Is pregnancy after tubal ligation possible? This question is of concern to many women with this problem. Tubal ligation is done only by indications (for example, a genetic disease) or in view of the absolute unwillingness of a woman to have children in the future.
Women who made tubal ligation in the future can reconsider their views on the issue of motherhood. But what’s done is done. The essence of the operation is to create a 100% obstruction of the uterine tube for a mature egg and the obstruction of fertilization, which occurs precisely in the fallopian tubes.
What Is Tubal Ligation?
Ligation of the fallopian tubes is a surgical operation, during which the fallopian tubes are blocked, ligated or cut. According to many experts, this is a reliable method of contraception. Still, there is no 100% guarantee. In a year after such an operation, 5 women out of 1000 may become pregnant, and in another 10 years – 18 women out of 1000.
Low-efficiency tubal ligation is possible in case of fusion of the tubes. In this case there is a passage into which spermatozoa penetrate. A woman can also get pregnant after tubal ligation if it was performed improperly.
To understand the nature of the operation, one should keep in mind that the reproductive system of a woman includes two ovaries, two fallopian tubes, the uterus and the vagina. Normally, both ovaries are able to produce an egg ready for fertilization. This process is called ovulation. This phenomenon occurs on the 12-17th day of the menstrual cycle every month. The egg leaves the ovary in the fallopian tube and moves along it to the uterus due to muscle contractions and movements of small, hairlike cilia.
Is It Worth Using this Method of Contraception?
Ligation of the fallopian tubes is a radical type of contraception, which is almost impossible to cancel in the future.
Voluntary sterilization is permitted for women of the reproductive age who already have at least one child and who do not want to have children in the future. Ligation of the fallopian tubes is indicated for a number of diseases that during pregnancy can pose a threat to life and health of the woman and the fetus.
Many women cannot take hormonal contraceptives and use intrauterine spirals. In this case sterilization becomes the only reliable means of protection. Tubal ligation is highly effective. It is the most popular method of contraception among mature couples who already have children. However, a serious complication of sterilization is an increased risk of ectopic pregnancy.
Although doctors warn that the ligation of the tubes is irreversible, and ask to think it through carefully, before implementing it, if necessary, one can try to restore the function of the tubes. After tubal reversal pregnancy occurs in 60-80% of women. Tubal reversal is a microsurgical operation that undergoes under general anesthesia. The main difficulty of the operation is the reunification of the dissected ends of the fallopian tubes.
Before making a decision, remember the statistics, which indicates that many women, who have performed the tubal ligation surgery, regret it.
How Effective Is the Procedure? Pregnancy after Tubal Ligation Statistics
The ligation of the tubes at the entrance to the uterus, as well as the insertion of implants, cannot be considered a 100% effective method of preventing unwanted pregnancies.
There is a relatively small probability of pregnancy after tubal ligation. At the same time, 5 out of 1000 women get pregnant within 12 months after the operation. In 10 years after the tubal ligation, at least 18 out of 1000 women may get pregnant.
Pregnancy after tubal ligation is possible if:
- The tubes have grown together or a new passage has been formed through which the egg can be fertilized by the sperm;
- The tubal ligation was done incorrectly;
- The woman was already pregnant during the operation.
What if tubal ligation was done with the help of special implants? This is a relatively new method. It does not have many years of statistics. Studies show that in two years only one out of 100 women with implants got pregnant.
Pregnancy after Tubal Ligation: Is It Possible?
The possibility of pregnancy after tubal ligation is very small. Only about 1.5% of women who have chosen this type of contraception get pregnant. Although in 10 years after the surgery, the probability of pregnancy increases to 2%. Sometimes women want to restore the uterine tubes after the tubal ligation surgery. However, after a recovery operation, the chances of pregnancy are usually much less than before the surgery, since the fallopian tubes are damaged to a certain extent.
The probability of pregnancy after tubal ligation reversal is 50%. This is a fairly high figure. The ability to become pregnant after the surgery depends on how long ago the tubal ligation has been done. If a little time has passed, you can become a mother after tubal reversal.
But if several years have passed, then the probability of successful pregnancy after tubal ligation is very small. This is due to the atrophy of the cilia. Even if the tubes patency is restored, the tubes will not be able to function properly due to the lack of movement of the fertilized cell.
In another way, the tubal ligation is called surgical sterilization. From the definition it is already clear that there is no way back. However, we live in a new century with new technologies and a huge number of opportunities.
That is why there exists the opportunity of successful pregnancy after tubal ligation. This unique opportunity is represented by genetic scientists and is called “in vitro fertilization” (IVF).
IVF is a great opportunity for childless couples in whom either one or both spouses suffer from infertility. Often the causes of infertility of women are: 1) Adhesive process of Fallopian tubes, 2) uterus lesion, 3) ligation of fallopian tubes. Another serious reason for IVF is genetic diseases.
When deciding to conduct IVF, the genetic material (eggs and spermatozoa) is collected, which are then transferred to a test tube, where fertilization takes place, instead of the woman’s fallopian tubes. After successful fertilization, the embryo is inserted into the uterine cavity, where its implantation should take place, under the influence of hormonal preparations.
With a successful combination of circumstances, the embryo survives and develops normally. With pregnancy after tubal ligation and IVF, a woman is recommended both physical and emotional rest. The pregnancy has a high risk of interruption – 20%. Therefore, the future mother should regularly take tests, do ultrasound and undergo all examinations. If an unsuccessful attempt is made to insert the embryo, the procedure can be repeated after 2-3 months.
The only disadvantage of this method is its cost.
Births usually go naturally, without complications, but it is also possible to conduct a planned cesarean section.