Thanks to the freedom to decide on motherhood, several years ago salpingo-ovariectomy, a definitive method of contraception that prevents pregnancy. This method has great advantages, but a dilemma also arises: what happens if a woman has an salpingo-ovariectomy and then wants to have children?
The Mexican Social Security Institute defines salpingo-ovariectomy as a permanent or definitive method of contraception that is performed on women who have the desired number of children and do not want to have any more pregnancies, and who have previously received counseling; this contraceptive procedure is performed on women after childbirth, abortion, during cesarean section, or any time that the woman decides not to have any more children.
Many patients at our fertility clinic have asked us if they can achieve a pregnancy with salpingo-ovariectomy and our answer is: yes, it can be done! But it is important to clarify some details…
In Mexico, salpingo-ovariectomy or Bilateral Tubal Occlusion is quite common. But it is also common for some women with salpingo-ovariectomy to want to have a baby later on, perhaps because it changed their life as a couple, because they want to balance their family, or simply because of their own decision.
During salpingo-ovariectomy surgery, the fallopian tubes are tied to prevent the egg from reaching the uterus and being fertilized by sperm. After a salpingo-ovariectomy, there are two options for achieving pregnancy
Recanalization is a minimally invasive procedure that consists of joining the two segments of the fallopian tube that were ligated during salpingo-ovariectomy. However, it cannot be recanalized in all types of OTB.
There are two main drawbacks. The first is that the surgery may not be successful and the second is that the fertilized egg may implant outside the uterus, in the fallopian tube (a condition we call ectopic pregnancy).
There is also In Vitro Fertilization, a method of assisted reproduction that involves fertilizing the egg with the sperm in the laboratory. Over the years, this technique has proven to be more effective than recanalization.
In general, no. Although we must mention that the younger the age, the greater the possibility of pregnancy.
Fortunately, there is good news for women with salpingo-ovariectomy who want to have a baby: their fallopian tube is blocked, but that does not mean they are infertile. Therefore, they have a good chance of achieving it with the right treatment.
Do you want to know if you can get pregnant, even if you have an salpingo-ovariectomy? At our fertility clinic we can help you with a complete diagnosis. Make your appointment!