Over 35, Looking For Contraception: And Being Sure: Note No longer on US Market

If you are gabbing with your girls the discussion over thirty five and what to do about contraception will often turn to sterilization. It is true that many are still wanting pregnancies, and contraception by sterilization should still be thought of as permanent although IVF(in vitro fertilization) and tubal reversals will allow sterilized women to carry a baby again. The most common sterilization procedure in the US today has still been tubal sterilization by the laparoscope. In some instances this is going to be your best choice, and with over 700,000 performed in the US in 2009, you're in good company if this is what you have chosen. But laparoscopy is still a surgery with a small but real risk of serious medical problems like bowel burns. In fact the CREST study looked at the rates of serious complications 20 years ago and found that almost 1% of women had serious problems. It is hard to know whether risks today are less or more,but laparoscopic surgical instrument optics are much better, the devices used for passing the currents are better, and anesthesia is safer. So we suspect that the risks are even lower than the 1% risk we used to quote. However there are other factors, women today are more likely to have obesity issues, or have medical problems that can complicate any surgery, or be taking medications at the time of their surgeries. Surgeries such as c-sections are more common, so those women who are now selecting surgical sterilization via the laparoscope are more likely to have had a prior surgery, and repeat surgery carries a risk of complications that having your first surgery may not carry. So it brings us to the trans-cervical procedure that can sterilize more safely than the prior laparoscopic procedures. The  Essure systems  are inserted under local or sedation, involve no actual cutting into the body and sit in the juncture of the tube.. The confirmatory studies three months after insertion with x ray do need to be done to make sure you are in fact protected against pregnancy. Ultrasound can be used for the confirmatory study, but it is not the approved way to do that. Some women have reported pregnancies after sterilization. Failure rates are very low, about 2-3 per 1000 overall with all procedures. It is thought that properly placed Essures, if not expelled or dislodged from any physical changes to your body (growing large fibroids might alter the placement as an example), will completely prevent pregnancies. To see if your Essure is in place after placement you probably need a complete study by x-ray. Proper studies should probably include 6 views: scout film, a minimal fill study, a partial fill study, full fill study and right and left lateral oblique views. And thex-ray injection media your gyno is giving you to check the placement
should also be advanced up to the corners of your tubes. So an experienced gyno needs to help you get the proper films as well as help you get the proper placement at the time of your procedure.If you think the Adiana is right for you, then gab about it with your gyno.


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