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Tubal ligation and vasectomy, are they reversible?


There are many methods of birth control, but among the most reliable and long-lasting (or permanent), two quintessential surgical techniques stand out: vasectomy for men and tubal ligation for women.

However, many couples who decide to opt for this method later regret it because they want to have a child. What happens in these cases? Is the operation reversed?

Tubal ligation It is a method of sterilization of women that consists of a surgical operation in which the connection between the fallopian tubes and the uterus is interrupted. It is indicated for all those women who want a method of contraception. Tubal ligation is also indicated for women for whom a pregnancy represents too high a medical risk.

Tubal ligation is considered a contraception technique irreversible, though can be reversible by another tubal union surgery or pregnancy can be achieved by in vitro fertilization techniques. The right woman to receive a tubal ligation should have made the decision herself, without external constraints, and knowing about other contraceptive options.

There are certain situations in which a tubal ligation may not be advisable, such as serious cardiopulmonary diseases, very obese women, pelvic infection, pregnant women, puerperal women….

The tubal ligation surgery it is simpler than other surgical procedures. In essence, it consists of interrupting the tube of the fallopian tube so that the eggs from the ovary cannot reach the interior of the uterus, and that, on the other hand, the sperm cannot reach the interior of the uterus to the ovary. To achieve this there are different techniques.

Vasectomy It consists of the cutting and ligation of the vas deferens that connect the testicles with the penis. As a consequence, in a short time the ejaculated semen does not contain sperm.

Vasectomy is a very effective procedure to prevent pregnancy. The failure rate does not exceed 0.5 percent.

There are still sperm in storage after the operation, so another method of contraception should be used until the spermiogram reveals that the sperm count is zero. This procedure does not affect the erection or the libido, since it does not affect the irrigation of the penis (responsible for the erection) nor does it affect the hormones that intervene in sexual desire.

The testicles continue to produce sperm, but having no outlet, they are absorbed by the body. The prostate and seminal vesicles continue to produce the same fluid, therefore, the expelled semen looks the same, but without sperm and without risk of pregnancy. Every year 500,000 vasectomies are performed in the U.S.A.

Vasectomy can be reversed by microsurgery. This technique is called a vaso-vasostomy; however, vasectomy reversal is not possible in 100% of cases and If you have doubts about wanting to have more children, it is not the most recommended.

Sara Canamero de Leon
Matron

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Video: Robotic Reversal of Tubal Sterilization (October 2021).