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can we talk vas and tubals?

post #1 of 25
Thread Starter 
trying to decide what to do about permanent birth control. weighing out risks and costs, and such. what are your thoughts, plans, information sources?

I MUST go eat while the baby is giving me a minute, but please weigh in, I will do the same later.
post #2 of 25
The V is a much simpler, outpatient procedure. A tubal is major surgery and more expensive. I never even considered it. Full disclosure, dh had a V 4 years ago, never had a problem (back to bike commuting within a week) and we're very happy with the freedom and lack of worry.

You do hear of V failures. There are always going to be freak exceptions, but the vast majority of these are in men who don't go back for the three month check to make sure they're really sperm-free.
post #3 of 25
Thread Starter 
That is what I am finding. PLus in our county DH qualifies for a free vas and I can't find any such option for women.

side effect wise i found more things that can go wrong with a v, but more serious things with a tubal.

(plus I had three kids, I carried and delivered them naturally, I think it is sort of his turn to do something concerning procreation or the lack thereof, ya' know? )
post #4 of 25
Hi I don't know what county you are in but dh had one in July when ds was only a couple weeks old and he had no problems at all back to work the next day....the dr. who did his was Dr. Doug Stein....that's all he does pretty much...he also does V's for planned parenthood. It was a no scalpel V....

Your reasons were exactly our reason's for him having a V instead of me having a tubal.

Anyways...I really think it is a much simpler procedure than a tubal....My neighbor across the street is having a tubal at the end of the month I am anxious to see how it goes for her.
post #5 of 25
I'm all for personal power. Check with your insurance company to see if they cover a tubal. Mine did. i had the procedure done - laser surgery, only a minimal belly button incision for 100 dollar co-pay. I had other procedures at the same time, no extra co-pay. Get thermal ablasion while you're in there! then, you know YOU are covered. Yeah, yeah, vas is easier blah blah blah. how about you????? what do you want???
post #6 of 25
THere is a new procedure for women called Essure. THey are little coils placed in the uterine (fallopian) tubes. They scar over within three months. It's newer, so there's not as much long-term research on it as there is with tubal ligation, but it seems to be just as effective.

The coils are placed vaginally, it's a non-surgical out-patient procedure. I don't know how it compares to a vasectomy as far as price, side-effects and difficulty. I just thought I'd throw it out there as an option.
post #7 of 25
I had a tubal but that was because I had a planned c-section and had it done at the same time.

Pre-kids the plan was for hubby to eventually get a vas. because of cost, recovery, and basically the "it's his turn to do some of the work" mentality. It's also nice that there is a check to see if the procedure worked. With a tubal you kinda just have to have faith that it will be effective.

I do prefer the way it worked out. I am the one who doesn't like being pregnant. So it is 100% that I don't want to be pregnant ever again even if something were to, heaven forbid, happen to my husband. But I like the idea that if anything were to ever happen to me my husband has the option of more kids with someone else. If I died I would like to think my husband would remarry. I would like to think he would marry someone who loves kids and will love my kids. Someone who loves kids that much probably wants some of her own and I like that that door is open for my husband to find someone like that if I were gone. I know that being with a man who doesn't or can't have kids would be a deal breaker for many women. By the my, husband thinks I'm crazy for the whole line of reasoning.
post #8 of 25
Quote:
Originally Posted by JollyGG View Post
But I like the idea that if anything were to ever happen to me my husband has the option of more kids with someone else. If I died I would like to think my husband would remarry. I would like to think he would marry someone who loves kids and will love my kids. Someone who loves kids that much probably wants some of her own and I like that that door is open for my husband to find someone like that if I were gone. I know that being with a man who doesn't or can't have kids would be a deal breaker for many women. By the my, husband thinks I'm crazy for the whole line of reasoning.
I feel the exact same way. If something were to happen to me and DH were to remarry (how dare he ) I would like the option of more children being there for him. Especially since I know he would like more.

I am intrigued by the laser tubal. How much pain was there afterwards? I have also thought about Essure.
post #9 of 25
Quote:
Originally Posted by CharlieToaster View Post
I'm all for personal power. Check with your insurance company to see if they cover a tubal. Mine did. i had the procedure done - laser surgery, only a minimal belly button incision for 100 dollar co-pay. I had other procedures at the same time, no extra co-pay. Get thermal ablasion while you're in there! then, you know YOU are covered. Yeah, yeah, vas is easier blah blah blah. how about you????? what do you want???
What are you referring to about thermal ablation? On/for what?

Thanks,
Rachel
post #10 of 25
My kids' dad had a vasectomy in 1997. We divorced in 2005, so I wound up getting a tubal, anyway.

He was one of the unfortunate ones who had a terrible vas experience. The procedure itself was difficult and lasted nearly three hours. He had to be given a shot of a narcotic just to be able to sit up from the table without nearly vomiting after it was over. This "simple" procedure kept him out of work for a week....during which time he lay on the couch with an icepack. He had residual abdominal pain for nearly six months post-op.

I went to a wedding two days after my tubal. Of course, I've had two c-sections....so laparoscopic surgery was a walk in the park. I was given some Vicodin or something after the surgery, which I took that evening and then just switched to Advil afterwards.

Cost wasn't an issue. We were both on military health insurance for those surgeries.

Edited to add: My tubes are clamped, not cut. My doctor said that cut/burned tubes have a higher rate of ectopic pregnancy.
post #11 of 25
My mom had horrible lasting effects after her tubal that eventually lead to a hysterectomy and an ex-co-worker of mine regretted hers enormously because she was having negative side effects as well. Honestly I don't know details of either, if it was really all the tubal's fault, etc, but it was enough to scare me out of something I don't want to do anyway. I've thought about the Essure, but, because it is new, am leary. Also DH is finally showing signs of agreeing to a V so I think we'll be going that route.
post #12 of 25
Throwing out the paragard iud - lots of women use them to carry them trough menopause. They can last (off the record, but drs will tell you) 15 years.

My mom's tubal didn't work - that's why I'm here. (Dr messed up and cut the wrong thing). But that's RARE rare RARE! (Though I'm glad it happened )

Good luck!
post #13 of 25

Another option in the future

http://www.malecontraceptives.org/methods/shug.php

The Chinese version looks great. This would be an option for male sterility in the future. It's more like essure, but for a male. Can I wait long enough for this to show it's safe?
post #14 of 25
Thermal ablasion is when they remove the lining of your uterus either by heat or freezing it. It greatly reduces bleeding . My periods when from so heavy I may as well just sit on the toilet all day to maybe 3 full pads and some spotting. AWESOME!!! I don't know why docs still insist on hormones for making periods lighter. If you are done with kids, this is the way to go!
post #15 of 25
I know this is an old thread, but I'm wondering if any of you knows or has experience with the thermal ablation after c sections? I'm pregnant with my third and definitely last dc now, and I'm starting to research my options. Vas is out of the question for dh, and I'm a little worried about the tubal ligation problems...
post #16 of 25
Quote:
Originally Posted by Dolphin View Post
I know this is an old thread, but I'm wondering if any of you knows or has experience with the thermal ablation after c sections? I'm pregnant with my third and definitely last dc now, and I'm starting to research my options. Vas is out of the question for dh, and I'm a little worried about the tubal ligation problems...
Essure is a great procedure if you are done with kids. It's non-invasive and quick.

But I do want an ablation and have an appointment set up tentatively for next month, so if I have it done I'll let you know. I'm trying to get a hysterectomy though so if I can find a doc who will do that I won't be getting an ablation.
post #17 of 25
I had the Essure procedure done a few weeks ago. It was not bad at all - the procedure was quick and the only painful part was getting the lidocaine shots to numb the cervix. I had some cramps for the next few days - but it wasn't really any worse than a normal period, and then I felt totally back to normal. There was no disruption to my bfing dd, either (don't know how a traditional tubal would be in that regard). I haven't had the followup yet.

It's true there isn't a lot of long-term data on the Essure, but the data I've seen indicates it is safer than a traditional tubal. Though unlike a tubal, it takes a few months to take effect.

We felt that the risks were lower for Essure than for a vasectomy, but it's hard to say that definitively. We were mostly concerned that there hasn't been enough research done on the long term effects of developing anti-sperm antibodies (as many men do post-vas).

The Essure is more expensive - mine was over $3000. Insurance "covered" it, but only in the way it covers other stuff - they applied the cost to my very high deductible. Your insurance may vary.
post #18 of 25
Quote:
Originally Posted by Dolphin View Post
I know this is an old thread, but I'm wondering if any of you knows or has experience with the thermal ablation after c sections? I'm pregnant with my third and definitely last dc now, and I'm starting to research my options. Vas is out of the question for dh, and I'm a little worried about the tubal ligation problems...
Probably best to speak with your doctor. They way he explained it to me was they can remove the endometrial lining the tool they use can reach. If your uterus expanded and then shrunk back down with pockets or folds they won't be able to reach that part and you will still have bleeding from that part of the lining.
post #19 of 25
I would never, ever consider tubal ligation. As well as the minimally invasive and fast recovery time for a vasectomy, I've also encountered many women who have had horrible post-tubal-ligation issues.

I'm not willing to risk it.
post #20 of 25
I had a tubal 7 weeks ago with my c/s and I can say I have so far encountered zero issues, DH and I were both agreed that it was the easiest for us due to my having a c/s for medical issues. A vas would have happened if things were different, we only wanted 2 kids, so one of us was going to do something because both of us were also over FAM. We practiced that for over 10 years and used it conceive both our children. We were ready for permanence.
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