Tubal Ligation, also known as tubal sterilization or “having your tubes tied”, is a type of permanent contraception that is considered a minor surgical procedure performed under anesthesia while at the hospital. A single 1/2-inch incision is made in the umbilicus (belly button) and the Fallopian tubes are cauterized resulting in complete blockage of the tubes, permanently preventing future pregnancies.
Tubal ligation prevents pregnancy by blocking sperm from traveling up the fallopian tubes, preventing an egg from becoming fertilized. It also keeps an egg from traveling from the ovaries through the fallopian tubes to the uterus. It is a non-hormonal procedure, so it doesn't affect your menstrual cycle.
The procedure can be performed as a stand-alone outpatient surgery, shortly after childbirth, or in combination with another abdominal surgery, such as a endometrial ablation. Tubal ligations are permanent and cannot be reversed without undergoing a major surgery, and even then, reversal surgeries aren’t always effective.
Why Choose Permanent Contraception
Tubal ligation is one of the most commonly used permanent contraception procedures for women. It permanently prevents pregnancy, so you no longer need any type of birth control. The lack of birth control means you no longer need to remember to take pills or maintain a strict schedule. It also does not affect or interrupt your menstrual cycle, so your hormones are not affected.
Permanent contraception may be ideal for adult women who are in stable relationships where both partners have agreed they do not want future children. It is also a great option for woman who would be put at risk from a pregnancy. If you or your partner have a genetic disorder that you do not want to pass on to a child, tubal ligation should be considered.
Permanent contraception may not be the ideal choice if you are unsure if you may want to become pregnant in the future. If you believe you may have another partner in the future, which may cause you to reconsider becoming pregnant, tubal ligation may not be the best choice.
Tubal ligation isn't right for everyone, however. It is important to fully discuss the procedure with Dr. York in order to understand the possible risks and benefits behind this form of contraception. Dr. York and the staff at North Springs OB/GYN are very knowledgeable in tubal ligation and will help you make a positive, informed decision.
Dr. York may also talk to you about other contraception options, including alternative long-acting reversible contraceptives, such as, non-hormone Mirena or ParaGuard IUDs. An alternative permanent option is Essure® sterilization, where a soft flexible insert is implanted in the fallopian tubes causing a barrier of scar tissue to form naturally over about three months, permanently blocking sperm from being reaching the egg. To find out more about if permanent contraception is right for you, contact us and schedule your consultation today.