Failure To Sterilize After Cesarean For The Fourth Time?
Dear doctor, I want to ask, 4 years ago I had a cesarean section k4x at the same time sterile cuts. So far, my period has always been regular, it’s only been 3 weeks late, and even the signs that my period isn’t coming yet, 2 pregnancy test brands are positive. So I went to the doctor who did my sterile treatment, but the doctor didn’t want to admit that I was pregnant because of the 2D ultrasound. No uterine sac was visible, and even stated that the pregnancy test I was using was faulty. There was even no referral for a urine test, instead a prescription for menstrual stimulants was given. Even after drinking it until the HBs, the menstrual signs didn’t appear. So I tried a pregnancy test, the results were even stronger and the two lines appeared more quickly. So I went to another hospital. The results of the transvaginal ultrasound did not show the fetal pouch in all possible places including the ovary, the urine test was positive, because they did not know the position of the fetus, then no action could be taken, and they were asked to wait 2 weeks until the fetal pouch was visible. The doctor also gave 2 options to continue or be removed? Because if it is maintained, the risk is dangerous considering this is a k5 caesarean, if you want to stop it, you must wait until the fetal pouch is visible, and it must be repaired sterile. Doctor’s advice is sterile x this my ovaries must be removed. Is there no other solution besides having my ovaries removed just because the pregnancy rate is too high? Isn’t the effect of removing the ovaries very fatal for women? And why is this pregnancy x not visible fetal pouch (hpht 21 feb)
Hello Sister Aling,
The act of sterilization in women can be done by tying and cutting the part of the fallopian tube (the tube connecting the ovaries and uterus), the success rate is quite high but there is still a very small chance of pregnancy, such as either the egg successfully enters the uterus or the sperm that manages to get out. cause the two to meet and then fertilization occurs. The gestational sac can generally be detected by ultrasound 4-6 weeks after conception or after intercourse.
The pregnancy test was found to be positive but the fetus has not been detected on ultrasound, possibly due to: Disturbances in the pregnancy test kit. The location of the gestational sac attachment is difficult to detect by ultrasound as it is located slightly downwards. Ectopic pregnancy (pregnancy outside the uterus). Impaired growth of the gestational sac.
Removal of the ovaries, which are one of the organs that produce female hormones, can cause early menopause, fatigue and pain, and mood disturbances due to hormonal changes. This type of steady birth control is very effective in preventing pregnancy. But the decision rests with you and your family. Other solutions, such as in addition to improving tubectomy sterilization operations (cutting the fallopian tubes) can also be added with other types of family planning such as IUD / spiral or hormonal contraceptives in the form of tablets, injections or implants.
The action that can be taken is to consult with your obstetrician, while waiting 2 weeks for a repeat ultrasound and pregnancy test like in a hospital. Discuss with your husband and family, to make decisions such as continuing the pregnancy or terminating it if any, or the contraceptive measures you want to take.
Click article ; Choosing contraception