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Have you had your tubes tied??


Question: Is it a complicated procedure? Were you put under anesthesia?
Answers: Tubal sterilization is a surgical operation. It closes off the fallopian tubes, where eggs are fertilized by sperm. When the tubes are closed, sperm cannot reach the egg, and pregnancy cannot happen.

Sterilization does not affect femininity. Sterilization will not affect your sexual organs, or your sexuality. No glands or organs will be removed or changed. All of your hormones will still be produced. Your ovaries will release an egg every month. Your menstrual cycles will most likely follow their regular pattern.

Sterilization is more than 99 percent effective. In very rare cases, tubes may reconnect by themselves, and pregnancy may occur. Such rare pregnancies may develop outside the uterus (womb) and require emergency surgery.

You must consider the operation permanent. You and your partner will need no other birth control method after a successful tubal sterilization. It may be possible to reverse the operation in some cases, but your decision not to have a child in the future must be firm. You must be absolutely sure you will never change your mind or regret your choice - no matter how your life changes.

Sterilization will not cause symptoms of menopause (change of life) or make menopause happen earlier.

Your partner also may want to consider sterilization. Sterilization for men is called vasectorny. Vasectomy is simpler, costs less, and has fewer risks than tubal sterilization. Vasectomy also must be considered permanent however, so think carefully about what sterilization will mean for both of you before you make your decision.

HOW IS IT PERFORMED?

The procedure requires a small incision in the abdominal area near the navel and sometimes a second small incision near the pubic hairline. The surgeon inserts a slender instrument (laparoscope) and seals the fallopian tubes so that eggs can no longer pass through to become fertilized. The procedure takes about 20-30 minutes, and patients rest in a recovery room for 1-2 hours. For women seeking first-trimester abortion and tubal ligation, Planned Parenthood offers these two procedures as a combined service on the same day.

DOES THE OPERATION HURT?

If you have your tubal ligation at the Planned Parenthood clinic, you will be given local anesthesia and IV sedation to help you relax, but you will not be asleep. You may feel some mild discomfort during the operation. If you prefer to be completely asleep during the surgery, a gynecologist from Planned Parenthood will perform the tubal ligation under general anesthesia at a nearby hospital.

WHO WILL PERFORM MY OPERATION?

The procedure is performed by a female Board-certified gynecologist experienced in laparoscopic tubal ligation procedures.

WHAT WILL THE SURGERY BE LIKE?

The surgery consists of the following steps:

IV is started, medications given.
An instrument called a uterine elevator is inserted into the vagina.
Under local anesthesia, the physician will make an incision approximately 3/4 at the umbilicus (belly button).
Through the incision a harmless gas (carbon dioxide) is passed to inflate the abdomen and isolate the fallopian tubes.
A laparoscope is inserted through the incision with allows the M.D. to visualize the fallopian tubes.
Once the tubes have been isolated and anesthetized a grasping rod is passed through the laparoscope. A low voltage current is emitted from the rod, sealing each fallopian tube.
All instruments are removed; a bandaid is placed to cover the incision which has been sealed with 2-3 dissolvable stitches.
The entire procedure will take an average of 25-40 minutes. Throughout the procedure, pressure and moderate abdominal cramping may be felt along with discomfort associated with anesthesia administration in cervix (needlestick). Additionally, there may be a small to moderate amount of vaginal bleeding, cramping and bloating 1-3 days after the procedure.
HOW DO I PREPARE FOR THE SURGERY?

At a clinic visit before the surgery day, a counselor will talk with you about your decision and review the procedure. A clinician will take a medical history and perform a physical examination at this visit.

HOW SOON MAY I RETURN TO WORK?

Most patients can return to normal schedules within one to two days after the operation.

HOW EFFECTIVE IS TUBAL LIGATION?

Tubal ligation is very effective. Overall, studies show about 1.6 pregnancies per 100 operations over ten years, but the effectiveness varies somewhat according to your age and the type of procedure performed

CAN THE OPERATION BE REVERSED?

Restoration of fertility cannot be assured. If you think you may want to conceive a child in the future, tubal ligation is not an appropriate choice of contraception.

WILL MY SEXUAL FEELINGS CHANGE?

The surgery does not affect sexual feelings. In fact, many couples find sex more enjoyable, because the sterilization removes the fear of accidental pregnancy.

WHO IS ELIGIBLE FOR TUBAL LIGATION?

Any woman 21 years of age or older may be considered for tubal ligation The final decision is made by a physician, based on the counselor-patient consultation. Women with medical problems may need to have the operation in a hospital.

You should not consider tubal ligation if:

You may want to have a child in the future.
You are being pressured by your partner, friends, or family.
You do not want the operation.
You have marriage or sexual problems, short-term mental or physical illnesses, financial worries, or you are out of work.
You have not considered possible changes in your life, such as divorce, remarriage, or death of children.
You have not discussed it fully with your partner.

yes i have, when i had my second child c-section they did it then. It didn,t hurt or no complications i had it with epidural.And i believe you can ask for spinal or epidural anesthesia if you don,t want to be put under.
I had my tubes tied about a year after my son was born. It was a same day surgery. I had it done on a Friday and went back to work on Monday. They do use anesthesia, but you may be able to opt for a spinal block or epidural instead. If they don't anesthetize it would be unbearably painful. Good luck.
No but I am considering it, I am 24 and I have 2 boy's but I'm afraid to do it because I think I am to young. If you get more Information on it please e-mail so I will be more informed. thank you. mdollya@yahoo.com
Nope, sounds like fun though.


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