A woman with a tubal ligation can achieve pregnancy, in this article we are going to review what tubal ligation consists of and how it works in order to explain the best way to achieve pregnancy.
Tubal ligation, what is it?
Tubal ligation is a contraceptive system in which the fallopian tubes are obstructed through surgery.
Tubal ligation is usually performed on an outpatient basis or by only one day in the clinic, laparoscopically and under general anesthesia.
It can also be performed at the same time as a cesarean section or at the time of delivery.
How does it work?
In a natural cycle, after ovulation the egg is trapped by the tubes and is led through them to the inside of the uterus. If there is intercourse at that time, the sperm ascend through the vagina, uterine cavity and fallopian tubes to meet the egg and fertilize it in the distal third. The generated embryo will travel back through the tube until it reaches the uterine cavity where it implants after 5-6 days.
When a tubal ligation is performed , the passage through the tubes is prevented, so that since egg and sperm cannot be found, there is no possibility of pregnancy.
Since when is it effective?
From the very moment it is made.
Is tubal ligation effective?
The failure rate of tubal ligation is 0.5% to 3.2%. This percentage may be higher when it is performed in the immediate postpartum period.
Is it forever?
Although tubal ligation can be reversed, it should be thought of as a definitive technique, since pregnancy rates after tubal recanalization are very low and when pregnancy is achieved the risk of ectopic pregnancy is very high.
What should I do if I want to get pregnant and I had a tubal ligation?
Considering the chances of success of tubal recanalization, the best advice we can give to a patient with a tubal ligation who wants pregnancy is to have an IVF cycle.
In vitro fertilization, the eggs are obtained by ovarian puncture, inseminated in the laboratory, and embryos are generated that develop in vitro in the laboratory to be deposited a few days later in the uterine cavity without the intervention of the tube at any time.
