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When is the right moment, and to whom should I say that I want this procedure to be done during a cesarean section? At my appointment with the gynecologist, I mentioned it briefly, but she said it's too early to discuss and that was that. One more question: who has done it? Which is better: excision or ligation?
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Aleksandra
My friend had a C-section, and she has six kids.
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Lelya
I'm also thinking about having a tubal ligation when I have my third child.
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Olesya
Aleksandra Wow, there are so many little ones!
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Tatyana
This is something that's usually discussed with your doctor at the maternity ward or perinatal center.
In my last C-section, I signed two consent forms for a hysterectomy, but the doctors didn't remove it—they left it to their own discretion, saying I was young, etc. 😏
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Valentina
When my C-section was scheduled, I spoke with the surgeon who would perform the operation.
In advance, I signed documents stating that I wanted tubal ligation.
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Natalya
They call it 'excision' at the maternity hospital.
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Lyubov
I was offered it at the pre-op clinic, a day before the operation.
The surgeon came and told me that I must offer it to you, since you already had your third cesarean section with tubal ligation.
But I never found the courage to decide.
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Olesya
Lyubov Ah, so that's how it is… I hope I'll be offered something too, since I'm older as well. It would be more reassuring to be told about it in advance, just in case they don't reach out to me 😁
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Olesya
Tatyana This is crazy—how can they decide things even when you ask for them? It feels like a madhouse. That's why I'm afraid of something like this, and I want to know if it's possible to arrange something in advance. But I'm of age, and I hope they'll handle it properly 🙈
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Olesya
Valentina So that's how it is, thank you...
I’d like to arrange things in advance, of course, for my own peace of mind)))
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Nataliya
I'm afraid that aging could accelerate, and I wouldn't risk it.
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svetlana
At the maternity hospital, before a planned C-section, they offered me the most effective option that involves an incision. If you are 35, they should offer it to you themselves; otherwise you can talk to your doctors at the maternity hospital.
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Tatyana
Tatyana Yes, I hoped that by that time I would already have my fourth birth and a third C-section. I thought this would matter, but no 😅.
After the fourth C-section, I will definitely settle all these matters: removal, tubal ligation, or excision of EM—radically.
I think that if we discuss all of this in advance, everything will be carried out as planned.
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Anyutka
Tatyana Discover that a hysterectomy is often followed by continuing hormone therapy. This is a completely different approach.
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Olesya
svetlana Yes, I'm already 37. So I'll have to wait—I hope they take care of everything 🤞 But will I be able to choose between excision or ligation myself?
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Olesya
Nataliya What's the connection? I hadn't heard about it 🤔. Ovulation and all the other processes would still occur—it's just that the egg wouldn't reach the uterus? I also read that removing the ovaries lowers the risk of ovarian cancer. It's not certain that I would get it, but knowing this is somehow comforting)))
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Lyubov
Lyubov Well, I'm not a girl anymore either.
I was 38 when my son was born. And you'll probably be resting for a day or two as well, or you'll speak with the surgeon in advance, and during rounds or in conversation you can voice your wishes.
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Peryshkina Mariya
I also plan to have the right fallopian tube removed after giving birth (the left one has already been removed for a year). However, I currently have ER in place, so I’ll stay in the hospital after delivery for a laparoscopy.
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Olesya
Lyubov So far, my two pregnancies have gone differently. The first was an emergency due to leaking amniotic fluid at 37 weeks. In the second pregnancy, yes—I was practically bedridden for a full week before the C-section, and they postponed it until the due date. I hope this time I can manage to arrange it earlier.
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Kristina
After three KS, they offer RD.
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Olesya
Peryshkina Mariya Oh wow, I’ve been lucky in this regard — I hope they can get everything done in one go.
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Olesya
Kristina All clear—thank you 🌸.
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irina samoylova
Nataliya I’d also like to have a tubal ligation.
For now, I’m thinking of waiting until after childbirth and recovery to consult a gynecologist or a gynecologist-endocrinologist.
Is there any impact to consider, and if so, what kind?
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Ekaterina Halitova
I just can't bring myself to decide—there's some kind of psychological block, like it's all over.
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Lyubov
Lyubov Even before the procedure, you can bring up this question.
While anesthesia is being administered and preparations are underway, and while the surgeon has arrived but hasn't started yet, the main thing is not to forget to speak up.
And of course, you should stay focused on a positive outcome.
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Olesya
Ekaterina Halitova What's up with everyone? For me, it's simply a matter of age—I don't want to be pregnant in my forties. Still, what a freedom: I don't have to worry about contraception, I can have sex whenever I want, wherever I want, and as often as I want 😂
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Olesya
svetlana Okay, I got it. Thank you so much 🌸
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Burkova Sasha
Peryshkina Mariya How does this work? Do you stay in the hospital after giving birth and then go in for another operation later?
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Peryshkina Mariya
Peryshkina Mariya No, it seems possible to have the operation on the second day after delivery.
They did this to a woman, and I was lying there nine years ago…
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Nataliya
Nataliya I haven't studied this question yet, but many people have told me about it.
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Burkova Sasha
Peryshkina Mariya Oh, that’s also needed.
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baydysh anna
Ekaterina Halitova I support you! I'm thinking about this too.
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baydysh anna
Nataliya This isn’t accurate. I’ve studied this topic and consulted with experts. Hormones influence aging, and the fallopian tubes don’t participate in this process at all—it's the ovaries that are involved.
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Olesya
Tatyana And that's the way it is. Right now, she doesn't want to have any more children for any reason, and then something will go wrong, and she wouldn't even be able to do IVF if she doesn't have a uterus.
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Nataliya
Nataliya All right, then 🤷️
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Olesya
Tatyana I don't know all the nuances and rules about what should be done in such a situation, but it's strange to me that they took an agreement with a signature, yet they didn't carry out this procedure. Isn't she the one who has the right to decide what to do with her own body? And since they handed over papers for signing, that would seem normal. But they took them and didn't do it—I don't understand... 🙈
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Olesya
Tatyana Well, I really don't know why it's like this.
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