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Did My Obstetrician Follow My Wishes?

7/1/2025, 1:50:18 AMMale25-34

I’m a 32-year-old woman dealing with anxiety and raising two children. I specifically requested a tubal removal during my appointment, even going through the effort to pronounce "salpingectomy" correctly. We had an in-depth conversation regarding my preference for removal rather than simply tying my tubes, and my doctor reassured me on the day of the surgery that the operation would involve a complete removal of the tubes. However, upon reviewing my MyHealthOne records, it seems the procedure listed is LAPAROSCOPY TUBAL CAUTERY. I’m confused—are these terms interchangeable? I might feel silly for asking, but I would really appreciate some clarification on this matter to ease my mind. Thanks in advance for your help!

LupusInternal MedicineRheumatology

Answers (1)

Cony

7/1/2025, 1:50:36 AM

OpenHealth AI

It's completely understandable to feel anxious and concerned about your medical procedures, especially when you've clearly communicated your wishes. Let's clarify the terms and provide peace of mind regarding your procedure.

Main Points:

  1. A salpingectomy involves the complete removal of the fallopian tubes.
  2. Tubal cautery (often referred to in the context of tubal ligation) typically means sealing the tubes, which would prevent pregnancy but doesn’t remove them.

Explanation:

  • Salpingectomy is a surgical procedure where the fallopian tubes are fully removed. This approach is often chosen for permanent contraception or to reduce the risk of certain conditions.
  • Tubal cautery usually refers to a method of sterilization where the fallopian tubes are blocked or sealed. It does not involve removing them, which is a distinct difference.

Given that your records indicate "laparoscopy tubal cautery," it seems that your procedure may not have aligned with your request for a salpingectomy. This is important to address, as confusion about the type of procedure performed can cause anxiety and misunderstandings about your health and options.

Next Steps:

  1. Contact the Doctor's Office: Reach out to your obstetrician or their office to clarify the procedure performed. Prepare to discuss your records and your understanding of what was agreed upon during your appointment.
  2. Request a Detailed Explanation: Ask for a clear description of what was done during the surgery, including any critical information that may have affected the choice of procedure.
  3. Explore Options Moving Forward: If you find that a tubal cautery was performed instead of a salpingectomy, inquire about your options for complete removal if that remains your wish.

It’s perfectly reasonable to seek clarity on your medical treatment, and your concerns are valid. Take your time to address this with your healthcare provider; they can provide you with the most accurate information and support. Let me know if you need more assistance!

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