Our Summary

This study aimed to assess the likelihood of a woman getting pregnant naturally after having a total bilateral salpingectomy (BS), which is a surgical procedure where both fallopian tubes are removed. Researchers searched multiple databases for studies involving women who had undergone total BS and later experienced a spontaneous pregnancy. Women who had partially removed tubes, blocked tubes, or had used assisted reproductive technology for pregnancy were not included.

Out of 1942 articles, only 4 case reports were relevant for this study. It was found that the women in these reports had undergone the BS procedure for reasons other than permanent contraception. All of them presented pain as their most common symptom, and all their pregnancies occurred within the uterus. Treatment was based on whether the women wanted to continue their pregnancy and their overall health and stability.

The conclusion drawn from this study is that natural pregnancy after total BS is extremely rare. This suggests that BS is a reliable method of permanent contraception. However, more data is needed to understand the short- and long-term effects of total BS as a form of permanent contraception.

FAQs

  1. Is it possible for a woman to get pregnant naturally after a total bilateral salpingectomy?
  2. What were the common symptoms presented by women who got pregnant after total bilateral salpingectomy?
  3. Is bilateral salpingectomy a reliable method of permanent contraception?

Doctor’s Tip

A doctor might advise a patient considering bilateral tubal ligation that while it is a highly effective form of permanent contraception, the chances of getting pregnant naturally after the procedure are extremely rare. It is important for patients to understand that this procedure is meant to be irreversible and they should not rely on the possibility of natural pregnancy in the future. It is always best to discuss all options and potential outcomes with a healthcare provider before making a decision.

Suitable For

Patients who are typically recommended bilateral tubal ligation are those who are seeking a permanent method of contraception. This may include women who have completed their desired family size, have medical conditions that make pregnancy dangerous, or simply do not wish to have any more children. It is important for patients to fully understand that bilateral tubal ligation is considered a permanent form of contraception and is not easily reversible.

Timeline

Before bilateral tubal ligation:

  1. Patient discusses permanent contraception options with their healthcare provider.
  2. Patient decides to undergo bilateral tubal ligation as a form of permanent contraception.
  3. Patient undergoes pre-operative evaluation and counseling.
  4. Patient undergoes bilateral tubal ligation surgery.

After bilateral tubal ligation:

  1. Patient may experience pain and discomfort in the days following the surgery.
  2. Patient is advised to rest and avoid strenuous activities for a certain period of time.
  3. Patient may experience some changes in their menstrual cycle.
  4. Patient is advised to use alternative forms of contraception until the effectiveness of the tubal ligation is confirmed.
  5. Patient follows up with their healthcare provider for post-operative care and monitoring.
  6. Patient no longer has to worry about the risk of unplanned pregnancy.

What to Ask Your Doctor

  1. What is bilateral tubal ligation (BS) and how does it work as a form of permanent contraception?
  2. What is the likelihood of getting pregnant naturally after total BS?
  3. Are there any risks or potential complications associated with total BS?
  4. How long does it take for total BS to become effective as a form of permanent contraception?
  5. Are there any alternative permanent contraception options available?
  6. What are the potential long-term effects of total BS on a woman’s reproductive health?
  7. Is it possible to reverse a bilateral tubal ligation if I change my mind in the future about wanting to have children?
  8. What follow-up care is needed after undergoing total BS?
  9. Are there any lifestyle changes or precautions I should take after having total BS?
  10. What should I do if I experience any unusual symptoms after undergoing total BS?

Reference

Authors: Baltus T, Brown J, Molakatalla S, Kapurubandara S. Journal: J Minim Invasive Gynecol. 2022 Feb;29(2):213-218. doi: 10.1016/j.jmig.2021.09.713. Epub 2021 Sep 27. PMID: 34592466