{"id":339,"date":"2018-11-27T15:04:44","date_gmt":"2018-11-27T14:04:44","guid":{"rendered":"https:\/\/www.coparentalys.com\/blog\/?p=339"},"modified":"2018-11-27T15:04:44","modified_gmt":"2018-11-27T14:04:44","slug":"ligature-des-trompes","status":"publish","type":"post","link":"https:\/\/www.coparentalys.com\/blog\/2018\/11\/27\/ligature-des-trompes\/","title":{"rendered":"ligature des trompes"},"content":{"rendered":"

LA LIGATURE DES TROMPES<\/span><\/h1>\n

En terme de contraception<\/strong>, il existe une option finalement peu document\u00e9e : il s\u2019agit de la ligature des trompes<\/strong>.
\nLongtemps bannie par la plupart des gyn\u00e9cologues, la ligature des trompes \u00e9tait r\u00e9serv\u00e9e aux femmes respectant certaines conditions (avoir eu plusieurs enfants, \u00e2ge minimum…), elle est maintenant r\u00e9glement\u00e9e et ses diff\u00e9rentes techniques \u00e9voluent rapidement.<\/p>\n

QU\u2019EST-CE QUE LA LIGATURE DES TROMPES ?<\/span><\/h2>\n

La ligature des trompes s\u2019adresse aux femmes majeures qui ne souhaitent plus ou pas avoir d\u2019enfant. Cette m\u00e9thode contraceptive est efficace \u00e0 environ 99,5 %.
\nCe mode contraceptif est consid\u00e9r\u00e9 comme d\u00e9finitif puisqu\u2019il s\u2019agit d\u2019une st\u00e9rilisation chirurgicale<\/strong>. Son principe repose sur le fait de bloquer le trajet de l\u2019ovule entre l\u2019ovaire et la trompe de Fallope afin d\u2019 \u00e9viter la f\u00e9condation par des spermatozo\u00efdes.<\/p>\n

QUELLE EST LA PROC\u00c9DURE ?<\/span><\/h2>\n

Cette intervention est ,pour la grande majorit\u00e9 des cas, d\u00e9finitive. Ainsi, le processus pour r\u00e9aliser une ligature des trompes est tr\u00e8s encadr\u00e9 et n\u2019est pas \u00e0 prendre \u00e0 la l\u00e9g\u00e8re.<\/p>\n

Il faut d\u2019abord organiser une consultation aupr\u00e8s d\u2019un gyn\u00e9cologue ou seront expliqu\u00e9s tous les enjeux, la proc\u00e9dure, ainsi que les diff\u00e9rentes techniques r\u00e9alisables selon les souhaits de la patiente, son historique m\u00e9dical ainsi que son histoire personnelle.
\nLe sp\u00e9cialiste peut \u00e9galement essayer d\u2019orienter la patiente vers un autre mod\u00e8le contraceptif si celui-ci estime qu\u2019une alternative est pr\u00e9f\u00e9rable, voire recommand\u00e9e.<\/p>\n

\u00c0 la suite de cette premi\u00e8re consultation, et si le choix de la patiente est arr\u00eat\u00e9, s\u2019ajoute un d\u00e9lai de r\u00e9flexion suppl\u00e9mentaire de quatre mois. Ce d\u00e9lai entre la premi\u00e8re consultation et l\u2019intervention chirurgicale est obligatoire.<\/p>\n

Deux m\u00e9thodes sont alors possibles quant \u00e0 l\u2019intervention chirurgicale<\/strong> :<\/p>\n

– la premi\u00e8re vise \u00e0 obstruer la trompe afin de bloquer le passage de l\u2019ovule. Cette m\u00e9thode peut \u00eatre effectu\u00e9e de plusieurs fa\u00e7ons : soit \u00e0 l\u2019aide de clips, soit par section de la trompe suivie d\u2019une ligature, soit par \u00e9lectrocoagulation.
\nCette m\u00e9thode n\u00e9cessite une l\u00e9g\u00e8re incision chirurgicale soit au niveau du pubis, soit du fond du vagin, soit de l\u2019abdomen. L\u2019op\u00e9ration est r\u00e9alisable par c\u0153lioscopie en passant par le nombril.<\/p>\n

– la seconde technique est appel\u00e9e m\u00e9thode Essure. Cette m\u00e9thode ne n\u00e9cessite pas d\u2019incision ni d\u2019anesth\u00e9sie g\u00e9n\u00e9rale et peut \u00eatre r\u00e9alis\u00e9e en ambulatoire, c\u2019est-\u00e0-dire que la patiente ne restera hospitalis\u00e9e que quelques heures.
\nLe processus consiste \u00e0 ins\u00e9rer des petits implants dans les trompes, \u00e0 la mani\u00e8re d\u2019un stent, par voie naturelle (c\u2019est-\u00e0-dire par le vagin) \u00e0 l\u2019aide d\u2019un hyst\u00e9roscope.<\/p>\n

Les deux m\u00e9thodes ne pr\u00e9sentent pas de risque majeur dans la majorit\u00e9 des cas. Quelques douleurs abdominales peuvent appara\u00eetre, mais ne durent pas.<\/p>\n

QUELS SONT LES EFFETS APR\u00c8S UNE LIGATURE DES TROMPES ?<\/span><\/h2>\n

Une ligature des trompes n’emp\u00eache pas la continuit\u00e9 des cycles menstruels et de fait, les r\u00e8gles. Le cycle hormonal reste inchang\u00e9.<\/p>\n

Cette st\u00e9rilisation n\u2019influe pas non plus sur le plaisir sexuel ou la libido.<\/p>\n

EST-IL POSSIBLE DE TOMBER ENCEINTE APR\u00c8S UNE LIGATURE DES TROMPES ?<\/span><\/h2>\n

Si cette technique de st\u00e9rilisation est consid\u00e9r\u00e9e comme irr\u00e9versible, on peut cependant retrouver le fonctionnement des trompes, selon le choix de m\u00e9thode utilis\u00e9 pour la ligature. Cela n\u00e9cessite \u00e9videmment de pr\u00e9voir une deuxi\u00e8me op\u00e9ration.
\nLe taux de r\u00e9ussite de cette deuxi\u00e8me intervention reste cependant assez faible et ne peut \u00eatre garanti.<\/p>\n","protected":false},"excerpt":{"rendered":"

LA LIGATURE DES TROMPES En terme de contraception, il existe une option finalement peu document\u00e9e : il s\u2019agit de la<\/p>\n","protected":false},"author":1,"featured_media":367,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[5],"tags":[],"yoast_head":"\nligature des trompes - Blog CoparentaLys<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.coparentalys.com\/blog\/2018\/11\/27\/ligature-des-trompes\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"ligature des trompes - Blog CoparentaLys\" \/>\n<meta property=\"og:description\" content=\"LA LIGATURE DES TROMPES En terme de contraception, il existe une option finalement peu document\u00e9e : il s\u2019agit de la\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.coparentalys.com\/blog\/2018\/11\/27\/ligature-des-trompes\/\" \/>\n<meta property=\"og:site_name\" content=\"Blog CoparentaLys\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/coparentalite\/\" \/>\n<meta property=\"article:published_time\" content=\"2018-11-27T14:04:44+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.coparentalys.com\/blog\/wp-content\/uploads\/2018\/11\/uterus-3777765_1280.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1280\" \/>\n\t<meta property=\"og:image:height\" content=\"720\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"admincoparentalys\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@CoParentaLys\" \/>\n<meta name=\"twitter:site\" content=\"@CoParentaLys\" \/>\n<meta name=\"twitter:label1\" content=\"\u00c9crit par\" \/>\n\t<meta name=\"twitter:data1\" content=\"admincoparentalys\" \/>\n\t<meta name=\"twitter:label2\" content=\"Dur\u00e9e de lecture estim\u00e9e\" \/>\n\t<meta name=\"twitter:data2\" content=\"3 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/www.coparentalys.com\/blog\/2018\/11\/27\/ligature-des-trompes\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/www.coparentalys.com\/blog\/2018\/11\/27\/ligature-des-trompes\/\"},\"author\":{\"name\":\"admincoparentalys\",\"@id\":\"https:\/\/www.coparentalys.com\/blog\/#\/schema\/person\/f5874233a536c2135c8d801b4a13c9ca\"},\"headline\":\"ligature des trompes\",\"datePublished\":\"2018-11-27T14:04:44+00:00\",\"dateModified\":\"2018-11-27T14:04:44+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/www.coparentalys.com\/blog\/2018\/11\/27\/ligature-des-trompes\/\"},\"wordCount\":626,\"publisher\":{\"@id\":\"https:\/\/www.coparentalys.com\/blog\/#organization\"},\"articleSection\":[\"Fertilit\u00e9\"],\"inLanguage\":\"fr-FR\"},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.coparentalys.com\/blog\/2018\/11\/27\/ligature-des-trompes\/\",\"url\":\"https:\/\/www.coparentalys.com\/blog\/2018\/11\/27\/ligature-des-trompes\/\",\"name\":\"ligature des trompes - 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