Can I resume fertility after having a cesarean section and having a vasectomy?

In fact, many women choose to have a sterilization for contraception after giving birth to their first child, so they also ask whether they can still have children after sterilization, and whether they can have children again. This is related to many factors, such as the method of sterilization, and the location of the sterilization and fallopian tube ligation.

1. It is related to the method of ligation. Simple ligation (roll ligation) may allow the lumen to be reopened, but the embedding ligation method is now more commonly used and has a lower chance of recanalization.

2. It is related to the ligature being too loose or too tight. Generally, tubal ligation is performed after childbirth or artificial abortion. At this time, the fallopian tubes are congested, edematous, and the tissues are fragile. If silk thread is used for ligation, the fallopian tubes will become thinner as the uterus recovers after childbirth, but the tightness of the ligation thread remains unchanged. Therefore, the ligation site may loosen naturally, allowing the lumen to reopen. If the ligation is too tight, the silk thread can cut the fallopian tube, forming a fallopian tube-abdominal leak. If the leak is in the fallopian tube segment close to the uterus, the egg can enter the fallopian tube cavity through the leak, so there is a chance for the sperm and egg to meet and conception can occur.

3. It is related to the location of fallopian tube ligation. If the ligation site is in the isthmus of the fallopian tube, and the local tissue is excessively contused, it may sometimes become necrotic and fall off. Later, the two remaining ends of the fallopian tube can connect on their own and become open again.

4. Incomplete tubal ligation. Part of the fallopian tube is tied, while the other part is not tied and remains connected.

5. Mistakenly ligating the round ligament. Although this is a rare situation, it should be noted.