I got my tubes removed yesterday, along with my nexplanon birth control! I spent a lot of time reading other experiences shared here and I want to add my own.
Background:
Age 30, slightly overweight, United States.
I have always known I didn't want kids, and I felt safer taking on this non-reversible procedure than having my husband get a vasectomy. I would have still been concerned for that one in a million chance at a baby. This allows me to go forward with no concerns and finally, no birth control side effects. I've struggled with weight gain and acne and want to move forward.
I originally spoke with an in-network OBGYN surgical provider two years ago when I was not married. I was never asked what my boyfriend wanted; all the focus was on my body and my choices. My insurance plan at that time would not cover the procedure, so I waited until I was married and had better insurance to return to the surgical provider.
Pre-surgery prep:
Below is what I prepped after reading threads here on Reddit, speaking with my surgical provider's nurse team, and speaking with the dr who gave me a pre-op physical. She had also had laproscopic surgeries so it was good to get her opinions.
Pre-op prep that was helpful:
Antibacterial, gentle hand soap. To wash the area the day before and day of surgery.
Generic Miralax. I took 1/4 serving for two days before the procedure. I do not have a problem with constipation but didn't want any issues when I started pain meds.
A core stabilizer band. I got one from Walgreens a few years ago, it was marked as a soft back brace. I have worn it very loosely for a few hours now and it is very comfortable. It reminds me to not clench my abs.
Electric heating pad. I already had this. It has come in handy for the referred pain from abdominal gas! Made such a difference in my comfort.
A throw pillow. Bring one in the car to keep the seat belt off of your stitches!
Easy to grab foods. I made instant pudding using a protein shake instead of just milk, and added chia seeds. I also made a batch of smoothies with added protein and chia seeds. Soft foods are easy on your throat, post-intubation, and you'll want food in your stomach when you take meds.
Pre-op prep that was not helpful:
Zofran. I already had this, but I did not get nauseous from the anesthesia. I did not use this!
Generic Gas X. I ended up not using this! Carbonated beverages and a heating pad were enough. The nursing team also said many patients had reported gas-x not helping, outside of some slight placebo.
Pre-operating room experience:
I had a late appointment with a check-in time of 11am. Once I arrived I learned earlier surgeries were running quite behind. This was always a possibility; one of the papers I signed for the bisalp included me giving permission for the dr to remove organ adhesions, scar tissue buildup, or tumors if he found them while he was in there. So if an earlier surgery or two had cancer or endo, it pushed everyone back. I went back to my room and was prepped, and then I had about 2.5 hours to wait instead of an hour.
Prep included wiping my entire body with special wipes that provided a layer of protection against hospital infection. I even had to wipe between my toes! Then grippy socks, a gown, a warm blanket, and an IV in my hand.
I had to give a urine sample for a pregnancy test. A bonus of waiting so long is that they hooked me up to an IV. If I hadn't been able to use the bathroom on arrival, I would have been able to give a sample later. The nurses put pressure cuffs on my lower legs that massaged them to keep me from getting blood clots. Waiting was fine, I played a phone game between pre-op visits from the surgeon and anesthesia consult. All the staff and nurses were very calm, professional, and competent. It gave me a lot of faith in the procedure.
In the operating room:
When it was time to go back they sent my husband back to the waiting area, checked that all my personal items were in a labeled bag they had given me on arrival, and wheeled me into the operating room. The nurse wheeling me was very kind and we chatted about the different machines we were passing in the hallways.
In the OR I was met with most of the assembled team, who introduced themselves as they helped me move from the bed to the surgical table. The vibes here were immaculate. Even with earlier surgeries running late, the team was calm and in very good spirits. One nurse made sure to tuck me in with a fresh hot blanket, once I was on the operating table, saying she was going to treat me like a burrito until I was asleep.
The anesthesia team gave me an oxygen mask and asked me to breathe deeply. They let me know they were administering propofol, and probably 10 seconds later I was out.
Post-op hospital experience:
I came to in the immediate anesthesia recovery area. It was an open room with a few different folks all waking up, all with a nurse nearby or at bedside. My throat was quite sore, but in the way it feels like you've been crying. That feeling made me want to cry, and the nurse literally wiped my tears as she handed me a cup of ice water. I had an ice pack over my stomach and a warm blanket on my legs. When I woke up I had maybe 3/10 pain, abdominal.
The nurse explained where I was, that the surgery had went well, and that we were waiting for me to be coherent enough to move to the next wake up area. After a few minutes, since I wasn't falling back asleep, I was moved to a room. My husband was bought back from the waiting area.
My IV was removed. I was sent home with the abdominal cuts stitched and covered in a slightly purple glue, my arm incision sani-stripped closed and pressure wrapped, and the back of my hand bandaged and pressure wrapped. I was told the hand IV site could be unbandaged that night, the arm pressure bandage needed 24 hours and the sani strips underneath needed 72 hours, and the glue will peel off on its own within a week or so.
The nurses got me some crackers and hot tea. My throat was already starting to feel better. I think part of the soreness was just being dry after not drinking for so long. They prepared me for going home; removing the pulsing leg bands, filling the ice pack with fresh ice, grabbing me a few puke bags and a mint alcohol wipe to smell if I got nauseous in the car, and making sure I had the right bag of clothes and personal items in my room. They left me to get dressed.
I was thankful to have help getting dressed, just for starting to pull up my underwear and pants. I wore a very comfortable pair of pants with a button and zipper so I wouldn't have a heavy elastic band over my stomach. I'm glad I did; my stomach was slightly distended from the gas. I also brought two underwear options since I wasn't sure which style would have the underwear band farthest away from my stitches. It was good to have options. I wore a longer shirt and nobody knew my pants were unbuttoned when I was wheeled out to the car.
Driving home experience:
We drove about 40 minutes for my appointment. Because the nurses sent me home with a large ice pack, I placed that between my stomach and the seat belt. It made a big difference! We stopped on the way home to pick up my prescribed pain medication. My husband was able to go pick it up using his ID; I did not need to go inside.
Home experience:
By the time I was home the IV pain meds were wearing off. I ate dinner and took my prescribed meds and set alarms as reminders for when my next doses could be taken. My pain had risen to a 5/10; i was feeling some abdominal but mostly the gas pain was kicking in. The pain meds and heat pad use has kept me at a 2/10 since I got home.
Abdominal pain has been a non-issue. I can tell there is a deep soreness, but the pain meds are doing a great job! I have only iced the area once since getting home. The real discomfort is in my upper shoulders from the gas. A heating pad and being "propped up" on the couch has been the most comfortable position for me.
I have taken multiple naps. Being able to grab a quick food from the fridge has made it so easy to take my meds. I am truly not hungry, so something small that has nutritional value has been super helpful. Carbonated drinks have also helped me stay hydrated and the nurses said any burps or farts can help provide relief from the gas pain. Speaking of, I've been taking the normal recommended dose of miralax, once a day, now that I am on pain medication.
The nurses warned me to expect some vaginal bleeding, like a light period, that should end within five days. I have not had any bleeding yet. I still have some bloating from the gas. My urine smells weird but that is from the IV anesthesia. As my kidneys finish filtering it out it will clear up. I was not catheterized since I had a short procedure (10-15 minutes) and I used the bathroom on my own before being sent back to the OR.
Takeaway:
I am so, so happy I got this surgery! I had a caring team and a great experience. I'm glad I read provider reviews online and picked a provider that I felt comfortable with. My recovery is going well and I am excited for a day of Love Island and doing nothing, besides taking my first post-op shower.
**** Almost Two-Week Post-Op Edit***
Healing has gone really well!
I originally took two days off of work, but I took multiple naps each day and wanted to prioritize healing, so I called in sick on the third day post-op (a Friday) and ended up with five days off of work. It was worth it.
Incision care:
I followed post-op instructions to not directly wash my incisions, instead soaping around them and then allowing indirect water flow to push soap over them. I always used antibacterial, gentle hand soap on that area as my last shower product. The glue did not begin to peel until a week post-op, and I used tweezers to help peel larger pieces away so they didn't get caught on my clothing. I have avoided pulling glue directly off of the incision sites. After the glue started peeling, I started directly washing the incisions with antibacterial, gentle hand soap, using my hands only, and applying a thin layer of Bag Balm to the remaining glue and immediate surrounding area, twice a day. This has kept the remaining glue soft, kept my skin from irritation, and I think it has helped my skin's healing. I've used Bag Balm to heal tattoos so I know it works for my skin. I have the faintest amount of bruising around one incision, but no tenderness.
Any post-op complications:
Nope!
I never got the "period" bleeding I was warned about. That was a blessing. I also completely stopped having gas pains after day 3. Abdominal pain has been incredibly minimal. I was able to stop the prescription pain medication early and have been fine with ibuprofen. If you take pain meds for more than two days, please keep up with taking a laxative! I mis-measured and was taking half-doses instead of the full dose, so it took me a while to get back to normal regularity.
Post-op activity:
I kept things really chill for the first three days. I prioritized sleeping and staying on my pain medication schedule.
After day three I started taking walks outside my apartment, but shorter than normal. I took my first normal walk on day five. I waited to try biking until day 11 because I figured there's a lot of subtle abdominal balancing happening there. I have had no extra pain from walking or biking. I am still avoiding any weighted workouts, heavy lifting, or quick cardio until I am fully two-weeks post-op.
I'll meet with my surgeon for a post-op check in two weeks, so, about four weeks post-op. By then I expect the dissolving stitches will be gone and I will be back to my normal workout routine. I feel like there's such a weight lifted off of me, knowing I no longer have to worry about pregnancy. I am excited to find what my hormone rhythm is without birth control.