"Have you looked at my medical records?"
As a patient advocate for over 10 years, I met with the call more than once. This kind of exclamation point tends in women over 35, the search for birth control are occurring to support their lives.
If I remember the women and had seven children and had no doubt in her mind she is not pregnant again. So what is the best option in cases like this?
Hormonal contraceptive methods are always a possibility, but for women over 35 can not be the best choice because of other health factors like high blood pressure. Mechanical contraceptives - condoms, diaphragms or spiral - may fill this gap, but they are not for every woman and every situation.
For women who feel they have completed their childbearing, and with the size of their families happy to permanent sterilization is a viable option. If you are considering this option, you should consult your OB / GYN at the beginning of the process. Many states ask you to sign a consent form for 30 to 90 days prior to sterilization. In New York State is 30 days.
So what options are available for permanent sterilization for women today?
Tubal ligation is a closure or blockage of the fallopian tube so eggs can not travel from the ovaries to the uterus to be fertilized defined. To prevent cutting or burning the fallopian tubes with clips or tape is closed, or the placement of implants in the pipes that produce: Often called "tubal ligation" tubal ligation can be carried out in various ways called scar tissue close to the tubes.
Tubal ligation can also be done in a number of ways.
Laparoscopic Surgery - This type of tubal ligation is performed by inserting a tiny camera and surgical instruments into the body through a small incision in the abdomen. This allows the surgeon to visualize the ovaries and to cut or burned closed. This is usually performed under general anesthesia.
Mini-laparotomy - this type of operation is similar to laparoscopy, except that the cut is smaller than 2 inches / 5 cm wide. This is usually done immediately after birth, when the ovaries are to be made later in the navel into the abdomen and the incision. This procedure is performed under general anesthesia or epidural anesthesia your performed
During tubal ligation should be reversible in some cases surgery is not the success rate of 100%, so if you are not sure who it is to have children are a different form to select the control births.
Tubal implants, such as Essure, have become a preferred method of permanent sterilization in recent years. This is partly because the procedure is not necessary to cut and requires no anesthetic - unless you ask.
Small devices implanted into the tubes through the cervix and the uterus, fallopian tubes, where they are in are out. These implants, tubes scar tissue in time, the fallopian tubes and permanent sterilization procedure to form block. Normally it takes about three months for this process is complete. At the end of this period, you will need a confirmation process similar to a hysterosalpingogram (HSG). In this procedure, dye injected into the uterus, radiation and fills the cavity and into the fallopian tubes. If the implant procedure is completed, the image is not passed through the tubes and dye to confirm that the piping and black. They do not consider the entire process until you have this test done and confirmed by his doctor that you are most fertile. You also need to use an additional form of birth control until it is completed and confirmed.
The advantage of tubal ligation or the application, is that none of these forms of birth control body's natural hormonal cycle changes. This means that you continue your time and will continue to receive long-term benefits for the body to the hormones until the menopause.
The durability of these procedures should be carefully checked. If you have any doubt that their family is complete, then you should use a different method of birth control, such as the spiral. Although surgery can sometimes reversed the tubal ligation is an invasive procedure and has no particular success.
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