Tubal ligation to prevent pregnancy
Tubal ligation, also referred to as tubal sterilization, is commonly known as “tying your tubes.” It is a permanent form of birth control in which the fallopian tubes are surgically closed. Our Bexar County OBGYNs can perform this procedure in the hospital or an outpatient facility, under general anesthesia or with spinal anesthesia.
Tubal ligation is performed laparoscopically
Tubal ligation is performed laparoscopically using a long, narrow tube with a camera on the end. The tube is passed into a small incision near the belly button. Another small incision is made near the first to insert a second thin tube with instruments. Our OBGYNs will use these instruments to either cut and close the fallopian tubes or cauterize them (seal them closed using heat). Once the procedure is complete, the small incisions are closed with a few stitches or surgical tape.
Tubal sterilization can be performed as an independent procedure, after a vaginal birth or during a Caesarian section. Tubal sterilization during or after delivery should be discussed with your OBGYN prior to delivery and included in your birth plan.
After tubal sterilization
Within the first few days after surgery, a woman may experience abdominal discomfort, cramping, or a gassy, bloated feeling. Most women can return to normal activity within a week.
Other than not becoming pregnant, there are no long-term physical effects. You will continue to have a period until menopause, and there are no effects on your hormones.
Is tying your tubes the right choice for you?
The decision to have permanent sterilization takes careful consideration. Our Bexar County OBGYNs advise women to weigh several factors before they decide. This form of birth control should only be considered in certain cases.
- A woman and her partner do not want to have a baby in the future.
- Other sterilization options, such as vasectomy, are not an option.
- Becoming pregnant would be dangerous.
Tubal ligation is not the right option in certain situations.
- You may want to have children.
- Your goal is to protect against sexually transmitted infection. This form of birth control does not protect you from STIs.
- You’re in the midst of a major life change.
- You’re feeling pressure from others to have the procedure.
Long-term birth control options
If you are not certain whether permanent birth control is the right choice for your life stage, there are long-term contraception alternatives that are not permanent. Intrauterine devices (IUDs) and birth control implants last for several years and can be removed if you want to become pregnant.
To discuss whether tubal ligation is the right birth control option for you, contact our Bexar County OBGYNs at Legacy Women’s Health.
