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<div class="quote-container"><span>Quote:</span>
<div class="quote-block">Originally Posted by <strong>Tame</strong> <a href="/forum/post/0"><img alt="View Post" class="inlineimg" src="/img/forum/go_quote.gif" style=""></a><br><br>
First, men are often refused vasectomies for the same reason.<br><br><br><br>
Second, just as it is a woman's decision, it is a doctor's decision whether he/she wishes to perform such a treatment. Don't like it, then get another doctor.<br><br><br><br>
A high % of young people do change their mind, and yes, they would have said they were certain at the time. A doctor who refuses is a.) realistic in their assessment that the patient may regret this procedure in the future, and b.) protecting themselves against possible litigation in the future.</div>
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If I were a doctor I would be hesitant to perform these procedures on very young people who've had not children. Many people do change their minds and contrary to popular belief, they are not as reversible as people like to think.<br><br><br><br>
On the other hand, are doctors really being sued successfully for performing these procedures? Couldn't they also be sued for refusing them, like in the stories I mentioned above? From what I was told at the hospital, physicians have become much more liberal in allowing these procedures, they used to be much more paternalistic. And paternalism is perhaps the main issue here.<br><br><br><br>
Some interesting info:<br><br><br><br><div class="quote-container"><span>Quote:</span>
<div class="quote-block">Despite pre-vasectomy counseling, up to 10% of men who undergo voluntary sterilization will subsequently request vasectomy reversal. Surgical reversal is costly and has a variable success rate, ranging from 30% to 76%, depending on the amount of time that has elapsed between procedures.</div>
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<br><div class="quote-container"><span>Quote:</span>
<div class="quote-block">It was not surprising to find that the most common reason for reversal was divorce and remarriage. Although there were fewer men between the ages of 20 and 29 years who underwent vasectomy, vasectomy reversal occurred 12.5 times more often in this age group than in others.</div>
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<br><a href="http://www.clevelandclinic.org/urology/news/misc/vol6f.htm" target="_blank">http://www.clevelandclinic.org/urolo...misc/vol6f.htm</a><br><br>
(it also says on this page that the patient and his partner must sign a form acknowledging that it may not be 100% effective.)<br><br><br><br><div class="quote-container"><span>Quote:</span>
<div class="quote-block">What is the success rate (for tubal reversal)?<br><br>
The success of this operation depends on many factors:<br><br>
The length and health of the remaining fallopian tube segments to be rejoined<br><br>
Skill of the microsurgeon (a surgeon experienced with microsurgery)<br><br>
The womans age at the time of reversal surgery<br><br>
Method of tubal sterilization<br><br>
Scar tissue in the pelvis<br><br>
The sperm test results of the partner and other infertility factors<br><br><br><br>
Re-opening of the tubes provides a high chance (but not a guarantee) for pregnancy if the womans tubes are healthy and there are no other infertility factors. Under optimal conditions, the pregnancy rate is 75 to 80 percent.</div>
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Wow. I never knew that it was that high of a pregnancy rate. Thanks Thalia!<br><br><br><br>
I used to live in Dayton (airforce town). None of the insurance companies would pay for reversals. But the airforce medical would. I thought that was strange.
 

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I will never get one because of my intense phobia of medical treatment.<br><br><br><br>
However, if I wanted one it would piss me off if someone tried to tell me they wouldn't do it because I would change my mind later. OK I get it that people change their minds, but not only do I dislike children and have no interest in having one, my medical phobia would be a pretty huge deterrent as well. Who is anyone else to think they understand me and my priorities better than I do? I'm not exactly your "typical" person, I reject most of the things society values.<br><br><br><br>
I can see the lawsuit concern but it ticks me off that because some people are flaky and litigious that it should impact my access to a tubal, should I want one.
 

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<div class="quote-container"><span>Quote:</span>
<div class="quote-block">Originally Posted by <strong>Terra</strong> <a href="/forum/post/0"><img alt="View Post" class="inlineimg" src="/img/forum/go_quote.gif" style=""></a><br><br><br>
Not necessarily. Insurance companies often have strict regulations about what doctors they do and don't support. In non-major-urban areas, that means they may only cover one or two doctor who performs certain proceedures.<br><br><br><br>
Terra</div>
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Good point. I hate insurance companies.
 

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<div class="quote-container"><span>Quote:</span>
<div class="quote-block">Originally Posted by <strong>meatless</strong> <a href="/forum/post/0"><img alt="View Post" class="inlineimg" src="/img/forum/go_quote.gif" style=""></a><br><br>
I can see the lawsuit concern but it ticks me off that because some people are flaky and litigious that it should impact my access to a tubal, should I want one.</div>
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Right on, sister <img alt="" class="inlineimg" src="/images/smilies/smiley.gif" style="border:0px solid;" title=":)">
 

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Has it been posted that the younger the patient, the higher chances of failure?<br><br><br><br>
I had to wait four weeks to have the procedure done after signed a waiver at age 22. My tubes were burned one inch, and then clipped one inch on either side of the destroyed tube the day after my 23rd birthday, six weeks after my first child was born. I was 24 when I became pregnant again, and have been pregnant three more times since then (though I have only one other living child)<br><br><br><br>
I was given the literature, warned of the consequences, and even warned of the failure rate. My doctor at the time even said he didn't like to do them on women as young as I was then.
 

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Discussion Starter · #27 ·
My stepdaughter wanted to have one after her first child, and the doctor refused. She had another unplanned pregnancy, and after my second granddaughter was born, the doctor agreed to perform the procedure.<br><br><br><br>
I discussed having a tubal ligation with several doctors when I was in my mid thirties, but they wouldn't perform the procedure because I had not had any children.
 

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They gave me a hard time about having one even though I had two children and I was 30...but they did it. Did I ever regret it...yes, but it was the decision I made, so I'm very OK with it <img alt="" class="inlineimg" src="/images/smilies/smiley.gif" style="border:0px solid;" title=":)">
 

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I can't believe women are denied this. I think women are smart enough to know it's a permanent procedure. It's the womans body & right to have one if she chooses. It's rediculous for the doctor to tell a woman she should have a certain amount of kids. That's not the doctors business! What if she doesn't want kids ever? Does the doctor really believe her or just think maybe she'll change her mind. Some women never change their mind. Children are a choice. Not a requirement! I am 31 & I don't want children. I have never actually tried to have this done, but if I wanted to, I hope I would be able to. I mean I'm 31, not 21. I think I know by now if I want kids or not. I'm old enough to know for sure! It's a crazy world. GRRRRRRR .....lol
 

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Discussion Starter · #30 ·
At 31, you won't meet nearly as much resistance to it.<br><br><br><br>
Furthermore, just because it's your body does not mean that the doctor has to perform an optional surgery. You can make your choice, but the doctor doesn't have to help you with it.
 

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<div class="quote-container"><span>Quote:</span>
<div class="quote-block">Originally Posted by <strong>shagginabit</strong> <a href="/forum/post/0"><img alt="View Post" class="inlineimg" src="/img/forum/go_quote.gif" style=""></a><br><br>
I'm not a body-ologist or anything, but can't a tubal litigation be reversed? If so, why should the doctors determine how many kids someone can have? If someone doesn't want kids, give em the procedure, and later on if they change thier mind, they can have it reversed. (if thats a possibility)</div>
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It is possible to have a tubal ligation reversed but if you do concieve after a tubal ligation reversal you are at an increased risk of an ectopic pregnancy but then even if you don't have it reversed you still have an increased risk of an ectopic pregnancy just by having the tubal ligation.<br><br><br><br>
Here's a site that lists risk factors for ectopic pregnancy: <a href="http://www.nlm.nih.gov/medlineplus/ency/article/000895.htm" target="_blank">http://www.nlm.nih.gov/medlineplus/e...cle/000895.htm</a>
 

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<div class="quote-container"><span>Quote:</span>
<div class="quote-block">Originally Posted by <strong>kristadb</strong> <a href="/forum/post/0"><img alt="View Post" class="inlineimg" src="/img/forum/go_quote.gif" style=""></a><br><br>
At 31, you won't meet nearly as much resistance to it.<br><br><br><br>
Furthermore, just because it's your body does not mean that the doctor has to perform an optional surgery. You can make your choice, but the doctor doesn't have to help you with it.</div>
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That's true. They don't have to do it. I just don't see why they wouldn't. Except for the lawsuit factor, I see no other reason. Maybe they don't believe in it or something.
 

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<div class="quote-container"><span>Quote:</span>
<div class="quote-block">Originally Posted by <strong>Stephanie</strong> <a href="/forum/post/0"><img alt="View Post" class="inlineimg" src="/img/forum/go_quote.gif" style=""></a><br><br>
That's true. They don't have to do it. I just don't see why they wouldn't. Except for the lawsuit factor, I see no other reason. Maybe they don't believe in it or something.</div>
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It's because everyone assumes that everybody else MUST share their priorities and life goals. How could we NOT want kids? I mean, doesn't EVERY woman? <img alt="" class="inlineimg" src="/images/smilies/rolleyes.gif" style="border:0px solid;" title=":rolleyes:"><br><br><br><br>
To me it reminds me of the meat thing. Everyone thinks it's just really frigging weird to not want meat. We MUST want a hamburger. And if we don't, well it must be a phase!<br><br><br><br><br><br>
**NOTE: I do not mean this is anyway to be a comparison between children and meat. It is an example of majority values vs. minority values**
 

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<div class="quote-container"><span>Quote:</span>
<div class="quote-block">Originally Posted by <strong>meatless</strong> <a href="/forum/post/0"><img alt="View Post" class="inlineimg" src="/img/forum/go_quote.gif" style=""></a><br><br><br>
**NOTE: I do not mean this is anyway to be a comparison between children and meat. It is an example of majority values vs. minority values**</div>
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<br><br><br><br><br><img alt="" class="inlineimg" src="/images/smilies/laugh.gif" style="border:0px solid;" title=":lol:"> I can't imagine anybody being so nuts that they'd take it that way.
 

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<div class="quote-container"><span>Quote:</span>
<div class="quote-block">Originally Posted by <strong>DuckThatWasn't</strong> <a href="/forum/post/0"><img alt="View Post" class="inlineimg" src="/img/forum/go_quote.gif" style=""></a><br><br><img alt="" class="inlineimg" src="/images/smilies/laugh.gif" style="border:0px solid;" title=":lol:"> I can't imagine anybody being so nuts that they'd take it that way.</div>
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Believe me, there's a very good chance someone could. <img alt="" class="inlineimg" src="/images/smilies/yes.gif" style="border:0px solid;" title=":yes:">
 

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I think Meatless would agree with me that it seems like people take many things the wrong way on these boards.
 

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<div class="quote-container"><span>Quote:</span>
<div class="quote-block">Originally Posted by <strong>meatless</strong> <a href="/forum/post/0"><img alt="View Post" class="inlineimg" src="/img/forum/go_quote.gif" style=""></a><br><br>
It's because everyone assumes that everybody else MUST share their priorities and life goals. How could we NOT want kids? I mean, doesn't EVERY woman? <img alt="" class="inlineimg" src="/images/smilies/rolleyes.gif" style="border:0px solid;" title=":rolleyes:"><br><br><br><br>
To me it reminds me of the meat thing. Everyone thinks it's just really frigging weird to not want meat. We MUST want a hamburger. And if we don't, well it must be a phase!<br><br><br><br><br><br>
**NOTE: I do not mean this is anyway to be a comparison between children and meat. It is an example of majority values vs. minority values**</div>
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I agree completely. People just don't get it. The child issue or the not eating meat issue.<br><br><br><br><br><br>
I was mainly meaning as a Doctor whose job it is to do procedures & operations. I mean why should their personal feelings get into that. It's their job to do these things. They shouldn't allow their personal feelings to come into it. I know they don't have to do it, but they should do it if the woman wants it.
 

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Discussion Starter · #38 ·
<div class="quote-container"><span>Quote:</span>
<div class="quote-block">Originally Posted by <strong>Stephanie</strong> <a href="/forum/post/0"><img alt="View Post" class="inlineimg" src="/img/forum/go_quote.gif" style=""></a><br><br>
I was mainly meaning as a Doctor whose job it is to do procedures & operations. I mean why should their personal feelings get into that. It's their job to do these things. They shouldn't allow their personal feelings to come into it. I know they don't have to do it, but they should do it if the woman wants it.</div>
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We don't force doctors to perform abortions, either - they "should" do it if the woman wants, but they don't have to. I don't believe we should force them to either, in terms of elective surgery. And TL is elective.<br><br><br><br>
And meatless...we all know that you meant children = meat. <img alt="" class="inlineimg" src="/images/smilies/no.gif" style="border:0px solid;" title=":no:"> Bad girl.
 

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Discussion Starter · #39 ·
Pay them enough greenies and they'll do it....almost guaranteed. That's basically what the medical sector revolves around anyhow.
 

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I don't think it's any more fair for a woman to expect her doctor to share her views on TL than it is for her doctor to expect the woman to share his/her views on TL. I don't think it's reasonable to expect a doctor to put aside all previously-held values to perform a TL on a woman. Whatever happened to personal choice, anyway? The doctor has as much of a choice as the patient does.
 
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