Tubal ligation is a procedure of female sterilization. About 90,000 female sterilizations are carried out each year in england and wales, most of them in nhs hospitals.

To all aims, sterilization is a long-term means of birth control which makes it impossible for an egg to be fertilized and conception to take place.

Tubal ligation closes off the fallopian tubes. This creates an obstacle that discontinues the ovum moving through the tubes to the uterus, or sperm from reaching the ovum via the tubes, and conception is prevented. As it’s a long-term procedure that’s extremely tough to turn, physicians generally suggest childless girls or girls under 30 against this procedure.
For some girls, the choice is an arduous one. While they may be freed from the anxiety about having an unwanted pregnancy, they need to come to terms with their feelings about taking this irrevocable step. They may additionally need to take care of their partner’s refusal to have a vasectomy, which is a much less invasive process and should always be considered first.

How Is It Done?

■ There are a number of different methods of female sterilization, using either the abdominal or vaginal approach. Most are carried out under general anaesthetic or, sometimes, under an epidural or local anaesthetic.
■ Carbon dioxide gas may be inserted into the abdomen to inflate it so internal organs can be seen more plainly. While all processes call for tying or shutting the tubes, a little part of the tube itself is nearly always removed.
■ The tubes are either tied or cut, clamped with bands or clips, stopped up or frozen. All these can be done with endoscopic (“keyhole”) operation.

What Are The Risks?

Sterilization has few serious hazards or complications except those typically expected of any operation or anaesthetic. The vaginal course of sterilization has a somewhat increased risk of infection, but is seldom used in the united kingdom.

Might It Be Successful?

■ Sterilization has a high efficiency speed and it’s long-term.
■ Female sterilization has an extremely low failure rate – one pregnancy per 300-500 girls annually.
■ It won’t change your libido or sex life.

Is Sterilization Reversible?

In some casos, microsurgical techniques may
Triumph in restoring fertility in a girl who
has been sterilized, but this does entail major surgery. About 70-75 percent of girls after realize pregnancy.

After Effects

■ After sterilization, you won’t see any change in your menstrual pattern, and you’ll have a regular menopause when it happens because your ovaries haven’t been touched.
■ Some girls have a routine dilatation and curettage (D&C) when they’re sterilized to assess the uterus for any abnormalities. Generally there’s bleeding from the vagina for 1-2 days.
■ If you had a vaginal sterilization, you won’t have the ability to have sex for a few weeks due to risk of disease, but you’ll have no external scar.
■ You must use contraception during the cycle in which you’re sterilized, because there’s a danger of a tubal pregnancy if a fertilized egg cannot enter the uterus after the procedure.

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