Many women, to prevent conception, opt for tubal ligation as a definitive contraceptive method. But many of them regret this procedure a few years later because they may have a new partner with whom they want to have more children, they lost a child, or their lives gave such a big turn that they now think of being mothers again.
It is believed that between 6 and 8% of women who went through a tubal ligation reconsider their decision over time. The numbers may be even higher, considering that many couples do not know the process of tubal recanalization, and therefore believe that the previous sterilization is an irreversible process.
Reconstruction of the Fallopian tubes through surgery is an effective method. This can be achieved through open surgery, with an incision like that used to perform a caesarean section or laparoscopic surgery, which is done by small incisions of 5 millimeters in the abdomen for the introduction of surgical tweezers and a lens, which connects to a video screen that allows the physician to see and manipulate the organs inside the pelvis.
The most important thing a couple should know before submitting to a tubal recanalization procedure is that it has several conditions to ensure its success. Some of them are:
- The woman must be less than 37 years old.
- Tubal ligation must have been practiced less than a decade ago.
- The method used in the tubal ligation should be considered, because in some cases, the physician makes a section (or cut) of a large part of the Fallopian tube, which makes it very difficult to reconnect both ends of it.
In the hands of skilled and well-trained personnel, the possibility of the tubes being permeable and functional again is approximately 50 to 60%. If this is achieved, the chance for a spontaneous pregnancy is very good.
Sometimes the tubes do not recover good functionality and/or remain obstructed despite the attempt to reconstruct. This usually happens when they are very deteriorated because of the technique used for ligation, in which a long portion of the tube has been resected or cauterized.
Generally, the process of recanalization of the Fallopian tubes is a simple, ambulatory process with minimal risks for the patient and with a rapid recovery rate.
It should be noted that after tubal reconstruction, there is an increased risk of having an ectopic pregnancy (pregnancy outside the uterine cavity) in the Fallopian tubes because blockage may occur in the duct or abnormalities affecting transport of the embryo in its normal route through the Fallopian tubes, due to the healing process.
Contact us in our lines:
- Medellín: +57(4) 268 80 00
- Bogotá: +57(1) 746 98 69
- Cartagena: +57(5) 693 04 34
- Pereira: +57(6) 340 17 09
- Whatsapp: +57 316 3033866