Overview

Tubal ligation — also referred to as having your tubes tied or tubal sterilization — may be a sort of permanent contraception . During ligation , the fallopian tubes are cut, tied or blocked to permanently prevent pregnancy.

Tubal ligation prevents an egg from traveling from the ovaries through the fallopian tubes and blocks sperm from traveling up the fallopian tubes to the egg. The procedure doesn't affect your menstrual cycle.

Tubal ligation are often done at any time, including after childbirth or together with another abdominal surgery, like a C-section. Most tubal ligation procedures cannot be reversed. If reversal is attempted, it requires major surgery and isn't always effective.

Why it's done

Tubal ligation is one among the foremost commonly used surgical sterilization procedures for ladies . Tubal ligation permanently prevents pregnancy, so you not need any sort of contraception. However, it does not protect against sexually transmitted infections.

Tubal ligation can also decrease your risk of ovarian cancer, especially if the fallopian tubes are removed.

Tubal ligation isn't right for everyone, however. Your doctor or health care provider will confirm you fully understand the risks and benefits of the procedure.

Your doctor may also talk to you about other options, including long-acting reversible contraceptives such as an intrauterine device (IUD) or a birth control device that's implanted in your arm. An alternative permanent option is hysteroscopic sterilization, during which your doctor places alittle coil or other insert into the fallopian tubes. The insert causes connective tissue to make and seal off the tubes.

Risks

Tubal ligation is an operation that involves making incisions in your abdomen. It requires anesthesia. Risks associated with tubal ligation include:

Ø  Damage to the bowel, bladder or major blood vessels

Ø  Reaction to anesthesia

Ø  Improper wound healing or infection

Ø  Continued pelvic or abdominal pain

Ø  Failure of the procedure, resulting in a future unwanted pregnancy

Things that cause you to more likely to possess complications from ligation include:

Ø  History of pelvic or abdominal surgery

Ø  Obesity

Ø  Diabetes

How you prepare

Before you've got a ligation , your health care provider will ask you about your reasons for wanting sterilization. Together, you'll discuss factors that could make you regret the decision, such as a young age or change in marital status.

Your health care provider also will review the subsequent with you:

Ø     Risks and benefits of reversible and permanent methods of contraception

Ø     Details of the procedure

Ø     Causes and probability of sterilization failure

Ø     Ways to prevent sexually transmitted infections

Ø     The best time to do the procedure — for instance, shortly after childbirth or in combination with another abdominal surgery, such as a C-section

If you're not having a tubal ligation shortly after childbirth or during a C-section, consider using contraception for at least one month before the procedure and continue using a reliable form of contraception until your ligation procedure is performed.

Results

Tubal ligation may be a safe and effective sort of permanent contraception . But it doesn't work for everyone. Fewer than 1 out of 100 women will get pregnant within the first year after the procedure. The younger you are at the time it's done, the more likely it is to fail.

If you are doing conceive after having a ligation , there is a risk of getting an extrauterine pregnancy . This means the embryo implants outside the uterus, usually during a Fallopian tube . An ectopic pregnancy requires immediate medical treatment. The pregnancy cannot continue to birth. If you think that you're pregnant at any time after a ligation , contact your health care provider immediately.

Keep in mind that although ligation reversal is feasible , the reversal procedure is complicated and should not work.

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