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Tubal Ligation Procedures

One of the most effective forms of birth control is a surgical sterilization procedure known as a tubal ligation. It is more effective because of the extremely low instances of human error. A number of women have trouble remembering to take a daily pill. Surgical sterilization removes that margin of error, letting the recipient breathe a little easier knowing that birth control is taken care of permanently.

  1. Before Surgery

    • Any woman considering a tubal ligation needs to be aware that it is considered a permanent birth control measure. It is possible to become pregnant after the procedure but it is highly unlikely. Surgical reversal of a tubal ligation is possible but it is only about 50 percent effective. It is important to be secure in the decision to not have any more children. If there is any doubt, it is better to wait and use other forms of birth control.

      Arrive at the hospital early on the day of the surgery. The surgeon will usually request the patient does not eat or drink after midnight the day before the procedure.

    Surgical Proceedure

    • Tubal ligation is also informally called "having your tubes tied." The surgeon cuts, sometimes burns and ties off the fallopian tubes. This prevents eggs from entering the uterus. A tubal ligation is usually an outpatient procedure that takes only a few hours including preparation and recovery room time.

      There are three forms of tubal ligation surgery performed in the United States. One type of tubal ligation is called a Minilaparotomy. Performed postpartum, this procedure is performed through a small incision in the belly button. Laparoscopic sterilization calls for small incisions in the abdomen and near the belly button. Vaginal sterilization is not used very often anymore. In this procedure the fallopian tubes are operated on through the vagina.

    Post Surgery

    • It is important not to lift anything heavy for at least two weeks after a tubal ligation. For surgeries performed during or directly after labor, do not lift anything heavier than the newborn. Stitches should be cleaned carefully once a day and patted dry with a soft towel.

      Complications are rare but can include infection, ectopic pregnancy and blood clots. It is important to note that while tubal ligation is 99 percent effective at preventing pregnancy, it does not prevent the transmission of sexually transmitted diseases.

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