The Ligature of the wrong: what is it?

The Ligature of the wrong: what is it?

Tubal ligation is a female sterilization technique for contraceptive purposes. It is mainly intended for women who do not want to or have a child.

It consists of occlude the fallopian tubes (these small ducts that transport the sperm to the egg and the egg to the uterus), or in:

The ligating and by the severing;
The Electro-coagulant;
The pinching with a ring or a clip.
This prevents the normal functioning of the cheat and avoids any risk of pregnancy

How’s the intervention going?

Tubal ligation is a surgical intervention that is carried out under general or local anesthesia (according to the chosen method) by a doctor in health establishment (public or private). It requires hospitalization from 1 TO 3 days.

We’re accessing the cheat by different techniques:

Abdominal path;
Vaginal path.
Once the tubal wrong, the contraceptive effect is immediate.

Another sterilization technique called “measure method” is to gradually obstruct the cheats using a small implant that is inserted into every fool by the natural pathways. This process does not require a surgical incision or general anesthesia. But due to a controversy related to its side effects, this method is no longer marketed in Europe.

Tubal Ligation: the risks and complications

Post-operating complications are rare and usually benign. Most often, it’s about abdominal pain or small passenger bleeds.

Like any surgical operations, a risk of infection is not excluded (although it is rare). And in less than 1 % of the cases, the ligature of the cheat fails. In this last case, the woman has an increased risk of extra-uterine pregnancy. Any delay of rules must therefore bring to consult a doctor.

In addition, consult in emergency if you have:

More or less intense and sudden abdominal pain (often side);
Vaginal Bleeds (especially in the case of delay of rules or if they did not happen);
Fatigue, dizziness, fever.
On the other hand, the observed side effects are the possible disruption of the regularity of the menstrual cycle.

Tubal Ligation: an irreversible operation

The Ligature of the cheats distinguishes itself from other existing contraceptive methods because its objective is to prevent the reproduction of procreation. It is necessary to consider it irreversible.

Indeed, it is very difficult to reversible. The “Déligature” is heavy operation and the results are random. His chances of success are function of the state of the tubal wrong and the technique used, with a rate of pregnancies of the order of 50 %.

The steps and conditions to get the wrong ones

Since 2001, contraceptive sterilization has been legally framed. The public health code (law no. 2001-588 OF 4 July 2001) specifies that " the ligature of the cheat or the channels deferential to contraception cannot be practiced on a minor person " and that " it cannot Being practiced only if the major person interested has expressed a free, motivated and deliberate will in consideration of clear and complete information about its consequences ".

In order to use a tubal ligature several steps are necessary:

A first medical consultation

During this appointment, the person must apply for tubal ligation and express his motivations to a doctor. In Return, it must receive information on alternative contraceptive methods, information on sterilization techniques, the modalities of the intervention, its consequences, its potential risks. At the end of the consultation, the doctor must give him a written information file.

A time of reflection

As for the vasectomy, it is necessary to count 4 months of reflection time after the first medical consultation. This time is essential to allow the person concerned to exercise a responsible choice.

A second medical consultation

During this appointment, the person confirms in writing his request for sterilization for contraceptive purposes (only the consent of the interested is collected).

The surgical intervention

It must take place in a public or private health facility.

To be noted

The doctor must inform the person who wishes to be ligate the wrong of his refusal to practice the operation from the first consultation and oriented to another health professional.

Also know that you can benefit from a support to make this decision. The doctor can offer you interviews with a conjugal advisor, a psychologist or a psychiatrist for example.