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Tubectomy
• The sterilisation procedure in females is called tubectomy
• Tubectomy is a permanent female contraceptive method
• Surgical cutting & blocking of both fallopian tubes to prevent the sperm & ovum from meeting
Normal pathway
After ovulation, the ovum enters the fallopian tube. Normally, fertilization occurs in the ampulla of the fallopian tube.
If sperm meets the ovum → fertilization can occur
ovary - fallopian tube - uterus - cervix - vagina
In tubectomy
The fallopian tubes are cut & occluded/blocked.
So, Sperm cannot reach the ovum
Ovum cannot travel normally through the blocked tube to meet sperm
Therefore, fertilization is prevented.
What happens to the ovum?
The ovaries continue to ovulate.
The ovum is released normally, but because the fallopian tube is blocked, it cannot meet sperm. The ovum eventually degenerates and is reabsorbed.
Does tubectomy stop menstruation?
No.
Tubectomy does not stop:
Ovulation
Ovarian hormone
production
Menstruation
Types of tubectomy
1. Laparoscopic tubal sterilization
Small abdominal incisions are made.
A laparoscope is inserted.
The fallopian tubes are occluded, commonly using clips, rings, or cautery.
2. Mini-laparotomy
A small abdominal incision is made. (usually suprapubic)
The fallopian tubes are identified & occluded.
3. Postpartum tubectomy
Can be performed after childbirth (usually within 24 – 48 hours after vaginal delivery),
usually through
a small incision.
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