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Fertility / Infertility (Expert Forum)
After a Tubal Ligation
Answered by
Elaine Brown, MD - Pregnancy, Gynecology
Elaine Brown, MD - BLOG
Billings - MT
Questions in the Fertility/Infertility forum are answered by doctors affiliated with USF Health. Topics covered include fertility or infertility issues, egg quality, fertility drugs and side effects, fertility tests, genetic testing, in-vitro fertilization (IVF), ovulation, relationship issues, risk factors, sperm count/quality, and surgery.
After a Tubal Ligation
by kimberlyahmckay, Oct 29, 2009 01:02PM
I had a tubal ligation on Sept 14th, 4 days later I got my period (as scheduled) but I haven't had anything since. I did have intercourse around my ovulation time, is there a chance that I am pregnant, or is this normal after a tubal?? This is the first time I have not been on the birth control pill in 20 years (other than wanting to concieve)
Doctor's Answer
by Elaine Brown, MD, Oct 29, 2009 01:57PM
, Oct 29, 2009 01:57PMTo: kimberlyahmckay
Hi!
Having a tubal ligation should NOT interfere with your cycles. I ALWAYS recommend a pregnancy test, so, you should definitely do that. What is more likely though, is that you have irregular cycles that have been masked by your birth control pills.
If you were my patient, the first thing I would do is give you progesterone for 5 days and see if you got a period after taking that. If you did, then I would wait and see what happened next month. If not, I would order some lab work including: FSH, thyroid panel, prolactin level. These are some basic hormone tests that can sometimes explain irregular periods. If you have a tubal, it isn't crucial to have a period every month, but it is important to have one at least every 3 months to prevent a build up in the uterine lining.
I have more than once ended up putting someone back on her pills to regulate her periods after tying her tubes!
I hope this helps!
Good luck!
Dr B
Having a tubal ligation should NOT interfere with your cycles. I ALWAYS recommend a pregnancy test, so, you should definitely do that. What is more likely though, is that you have irregular cycles that have been masked by your birth control pills.
If you were my patient, the first thing I would do is give you progesterone for 5 days and see if you got a period after taking that. If you did, then I would wait and see what happened next month. If not, I would order some lab work including: FSH, thyroid panel, prolactin level. These are some basic hormone tests that can sometimes explain irregular periods. If you have a tubal, it isn't crucial to have a period every month, but it is important to have one at least every 3 months to prevent a build up in the uterine lining.
I have more than once ended up putting someone back on her pills to regulate her periods after tying her tubes!
I hope this helps!
Good luck!
Dr B
Member Comments (3)
by mary345, Nov 05, 2009 06:47PM
I don't know i am usually very regular and ever since i had my tubal ligation done i am not i had it done june 24 08 and since then have maybe had 4 periods i was on the pill during the times i had my period and i don't like to take them so i stopped and i have had my period once since stopping and nothing since i told my gyn i got my tubes tied so i didn't have to worry about having to remember to take the pill everyday and then she put me on it so i would get my period lol I would say it can be normal or atleast all of the people i know who have had tubals done are having the same problem
by kimberlyahmckay, Nov 06, 2009 08:16AM
Well it finally came, just 3 weeks late... thank you to everyone for your advice.
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