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Thank you for your question. Tubal ligation—especially when the tubes are cut, tied, and cauterized—is considered a highly effective and permanent form of birth control. However, no sterilization procedure is 100 percent guaranteed. The risk of pregnancy after tubal ligation is small but not zero; studies estimate long-term failure rates between 0.5 and 1 percent.Having undergone a Roux-en-Y gastric bypass does not, by itself, increase the likelihood of pregnancy after a tubal ligation, but it does mean that if pregnancy were to occur, it would require close medical monitoring. Occasionally, the fallopian tubes can reconnect (called tubal recanalization) or form a passage that allows fertilization, and if that happens, there is also a higher risk of an ectopic (tubal) pregnancy, which can be dangerous and requires urgent care.If you suspect pregnancy or have symptoms such as missed periods, abdominal pain, or unusual bleeding, you should take a pregnancy test and contact your doctor immediately. For women who have had bariatric surgery, it’s also important to discuss contraception with your healthcare provider, since nutrient absorption changes can affect the effectiveness of some oral contraceptives.In summary, while pregnancy after tubal ligation is very uncommon, it is not impossible. If you have concerns or are experiencing symptoms, seek evaluation promptly to ensure your safety and discuss reproductive options if needed.
If you had a tubal ligation in the past then you will be unable to get pregnant after a gastric bypass. Gastric bypass surgery does improve infertility due to hormonal changes in the body. You have to wait at least one year after bariatric surgery to get pregnant because you cannot support a fetus with massive weight loss. If you would like to get pregnant again you have to go to a gynecologist to reverse the tubal ligation.
If your tubes are tied they will stay tied. The bypass is unrelated. Obesity is a common cause for infertility. This is typically reversed after surgery and weight loss. However, I recommend waiting at least 1 year after weight loss surgery prior to getting pregnant.
One of the greatest changes in gastric bypass surgery is that it is much safer than it was 10 years ago. The death rate 10 years ago was approximately 1 in 200, however now the death rate is approximately 1 in 1000. The complication rates has also significantly improved. This is attributed...
Hello, I hope you are well. The need for plastic surgery to remove excess skin depends on the patient and every particular cases. It is common not to require plastic surgery following bariatric surgery.
With gastric sleeve or bypass there is a healing process (there is still Inflammation in the stomach , and many patients have difficulty transitioning to solid foods. It is too soon to think about a stricture. If you are tolerating protein...
Gastric bypass has given us many thousands of men and women who are now heathier and happier at their new lower body weight. But it's also given us thousands of people who have loose skin nearly everywhere on their bodies. The skin quality is damaged by the stretching of the skin, not...
Hello, Thank you for your question. Congratulations on considering this life-changing surgery. I’m delighted that you are doing your homework to educate yourself on the procedure and saddened to learn you are finding such incorrect and misguided information. I echo the responses of my c...
Coverage for a tummy tuck and breast reduction on medicare will be definitely difficult to obtain. The problem is that medicare reimbursement is really poor and most plastic surgeon would probably not accept it. The second problem is that there is no pre-approval by medicare for...
