Contents:
- Medical Video: Operasi Tubectomy - Steril pada Wanita - MOW
- What is tubectomy?
- How effective is tubectomy in preventing pregnancy?
- Benefits of tubectomy
- Procedure that is undertaken
- Laparoscopic surgery
- Minilaparotomy
- Tuba implants
- When is the best time to undergo this procedure?
- Risk and complications
- Can tubectomy be canceled?
Medical Video: Operasi Tubectomy - Steril pada Wanita - MOW
A married couple who do not want a pregnancy will usually consider sterilizing. Sterilization itself is a permanent preventive measure for pregnancy. So usually this action is taken by women or men who already have more than three children, aged over 30 years, or do not want more offspring. Sterilization is also often an option for those with high-risk pregnancies. In men, the sterilization process is carried out through a vasectomy procedure. Meanwhile, the sterilization process in women is achieved by doing tubectomy. The following is a complete review of tubectomy, also known as sterile birth control.
What is tubectomy?
Tubectomy is a method of contraception or pregnancy prevention performed by women. Unlike birth control pills or spirals that can be stopped at any time when you decide to get pregnant, tubectomy is permanent. The way the sterile tubectomy works is to cut or bind the fallopian tubes. Thus, the egg will not be able to find the way to the uterus. Sperm cells also cannot reach the fallopian tubes and fertilize the egg. This action serves to prevent conception and pregnancy.
How effective is tubectomy in preventing pregnancy?
As a sterile family planning that is permanent, tubectomy in preventing pregnancy reaches 99.9%. That is, of every 100 women who undergo a tubectomy procedure, there is one or less of one woman who is pregnant. This means tubectomy is a very effective method of contraception in preventing pregnancy, although it cannot guarantee 100%. However, tubectomy cannot protect you and your partner from venereal disease. So, the use of contraceptives that can protect you from venereal diseases such as male condoms and female condoms is still needed when having sex.
Benefits of tubectomy
Besides being effective in preventing pregnancy, this sterile birth control has a number of advantages when compared to other contraceptive methods. If done perfectly, tubectomy offers the following benefits.
- Does not affect hormones and menstrual cycles
- Does not affect sexual desire
- Does not affect when you will experience menopause
- It only takes one action to prevent pregnancy
- The procedure is quite simple and the costs are borne by most health insurance
Procedure that is undertaken
To do sterilization in women, there are several ways you can discuss with your doctor or midwife directly. Everyone may have different conditions that require different handling. Check out sterile family planning techniques available at the following health facilities.
Laparoscopic surgery
In this process, you will be given general anesthesia through your lower back. After that, the doctor and surgeon will make a small incision in the area above the pubis. Through the incision, the doctor inserts a laparoscopic device to determine the location of the fallopian tubes and surgical equipment that functions to close your fallopian tubes.
Minilaparotomy
For this tubectomy procedure, you will get a local anesthetic. Surgery performed is similar to laparoscopic surgery. However, the difference lies in the technique of cutting the fallopian tubes. If at laparoscopic surgery the channel will be cut and sewn again, minilaparotomy uses a technique of binding and clamping the fallopian tubes with a special instrument.
Tuba implants
Sterile birth control through the fallopian tube does not require surgery. So, usually you don't need certain anesthesia. The doctor will insert a small tube through the vagina and cervix to reach the fallopian tubes. This implant serves to inhibit, not cut or bind your fallopian tubes. To check whether the implant has been implanted properly, you will be asked to do a scan (scan) body through x-rays.
When is the best time to undergo this procedure?
Before undergoing tubectomy, you should carefully consider this decision. Because of its permanent nature, you cannot just stop this contraception because medical treatment has already been done on your fallopian tubes. You are also advised to discuss with your spouse and family before choosing this sterile family planning. If you and your partner are sure of this procedure, you can see a trusted doctor and obstetrician to plan tubectomy.
Depending on your health condition and the choice of a sterile family planning procedure, you can undergo this procedure after you have given birth normally or by Caesarean section. For surgical procedures, you will usually be asked to fast a few hours beforehand. Sterile family planning can also be done whenever you are ready and in good health, generally a week after getting menstruation.
Risk and complications
Tubectomy is a safe procedure. Usually the recovery time needed is no more than a week. However, in some very rare cases, the risk of tubectomy is an ectopic pregnancy (outside the uterus). Other possible risks include bleeding, infection due to wounds that do not heal completely, and injury to the abdomen. There are several complications that might increase your risk of side effects of tubectomy. Complications include diabetes, obesity, and pelvic inflammation. If you have a history of these diseases, consult your doctor.
Can tubectomy be canceled?
You may have heard of tubectomy cancellation operations. This operation seeks to repair the fallopian tubes to return to normal function again and pregnancy can occur. However, keep in mind that this cancellation operation is not guaranteed success. Most cases that occur are the fallopian tubes cannot be reconnected. Although repair of the fallopian tubes is successful, attempting a pregnancy will be more difficult than women who have never had sterile family planning. So in certain instances, a complicated and costly process that is not at all a bit in vain.
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