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Это предотвращает возможность зачатия, но не влияет на гормональный фон или менструальный цикл [5](https://lopc47.gosuslugi.ru/informatsiya-dlya-patsientov/operatsii-na-matke-i-pridatkah-matki/perevyazka-matochnyh-trub/). \n\n**Важно**: процедура необратима — после неё естественное зачатие становится невозможным [5](https://lopc47.gosuslugi.ru/informatsiya-dlya-patsientov/operatsii-na-matke-i-pridatkah-matki/perevyazka-matochnyh-trub/).\n\n\n\n## Показания\nПеревязка маточных труб проводится **либо по медицинским показаниям, либо по желанию женщины** при соблюдении определённых условий [7](https://www.MedCentrServis.ru/blog/vse-o-perevyazke-matochnykh-trub/): \n* **Добровольная стерилизация** — женщина достигла возраста 35 лет или уже имеет как минимум двоих детей [7](https://www.MedCentrServis.ru/blog/vse-o-perevyazke-matochnykh-trub/). \n* **Медицинские показания**, при которых беременность может угрожать жизни или здоровью женщины [5](https://lopc47.gosuslugi.ru/informatsiya-dlya-patsientov/operatsii-na-matke-i-pridatkah-matki/perevyazka-matochnyh-trub/)[7](https://www.MedCentrServis.ru/blog/vse-o-perevyazke-matochnykh-trub/). Например: онкологические заболевания, серьёзные заболевания сердечно-сосудистой системы, болезни почек или аутоиммунные нарушения, тяжёлое течение сахарного диабета [7](https://www.MedCentrServis.ru/blog/vse-o-perevyazke-matochnykh-trub/). \n\n## Противопоказания\n**Абсолютное противопоказание** — уже наступившая маточная беременность [7](https://www.MedCentrServis.ru/blog/vse-o-perevyazke-matochnykh-trub/). \n**Некоторые другие противопоказания**: нарушения свёртываемости крови, инфекции и спаечные процессы в органах малого таза, патологии дыхательной системы, ожирение III и IV степени, крайняя степень истощения (кахексия), респираторные заболевания [7](https://www.MedCentrServis.ru/blog/vse-o-perevyazke-matochnykh-trub/). \n\n## Методика проведения\nСуществует несколько методов перевязки маточных труб [14](https://duetclinic.ru/services/perevyazka-matochnykh-trub/): \n* **Лапароскопическая перевязка** — врач делает 2–3 прокола в брюшной стенке, через которые вводятся инструменты и мини-камера [14](https://duetclinic.ru/services/perevyazka-matochnykh-trub/). Трубы перекрываются с помощью клипс, кольцевых зажимов, коагуляции или пересекаются с ушиванием концов [14](https://duetclinic.ru/services/perevyazka-matochnykh-trub/). \n* **Минилапаротомия** — чаще используется после родов или кесарева сечения, через небольшой разрез в нижней части живота врач вручную перевязывает маточные трубы [14](https://duetclinic.ru/services/perevyazka-matochnykh-trub/). \n* **Гистероскопическая (трансцервикальная) стерилизация** — через шейку матки вводится специальное устройство, которое вызывает фиброз труб [14](https://duetclinic.ru/services/perevyazka-matochnykh-trub/). \n\n**Продолжительность операции** — от 30 минут до 1 часа [5](https://lopc47.gosuslugi.ru/informatsiya-dlya-patsientov/operatsii-na-matke-i-pridatkah-matki/perevyazka-matochnyh-trub/). \n\n## Реабилитация\n**После операции** женщина находится в стационаре 1–2 дня под наблюдением врачей [5](https://lopc47.gosuslugi.ru/informatsiya-dlya-patsientov/operatsii-na-matke-i-pridatkah-matki/perevyazka-matochnyh-trub/). Болевые ощущения минимальны, при необходимости назначаются обезболивающие препараты [5](https://lopc47.gosuslugi.ru/informatsiya-dlya-patsientov/operatsii-na-matke-i-pridatkah-matki/perevyazka-matochnyh-trub/). Полное восстановление занимает 5–7 дней [5](https://lopc47.gosuslugi.ru/informatsiya-dlya-patsientov/operatsii-na-matke-i-pridatkah-matki/perevyazka-matochnyh-trub/). \n\n**Рекомендации на период восстановления**: \n* физическая активность — ограничить поднятие тяжестей на 1–2 недели [14](https://duetclinic.ru/services/perevyazka-matochnykh-trub/); \n* интимная жизнь — воздерживаться от половых контактов 10–14 дней [14](https://duetclinic.ru/services/perevyazka-matochnykh-trub/); \n* личная гигиена — только душ, никаких ванн, бань, бассейнов в течение 10 дней [14](https://duetclinic.ru/services/perevyazka-matochnykh-trub/). 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