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What is the ideal time for family planning operation

Date: 01 Jun 2009   Group: Doctors    Category: Gynaecology   


Hi doctor please let me details regarding family planning operation is it done during menstural cycle periods or can be done in any day in a month



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Author: swati    14 Jul 2009      Member Level: Gold     Points : 10  (Rs 8)    Voting Score: 0

Dear friend,

THE WISDOM OF FAMILY PLANNING

The family planning operation is a very good decision. With the growing population of millions, it is our duty as good citizens to take such wise decisions and benefit our future generation with much better use of resources.

NEED OF FAMILY PLANNING

Normally when the couples complete their family (two children on an average), the gynaecologist advises to have a family planning operation if the couple so desire.

FEATURES OF FAMILY PLANNING OPERATION

As far as I know, there is no such restriction with respect to the menstrual cycle. The operation is a cake walk for the doctor who shall tie up the tubes thus preventing another conception. This procedure is called tubal ligation.


However, the onus lies on the gynaecologist to have a thorough check up considering the previous medical history of the mother. The doctor may want to browse through the documents to get an overview of whether the candidate for family planning operation has undergone normal deliveries or cesareans. She also takes a look at any of the medical problem the candidate may have and whether it interferes in his decision to carry out the operation.
After the candidacy for the family planning operation has been cleared, the operation may take place as soon as the next day after the cesarean if the recovery is optimal. When the couple have made the decision, they are required to do the necessary procedure of signups and filling the documents.

OPERATION EASIER AND RECOVERY FASTER IN HUMAN MALES

In males, the family planning operation is easier as compared to the females since the fallopian tubes lie deep inside. The recovery in males is also very easy as compared to the females.
However, there is a common misconception that the males lose their potency after the family planning operation. However, this is far from true.

REVERSAL OF TUBAL LIGATION

Sometimes, the circumstances may become such that the couple may decide to revert tubal ligation. My friend lost her only daughter and decided to revert the tubal ligation. She conceived a baby girl again after a successful reversal of the tubal ligation.



Author: Dr.Sanjeev(Sandy)    14 Jul 2009      Member Level: Gold     Points : 18  (Rs 16)    Voting Score: 0

Dear friend
Family planning is the thing when we have to start right from our marriage, however to be specific to your question about family planning operation, there are few things as described below-

Some doctors and even family believes that family planning operation should be done as soon as you complete your family, while other concept is to wait for at least five years after the last delivery, so that all immunization schedule of your last baby is completed.

My view is that if your last baby is by caeserean section then better to go for ligation at the same time, though ligation is a simple process, still the abdomen has to be opened. So it is better not to undergo the process of operation again and get yourself ligated.

If the last child is by normal delivery, then I think you should wait till your child adapts the external environment, and all immunization is complete. Till then now a days there are lots of contraceptive devices which are very effective. If you worry to take any pills during breast feeding, the you can use Copper T or Mini pills which is also called lactating pills. For detail see here Mini Pills or lactating pills - An ideal contraception in breast feeding women

Apart from this, there are other methods too which you can use for contraception in the mean time. Look here for detail of some methods of contraceptions.

Subdermal implants for long term contraception
Natural methods to control pregnancy - Natural contaception

Now when you are prepared for family planning operation that is tubal ligation, I think now a days by laproscopic ligation, you need to stay one day in hospital, the ideal time is during the first week of menstrual cycle. The reason is that as the ovulation usually takes place at 14 to 16 of menstrual period and in the first week there is no chances of conception, after 14 days there is chances they after ovulation you might have conceived. So better to undergo operation in the first week of menstruation.

Ligation in male is safest and the only drawback is there is more chance of recanalization. It can be done at any time and is an out door process.




Author: Amudha Kumar    07 Aug 2009      Member Level: Silver     Points : 4  (Rs 2)    Voting Score: 0

As per the current population explosion condition family planning should be considered as the important one in life.


My view is that if your last baby is by caeserean section then better to go for ligation at the same time, though ligation is a simple process, still the abdomen has to be opened. So it is better not to undergo the process of operation again and get yourself ligated.


family planning can be considered in the following condition.

1.when we have more than two child.
2.when we need no child.
3.voluntary family planning.

apart from those we can use things like contraceptive pills,condems and sexual intercourse during period times.

OPERATION EASIER AND RECOVERY FASTER IN HUMAN MALES

In males, the family planning operation is easier as compared to the females since the fallopian tubes lie deep inside. The recovery in males is also very easy as compared to the females.
However, there is a common misconception that the males lose their potency after the family planning operation. However, this is far from true.




Author: Amudha Kumar    07 Aug 2009      Member Level: Silver     Points : 0    Voting Score: 0

As per the current population explosion condition family planning should be considered as the important one in life.


My view is that if your last baby is by caeserean section then better to go for ligation at the same time, though ligation is a simple process, still the abdomen has to be opened. So it is better not to undergo the process of operation again and get yourself ligated.


family planning can be considered in the following condition.

1.when we have more than two child.
2.when we need no child.
3.voluntary family planning.

apart from those we can use things like contraceptive pills,condems and sexual intercourse during period times.

OPERATION EASIER AND RECOVERY FASTER IN HUMAN MALES

In males, the family planning operation is easier as compared to the females since the fallopian tubes lie deep inside. The recovery in males is also very easy as compared to the females.
However, there is a common misconception that the males lose their potency after the family planning operation. However, this is far from true.




Author: Namita Jha    08 Aug 2009      Member Level: Gold     Points : 7  (Rs 5)    Voting Score: 0

Hello
Family planning operation though can be done any time if a woman is not pregnant, even if there is an early pregnancy and the couple dont want it, they can go for MTP (medical termination of pregtnancy) and then ligation.

But if you want to know the ideal time then it is the first 14 days of menstruation, when there is no chance of fertilization, more accurately it is ideal in the first week of menstruation that is the time when just bleeding is off, as there is not a chance of ovulation even.

Though ovulation also dont occur during menstruation, but there may be a slight chance of infection due to hygiene problem, otherwise menstruation period is also ideal.

Author: Dr. Apurva Tamhane    08 Aug 2009      Member Level: Diamond     Points : 5  (Rs 3)    Voting Score: 0

To add to Dr. Sanjeev's post above, in India, a operative for Family planning or as is known as tubal ligation is advised after having two living children in a family.

Although there is no binding on any woman when to go for a tubal ligation but it depends on the wishes of the woman when to go for it.

A proper planning of having children and with a proper gap in each child with an ultimatum of not having a child should be decided properly by the husband and child.

Tubal ligation should be done by a good Gynecologist who does the operative with good measures and in the most correct manner to avoid re-tubation of the Fallopian tubes as this can be a nuisance if the lady becomes pregnant after going through the operative.

Likewise a family planning operative is very simple in a male as it requires minimal hospital stay and usually is ithout any complications.

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