THERE’S NO GOING BACK.
Sterilization involves removing the body's ability to release eggs into the womb with a surgical procedure. Generally speaking it is non-reversible, so it is only a choice for women who never want to have children, or who don't wish to have any more.
There are surgical and non-surgical methods of female sterilization. Non-surgical methods block the fallopian tubes with a small, metal device. This is placed through the vagina with a special catheter, and it works by causing scar tissue to form around it, eventually closing the tubes. This process takes around three months, so you will have to use another method of contraception in this time, but once it's done, it's done.
The surgical methods are slightly more invasive, and are generally performed under general anesthesia so they require a longer recovery time. During the surgery the fallopian tubes are cut, sealed using an instrument with an electrical current, or closed with clamps or rings. Once done, sterilization doesn't affect libido or your ability to have sex, but it's important to consult your doctor or nurse while you make the decision. They will help you weigh the benefits, risks and any potential drawbacks, and inform you of other long-acting contraceptives such as the IUS and IUD, which are also highly effective.
HOW IT MEASURES UP
DOES THE PROCEDURE HURT?
Anesthetic will be used to reduce discomfort during the procedure. Some women experience soreness and feel weak for several days or even a few weeks after the procedure, but strength is soon regained.
CAN STERILIZATION BE REVERSED?
Sterilization is intended to be permanent and non-reversible, so those who feel they may want to have children in the future should opt for an alternative method of contraception. Surgery to reverse sterilization is very difficult, and the risk of ectopic pregnancy after reversed sterilization is greater than usual.
DOES FEMALE STERILIZATION AFFECT MENSTRUATION?
No. Most research finds no major changes in menstrual bleeding patterns after female sterilization. If a hormonal method of contraception or an IUD was used before sterilization, the bleeding patterns will return to the way it was before.
IS FEMALE STERILIZATION THE SAME THING AS TUBAL LIGATION?
Yes. In tubal ligation, the fallopian tubes are blocked or clamped to stop eggs from passing through. It’s generally considered permanent.
CAN YOU BE A SURROGATE AFTER HAVING YOUR TUBES TIED?
Yes, you can still be a surrogate mother even if your tubes are tied.
CAN “TIED TUBES” COME UNDONE?
Female sterilization is meant to be permanent. However, it is possible to reverse the blocking or sealing of the fallopian tubes. This can be a difficult and expensive process.
WHAT ARE THE CHANCES OF GETTING PREGNANT AFTER A TUBAL LIGATION?
Tubal ligation is one of the most effective methods of birth control. Pregnancy rates are around 1/1,000 after the first year, and between 2-10/1,000 after five years.
HAVE MORE QUESTIONS?
Make an appointment with your doctor or nurse today.
WHAT YOU NEED TO KNOW
The percentage of women who have chosen sterilization for contraception.
The length of time it takes for the non-surgical procedure to be effective.
The first full medical description of the procedure was provided by Von Blundell.
- It’s permanent.
- It allows spontaneity and doesn’t interrupt sex.
- It is hormone-free and can be an option for women who experience unwanted effects from hormones.
- It has no impact on menstruation.
- A doctor or nurse must perform the procedure, which may involve general anesthesia.
- Some women experience pain, bleeding, infection, or other complications after the procedure.
- It can cause tubal pregnancy.
- It is non-reversible.
- It doesn’t protect against HIV/AIDS and other sexually transmitted infections (STIs).
Is It Okay?
KNOW YOUR OPTIONS
The Hormonal Coil is a small, soft T-shaped plastic frame that releases low levels of a progestin hormone for up to 3 to 6 years. It is given with a prescription and placed in your womb by a doctor or nurse.
The Hormonal Coil is a small, soft T-shaped plastic frame that releases low levels of a progestin hormone for up to 3 to 5 years. It is given with a prescription and placed in your womb by a doctor or nurse.
A small, flexible silicone rod that releases hormones for up to 3 to 5 years. It is given with a prescription and placed under the skin of your upper arm by a doctor or nurse.
A small tablet containing one hormone, or a combined pill containing two hormones, that is self-administered with a prescription and needs to be swallowed at the same time each day.
A shot containing hormone(s) that is given with a prescription and administered by a doctor or nurse every 1 or 3 months.
A small, thin, skin-colored plastic square that sticks to the skin and releases hormones. It is given with a prescription and can be self-administered once a week.
A silicone cup placed in the vagina that prevents sperm from reaching the womb. Though some are fitted by a doctor or nurse, most are self-administered with a prescription up to 24 hours before sex.
A small, flexible ring that is self-administered with a prescription and placed in the vagina, where it releases hormones for 3 weeks.
An internal condom that works in the same way male condoms do, though it is placed in the vagina. It is self-administered and bought over the counter.
A sheath placed over the erect penis to stop sperm from reaching the vagina, it is also the only method that helps lower the risk of STIs. It is self-administered and bought over the counter.
A small, round piece of foam with a nylon loop that is placed in the vagina right before intercourse. It is bought over the counter and is self-administered.
Self-directed methods of avoiding pregnancy that include menstrual cycle tracking and body temperature measurements to identify fertile days.
Creams, films, foams, gels and suppositories that contain chemicals to stop or kill sperm. These are bought over the counter and are self-administered.
Also known as ‘the pull-out method’, this self-directed method involves withdrawing the penis prior to ejaculation to avoid pregnancy.
A medical procedure performed by a doctor or nurse that blocks the tubes carrying sperm.