Side Effects of Getting Your Tubes Tied
Positive and negative consequences of sterilization for women
There are many contraceptive methods now. One of these is female sterilization .
The essence of the method is to violate patency of the fallopian tubes , because it is in this place that the spermatozoon fertilizes an egg.
Previously, the operation was performed through an abdominal incision. In this case, the fallopian tubes were tied up and cut between the threads. This method was highly effective, since recanalization (recovery) was rare. A significant disadvantage was a significant incision, therefore sterilization was mainly carried out during other operations, for example, after cesarean section .
Nowadays, such an operation is mostly performed using laparoscopy: 3 small punctures are made in the abdominal cavity, a miniature video camera and small-sized endoscopic instruments are inserted inside. Such a surgical intervention is performed in a gynecological hospital.
The operation for sterilization by laparoscopy of women is performed by two methods: mechanical blockage of the tubes and electrocoagulation (cauterization).
The first option involves the imposition of a ring or two clips on the fallopian tube and its intersection. Clipping itself is less reliable, as the clip can cut through and the pipe will recover. The operation, depending on the technique and technique, lasts 10-30 minutes.
In the second case, the pipe is stopped by an electrocoagulator or electric tweezers. As a result, its walls stick together under the action of the current.
There is also a method of culdoscopy, which involves intervention through the vagina.
Mini-laparotomy consists in making a puncture in the pubic area, not less than 5 cm in size.
Surgical tubal ligation can be performed in the following cases:
- When performing another abdominal surgery;
- For inflammatory pathologies of the pelvic organs;
- For endometriosis;
- In parallel with abdominal or pelvic surgery.
Abdominal surgery leftthere is a scar, with laparoscopy - small scars that will be invisible in the future, culdoscopy leaves no traces.
As mentioned above, sterilization can be performed after a cesarean section, in the second phase of the menstrual cycle, and after vaginal delivery after 2 months.
As with any other surgical intervention, sterilization has its own contraindications.
- Acute gynecological inflammatory diseases;
- Active sexually transmitted diseases (treated before surgery);
- Significant adhesions of the abdominal cavity and small pelvis, which complicate surgical intervention;
- Significant body fat;
- Umbilical hernia;
- Blood clotting disorder;
- Chronic diseases of the lungs and heart.
During laparoscopy, pressure is created in the abdominal cavity and a downward tilt of the head is required. Doing so can obstruct blood flow to the heart or disrupt the regularity of the heartbeat.
Pros and cons of sterilization for women
A significant drawback is the relative irreversibility of the procedure. But this event allows you to get rid of contraceptive problems once and for all, especially for women after 35 who want to have a full sex life, but are limited in taking hormonal contraceptives, cannot use intrauterine devices.
Experts say that the operation reduces the risk of inflammation of the appendages, because the main path through which the infection enters is blocked.
Many are interested in whether sterilization affects hormones. You can unequivocally answer that no failure will occur, because the fallopian tubes do not produce hormones. The ovaries do this.
After the procedure, ovulation persists, menstruation and PMS occur. In addition, a woman can be artificially fertilized because eggs continue to be produced.
The sterilization of a woman is irreversible, so she can have sexual intercourse without contraception, because pregnancy will not occur.
This procedure is one-time, so no postoperative costs are required. There is no need to buy condoms, birth control pills.
It should be noted that sterilization does not protect against sexually transmitted infections.
Most often, such an event is needed by those who do not want to have children in the future, are not able to use other methods if there is a risk of passing on a hereditary disease to an unborn child.
It is not recommended to use this method for women under 30 years of age who do not have children, who have had problems with pregnancy, without having a permanent relationship, at the whim of a sexual partner. It should be borne in mind that the afterbirththe effects can be irreversible even if there is a strong desire to restore fertility.
After surgery, as well as during it, heart disease, arterial hypertension, arrhythmia may worsen. There is a chance of developing pelvic tumors and bleeding. Diabetes mellitus, umbilical or inguinal hernia, severe nutritional deficiency may also develop.
Consequences of sterilization for women
The operation is carried out only with the voluntary consent of the patient. Since the event leads to the elimination of fertility, a lot of attention is paid to counseling.
The woman is told in detail about sterilization, the advantages and disadvantages of this method of contraception. The information is objective and is provided to help the lady weigh the pros and cons, make a deliberate and correct decision.
The woman must be told that:
- There are other ways to prevent unwanted pregnancies, for example, male sterilization is a less dangerous procedure;
- Tubal suppression is a surgical intervention, that is, a complete operation with all possible consequences, including the postoperative period. Hematomas may occur, which later resolve, but at first they will cause discomfort. During the procedure, there is a risk of damage to internal organs if the method of intervention is through the abdominal cavity;
- After a successful operation, a woman will not be able to get pregnant naturally. About 3% of patients want to return to fertility. Although modern surgery allows this, the process is complex, difficult and does not always lead to the desired result;
- The disadvantages include the possibility of an ectopic pregnancy after sterilization. When the appropriate signs appear, doctors first of all consider this option. Fertilization is explained by several factors: the development of utero-peritoneal fistula after electrocoagulation, inadequate occlusion or recanalization of the tubes.
In the postoperative period, physical activity is completely excluded for 2 weeks. In the first two days, you should not take a shower and a bath. Compresses are used to prevent swelling at the incision site, bleeding and pain.
Sexual relations are excluded for 2-3 days. It is necessary to use condoms for another 20 sexual intercourses, because only after 20 ejaculations complete sterility is formed.
When making a decision to sterilize, a woman needs to take its consequences as seriously as possible, weigh the pros and cons, evaluate the advantages and disadvantages of this procedure.