Sterilization is a permanent method of contraception for women desiring not to become pregnant in the future. Laparoscopic technique is a minimally invasive procedure and in recent years laparoscopic sterilization has gained popularity owing to its advantages over traditional approach. Laparoscopic sterilization is a technique of tubal ligation to block or close the fallopian tubes, the pathway for sperm to reach eggs for fertilization.
Fallopian tubes, located on either side of the uterus, pick up eggs released from the ovaries and transfer them to the uterus. If these tubes are blocked, sperm fail to reach the eggs and fertilization will not occur.
Reversal after sterilization is a surgical procedure to restore fertility by restoring the normal functionality of the fallopian tubes that were blocked during sterilization. About 5-10% of women may require reversal of sterilization, due to various reasons such as having a new partner and desire for additional children. Women whose tubes were removed during the sterilization cannot have a reversal.
Factors influencing reversal of sterilization
The major factors that may affect the results of reversal after sterilization are as follows:
Prior to the reversal surgery, patients should undergo a screening that includes:
Procedure
Reversal after sterilization is a safe procedure that involves the following steps:
Post-operative care
The procedure may take a few hours and the patient is usually discharged on the same day of the procedure. Patients are advised to follow the instructions given by their surgeon, along with recommended diet and prescribed medications. Patients can perform their routine activities such as driving, walking etc., after few days of the surgery. Complete recovery of the patient may take few days to few weeks.
Risks and complications
The possible risks associated with reversal of sterilization include: