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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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