| Tubal blockage is the means by which a woman has | | | | The next method of tubal blockage is done by |
| her tubes tied. When she decides to have them | | | | removing the fimbrial end of the fallopian tube. This is |
| untied, she must go through a tubal ligation reversal. | | | | the part nearest the ovary that captures the egg as |
| By this surgical method, the tubal blockage is | | | | it is released from the ovary. With that end cut off |
| removed. | | | | and as the end seals up, there is no way for the egg |
| While it is very possible to find out you have tubal | | | | to enter the fallopian tube. Fortunately, this method is |
| blockage even though you have not had your tubes | | | | not often used. |
| tied, this article will discuss the voluntary method. This | | | | Lastly, is a new method of tubal blockage. This is |
| is usually called tubal ligation, although the vernacular is | | | | more a mechanical process whereby a spring like |
| having your "tubes tied". | | | | device called the Essure device is inserted into the |
| Although several methods are used to create tubal | | | | fallopian tube through the uterus. Part of the device |
| blockage, there is no actual tying of your fallopian | | | | sticks out into the uterus and part sticks into the |
| tubes like tying your shoes. For tubal ligation, you will | | | | fallopian tube. Once in place, the device expands to fill |
| find rings and clips being used as one method. Put | | | | the space in the tube and creates scarring around it. |
| simply, a ring or clip is applied to the tube very tightly | | | | This is a major case of tubal blockage that requires a |
| in order to cut off the blood supply and which may | | | | major tubal ligation reversal surgery called tubouterine |
| eventually cut the tube at that point. | | | | implantation. Not only must the device be removed |
| In the Pomeroy, Parkland and Irving methods, part of | | | | from the tube, it must also be removed from the |
| the tube is cut and removed in order to provide the | | | | uterus. The remaining good portion of the tube is |
| tubal blockage. What is done to the remaining cut | | | | implanted into the uterus through a new opening. |
| ends is what determines which method is actually | | | | As a new sterilization method, there have not been |
| being used. For instance, in the Irving method, the | | | | many Essure tubal ligation reversal surgeries |
| part of the tube still attached to the uterus is | | | | conducted to this point in time in order for us to |
| sutured to the back side of the uterus. | | | | know what the success rate will be. There have |
| In bipolar and monopolar coagulation, the tube is | | | | been only a handful, if that many, reversals of this |
| burned by an electric current carried by forceps. With | | | | type of tubal blockage done at this point. |
| monopolar coagulation, more of the tube is "burned" | | | | Whatever type of voluntary sterilization you have |
| due to the current spreading further into the tube | | | | had, if you have changed you mind, you do have a |
| tissue. With bipolar coagulation, which is the most | | | | chance of becoming pregnant again. Just seek at the |
| popular laparoscopic method of tying tubes today in | | | | best qualified tubal ligation reversal surgeon you can. |
| the US, a tubal ligation reversal procedure will give | | | | Get your tubal blockage removed and bring that new |
| you about a 60% success rate of becoming | | | | bundle of joy home. |
| pregnant again. | | | | |