Content

• Steps
• Method 1 of 3: Seeing a Gynecologist
• Method 2 of 3: Tubal Repair Surgery
• Method 3 of 3: Recovery Period After Surgery
• Similar articles
• Tips

The ligated fallopian tubes can be returned to their previous state. When the tubes are ligated, their patency is impaired, which makes it possible to prevent pregnancy. Between two and twenty-six percent of women decide to return the fallopian tubes to their previous state. Fortunately, the chance of pregnancy after a recovery procedure is approximately 40-85%.

Steps

Method 1 of 3: Seeing a Gynecologist

1. 1 Bring your postoperative report to your appointment. The gynecologist will want to know how the tubes were tied. The less impact has been on the fallopian tubes and the more length has been retained, the easier it will be to recover.
   • The two fallopian tubes are part of the uterus. They are long and thin processes. An ovum enters the tube from the ovary, and then through the same tube the sperm reaches the ovum. When the egg is fertilized, it travels back to the uterus, becomes fixed there, and begins to grow.
   • There are several ways to tie pipes, however, none of them literal tying takes place. The doctor can clamp the tubes with a ring or clamps, can cause scar formation with a cauterizing instrument or a special insert.
2. 2 Ask your doctor about your recovery procedure. As a rule, the procedure is carried out either in a hospital or on an outpatient basis by a laparoscopic method. During the operation, foreign objects (clips, rings, inserts) can be removed, scar tissue can be cut off. After that, the healthy parts of the pipes are sewn together.
   • The operation will be performed in the lower abdomen. Organs that are located near the fallopian tubes will be at risk. Bleeding, infection, and injury are possible. The operation is performed under general anesthesia, but some people experience an unwanted reaction to the anesthesia.
   • You are ready for surgery because you want to get pregnant, but after such a procedure, an ectopic pregnancy is possible (its probability is 10%), in which the fertilized egg becomes fixed and begins to develop outside the uterus. Most often, in such cases, the eggs are fixed in the fallopian tubes, where there is not enough space for the development of the fetus. The pregnancy will be terminated and the fallopian tube may be damaged.In addition, there is a risk of severe bleeding, which can be life-threatening.
3. 3 Talk to your gynecologist about reproductive health concerns. Your doctor should know if you have any problems with the uterus, ovaries and vagina. The possibility or impossibility of the operation depends on this.
   • The success of the procedure is determined by how much tissue is scarred in and around the tubes. It will be important for the doctor to know if you have been operated on in the past for endometriosis. In this disease, small areas of the inner lining of the uterus come out of it and get stuck in the ovaries or bladder. The doctor will also ask if you have had pelvic inflammatory disease. In this disease, the infection spreads from the vagina to the uterus, fallopian tubes, and ovaries. If you have scars from surgery, endometriosis, or inflammatory conditions, it will be more difficult for you to return the fallopian tubes to their previous condition.
   • Your doctor will pay attention to anything that can affect your ability to get pregnant. Having a successful pregnancy in the past will increase your chances of getting pregnant again. Tell your doctor if you were pregnant and if the pregnancy ended successfully.
   • You are more likely to get pregnant after your procedure if your tubes were tied with rings or clamps, or if you have a small section of your tube removed. As a result of bandaging operations using moxibustion and inserts, a large number of scars are formed, which makes it difficult to return the pipes to their previous state. If you are under forty and have had your tubes tied immediately after giving birth, you are more likely to have a successful reconstructive surgery.
4. 4 Get inspected. For the operation to be completed successfully, you will need to undergo an examination and all examinations prescribed by your doctor. A hassle-free operation will increase your chances of getting pregnant.
   • In women over forty, the quality and quantity of eggs decreases. If you are over forty years old, it will be more difficult for you to get pregnant. Your doctor may order a test that will count the number of eggs you have left. You may also be tested for follicle-stimulating hormone and estradiol. If the levels of these hormones are not in order, this may indicate that the condition of the ovaries will not allow pregnancy to occur.
   • If you are overweight, the operation will be more difficult. The procedure will take longer and you will be under anesthesia for longer, which increases the risk of unwanted side effects. Your doctor will determine your BMI based on your height and weight. Being overweight will not affect your ability to get pregnant.
   • Your doctor may order hysterosalpingography to measure the length of your fallopian tubes. There are two ways to carry out the procedure. In the first method, a dye is injected into the uterus, and then the fallopian tubes are examined using fluoroscopy using a fluoroscopic screen. In the second method, a sterile fluid with a small bubble is injected into the uterus, and then the condition of the tubes is assessed using ultrasound.
   • If you can answer questions about your general health (about heart disease, lung disease, bleeding, intolerance to anesthesia), it will be easier for your doctor to make the operation safe.
5. 5 Go to the doctor's appointment with your partner. Your partner should have a spermogram to find out, among other things, the sperm count. There should be enough of them to get you pregnant after your recovery. This is a simple and inexpensive procedure.
   • The gynecologist will refer your partner to a urologist. The urologist will prescribe treatment if any problems are found.
6. 6 Talk to your doctor about in vitro fertilization (IVF). With this method, you will be able to get pregnant if your chances of successful tube repair are low or if this procedure does not help. In in vitro fertilization, a sperm cell fertilizes an egg in a test tube, and then the egg is placed in the uterus.
   • This procedure has its pros and cons. The choice between IVF and tubal repair is difficult. The doctor will tell you and your partner about age restrictions, cost, timing of pregnancy, and possible problems conceiving even after this procedure.

Method 2 of 3: Tubal Repair Surgery

1. 1 Ask someone to recommend a doctor for you. The success of the operation depends on the professionalism of the doctor and the quality of the postoperative care. If any of your friends or relatives have had this operation, ask them for a recommendation.
   • Ask the doctor what the percentage of conception is in his patients after the procedure. The value should be around 40-85%.
   • Assess the quality of the wards in the hospital where you will be operated on and learn more about the staff. Good care can help reduce potential complications.
2. 2 Start fasting the evening before your procedure. Do not eat or drink anything, including chewing gum, after 12 pm the night before your surgery. You will be allowed to eat and drink only after the surgery is complete.
3. 3 Ask your doctor what drugs you will need to stop taking. Everything here is individual. If you need to take a pill with a little water after 12 pm, do so.
   • Drugs that cause bleeding (such as aspirin) should be stopped a few days before surgery.
4. 4 Take a shower or bath in the evening. Use antibacterial soap. Re-shower or bathe in the morning. Don't shave your lower abdomen and pubis.
   • You can use any soap - the main thing is to cleanse the skin. The soap will reduce bacteria on the skin and reduce the risk of infection. Pay special attention to the navel.
   • If you shave your skin, micro-cuts may remain on the skin, which may increase the chance of infection after surgery. Have your doctor shave your hair in the operating room.
5. 5 Remove jewelry and rinse off nail polish. Jewelry can harm you or become entangled with instruments in the operating room.
   • To stop bleeding during surgery, electrocautery (cauterization with electricity) can be used. Jewelry can damage your skin as the moxibustion tool generates electricity.
   • A pulse oximeter is used to monitor the level of oxygen in the blood. This device allows waves to pass through the nails, and the nail polish will interfere with this.

Method 3 of 3: Recovery Period After Surgery

1. 1 Get back to your normal life gradually. How quickly you can recover depends on the type of surgery (laparoscopic or abdominal). The timing of returning to work, household chores, and climbing stairs will depend on the intensity of the pain and discomfort.
   • After laparoscopic surgery, you may be lowered home the same day or the next, because the surgery makes small incisions and the pain does not seem to be very severe. If the operation was abdominal, you will have to stay in the hospital. The doctor will give you the medications you need with him.
   • For the first 4-6 weeks, you will not be able to lift anything heavier than 1-2 kilograms. This is how long it will take for the tissues of the lower abdomen to recover. If the operation was laparoscopic, the tissues will heal faster.
2. 2 If you develop serious complications at home, contact your doctor. It is important to seek help as soon as possible if you experience severe vaginal bleeding, severe abdominal pain, persistent nausea and vomiting, intense thirst, or increased sweating if you have difficulty urinating and passing gases. Other undesirable symptoms include significant bloating and / or constipation, fluid, blood, and redness around the incision sites.
   • If you have severe vaginal bleeding that requires the use of more than one pad per hour, combined with abdominal pain, this may be due to bleeding at the site of your tubal surgery.Thirst and increased sweating also indicate bleeding. Drink plenty of fluids as your body needs to replace fluid loss from bleeding. Sweating is the body's response to stress caused by blood loss. Call an ambulance if you feel very unwell.
   • Nausea and vomiting can be caused by anesthesia or pain relievers. The body will get rid of the anesthetic drugs within 24 hours. Your doctor may give you a drug to suppress nausea and vomiting. If the doctor decides that pain relievers are the cause, they may be substituted for others.
   • Intestinal obstruction is possible, in which food and gases cannot pass through the intestines. Such consequences are typical for operations in the abdominal cavity, especially if it is an abdominal operation. You will feel nauseous, vomit, your stomach will ache and swell, and the gas will not come out. Don't take anti-nausea medications - it will go away on its own. Drink plenty of fluids until your bowels return to normal. Call your doctor if symptoms worsen.
   • Pain relievers can cause severe constipation. Eat fiber foods, vegetables, whole grains, and stool softeners. If you are unable to go to the toilet and release gas, contact your doctor.
3. 3 Care for the wound as directed by your doctor. The wound must be dry and clean or it will not heal. The wound should not show signs of infection (oozing blood, redness), and the body temperature should not exceed 38 degrees.
   • Increasing abdominal pain and fever can be signs of an infection in the abdomen. See your doctor so that he examines you, prescribes tests, examinations and treatment.
   • Your doctor may give you specific advice. The bandage is usually left on the wound for 2-3 days after surgery. This time is needed for the skin to tighten and begin to protect tissues from infection. If you have a waterproof bandage applied, you can shower right away. If not, wash over the sink for 2-3 days, after which you can shower. Let the soapy water run down the wound to cleanse it. Then dry the wound. Don't take a bath for a month.
4. 4 Make an appointment with your doctor. You will most likely be told to show up 2 weeks after surgery. This will be one of the many tricks you will need to do before you become pregnant.
   • At the first appointment, the doctor will check if the wound is healing well. He will examine the wound for signs of infection, feel the abdomen, and ask if the pain has subsided.
   • Most often, a woman manages to become pregnant in the first six months after the procedure for restoring the fallopian tubes. If you don't, have a hysterosalpingogram to make sure your tubes are open. As a rule, at this stage the pipes are opened. Try to conceive a child in different ways. Track your ovulation time and schedule sex at the appropriate time. Your doctor may prescribe medications that make you more likely to ovulate. In addition, the gynecologist may place a sample of your partner's semen into your uterus. If that doesn't work, your doctor will suggest in vitro fertilization.

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Tips

• If you only want to have one baby, IVF can cost less than restoring patency of the fallopian tubes.