Re: having a tubal after delivery

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I would suggest that the most important concern is how much you want to lock that door shut. This should be considered a permanent proceedure, so under no circumstances should you undergo a tubal until you are 100% sure that this is what you want. You can always do it later. If he is so sure, he can have a vasectomy.

You will notice that the physicians on this list avoid responding to those posts that purport to expose the horrors of the tubal ligation. This is not because we are all part of a gigantic conspiracy to torture women. It is because this is an issue that arouses religious-like fervor, and we have better things to do than to be the target of the inevitable river of flame mail. However, I will do it just this once.

There is no credible evidence that women who have had a tubal ligation suffer from more gynecologic problems, including pain, than women whose husbands have vasectomies. Millions of American women have undergone this safe and effective proceedure. The vast majority have no problems.

The recurrent theme to the post-Tubal-Ligation Syndrome is that the blood supply to the ovary is destroyed by the tubal. This is absurd. The ovary gets blood primarily from the ovarian artery, and secondarily from the uterus by way of the ovarian ligament. After the blood passes through or around the ovary, it then travels to the Fallopian tube. In other words, the tube is downstream from the ovary. So saying the the ovary's blood supply is compromised by a tubal is like saying that St. Louis won't get enough water in the Mississippi River if someone builds a dam at New Orleans. It just doesn't wash.

There is one other thing to remember. In modern America, many women reach the point of considering tubal ligation after having been either pregnant or on the Pill for the entirety of their reproductive lives, or close to it. Once you have a tubal, you don't take the Pill anymore, which means that you get the cycle that God gave you, not the cycle that the Pill gives you. That's OK if your cycle is regualar, light, and painless, but if you have the cycles from Hell when you are not on the Pill, then that is what you will have after a tubal ligation. That is not the fault of the tubal.

Make a descision that suits you for life, because that's how long you are going to have to live with it.

--
William D. McIntosh, MD
Clarksville, TN

This is for educational purposes only.  It is not intended
 to replace consultation and examination by your physician
 or other health care provider.

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