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Re: tubal ligation From: ainsron (ainsron@sbcglobal.net) Mon May 22 08:42:17 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: rmodugno@aol.com: "NYTimes.com: If You've Got a Pulse, You're Sick" Previous message: rmodugno@aol.com: "Re: A rant and a poll" In reply to: Gordon Goldman: "Re: tubal ligation" Exactly! Ronald E. Ainsworth, MD, FACOG -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Gordon Goldman Sent: Sunday, May 21, 2006 7:33 PM To: Multiple recipients of list OB-GYN-L Subject: Re: tubal ligation Ron, My little 'schtick' on that is, I tell them that unless they can look each other squarely in the eye and say, "Ain't no way in Hell I ever want any more kids", then don't do it. Having said that, I also tell them no method is 100% and if you are in that 1-5% failure group, it is a 100% failure rate as far as you are concerned. Then, I encourage whatever decision they come to. Gordon M. Goldman, M.D., FACOG Private Practice, St. Louis, Missouri _____ From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Ronald Ainsworth Sent: Sunday, May 21, 2006 8:53 PM To: Multiple recipients of list OB-GYN-L Subject: Re: tubal ligation And so do I, but I also tell them that if anything in the future (such as remarriage, loss of their family or other unforseen circumstance, etc.) would alter their decision, do not do it. However, I also always tell them that even though we consider it irreversible, there are ways of reversing them or bypassing them - none of which are inexpensive, therefore not available to all. Raymond Stephen <stephen.raymond@dhhs.tas.gov.au> wrote: I always tell them that tubal ligation is irreversible. Steve -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of mjutras@gate.net Sent: Saturday, 20 May 2006 9:44 AM To: Multiple recipients of list OB-GYN-L Subject: Re: tubal ligation On a different note: Why is it that we were always told to tell the patient the truth about everything including when a mistake was made but we were all taught to lie about tubal ligation? Was anyone not told to tell the patient that it was not reversible? There were two reasons we were told not to do fimbrectomies. The first was higher fistula formation and therefore procedure failure (fattest part of tube). Second, was that it was difficult to reverse - requires neosalpingostomy with cuff fimbrioplasty - IVF works better here. I do a lot of IVF but 98% of patients with tubal ligation chose tubal anastomosis over IVF. Mark Jutras, MD Orlando Next message: rmodugno@aol.com: "NYTimes.com: If You've Got a Pulse, You're Sick" Previous message: rmodugno@aol.com: "Re: A rant and a poll" In reply to: Gordon Goldman: "Re: tubal ligation"

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