be a clip, that cuts off the blood supply under the clip, where the ends may or may not fall away from each other, but the devascularized portion under the clip forms a scar. It could be a product called “Fallope-Ring,” where a device pulls the tube into a stretched rubber band, cutting the blood supply that way. It can also be done at cesarean, where the tube is directly tied and cut. In all of these situations, the devascularized organ is the Fallopian tube, which (probably) has few sensory nerve endings.

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Associated with tubal sterilization is one of the mysteries of gynecology. For the most part, there are few if any long term side-effects, but some women state that they have “Post-Tubal-Ligation Syndrome,” which can be pain or menstrual irregularities. Physiologically, there is absolutely no reason for a woman to undergo any type of PTLS, but that doesn’t mean that some women will swear they have it, even to the point that women have considered having the surgery reversed, simply because the pain is unmanageable.

Studies have thoroughly looked for a cause or a pattern, and the consensus is that there is no physiological basis for PTLS. And yet, there is the occasional woman who complains of Post-Tubal-Ligation Syndrome, whether it be pain or menstrual irregularities or an increase or decrease in the number of days of bleeding. The pain has even been severe enough to have the women consider having the tubal sterilization reversed. Fortunately, this is rare.

In addition to tubal ligation, it is possible to be sterilized by having bilateral tubal blockage induced with a relatively new product known as Essure. Just like with tubal sterilization, this should be considered permanent.

By far the most common sensation women feel after this surgery is relief. This is because there is almost zero chance of conception, although every procedure has a failure rate. The problem with conceiving after a tubal sterilization is that the tiny spermatozoa can fertilize the egg by swimming past a partial obstruction, but the much larger egg can get stuck and implant in the tube, a life-threatening complication known as ectopic pregnancy. If you think you might be pregnant, seek help immediately! An ectopic pregnancy is not quite a pregnancy, more like a gynecological condition, and it is an emergency.

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The flip side of relief is the most common complication. No, it is not infection or inadvertent damage to some internal organ. It is regret. You have to be absolutely certain that you will never want another child. Will your husband live forever? Will you stay married forever? Will your children live until you are too old to have another child? There are other long-term yet easily reversible methods that you can use, though each has its own set of side effects. There are two types of IUDs available, one type containing hormones that are released very slowly, over 3-5 years, and the other containing copper, lasting for 10-12. In addition, there are subdermal implants available that last for years.

I have given you some information about your contraception options. You should use this to begin your information search regarding non-reversible contraception. Once you have researched the topic, you can feel more comfortable discussing your options with your doctor. This is a decision that you must make while having someone right in front of you, answering your questions directly.

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