Gynecology - Pelvic examination and cervical cancer. About female sterilization and refertilization.

Many women experience at some point in life reduced quality of life due to problems in the abdomen. It may be in the form of pain, bleeding disorders, involuntary urination, heaviness or discomfort in the abdomen. Today it is possible to effectively treat many of these symptoms and where the best result is obtained if the woman is examined and treated as early in your illness as possible.

The gynecological examination

The survey is conducted in a so-called gynecological couch. An examination couch fitted with braces for knees or feet, where the woman sits up on the couch with the end at the edge. Leans back and lifts her legs up in stirrups. Physicians now have free access to label and look for in a manner that is most convenient for both parties. The general pelvic examination consists of two parts. The doctor looks up into the vagina using a so-called spekel and physician feel two fingers into the vagina. First, the physician looks and feels the outside in order to observe whether there are changes around the labia and the three openings, the urethral meatus, vagina and rectum. It lasts a short time. The reason to undergo a gynecological examination can be many. Perhaps young women may experience their first pelvic examination in connection with advice on contraception. Or if the woman has a bleeding disorder, stinging, itching or other problems. Or by pain or suspected tumor. Or, at the cell sample. Or if there is to be made inoculations of bacteria in the cervical (chlamydia). Or investigation is conducted as a routine test to see if everything is in order.

About female sterilization

Any woman who is aged 25 years, can ask to undergo sterilization. Many thousands of women avail themselves of this option as a method of birth control, but you should nonetheless make clear to you that if you later in life regret, there are no guarantees that the passage through the fallopian tubes can be recreated, so it is possible to become pregnant again. Only one other of these operations (Refertilization) succeeds so well that pregnancy can be achieved. The risk of ectopic pregnancy will also be increased because of scar tissue in the fallopian tubes after the interventions. Therefore, you should think carefully about. It is also important to remember that sterilization does not protect against sexually transmitted diseases.

The procedure itself

The surgery is usually done under general anesthesia by an operation. A laparoscope which is inserted through a small opening in the navel. Through this is done over the burning of the fallopian tubes. You meet fasting on the day of surgery for general examination and then surgery. You can go home later the same day with escorts. After surgery, there may be pressure in the diaphragm and in the shoulder, especially the right. There may also be easy pelvic pain the first few days, which can be treated with ordinary painkillers. Security against pregnancy is over 99%. A couple of days of sickness absence from work will generally be enough. In many countries you have to pay for sterilization and refertilisation. In some countries do not allow surgery.

Considerations before sterilization

Sterilization is in contrast to other contraceptive methods to be regarded as a definitive decision not later in life to have children. In a fixed relationship to sterilization of either the man or woman come to over-drafting board, when the family feels it has reached its final size. Especially if there are still long back of a woman's reproductive period. Although sterilization in most countries is a personal choice, it is the physician who is involved in the request for sterilization, a key advisory role so that the final decision will only be taken after all - even individual - aspects have been thoroughly elucidated. But neither the woman or man has sterilization effect on hormones. Production of estrogen and progesterone continue unchanged. In theory the menstrual cycle, so continue unaffected by the surgery.

Refertilization if you regret

Can I undo? Yes - and it's actually quite a few that do. Changes in one's life situation may mean that you regret that at one time it was sterilized. It is possible through a 'keyhole' surgery to restore passage through the fallopian tubes, but there are no guarantees that the woman can become pregnant again, with only each other of these operations succeed so well that pregnancy can be achieved. The chances of pregnancy depends on the woman's age and partly by the circumstances of the fallopian tubes. Instead refertilisation where the passage through the fallopian tubes attempted restored by surgery, pregnancy achieved by IVF (In Vitro Fertilisation). IVF is also a possibility of failed Refertilization. - Click to read about artificial insemination >>

Works sterilization immediately?

Yes, sterilization of the female is effective immediately. Women who by their own volition and with full conviction that sterilization is the only right thing for her, can count on being happy that it is done. Sexual desire will remain unchanged. Yes, some find even that it gets bigger, now that the insecurity at the thought of unwanted pregnancy is gone forever. It can help to strengthen not only the sexual relationships, but also live together as a whole. Sterilization does not protect against STIs.

Female or male sterilization?

The man or woman, what is preferable? Vasectomy is considered a purely personal matter, even if you live in a stable relationship. If the doctor to advise a couple, an objective and detailed description of the surgery to help provide the necessary clarification. Although sterilization is considered a definitive decision not to have children later in life should chance refertilisation also be taken into account. - Click on male sterilization >>

Gynaecological curettage

With a gynecological curettage examines whether there are lesions in the uterine cavity mucosa. A curettage is usually done under local anesthetic during the gynecological examination. However, it may occasionally be appropriate to perform scraping off in general anesthesia, for example if you have a very narrow cervix or if there must also remove a polyp. If your bleeding pattern is changing, it may be due either to hormonal disorders or a benign or malignant disease of the cervix, or inside the uterine cavity. To make a correct diagnosis becomes gynecologist had to make a curettage to examine the mucosa closer to a microscopic examination. Therefore, it happens frequently that women with bleeding disorders undergoing a curettage. Especially older women, who begins to bleed again after menopause, also called the post-menopausal bleeding.

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