Pregnancy After Tubal Ligation - Causes, Risks & Side Effects

Tubal Ligation

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Is missing your period, despite going in for sterilization, making you skip a heartbeat? Do you have sleepless nights thinking of the complications in pregnancy after the family planning method you have adopted for now? Post sterilization, women across the globe live in the fear of complications in conceiving after going sterile or the fear of accidental pregnancy!

Read on to know more about the process of family planning, its pros and cons and all you need to know about planning pregnancy after tubal ligation.

Tubal Ligation:

Tubal ligation is one of the popular female sterilization methods adopted by women all over the world for family planning. It is a surgical method wherein both the Fallopian tubes are sealed or blocked by tying them together, clipping, cauterizing or cutting. Tying tubes, female sterilization or tubal occlusion are other names for tubal ligation.

How Does Tubal Ligation Work?

Tubal ligation method works on the principle of effectively closing the fallopian tubes.

  • The long fallopian tubes connect the ovary to the womb and are instrumental in carrying the sperm towards the egg for fertilization.
  • Tying the fallopian tubes prevents the sperm from reaching its destination.
  • Tubal ligation thus inhibits the chances of fertilization and pregnancy.

[ Read: Iui Pregnancy ]

Failed Tubal Ligation And Pregnancy:

Tubal ligation is a popular family planning method, yet it is not fool proof. Recent research has shown increased risk of pregnancy post ligation due to ineffective surgical process while closing the tubes.

Here is a list of causes that lead to the failure of Tubal ligation:

  • Luteal phase pregnancy is any pregnancy that goes undetected before ligation surgery
  • Technical errors during the surgical process
  • Inadequate or ineffective closing of Fallopian tubes during the procedure
  • Wrong identification of Fallopian tubes i.e. mistaking some other part for the tube and knotting the same
  • Recanalization is the sudden regeneration of the Fallopian tubes at the ends forming slits that do not close properly
  • Misplaced device used in the occlusion process
  • Failed identification of the tubes due to poor lighting while scanning
  • Presence of pre-existing adhesions (scars after surgeries performed for endometriosis and other pelvic diseases) that do not give a clear image of the tubes
  • Sudden development of tuboperitoneal fistula between abdominal spaces because of incomplete healing of the tubes post-surgery

[ Read: Pcos And Pregnancy ]

Pregnancy Post Tubal Ligation:

Once ligation fails, there is every chance that you will get pregnant again. It is important to know the kind of pregnancy that is possible post the failed surgery, as it will not be a normal one.

1. Tubal Pregnancy – Accidental Pregnancy:

You are more likely to experience ectopic pregnancy if you conceive post tubal ligation surgery.

  • Ectopic pregnancy happens when the egg fertilizes along the exterior of the uterus and implants itself on one of the tubes.
  • Other locations could be the cervix or abdominal cavity.
  • Ectopic pregnancy is risky and life threatening. The fetus will start growing on the Fallopian tube, which will eventually expand, rupture and cause severe bleeding and shock.
  • Ectopic pregnancy will not see a full term.
  • You will need to consult your doctor immediately once you conceive after ligation

2. Tubal Reanastomosis – Pregnancy by Choice:

If you regret undergoing tubal ligation, do not sweat, there are methods to reverse it. Tubal Reanastomosis is an ideal choice if you want to get pregnant again in life post tubal ligation.

  • Tubal Reanastomosis is a reversal of tubal ligation by surgical procedure.
  • Tubal Reanastomosis implies rejoining of the severed or cut ends of the Fallopian tubes so that you have chances to conceive again.
  • Tubal Reanastomosis ensures a 50 percent chance of successful conception post surgery.
  • The possibilities of successfully getting pregnant are higher for women who are still in their 20s and have had Hulka clip tubal ligation.

[ Read: Blocked Fallopian Tubes ]

Talk to your doctor today to understand more about tubal ligation and the life after. If you wish to get pregnant again, your doctor needs to re-investigate you thoroughly for the same. Accurate tubal ligation will rule out the worry of unwanted pregnancy. Getting regular checkups with your health care experts should rule out the possibilities of ectopic pregnancy.

If you have opted for Tubal Ligation or Tubal Reanastomosis, please share with us your experience and advice about it.

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