PREGNANCY-BIRTH Messages for February, 1999: Re: having a tubal after delivery

Re: having a tubal after delivery

From: AMD

anonymous@obgyn.net

Thu, 25 Feb 1999 10:44:26 -0600 (CST)

Thank you for your candid answer, and I certainly hope it does not bring an onslaught of hate-mail. I was very interested in your comment about BCP's. As a teenager, I had horrible periods with cramps, vomiting, and diarrhea, and a lot of bleeding. The pill was a godsend for these problems. I don't know if I would still have these problems now that I am older and had a couple of children. The only time I have not been on the pill since I was 17 was when I was pregnant and the couple of months before I got pregnant. It sounds like it might be wise to find out what my normal period would be like without the pill before deciding to have a tubal. If I'm going to need BCP's to keep my periods manageable, then it would be foolish to have a tubal.

Is an IUD a good option after childbirth?

Thanks, Andrea

At Wed, 24 Feb 1999, William D. McIntosh, MD wrote: >
>At Wed, 24 Feb 1999, AMD wrote:
>>
>>My husband is trying to talk me into having my tubes tied after this
>>baby is born. First of all, I'm not sure that I'm ready to do this, so
>>at this point I would not consent. But my husband's thinking is that
>>especially if I end up having a c-section, why not do both at once? (No
>>flames about the hubby, please. He's just more sure than I am that he
>>doesn't want to have any more kids.)
>>
>>But I would like to find out if there is any benefit or detriment to
>>doing this immediately after delivery? Does it make a difference if the
>>delivery is vaginal or c-section? If I was going to do this within the
>>next year, would I be better off to do it at delivery or wait 6 months?
>>
>>Also, are there any studies supporting or refuting the claims that some
>>women make that they have permanent gyn problems after a tubal?
>>
>>Andrea
>
>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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