Tubal recanalization following sterilization in the era of IVF

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.