Puah for Fertility and RABBI GIDEON Machon Gynecology in Accordance with Halacha WEITZMAN
Tubal Ligation
I
n the next few weeks I would like to review a question and a series of answers from the first volume of Shut Puah. This book, which is the first in what is now a three-part series, and will definitely extend to several more volumes, brings some of the difficult questions received at PUAH. The questions were sent to a number of prominent poskim and their answers are presented in the book. The first volume deals with various forms of contraception and one of the questions relates to tubal ligation. Tubal ligation is an extreme surgical form of pregnancy prevention, during which a surgical procedure is performed to cut or block both fallopian tubes.
The fallopian tube carries the egg from the ovary to the uterus and it is where fertilization takes place. Once the egg is fertilized in the fallopian tube it then descends into the uterus and is implanted in the lining of the uterus, called the endometrial lining. After tubal ligation, fertilization cannot occur and so this permanently renders a woman infertile. While it is possible to re-attach the tubes, this is a difficult procedure which is often not successful in re-instating a woman’s fertility. A woman still produces eggs that can be extracted directly from the ovary and used in an in-vitro fertilization, but generally this is considered to be irreversible. This is a reasonably common procedure. In America alone, more than half a million women undergo this procedure every year. In fact it is one of the most frequently performed surgeries and so it is possible that a woman will be advised
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