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Ff: Tubal sterilization

[00:00:00] Okay, I'm gonna try to do the fast facts in five days that I did a couple weeks ago. Ooh. Um, I'm still gonna do other stuff, but today I'm about to do a C-section and the patient does not want her tubes cut. So this is a good opportunity to talk about tubal sterilization, which is when we actually either remove a little piece of the tube or the entire tube for birth control. 

When would you do this? Well, you would only do it. A thousand percent sure. I mean, I know we should say a hundred, but I say a thousand. A thousand, a thousand. Because if you're only like 99.9%, sure, I would never recommend it because it really does have a fairly high regret rate if you're not found to be really definitively Sure like I'm done having babies. 

Great. I ask patients 10,000 times, what are the benefits? One is if we're there for a c-section anyway, then removing your tubes is easier than having to go on the birth control pill or i u d, or send your husband for a vasectomy, which by the way, I'm always a fan of like make him do something. Second benefit is it's now shown to decrease the risk of ovarian cancer. 

Ha. So [00:01:00] just removing a knuckle of the tube, which is what we used to call it when we would do a tubal sterilization where it removed like a one centimeter portion of the. Um, it was quick. It was easy. The downside is that the two ends that were cut could actually reattach sometimes and then cause a little hole to burrow through, and then you could still get pregnant. 

But the likelihood of that is very small. We would say 99.7% effective. Many doctors have now switched either routinely or mo for the most part, to a self ectomy, which is a fancy way of saying remove the entire tube because it is more effective. But more importantly, it also decreases the risk of ovarian cancer. 

More because removing the tubes has been found to decrease some co-factors that might communicate with the ovaries. Um, so that's it. Okay. Bye.