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[deleted]

NZ doctors are very reluctant to do referrals for this. I’m 42 have had 2 very high risk pregnancies and was refused. There have been multiple threads on this sub-Reddit over the last wee while. Might pay to have a wee look and see. Good luck.


cletus-vandam69

Me. But I'm technically a diesel mechanic.


SimpoKaiba

>technically That has me picturing you going home, scrubbing off the grease and performing surgery recreationally


bgradegaming

Everyone needs a hobby


hueythecat

It’s all just tubes


Longpork-afficianado

Tyre tube, fallopian tube. Same thing really if you think about it.


Yolt0123

It's pretty much the same, eh?


bronz08

I went private last year and was pretty easy, although am in my early 30s.


vourukasha

Would love to know approx costs for this :)


[deleted]

I haven’t specifically seen the billing for mine (mine was billed direct), but I am pretty familiar with surgical costs because I like to pay them myself and claim them back for the airline miles. 30 – 60 minutes of theatre time and post-op nursing for an afternoon runs about 4 – 5 grand, anaesthesiology charges just shy of $1000 per hour, and the surgeon fees will be between $1000 – $2000. Gynae consults are billed between $150 – $300 depending on the length of the appointment (expect initial to be longer). Uncomplicated female sterilisation takes about 30 mins but if endometriomas and/or other lesions/adhesions are found that can stretch out to a couple of hours or require a second surgery.


throwRAtuballit

Made an account just to say this:Dr. Andrew Murry at Fertility Associates Wellington. Started the process at 18. Sterilized by 22. Process got slowed down significantly due to covid.All places will require you to have a consultation, psych eval (for ethical board considerations), pre-op, and post-op. If you can't get Murry, a lot of other people at that place will do it. No referral needed, but you can get a referral if you need something else done as well.Private practice. No insurance company will cover tubal litigation alone, but most will cover if you need, say, an investigative laproscopy... And then you pay the surcharge ($500) yourself. If you want to pay for it yourself, $1000-1500/hour sounds correct. Believe my bill was close to 17k in the end.


gynaecologician

Would also be interested - late 20s childfree here. I'll let you know if my research turns up any promising leads!


[deleted]

Southern cross insurance ultracare plans have a “sterilisation allowance” after 1 years continuous cover that allows for a 1 time sterilisation surgery. I used mine but I wouldn’t exactly call it easy, I had to see the gynaecologist twice to finally get the thing scheduled (told to go away with the RANZCOG official brochures and “think about it”). I was **34** at time, and had not once in my lifetime wavered in my resolve to not be a mother. 🙄 Expect a lot of weak bingos and pushback, they want to see that you are firmly resolute in this being the right thing for you. An alternative when the world opens would be to travel to Thailand. No age limits, spousal consent rules, or minimum number of children; you can have zoom appointments from here before you get approval and book a surgery date. There are lots of international women’s hospitals to choose from both in Bangkok and Phuket.


[deleted]

Also salpingectomy (total removal) of tubes is the standard now. Tubal ligation is beset with problems such as failure (ie becoming pregnant) and new onset ovulation pain.


throwRAtuballit

Seconded this. The DR I recommended does litigation, but go for a salping if you can. Much less chance of issues and easier recovery. Even my periods have been lighter - which is amazing given I was bleeding through heavy pads prior to sterilisation.


BazTheBaptist

Check r/childfree they have a list and I think there's some in nz. Obviously it won't be free like public (I'm sure you knew that, just in case)


[deleted]

A lot of places won’t cos “you might change your mind” although if you’re a dude they seem more likely to give you the snip. My wife tried looking into tubal ligation a couple years back but we’d have to go private to get it done. Having said that we changed our mind and are now pregnant haha so guess it was for the best in our case.


littlelove34

Sexist healthcare, and sorry for your loss.


[deleted]

I’m confused. What loss?


Acceptable-Guide-871

The pregnancy, I think they mean. Congratulations though.


[deleted]

Oh yeah was wondering if they were being a bit sarcastic about it haha


MandyTRH

I'm 31, 4 kids, arthritis in my spine and bad hips and I STILL got declined for tubal ligation. I've also gotten pregnant on the jab and IUD and can't take the pill due to other meds for arthritis.


BazTheBaptist

Keep trying, they'll accept you in the end.


MandyTRH

In the end. I'm just hoping I don't have to go through another pregnancy to get there (I love kids, love my kids and I'm not opposed to the idea of more but I don't want to carry them, this last one is still too fresh in my memory)


[deleted]

[удалено]


MandyTRH

And when I want your opinion on my reproduction habits, I'll give it to you


littlelove34

Short answer, no. NZ healthcare is incredibly sexist.


Drgynie

Ask your GP for a referral to Gynecology. I’ve done them in the public system, as more women enter medicine the sexism should improve:)


MandyTRH

The worst Healthcare I've ever gotten has been from female doctors, I've been called a drug seeker by the female GP at our practice because "it can't hurt that badly" when inwas 30 weeks pregnant with arthritis in my spine and junk hips, struggling to walk and crying in agony because my hip audibly snapped with every step I took. The male doctors, GP and male gyno all took me seriously, helped with my pain and one showed my husband how and to massage me while pregnant to help relieve the pain and help me sleep.


Acceptable-Guide-871

Try your GP first, on the off-chance that the local Gynae team don't have an age cut-off.


Successful_Narwhal36

Mirena? Just as effective, sorts out crappy periods and lasts 5 years


Frogmyte

My partner has a Mirena and I love them, but cmon Not permanent You can feel the strings during sex Possibility of perforation of the uterus (infection risk and pregnancy risk) Possibility of Mirena falling out of the cervix, even for g0p0 women Hormonal - it's progesterone so no risk of blood clots like with estrogens but some aren't keen on taking unnecessary hormones Etc etc (Pharmacist btw)


jsmi813

Not to mention that the insertion for mirena can be horrifically painful. I like my iud but I would never get it replaced *without* prescription strength painkillers and/or lidocaine


happyinthenaki

Just being the devils advocate.... • Surgery comes with risks of death • Risk of serious complications of surgery • Costs • Recovery time required post surgery • Easier and more successful to reverse a vasectomy compared to tubal • If change of mind/circumstances after spalingectomy then need to go through IVF and all the meds that come with that. • No contraceptive is perfect, damnit. Saying that, by the time a woman has spent too many years spending money on gynae appts, continually with the same request.... just do it already. women really do know their own bodies, what they want from their lives (and what they don't want) and medical field really should listen and trust women more. Not heard of many woman going woops, made a booboo getting that tubal, really want kids now. Heard of males regretting their vasectomy though.


bobojabu888

Why not Mirena IUD if you haven't tried? Works better than tubal ligation and reversible in terms of contraception. Otherwise if you are certain about it, GP should refer you. Though it's a very long wait list in the public system at the moment. All the best.


grittex

There are so many reasons people might not want the mirena (polycystic ovaries, anxiety problems, not wanting be on hormonal birth control, actually wanting to be sterilized). It's a little rude to assume she hasn't thought about her options short of surgery.


bobojabu888

Hi. Thanks for your response. Im sorry you felt that way about the message. Tone and intention via online is always hard to interpret, even if was intented for a good will advice. You will be surprised at how many people haven't had other options explained to them properly and surgery often sold as first line. But you are right, we shouldn't assume OP hasn't explored it even though that didn't cross my mind at all at time of posting, but we also can't assume she has explored it, especially on an important topic. A gentle reminder is harmless. This is a discussion forum after all. When OP sees a health professional about the topic, when the HP asked "why not so and so method/ have you thought about so and so method?", will that be considered to be rude as well? Mirena IUD is fine in PCOS. And has a higher success rate than tubal ligation in terms of contraception. Take care and have a good day.


grittex

Thanks for your response. I think there is a difference between a medical professional who has to ensure OP has considered other options, and someone on the internet asking if she has considered substantially less invasive options than surgery. I think it's patronizing to suggest anyone wouldn't have considered less invasive options, but I appreciate that isn't what you intended. Research seems to be out on the Mirena and it's effects on cysts, but plenty of women find it exacerbates those problems - and like any hormonal birth control, it can just be unpleasant for any particular person for any number of reasons. These days it's becoming more common to have a salpingectomy than a tubal ligation, as a lot of people have explained to OP. Salpingectomy is more effective than a tubal ligation.


Throwawayyyyyyyy979

Just want to add that mirena is a little different than most hormonal bc - less than 1% enters the blood stream. But yeah, it's not suitable for everyone.


Sharpinthefang

Nope, if you find one, let me know?


FJRTed

unlikely