Getting pregnant after sterilization by assisted reproduction
Once family planning is complete, sterilization offers an optimal contraceptive method for many women. It saves further hormone intake through the birth control pill and is a reliable way to enjoy sexuality without worrying about an unwanted pregnancy. If you want to get pregnant despite sterilization, there are still several options.
Becoming pregnant after sterilization
Sterilization as a safe method of contraception
Sterilization should be a final decision when your desire to have children is complete or when you do not want to have children. Ultimalty, after this procedure you can no longer get pregnant naturally. What are the options for fulfilling your desire to have children after a sterilization?
How is female sterilization performed?
The most commonly performed method is cutting the fallopian tubes. The procedure can be performed on an outpatient basis through a small incision at the belly button. During laparoscopy, the fallopian tube is either electrically sclerosed, completely cut or closed with a clip. This prevents eggs from traveling through the fallopian tube and meeting sperm there.
Can a sterilization be reversed?
It cannot be said as a general rule that every sterilization can be reversed. However, within the framework of a microsurgical operation (refertilization), fertility can be restored under certain circumstances.
Child wish after sterilization: hope through refertilization
If fertility is to be restored, women can opt for refertilization. This is a surgical procedure that is intended to make the fallopian tubes functional again.
What are the requirements for refertilization?
Restoring a woman’s fertility only makes sense if she can still ovulate. Therefore, the age and also the oocyte reserve (measured by the AMH value) is decisive for whether a woman can become pregnant again. In addition, the length of the fallopian tubes also plays a role. The two ends must add up to at least 4 cm for them to be surgically rejoined.
Refertilization procedure: How is the operation performed?
If you want to get pregnant again after sterilization, you will have to undergo a procedure under general anesthesia. The surgery is performed either minimally invasively through an incision at the level of the navel or abdominally through an abdominal incision. The separated ends of the fallopian tubes are rejoined and the scarred parts are removed. The suturing of the tissue is done step by step. At the end of the procedure, a permeability test of the fallopian tubes is performed.
Risks of refertilization
Risks of this procedure are mainly due to general anesthesia. In rare cases, thrombosis, inflammation of the abdominal cavity or secondary bleeding may occur. The risk of ectopic pregnancy is also higher after refertilization.
What are the chances of success with a refertilization?
If the test for tubal patency was successful, there is theoretically an immediate possibility of becoming pregnant again. However, the chances of success of a refertilization are reduced if there was a lot of scar tissue on the fallopian tubes. A 2017 study examined pregnancy rates after successful refertilization in 10686 women. The researchers found pregnancy rates ranging from 42% to 69% after refertilization.
The procedure to restore fertility is generally not covered by health insurance. Depending on the method (laparoscopy or abdominal incision), the cost of the procedure ranges from 2000 to 5000 euros.
Alternative to refertilization: artiticial insemination.
Sterilized women who want to become pregnant can achieve this by means of assisted reproduction (IVF or ICSI).
In this procedure, the woman’s fertilizable eggs are removed directly from the ovary, fertilized outside the body, and then reinserted into the uterus. In this way, the fallopian tubes are bypassed.
IVF (in vitro fertilization) and ICSI (intracytoplasmic sperm injection) differ in that in IVF the eggs are placed with the sperm in a test tube where, in the best case, they find each other independently. This is where the term “test tube fertilization” comes from. The fertilized eggs are then reinserted into the woman.
In ICSI, the doctor injects individual sperm into the retrieved female eggs using a micropipette. Fertilization takes place under a special microscope and can therefore be strictly controlled. If the procedure is successful, the fertilized eggs can be transferred into the woman’s body between two to six days after the puncture.
General anesthesia is not necessary for artificial insemination.
Here you will find all the important information about the different treatments, the procedure and the likelihood of success of assisted reproduction. Please have a look at our blog article!
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