Doctor insights on:
Requirements For Tubal Ligation
Usually over 21:
If you have medicaid you will have a 30 day waiting period after you sign the consent form. You must be over 21. Many physicians will want you to be older before making such a permanant decision.
If you have private insurance or are a cash pay there may be no waiting period. Be sure this is what you want, as once done is very difficult and expensive to undo. ...Read more
Depends: It depends on the type of tubal ligation. If you had your tubes cut and tied at the time of a cesarean delivery, it fails about 1 time in 400. If you had a clip placed on the tube it is usually around 1:300. The newer tubal ligations where we put a coil or plug in the tubes are better and fail really rarely. ...Read more
Depends on procedure: Most patients now opt for an in office procedure called the essure. The one I did this morning in my office took less than two minutes and the patient and I were chatting the entire time. ...Read more
Clipping vs scarring: There are two ways of doing this. The first, more traditional, is to surgically clip the tubes, tying each end so fertilization cannot occur. A newer way is to insert a coil (example: essure) that causes the tube to constrict and scar down, no longer allowing passage of sperm upward, or eggs downward. This is usually performed without surgery so it can be less expensive and faster recovery. ...Read more
Everyone's different: If you are worried about pain after sterilization then you might want to consider the essure tubal as I have seen very little pain experenced after it as there is no cutting or burning with it. ...Read more
Is it being done at the time of a c-section or just the tubal? If done at the time of c-section, you won't even know you had it. If as a stand-alone surgery, you will have pain from the incision (s) but it resolves very quickly.
Your obgyn should be able to give you specific details of how he/she does it.
Good luck. ...Read more
U shoudl feel happy: And relieved that you cannot get pregnant, u need to ask the doc who does your tubal because it depends how it was done, I do in office essure tubals, easy takes 5 minutes minimal discomfort during and after only miss a few hrs of work, u are awake for the procedure, if your doc does laparoscopic tubal, will be in a lot of pain for a few days and will miss 2-7 days of work and u are put under. ...Read more
Permanent contracept: Tuboligation is a permanent contraceptive method and some women may prefer this after having "enough children" and some never want children at all. It is relatively safe and effective procedure. There are other methods such as iud, hormone implants (nexplanon) are quite good as well. Or male partner can get snipped--very effective as well. If u r considering, consult doc. Good luck. ...Read more
Not often: The rate of tubal failure depends on the technique used but is roughly 1/400. When I have a patient experience a tubal failure I recommend removing the tubes completely so that it does not happen again. The lowest rate of tubal failure is with essure in patients who do the confirmatory xray (hsg) 3 months after the procedure. ...Read more
Lowest in general: The failure rate of a tubal ligation is the lowest of all birth control methods. Having said that in the CREST study African American women had higher failure rates that non AA women, and younger women (under the age of 27) had a more than 20 fold higher failure rate than women over 35 y/o. ...Read more
To prevent pregnancy: If you cannot utilize other methods of birth control and feel you have completed your family. Tubal ligation does not prevent venereal disease. If you are in a monogamous relationship have your partner consider a vasectomy instead. If future children are something you are considering both can be reversed - but with different degrees of success. ...Read more
Post T L Syndrome:
Some women suffer from post tubal ligation syndrome after having tubal ligation. Can have following symptoms
bouts of rapid heart beat
mood swings and sudden tears
loss of libido
color changes in vaginal area
successfuly treated with reversal of tl. ...Read more
Yes,: Yes, a tubal ligation can be reversed. But at age 47 years old you are not likely to have viable eggs in your ovaries. The chances of natural conception and carrying a pregnancy to term at this age would be so low, that I don't know why you would consider this surgery. Mother nature only designed us to bear children until a certain age. ...Read more
Call the MD:
The cost varies from area to area.
Call the doctor. ...Read more
There are several types of tubal ligation:
after a vaginal delivery with a small incision
during a cesarean section, through your C-section scar.
Internally, like a pap spear.
All basically remove a segment of the tube, or clip it, to block conception.
They have varying success rates. ...Read more