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Anesthesia for the tubal ligation will be the same as that being used for the Cesarean section itself, usually regional or general anesthesia. If the patient delivers vaginally and desires a postpartum tubal ligation, the surgeon will remove part or all of the fallopian tubes usually one or two days after the birth, during the same hospitalization.
Tubal ligation’s popularity isn't new, it turns out: Data from the Centers for Disease Control and Prevention shows that female sterilization is the most common contraceptive method used, with ...
Other symptoms may include nausea. [2] Complications may include infection, bleeding, or infertility. [2] [5] Risk factors include ovarian cysts, ovarian enlargement, ovarian tumors, pregnancy, fertility treatment, and prior tubal ligation.
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Reversal of tubal sterilization (tubal reversal) carries a risk for ectopic pregnancy. This is higher if more destructive methods of tubal ligation (tubal cautery, partial removal of the tubes) have been used than less destructive methods (tubal clipping). A history of a tubal pregnancy increases the risk of future occurrences to about 10%. [25]
As tubal disease is often related to Chlamydia infection, testing for Chlamydia antibodies has become a cost-effective screening device for tubal pathology. [ 3 ] Tubal insufflation is only of historical interest as an older office method to indicate patency; [ 4 ] it was used prior to laparoscopic evaluation of pelvic organs.
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Tubal ligation is also protective in women with the BRCA1 mutation, but not the BRCA2 mutation. [31] Hysterectomy reduces the risk, and removal of both Fallopian tubes and ovaries (bilateral salpingo-oophorectomy ) dramatically reduces the risk of not only ovarian cancer but breast cancer as well. [ 28 ]