What causes pregnancy after ligation? Know about ligation surgery, does it affect male function?
It is estimated that many people have heard such a story: After Valentine’s Day, a woman told a man that she was pregnant, but the man said that he was sterilized, and he couldn’t have children at all… The joke picture is the reverse effect, but in fact, it is possible to sterilize Some people think that sterilization is equivalent to castration. This idea is also incorrect. Today, for these issues, let’s talk about sterilization. First, let’s understand the principle!
The principle of ligation
In fact, there is a difference between male and female ligation. Many men will care about whether ligation will affect male function. Here we will talk about it separately:
- Male ligation
This is a relatively simple operation, which can be completed in about half an hour. It requires anesthesia, usually local anesthesia. However, if the patient is sensitive to pain or has a psychological disorder, general anesthesia can also be considered, which is usually referred to as Painless ligation.
The traditional surgical procedure is to make a small hole in the surface of the male scrotum, pull out the vas deferens, cut a small section, then tie the two sections and suture the wound, or complete the ligation on both sides with a single incision in the midline of the scrotum. The transmission channel is blocked, and the contraceptive effect can be achieved.
Now, more incisionless ligation is used. Although there is still a wound, it is relatively small and cannot be seen after surgery. Compared with traditional ligation, it is safer and less likely to have accidents after surgery.
When discussing male ligation, most people are most concerned about whether it will harm the male function? Will there be problems such as pregnancy after ligation?
After a male ligation, the general doctor will recommend that the male rest for 1 week before starting sexual activities, and the male can function normally after the ligation, and the male will not be affected in any way. The surgery only blocks the channel that transports sperm, and the male hormones produced by the testes are transmitted through the blood, and the two have nothing to do with it. However, there are also some men who are too concerned and sensitive, which may have a psychological impact, but they can recover after a period of time. The so-called ligation will affect the male function does not exist.
As for the question of whether you can still get pregnant after ligation, this is possible. After the ligation is completed, it will take about 15-20 times to expel the originally generated sperm. Therefore, during this period, contraceptive measures are still required. You can also wait until three months for a test to determine whether contraception can be ignored.
In addition, some people may ask: where does the sperm after ligation go, won’t it be blocked and swollen?
In fact, once the male is ligated, the production of sperm will decrease and become less and less, and the epididymis will also be absorbed, and the original vas deferens will not be blocked.
- Female ligation
In comparison, female ligation is more complicated than males, so the cost is higher, and the chance of sequelae is greater than that of males. Therefore, if doctors are asked to consider ligation surgery for both men and women for contraception, the priority is to perform surgery on men.
General anesthesia or semi-anesthesia is generally used in the operation. The operation is performed through the abdomen or vagina, and the fallopian tubes are ligated so that the eggs cannot pass through, so that the contraceptive effect can be achieved. The operation time is generally longer, about 1 hour. Performed with minimally invasive laparoscopic surgery.
Can an unmarried man or woman get sterilized?
Some people ask whether unmarried men and women can be ligated. First of all, it is said that ligation can be done surgically, but it is generally not ligated, because there may be a situation of regret. At this time, it is necessary to unclog the vas deferens again. It is very troublesome to dredge again, there is no guarantee that you will be able to conceive, it needs to be carefully considered, and the doctor will not recommend it.
Unmarried men and women under certain circumstances can also undergo ligation, such as genetic diseases, infectious diseases, mental illness, etc. This requires certain proofs and relevant procedures before ligation can be performed.
In addition, everyone needs to understand that ligation surgery is different from condom contraception. It can only have the effect of contraception, and has no effect on preventing sexually transmitted diseases. Risky behaviors still require additional protection measures.
Sequelae and complications of ligation
Sequelae complications after ligation are different for men and women, and we also talk about them separately
- Sequelae of male ligation
Male ligation surgery is safe and relatively simple, with almost no complications. The surgical wound is small and shallow, and the amount of bleeding is not large. Generally, there is no need to be hospitalized. Some people may develop hematoma, local infection, etc. Take antibiotics to resolve.
- Sequelae of female ligation
Laparoscopy is required for female ligation, there are three wounds on the stomach, and it takes 2-3 days to be discharged from the hospital, and it will take some time to recover. Because of the obvious wound, infection, bleeding, and even abdominal adhesions occurred after the operation. As a result, there are pelvic pain, decreased desire, menstrual changes, abdominal pain, etc., and may need to be re-treated when necessary.
Through the above ligation methods for men and women, it can be found that both men and women ligation have good contraceptive effects, and they have the characteristics of recovery. If considering the advantages and disadvantages, the male ligation is given priority because:
The side effects of male ligation are small. On the one hand, the contraceptive effect can reach almost 100%, so there is no need to worry about “causing people’s lives”; on the other hand, it will not affect the function, especially the side effects of the operation are small.
Is there a high chance of getting pregnant after ligation?
Going back to the joke we said at the beginning, is it possible to get pregnant after ligation? Indeed, whether male or female ligation, after successful surgery, the contraceptive effect is more than 90%, which is more than other contraceptive methods. High.
However, it is still possible to get pregnant after ligation. On the one hand, as we said earlier, there is still sperm for a period of time after ligation, and pregnancy is still possible during this time. In addition, there is a special clinical situation, that is, the severed vas deferens and fallopian tubes may communicate by themselves, which is relatively rare and generally does not occur. Therefore, it is best to wait 2-3 months after ligation before considering unprotected behavior, so as to reduce the possibility of pregnancy.
I regret after ligation, can I recover? Is there any chance of returning to normal?
People’s concepts will change. If you regret after ligation, can male and female ligation be restored? For example, the family that originally wanted DINK suddenly wanted a baby, or the couple divorced, remarried or remarried and wanted to get pregnant, can it be easy to recover?
Recovery is actually possible for both men and women, but using different methods:
Male ligation and recanalization surgery is much more difficult than ligation, and even requires microsurgery. The probability of connection is about 80%, but if a woman is allowed to conceive, the probability will be lower. According to statistics, half within 5 years after connection chances of conception, and the chances of conception decrease significantly over time.
The recovery success rate of female ligation is very low, because it needs to be opened, and accidents are more likely to occur. At present, IVF can generally be considered, but it is more expensive and it is easy to conceive multiple births.