pfdietz
9 months ago
Q: How many surgeons does it take to change a lightbulb?
A: Why don't we just remove that socket? You're not using it now, and it could cause trouble in the future.
toomuchtodo
9 months ago
If you're not having any more kids (or are childfree by choice), no need for the fallopian tubes, and the ovarian cancer reduction risk is material [1]. Bilateral salpingectomy (or a "bisalp") is also the standard of care for voluntary permanent sterilization. In the US, this procedure is covered at 100% as preventative care if your health insurance is ACA compliant, or government provided (mentioned as relevant but this piece is from Canada).
(IVF is still an option after a bisalp, with a potential reduction in success rate)
[1] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6137013/ ("Bilateral salpingectomy to reduce the risk of ovarian/fallopian/peritoneal cancer in women at average risk: a position statement of the Korean Society of Obstetrics and Gynecology (KSOG)")
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8785125/ ("Ovarian cancer is the seventh leading cause of cancer mortality in women worldwide, and the fifth leading cause in women in Europe and the USA. National UK statistics report five-year survival for ovarian cancer of 31.0%. This poor survival is partly attributable to late stage at diagnosis: in both UK and US populations, about two-thirds of women have advanced disease (stage III or IV) at diagnosis.")
pfdietz
9 months ago
Oh, for sure. It just reminded me of the joke.
toomuchtodo
9 months ago
Was lost on me, my apologies.