Is pregnancy possible with tubal ligation? – DISCOVER IT

Salpingoclasia, also known as tubal ligation or tubal sterilization, is a contraceptive method considered permanent, it is practically irreversible. However, it is always possible to reverse the process through microsurgery.

This method consists of cutting, ligating or obstructing the fallopian tubes to prevent the eggs from going from the ovaries to this organ, thus blocking the path of the sperm. In this way, the ligation blocks the sperm’s journey to the egg so that fertilization does not occur, thus avoiding an unwanted pregnancy.

Types of tubal ligation

Currently this contraceptive method can be performed through the following techniques:

Puerperal tubal sterilization: This surgery is performed after a cesarean delivery or 72 hours after a vaginal delivery. It is performed at this time, since the bottom of the uterus is approximately at the level of the navel and, therefore, the incision can be made without leaving scars in the area.Laparoscopy: It is a technique where a millimeter incision is made to introduce a camera through the navel and thus be able to manipulate the internal organs without having to expose the inside of the abdomen. This surgery stands out for its high effectiveness and rapid recovery.Minilaparotomy: In this type, a 5 millimeter incision is made in the lower part of the abdomen and then an occlusion or ligation is made at the ends of the fallopian tubes.Hysteroscopy: This type of surgery consists of sterilizing the tubes from inside the uterus using a hysteroscope, an instrument that is inserted through the vagina and cervix.

Tubal ligation or salpingoclasia is a fairly safe contraceptive method when it comes to protecting us against an unwanted pregnancy, since in addition to being permanent, it also has a 99% effectiveness. As we see, the failure rate of tubal ligation is very low. However, despite its high effectiveness, many women continue to wonder if pregnancy with tubal ligation is possible.

The answer is yes, there is a possibility of getting pregnant with salpingoclasia, although it could be said that it is practically unlikely.

When can tubal ligation fail?

Next, we will explain the 2 possible cases in which a woman could get pregnant having a tubal ligation:

Recanalization: on the one hand, you can get pregnant after this method if a phenomenon called recanalization occurs. This event occurs when the tubes reattach to the uterus after the ligation has been performed. Generally, recanalization is due to either an error during the surgical process or the use of a defective medical device.Fistula: On the other hand, it can also happen that while the tubes recover from surgery, a small passage or opening called a fistula remains between them. In this case, the sperm could find this opening and therefore, an egg to fertilize. However, in these cases, the fertilized egg will not be able to descend into the uterus due to the ligation, which usually causes an ectopic pregnancy.

In case you do not want to opt for tubal ligation, you may also be interested in this other article on What are non-hormonal contraceptive methods.

As can happen with any contraceptive method, tubal ligation has its own advantages that make you consider using it and some contraindications that it is also important that you take into account:

Advantages of tubal ligation

It is 99% effective: Although in the previous section we have seen some cases where pregnancy with tubal ligation is possible, it is still one of the safest and most effective methods.It is a very practical method: unlike other treatments where you have to take it every day or put it on every so often, ligation is a permanent method so you will no longer have to worry about getting pregnant.Does not contain hormonal load: Some contraceptives such as pills or the IUD are methods that alter your hormones, which can lead to some side effects.You can do it right after delivery: as we have explained, some techniques for performing salpingoclasia allow you to perform it just after a cesarean section (taking advantage of the incision already made) or vaginal (since the bottom of the uterus is at the level of the navel).

Contraindications of salpingoclasia

It is practically irreversible: Although it can be reversed with a surgical tubal reunification process, a woman’s fertility may never return or may not be the same as that of one with intact tubes.Women with Morgagni hernia: It is a hole located in the most posterior area of ​​the diaphragm. Lacaroscopic surgery is contraindicated in these types of cases.Diabetes or pelvic surgery: It is also not recommended in cases of diabetes or having undergone pelvic surgery, since the operation could have some complications.

Furthermore, like any surgery, ligation has some risks as:

Poor wound healing. Poor reaction to anesthesia. Abdominal pain. Damage to other parts of the body.

Now that you know the answer to “is pregnancy possible with tubal ligation?”, you may also find this other unCOMO article interesting about Can I get pregnant if…

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