Sexuality Society

Risks of Tubectomy Contraception for Women

Risks of Tubectomy Contraception for Women – Tubectomy is a permanent contraceptive method for women. This choice of contraception is carried out through a surgical procedure. Before deciding to go through with it, first know the risks.

Tubectomy or tubal ligation is performed by cutting or closing the fallopian tube so that the egg does not enter the uterus, while preventing sperm from swimming into the fallopian tube. The tubectomy process can be done at any time, including after a normal delivery or a cesarean section.

Types of Tubectomy

There are several methods of the tubectomy procedure. Generally tubectomy is performed in women after childbirth, either with normal delivery or concurrently with cesarean section. Usually using the laparotomy method, which uses a small incision under the navel.

If it is performed outside of labor, the tubectomy is usually performed by laparoscopy. Before surgery, the patient will be sedated. The doctor will make a small incision and insert a special instrument called a laparoscope.

After undergoing the procedure, some women are advised not to exercise for several days, although generally they can return to normal activities. Once feeling ready, women who have had a tubectomy outside of childbirth can resume sexual activity.

Relatively Safe Tubectomy

Tubectomy is classified as a safe procedure with a rare risk of complications. However, regardless of the type of surgical procedure performed, there are still risks. The risks that can occur with a tubectomy procedure include bleeding, organ damage (such as injuries to the intestines, bladder, or blood vessels), side effects of anesthesia, and post-tubectomy infections. Continuous pelvic or abdominal pain may also occur.

In addition, if the fallopian tube does not close completely at the time of the pregnancy tubectomy there is a risk of becoming an ectopic pregnancy. An ectopic pregnancy occurs when a fertilized egg does not attach to the uterus, but rather in another place such as the fallopian tube. This is classified as dangerous and must be treated immediately.

There are several conditions that can increase the risk of tubectomy complications, such as:

  • Have had pelvic or abdominal surgery before.
  • Obesity.
  • Diabetes.
  • Pelvic inflammatory disease.

Advantages & Disadvantages of Tubectomy

Besides the risks, tubectomy has several advantages and disadvantages. The advantages of tubectomy include:

  • Will not affect hormone production so there will be no changes in sex drive or menstruation.
  • It only takes one tubectomy.
  • Has a high success rate in preventing pregnancy.

While the disadvantages of the tubectomy procedure, are:

  • Tubectomy does have a high success rate in preventing pregnancy, but some women can get pregnant again after undergoing this procedure. However, the incidence is relatively small.
  • Tubectomy has been shown in some studies to have an indirect effect on hormones, but it is not certain whether this procedure affects the timing of menopause.
  • Cannot protect against sexually transmitted diseases, so other contraceptives such as condoms are still needed.
  • It is difficult to reconnect the tube if a woman who has had a tubectomy wants to get pregnant again.
  • The younger a woman has a tubectomy, the higher the chance of failure.
  • The cost is relatively large.

Tubectomy as permanent contraception should be agreed upon by the partner. Think about the risks and advantages and disadvantages of tubectomy for you and your partner. Consult with your doctor about the possibility of undergoing the sterilization procedure.

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