How to have
A Baby After Tubal Ligation
Is it possible to become a mother after tubal ligation?
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the topic we want to deal with today
is whether it is possible to recover
fertility after a tubal ligation
procedure
to do so we will start by explaining
what a tubal ligation is
since this term is very vague and does
not reflect reality
we must remember that the fallopian tube
is the duct where fertilization takes
place
that is the union of the ascending sperm
with the oocyte released by the ovary
this encounter if the fertilization
continues
will give rise to an embryo that will
remain in there for approximately five
days when we occlude close or remove the
tube
this encounter can no longer take place
and therefore the patient is in the
situation of definitive sterility
given that the risk of failure of tubal
ligation is extremely low
tubal ligation or tubal occlusion has
been done
for many years now basically via
abdominal surgery
either through a small incision or
laparoscopy
which is considered as a safest
technique
time ago there was a device used as an
alternative to tubal ligation
called ashore the method consisted
of placing small metal springs inside
the tubes
via hysteroscopy the procedure did not
require surgery
or anesthesia since the access to the
uterus and the tubes
was provided by a hysterescope inserted
vaginally
the truth is that today the device can
no longer be used
because it leads to complications
what chances does a woman have to
restore her fertility
given she had undergone tubal ligation
well
basically there are two ways one of them
is surgical and consists of trying to
restore the permeability of the tubes
it will very often require a laparoscopy
but sometimes abdominal surgery has to
be carried out
its success depends fundamentally on the
technique used for performing tubal
occlusion
if large fragments of the tube were
removed surgical procedure
will not be followed since the
functionality of the tubes
will have been lost the other
alternative
which is the most widely accepted and
requested by patients
is in vitro fertilization
if we choose this option the process
which normally takes place in the tubes
is transferred to the laboratory where
all the natural processes
are revealed and imitated
basically we collect the oocyte and
at the same time the male partner
provides his semen sample
in the laboratory we create very
specific conditions
so that the fertilization and an initial
development
of the embryo which as mentioned before
in the tube takes around five days is
carried out
right there under the eye of experienced
embryologists
in the laboratory and once the embryo
reaches its fifth or sixth day
it is transferred to the uterus that is
to say
that the whole procedure works like a
bypass
of the tubal function the advantage of
in vitro fertilization is that it does
not require surgery
the success rates are considerably high
especially if the woman is relatively
young
and it allows maintaining contraceptive
status
provided that the tube was not channeled
in summary we can say that tubal
reconstruction surgery
has its limitations the success rate is
not very high
and it requires an invasive surgical
procedure
on the contrary in vitro fertilization
will be the technique of choice to
fulfill the desire
to recover fertility after tubal
ligation
as long as the age and other conditions
of the couple
meet the criteria
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