u/HalfHumanHalfOops

Cut and Burn (with Ultracision) - Looking for experiences/reassurance

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I’m curious if anyone here has had a procedure like or similar to mine. Originally, both my doctor and I planned for a bilateral salpingectomy, since I’ve read a lot about it and felt very confident in that option ( and my doctor favors it to). However, once he start operating, he decided a different procedure would be safer because of my anatomy.

My doctor has actually been very straightforward with me because he knows I have severe anxiety around pregnancy. He told me directly that he wasn’t going to “sell me fairy tales,” and that in his professional opinion and experience, pregnancy after this procedure including ectopic pregnancy is essentially impossible. He even joked that I could call him at 2 AM if I ever started panicking about it.

Still, my fear of pregnancy is extreme, and my anxiety keeps spiraling because a salpingectomy wasn’t ultimately performed. I’m especially scared about the possibility of the tubes somehow reconnecting over time.

Honestly, I was doing okay UNTIL I started searching Reddit for experiences. Reading comments and stories there made me anxious (even though I know my anxiety isn’t rational 🥲). Most of the posts I found were either second-hand stories or about different procedures - ligations witch end in pregnancies

So I wanted to ask if anyone here had the same or a very similar procedure (cut and burn), and what your experience has been like afterward.

My surgical report says:

“Both tubes were transected in the proximal part, near the interstitial portion, using an ultrasonic knife (Ultracision). Hemostasis regular.”

If anyone had something similar done, especially several years ago, I’d really appreciate hearing about your experience. Did you ever have pregnancy scares afterward? 🙈

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u/HalfHumanHalfOops — 8 days ago
▲ 2.7k r/childfree

“Just knock her up” — the moment I realized I need to leave this ,,friends" group

Soooo I’m honestly still in shock about this…

29F, childfree.

Quick backstory on how I know this guy: I was the maid of honor at a wedding, and like people always do, the newlyweds kept trying to set me up with the groom’s best man (41M).

This man is not my type in literally any way even if we had the same views about not wanting children, he still isn’t someone I would ever date. And I’ll add that I’m a very clear and direct person

Anyway, they’ve been pushing us together for the past 6+ months (mostly the groom).

They kept describing him as a “gentleman,” but honestly from what I saw in action, he’s not a gentleman at all he’s just extremely awkward when you don't let him be ,,alpha", VERY conservative, and heavily religious. He wants 3 kids (at least 2 boys) within the next 7-8 years maximum, and according to him, a woman must be at least 10 years younger than him cus only a younger woman is suitable for him.. Huge red flag to me.

Physically he’s not my type either, and when it comes to manners… he only has them when talking about them. In reality and practice, massive fail. He also looks down on women because, according to him, women are “emotional” while men are “reasonable and logical.”

Communication with him is impossible too. If the conversation isn’t going his way, he completely ignores you. And the creepiest part: he literally said that besides needing to be at least 10 years younger, his future partner also needs to have a “PEDIGREE.”

Yes. His exact word. Like we’re dogs.

I made it very clear both to him and to my friends ( MOSTLY the groom) that this man is not my type and that our life plans are completely and fundamentally different. But they both brushed off my choice and not wanting to have children like it was some silly phase or joke.

✨️Now here comes the part that genuinely shocked and disturbed me.✨️

I had been away from my hometown for a while because I got sterilized 🥂in another city and stayed with my sister during recovery. Only a very small number of people knew about it but no one from this group....

When I came back, I visited my friends (the newlyweds), and surprise surprise, they had invited him too.

At one point the two guys were outside in the yard, a bit away from us, and they didn’t realize we could hear them. The groom was giving his best man advice because apparently he likes me “so much” and other girls don’t attract him and he want me.

His advice?

That he should just tell me he “changed his mind” about wanting kids because he’s already in his 40s anyway, and then once I “let my guard down,” he should — quote — “knock her up with 2 - 3 kids, like she has any say in it.”

There were even “tips” about poking holes in condoms, figuring out which antibiotics could reduce the effectiveness of birth control pills if I was on them, etc.

At first I laughed because it sounded so absurd (+ that would NOT WORK FOR MY CONTRACEPTION).

Then it actually hit me how disgusting and creepy it was. Both of them instantly became SO repulsive to me.

I didn't told them I heard the conversation. I just told the guy after clearly one more time that I’m not attracted to him at all, and since he’s already well into his 40s and not geting ANY YOUNGER, he probably shouldn’t waste time that he had left waiting for a chance with me because it’s never happening.

When he asked me, “why exactly do I have no chance with you and what is it that you even want that i dont have?”

I answered:

“Just like you have a preference like a younger partner, I have my own preferences too. I want a partner who fits me physically for start someone younger, vital, tall, fit, attractive, and someone whose goals align with mine. And honestly, an older man just isn’t for me.”

(I don’t actually think people in their 40s are old, but I deliberately hit his insecurity a bit.)

My friend(bride THAT HEARD THEM WITH ME) said I went too far and shouldn’t have said it like that, but I honestly disagree this is mild coming from me and how i was fealing.

What really creeps me out is the thought that he could potentially manipulate some other woman like this.

Honestly, I’ve decided to distance myself from that whole group. I love the bride dearly, but this situation and a few other things that happened recently made me realize these are not people I want to share my energy with. Their mindset is genuinely disturbing to me.

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u/HalfHumanHalfOops — 16 days ago

Hi everyone, I had my procedure done on April 14 and I’m wondering if anyone has dealt with something similar.

All of my stitches were either removed or fall out except for one deep in my belly button only about 1- 2 mm is sticking out. The nurses tried to remove it twice (one attempt lasted around 25 minutes), but they couldn’t get it out. They told me it should eventually push itself out on its own.

It’s been about a week since then, and it doesn’t look like it’s going anywhere. I even tried gently pulling it with tweezers, but it didn’t budge.

Has anyone here had a stubborn stitch like this after a their procedure? Did it eventually come out on its own, or did you need to have it removed another way? Any advice or experiences would really help.

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u/HalfHumanHalfOops — 17 days ago

Hi everyone. Since I spent a long time here before my surgery trying to calm myself down, I decided to share my experience in case it helps someone else feel more at ease.

I will try to be as detailed as possible, so this will be a long post.

Please keep in mind that I have a lot LOT of trust in my doctor. He has treated three of my close gals and saved two of them. He is a very kind and humane person and an excellent specialist. If it had been someone else, I probably would have been upset/angry that I did not get the exact procedure I originally wanted.

Consultation

I am 29 years old, no children.

Before my friend recommended this doctor, I had consultations with six other doctors. All of them rejected me in a very unpleasant way and shut down the conversation immediately. Three of them told me the exact same thing, even with the same kind of under-laugh, saying that I can think about this only after I have at least 35 years, three+ children, and my *husband’s signature*. Up until about 15 years ago, in a country next to ours, women even needed approval from a priest for sterilization. Yes, that was actually real.

With my current doctor, everything went smoothly. He explained the pros and cons, what to pay attention to, and all available procedures. I was honestly shocked at how easy the conversation was, so I asked him just to confirm whether he had any issue with this procedure.

When he asked why he would, I told him about my previous experiences and that six of his colleagues had refused me. He asked if there was a medical reason. I said no, just their personal opinions.

He replied that then their opinions were irrelevant to us. The only thing that matters to him is that I understand the permanence of this decision and that I am not being pressured. Since he saw that I am a reasonable person who has thought this through for herself, he said that just like he would not question a young pregnant woman about whether she is sure she wants to be a mother, he would not question my decision either.

Pre operation, April 13

I had to take two tablets for bowel cleansing by 4 pm, and at 8 pm I used a suppository. Breakfast was normal. After that, from 4 pm until 9 pm, I could only eat fruit yogurt. I was allowed to drink water until April 14 at 9 am.

Check in and surgery, April 14

I arrived at the hospital at 1:15 pm. I changed into their gown, which was comfortable and buttoned in the front, and they put compression stockings on me.

A nurse came in, gave me paperwork to sign, and explained the procedure. At that point, I still believed I would have a salpingectomy, as my doctor had said that he himself prefers that method because it is the most effective and reduces additional risks, he even recommends it to all women who come in for a ligation.

Later, the anesthesiologist came to introduce herself and took me to the operating room, going through all the same questions again. The nurse told me they prefer to have female staff present for femail patient comfort, so my doctor was the only man in the room.

When I lay down on the table, he was not there yet. They positioned me and covered me with the same gown. I remained in my underwear. The nurse explained that the doctor prefers to use as little instrumentation as possible, so they would avoid using a catheter or uterine manipulators unless absolutely necessary. I had to confirm that I agreed in case they needed to use them.

They placed an IV, and it burned so much. That was the moment I actually felt fear. (This was my first surgery ever, I have a huge fear of hospitals and an extreme needle phobia, I cannot even watch them on TV.)

After the IV was placed, adrenaline kicked in and my heart started racing, so they could not put me under until I calmed down.

At that moment, the doctor came in because I had to verbally confirm in front of everyone why I was there and what procedure we were doing. I said salpingectomy. He asked why, and I said sterilization. That actually helped me relax.

Then suddenly, an older nurse appeared above my head and loudly asked “Sterilization? How many children do you have?” I said zeroooo, and the next thing I remember is waking up in my room, wearing my own pajamas.

Hospital policy required me to stay overnight so they could monitor me just in case of complications. The nurses were wonderful. The nurse I had been communicating with explained that they did not use a catheter or additional instruments, that the surgery went well, but that I did not have a salpingectomy. She said the doctor would explain everything the next day.

I received two injections and was on an IV all night. I had no pain or tightness, only a strange feeling in my belly button when I focused on it. The only issue was that I had difficulty getting up.

During the night, I felt slightly nauseous and vomited a little. I also felt unusually hot, which is strange because I am normally very sensitive to cold. I got up three times to use the bathroom without any problems, but I was bent over like question mark and could not stand straight for some reason, even though I had no pain.

In the morning, I had a strange sensation in my shoulder, not pain, more like mild soreness. The nurse gave me something through the IV and it disappeared.

The nurse cleaned and redressed my wounds and gave me tea and biscuits. The tea felt good, but afterward I felt nauseous and could barely eat half a biscuit.

The doctor came earlier than expected, around 10 instead of 12. He checked and redressed my wounds again (he wanted to see them).

He explained that once he started the procedure, he considered waking me up to ask whether I still wanted to proceed with the salpingectomy. Because I have insulin resistance, and after inserting the instruments, he saw that the blood vessels supplying my ovaries were too close and partially connected to the fallopian tubes. Also, my organs were positioned in a way that an important ligament was very close.

He explained in much more detail and showed me on images, but in short, continuing with a salpingectomy could have damaged the blood supply to my ovaries, which is already slightly compromised. He did not want to expose me to that risk or potential lifelong complications. He told me that even if fertility is not important to me, quality of life still is.

Instead, he performed bilateral proximal occlusion of the fallopian tubes using an ultrasonic knife. Both tubes were cut at the very beginning, where they meet the uterus, and sealed.

Of course, I panicked because I had read about recanalization before surgery. He reassured me that in my case it is impossible. He explained it very simply. My tubes were not tied or cut in the middle. They were cut at the very beginning, and the instrument sealed both the uterine side and the tube side. After being cut, the tissue retracted about one centimeter and will retract even more over time.

For pregnancy to happen, my body would have to make multiple impossible things happen at the same time.

remove scar tissue from both the uterus and the tube, then somehow create a new channel, an opening in the uterus would also have to form in the right place.

and reconnect everything in exactly the right place and we are talking about milimeters. The body simply does not work like that. In fact, he said that reconstruction would be nearly impossible and most doctors would not even attempt it.

He told me that if I still wanted a salpingectomy, it could be done later, but he felt it was his responsibility to avoid a risk that he only discovered during surgery.

Honestly, I am very grateful. I probably would have chosen the same option if he had explained everything beforehand. But if it had been another doctor, I might not have been this calm about ending up with a different procedure than planned.

Recovery

I went to the clinic every three days for wound care, three times in total.

For seven days, I took antibiotics and had to inject Clexane daily. My sister helped me with the injections, and I am very grateful for that. This was the most painful part of the entire experience apart from the IV. They BURN a lot.

For pain, I took paracetamol 500 mg as needed, two at once if neaded, but it was not necessary. If stronger pain occurred, I was told to call the clinic and someone would come to my home, but I never needed that.

For the first four to five days, I was slow and bent over. By day six, I could stand upright and move more easily. I had no pain in my shoulder or incisions.

I had very mild cramps that lasted about ten minutes, and for the first couple of days I had a lot of gas 🥲

Regarding digestion, I had the opposite problem from what I read here. Starting from day two, I was going to the bathroom very frequently after eating or drinking. The nurse gave me a diet plan for the first seven days, including soups, rice, mashed potatoes, yogurt, light foods, and chicken. I had to avoid heavy, fatty foods and things like cabbage and peas.

By day ten, the biggest issue was getting up and stretching. I also slept with my head and legs elevated.

On day nine, most of my stitches were removed, but a few remained.

On day twelve, I went back to the clinic because two stitches in my belly button could not be removed despite trying for about twenty minutes. The doctor told me to leave them and that my body would push them out over time.🫩

On May 1, most of them fell out on their own. One is still there, like an antenna deep in my belly button, and it is more irritating than everything else combined.

I continue cleaning with Octenisept and applying Contractubex, but that one stitch is still there and driving me crazy. 😵‍💫

The clinic is not in my city and I have already returned home, so I will need to find a local place to have it removed. If anyone has advice or a similar experience, please help.

The scar on my left side is barely visible. On the right side, I scratched it in my sleep, so it is a bit more noticeable, but still looks like a small pimple. It is slightly raised compared to the left side.

I also had my period in the meantime, and it was the easiest cycle I have ever had. I had no pain at all, not even on the first day, which is usually terrible for me. Now I am waiting to see how the next cycle will be.

Honestly, a regular dentist visit is more painful than this.

If I had to do this once a year, I would do it without a problem, hopefully without the stitch issues next time. But lucky me it is one and DONE

If anyone has questions, feel free to ask. Sorry for the long post, but I hope it helps someone.

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u/HalfHumanHalfOops — 17 days ago