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Tubal Ligation Reversal, also referred to as Tubal Sterilization Reversal or Microsurgical Tubal Reanastomosis, is the surgical procedure to restore female fertility after a tubal ligation was performed, often many years later. The procedure involves rejoining the separated parts of the Fallopian tubes, allowing for the possibility to conceive. Tubal ligation is commonly referred to as "having your tubes tied".
During a tubal ligation reversal, the blocked segments of the fallopian tubes are reconnected to the remainder of the fallopian tubes. This may allow eggs to again move through the tubes and sperm to travel up the fallopian tubes to join an egg.
Tubal ligation reversal is more likely to be successful if your tubal ligation was originally performed using clips or rings, rather than if segments of your fallopian tubes were burned in order to close them off (electrocautery). Some types of sterilization, such as the Essure or Adiana systems, aren't considered reversible.
Before the procedure, you and your partner will need to get a complete physical exam to find out if there is any condition that might keep you from getting pregnant after a tubal reversal. The physical exam usually includes a blood test, imaging test, and hysterosalpingogram (HSG). Your partner may also need to gets tests such as a sperm count and semen analysis to find out if there is any fertility problem. You and your doctor will need to discuss the success rate and your ability to get pregnant after the procedure. You should also discuss other options for pregnancy.
During the procedure, your doctor will likely use robotic or laparoscopic surgical equipment. A laparoscopic is a small tube with a tiny camera and surgical instrument attached to it. Your doctor will first look at your fallopian tubes using the laparoscopic camera. The tiny camera is put into your abdomen through a tiny incision. If your doctor sees that you have enough fallopian tube left and everything looks healthy, they will perform the surgery.
Once your doctor has decided it is okay to perform the surgery, you will be given general anesthesia. The surgery will also be done with laparoscopy, meaning your surgeon will make several incisions in your abdomen and insert a camera and small instruments to do the surgery. Using the microscopic instruments attached to the end of the laparoscope, your doctor will remove any damaged sections of your fallopian tubes and any devices from your tubal ligation, such as clips or rings that were used to block your tubes. Small stitches are used to reattach the undamaged ends of your fallopian tubes to the uterus. When the tubes are reconnected, your doctor will inject a dye into one end of each tube to make sure that the tubes have been reattached successfully.
Another way to carry out the surgery is a procedure called minilaparotomy. During this procedure, your doctor will make an incision in your abdomen to take the ends of your fallopian tube out of your abdomen. Then, your surgeon will remove the damaged parts of your fallopian tube and reconnect the healthy parts while the tubes are outside your body.
The whole procedure usually takes about 2 to 3 hours. It can be done in a hospital or an outpatient center. If everything goes well and the surgery is completed using “microsurgical” techniques, you may be able to go home around 2 to 4 hours after surgery. However, some women will need to stay in the hospital for 1 to 3 days. After being discharged from the hospital, you will have to stay in Georgia for between 1 to 2 weeks or until your doctor gives you the all-clear to travel home. During your stay in Georgia you will attend follow-up checkups.
The recovery time depends on the surgical method your doctor used. Typically, recovery takes about one to two weeks until you can resume your normal activities. During the recovery period, you may experience pain and tenderness around the incision. To help with the pain, your doctor may prescribe pain medication, or you can take over-the-counter medication. Many patients also feel extreme weakness during the recovery period. You should not bathe for 48 hours after your surgery and your stitches will dissolve.
You will need to follow all post-operative instructions that your doctor gives you. You will not have any activity or dietary restrictions after the surgery, but you should avoid any heavy lifting or sexual activity for a certain period of time. Your doctor will give you a timeline on how long you should avoid these activities. Normally, attempts to conceive can begin within four weeks after the procedure. Do not rub the incision, especially when you want to clean it, instead pat it gently.
The success rate of tubal ligation reversal can vary widely, depending on various factors, including maternal age. Women under 35 tend to have a much higher success rate. Generally, 50% to 80% of women who have tubal ligation reversal can have successful pregnancies. While the success rate for women under 35 is 70% to 80%, women over 40 only have around 30% to 40% success rate.
Like any surgery, tubal ligation reversal also has potential risks and can lead to complications. Although it is rare, you will need to make sure that you understand all the risks and complications. Risks associated with this procedure include:
For an in-depth analysis and a look at how Tubal Litigation Reversal Procedures are performed, watch this short video
You may wish to consider in vitro fertilization (IVF) as an alternative to tubal ligation reversal. During IVF, your eggs are mixed with your partner’s sperm outside of the womb in a lab. The fertilized eggs are implanted directly into your uterus. You can also consider IVF if you do not get pregnant after a tubal ligation reversal.
Whilst the information presented here has been accurately sourced and verified by a medical professional for its accuracy, it is still advised to consult with your doctor before pursuing a medical treatment at one of the listed medical providers
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Georgia is located in the Caucasus region of Eurasia and it is the most visited country in South Caucasus. From its green valleys and vineyards to its old watchtowers and old churches, this country will never disappoint. Over the last 5 years, Georgia has been visited by an increasing number of medical tourists. These foreign patients, mostly come from Saudi Arabia, Kuwait, Iraq, and Russia, are attracted to Georgia’s high-quality and affordable medical care, as well as the medical center’s first-class services. Most of these patients come for dental treatments, cosmetic surgery, oncology, radiology, liver and kidney transplantation, bone marrow transplantation, orthopedics, infertility treatment, and bariatric surgery.
Georgia’s vibrant capital, Tbilisi, offers picturesque Old Town, outstanding architecture, dramatic valley setting, and terrific cuisine. Home to 30% of the country’s population, this city is lively and filled with hipster culture and techno scene. One of the most famous monuments in the city is Kartlis Deda, which is a 20-meter tall aluminum symbol of Tbilisi. Another popular city is Batumi, which is the country’s most charming seaside destination. Its synthesis of the mountain and the sea is truly unique and interesting. The most popular attractions in this city, besides its beach, are Batumi Boulevard, Batumi Botanical Garden, Medea Monument, Ortajame Mosque, and Batumi Archeological Museum.
International tourists will arrive in Tbilisi International Airport. It serves flights to and from several cities in Europe, the Middle East, and Asia. There are numerous budget airlines that operate flights from this airport, including IndiGo, Ryanair, and AirAsia X. To travel around the country, domestic flights, buses, and trains are available. To get around major cities, several public transportation options are available. The most common way to get around is by local minibus and buses. Taxis are widely available, but make sure to agree on the fare before getting on.
Georgia allows citizens of 98 countries, including all European Union countries, the US, Japan, and Australia, to stay for a year. Holders of passports issued by 66 countries, such as Bolivia and Egypt, are eligible to apply for e-Visa. The e-Visa is valid for 90 days per 180-day period and 30 days per 120-day period. Citizens of other countries, such as Sudan and Morocco, need to apply for a visa in advance.
Winter in Georgia is usually very cold, with temperatures ranging from 2°C to 6°C, and sometimes dropping below 0°C at night. Summer, from June to August, is pleasantly warm with average temperatures of 20°C to 30°C. However, some coastal areas are humid during this season. Spring and Autumn are delightful as the weather is not too hot, nor too cold. Both of these seasons see frequent rainfalls.