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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 Higashicho for between 1 to 2 weeks or until your doctor gives you the all-clear to travel home. During your stay in Higashicho 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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Higashicho is an area in Koganei, a city located in the western part of Tokyo, Japan. Due to its ease of access to Tokyo and more affordable prices, Higashicho is frequented by tourists who wish to stay in a quiet and affordable accommodation than the ones in the center of Tokyo. Today, the area is also frequented by medical tourists looking for high-quality treatments in Japan. The clinics and hospitals in this area are known to have top quality services, reasonably priced treatments, state-of-the-art medical technology, as well as well-trained and licensed medical professionals.
The most popular attraction near Higashicho is Koganei Park, which is a huge park with many different attractions. The park has free outdoor basketball courts, baseball fields, and tennis courts. It also has large open areas, perfect for those who want to go picnic or throw Frisbees. You can also find barbeque pits for rent. The park is also a good spot for plum blossom viewing in February and cherry blossom viewing in March. In fact, it is listed in the top 100 cherry blossom spots in Japan.
The park is also home to Edo-Tokyo Open Air Architectural Museum, a museum of historic Japanese buildings. This museum is a branch of the Edo-Tokyo Museum in Ryōgoku, Tokyo. The museum includes numerous buildings, from the middle-class ordinary Japanese houses to the homes of the powerful and wealthy, such as the residence of Takahashi Korekiyo, Japan’s former prime minister. In this museum, visitors can enter and explore various traditional Japanese buildings of different periods, styles, and purposes.
Since there is no international airport in Higashicho and Koganei, most international tourists arrive at the Narita International Airport. This airport serves domestic and international flights to numerous cities around the world.
Holders of passports issued by 66 countries, including all EU countries, Australia, the US, and the UAE, can visit and stay in Japan without a visa for up to 90 days. Most other countries not listed in the visa-free policy need to obtain a visa prior to arrival. Budget airlines, including Jetstar Japan, operates flights from this airport. Medical tourists can arrive in Koganei by train by taking the JR Chuo Line from Shinjuku west from thirty minutes, then take a taxi or bus to Higashicho.
Higashicho has four seasons. The summer (June to August) is hot and humid, with a lot of rainfall. Autumn (September to November) has mild weather with less humidity. November is the peak typhoon season. Winter (December to February) is dry, sunny, and cold, but the temperature rarely drops below 0°C. Spring (March to May) has pleasant weather and clear skies.