Description of the procedure
Tubal ligation is the technical term for what is often called "getting your tubes tied." It is a common surgical procedure.
Every month the fallopian tubes carry an egg from one of your ovaries to the uterus. By blocking the fallopian tubes, the egg cannot travel to the uterus and be fertilized. If the egg isn't fertilized, pregnancy cannot occur.
Tubal ligation is a permanent method of birth control for women and requires serious consideration before it is performed.
Reversing this procedure is possible, but is not always successful. You should carefully consider the advantages and disadvantages of the procedure. Talk to your doctor about alternative options if you are unsure if tubal ligation is right for you.
The surgical steps in tubal ligation; the fallopian tubes are tied off (top); the fallopian tubes are cut (bottom); the incision is sutured (not shown).
When should this procedure be performed?
Doctors perform tubal ligation once and the result is permanent.
Why is this procedure performed?
Women choose to have tubal ligation for many reasons. Tubal ligation is an effective form of birth control if a woman and her partner have decided to have no more children or if they do not want any children. Other reasons to have this procedure may include wanting to avoid passing on a genetic condition, or having condition that could be worsened by becoming pregnant. Some women choose it because their partner does not want to be sterilized.
Are there any risks and precautions I should know about?
Certain health conditions or behaviors may increase your risk of complications after this surgery. These include diabetes, heart conditions, smoking, and excess weight.
There are certain risks typically involved with surgery and anesthetic use. These include side effects of the anesthetic, breathing problems, infection, and bleeding. Tell your doctor if you are allergic to anesthesia.
There are also some risks specific to the procedure itself. Although these are rare, there is the possibility of tearing, puncturing, or damaging the bowel, the bladder, or a major blood vessel. Make sure to discuss these risks with your doctor before the procedure.
There is a low risk of ectopic pregnancy, when a fertilized egg implants outside the uterus (usually in the fallopian tubes), after a tubal ligation.