Indian Journal of Obstetrics and Gynecology Research


Tubal recanalization following sterilization in the era of IVF


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Article Type : Research Article

Author Details: Bharathi Divakar Rao*

Volume : 6

Issue : 3

Online ISSN : 2394-2754

Print ISSN : 2394-2746

Article First Page : 255

Article End Page : 258


Abstract

Introduction: Female sterilization remains the most popular contraceptive method among young Indian
women. Among the age group of 15-49, 36% use female sterilization as contraception method. Early
marriage, sterilization at young age, high infant and child mortality has led to increase in the need of
recanalization in 1-3% of women.
Objective: To analyze the factors affecting the success rate following recanalization
Materials and Methods: A retrospective study done at LGH attached to KMC Mangalore during 2012 to
2017
Results: During the study period 30 subjects underwent tubal recanalization. 14 subjects (47%) conceived.
Among the women conceived, laparoscopically sterilized had better chance of conception (78.5%) as
compared to pomeroy’s (21.5%) technique. Residual length of the tube was more than 5cm among the
women who have conceived. 2 subjects had ectopic pregnancy. Out of 14 subjects who conceived, 12
subjects (84%) had their sterilization operation within 5 years. 11 subjects (78.57%) conceived within 1
year of recanalization.
Conclusion: It is not feasible for women of low social economic status to undergo IVF following
sterilization if need arises. There is definite role of tubal recanalizatio n following sterilization even in
present era of IVF in our country. Women with low parity should be motivated to undergo Laparoscopic
sterilization, as tubal damage is less and success rate following recanalization is much better. Nulliparous
and primi parawomen should be motivated to use temporary method of contraception.

Keywords: Recanalization, Sterilization, Microsurgery.

Doi :-https://doi.org/10.18231/j.ijogr.2019.059