instruction: hello doctor my age is 36 and I had tubectomy done 18 years back after second delivery cesarean like my first delivery I do not know whether the fallopian tubes were tied cut clamped burnt or banded is there any scanning or some other method to identify the process of tubectomy done to me is there any chance of getting pregnant naturally after tubectomy done by whichever method mentioned above to have a child now can we go for if so at the time of delivery will gynecologist come to know that I underwent if process for pregnancy because she has to do tubectomy again she will go through with these tubes at delivery time
output: hi the method of tubectecomy can be identified only after opening during caesarian section or through laparocsopy if tubal ligation is done you cannot conceive naturally if you try there are chances of ectopic pregnancy you can go for if for another baby course of the pregnancy through if and natural pregnancy will be same in case of delivery if normal delivery you do not have to go through tubes if going for caesarean section you can identify it was previous surgery