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Doctor insights on: Tubal Ligation

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Dr. Victor Beshay
726 Doctors shared insights

Tubal Ligation (Overview)

Sterilization procedure for women. It may involve a small incision in in the belly botton to fulgrate the tubes or tie them and remove a segment of it.


Dr. Megan Bird Dr. Bird
Obstetrics & Gynecology
15 years in practice
1

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How good is a tubal ligation?

How good is a tubal ligation?

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.

Dr. Victor Beshay
726 Doctors shared insights

Tubal Ligation (Overview)

Sterilization procedure for women. It may involve a small incision in in the belly botton to fulgrate the tubes or tie them and remove a segment of it.


Dr. Lillian Schapiro Dr. Schapiro
Obstetrics & Gynecology
26 years in practice
Albert Einstein College of Medicine of Yeshiva University
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How painful is a tubal ligation?

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.

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Dr. Edward Neilsen Dr. Neilsen
Family Medicine
15 years in practice
Medical University of South Carolina College of Medicine
3

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Different type of tubal ligation?

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.

Dr. Anne Hale Dr. Hale
Obstetrics & Gynecology
years in practice
Case Western Reserve University School of Medicine
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How badly can a tubal ligation hurt?

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.

Dr. Gerard Honore Dr. Honore
Fertility Medicine
25 years in practice
Wake Forest University School of Medicine
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Can you tell me about tubal ligation?

Tubal ligation: Since you didn't ask anything more specific: it is very safe, it is highly effective, it should be considered to be permanent. Hope this helps.

Dr. Darrin Cunningham Dr. Cunningham
Obstetrics & Gynecology
26 years in practice
Oklahoma State University Center for Health Sciences College of Osteopathic Medicine
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What to do if I have a tubal ligation?

Not sure of what you: Are asking once your doctor says it is ok, Then you can resume unprotected intercourse.

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Dr. Adam Newman Dr. Newman
Obstetrics & Gynecology
25 years in practice
New York University School of Medicine
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What is getting a tubal ligation like?

Depends: 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.

Dr. Alan Patterson Dr. Patterson
Obstetrics & Gynecology
38 years in practice
Indiana University School of Medicine
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What to expect after a tubal ligation?

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.

Dr. Ronald Krauser Dr. Krauser
Internal Medicine - Rheumatology
48 years in practice
Wake Forest University School of Medicine
9
Dr. Bac Nguyen Dr. Nguyen
Family Medicine
19 years in practice
Warren Alpert Medical School of Brown University
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Why would someone get a tubal ligation?

Why would someone get a tubal ligation?

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.

Dr. Wayne Ingram Dr. Ingram
Obstetrics & Gynecology
years in practice
Wayne State University School of Medicine
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Are there tubal ligation pains afterwards?

Are there tubal ligation pains afterwards?

Generally. No: Most times tubal ligation does not produce post-procedure pains after recovery. However, if adhesions occur, that can be a source of pain later whereby tissues intra-abdominally such as the bowel, tube or ovary end up sticking to each other inappropriiately.

Dr. Anne Hale Dr. Hale
Obstetrics & Gynecology
years in practice
Case Western Reserve University School of Medicine
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How long is a tubal ligation garunted for?

No time: A tubal sterilization procedure has a certain failure rate so there is never a guarantee that it will not fail. Usually it doesn't.

Dr. Jeff Livingston Dr. Livingston
Obstetrics & Gynecology
18 years in practice
University of Texas Southwestern Medical School at Dallas
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How many times could a tubal ligation fail?

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.

Dr. Peter Baumann Dr. Baumann
Obstetrics & Gynecology
2017 years in practice
Albert-Ludwigs-University of Freiburg Faculty of Medicine
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What is the failure rate of a tubal ligation?

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.

Dr. Scott Roseff Dr. Roseff
Fertility Medicine
35 years in practice
Autonomous University of Guadalajara Faculty of Medicine
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Dr. Michael Traub Dr. Traub
Fertility Medicine
15 years in practice
Saint Louis University School of Medicine
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How many clamps are used for a tubal ligation?

Varies: There are different ways of doing it. Sometimes no clamps are used - sometimes clips, burning, cutting or tying the tubes is preformed. You would need to speak to your doctor to know.

Dr. Wayne Ingram Dr. Ingram
Obstetrics & Gynecology
years in practice
Wayne State University School of Medicine
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Can someone in their 20s have a tubal ligation?

Yes: Yes, but it is considered a "irreversible" form of contraception. Although the fallopian tubes can be reconnected later it involves microsurgery, is difficult, expensive, and depending upon how the tubes were interrupted- may not work.

Dr. Allan Boruszak Dr. Boruszak
Obstetrics & Gynecology
38 years in practice
University of Illinois College of Medicine
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What are the requirements for a 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.

Dr. David Geffner Dr. Geffner
Internal Medicine - Endocrinology
50 years in practice
Georgetown University School of Medicine
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What are good reasons to have a tubal ligation?

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.

Dr. Yash Khanna Dr. Khanna
Family Medicine
53 years in practice
University of Lucknow, K. G. Medical College
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Are there symptoms after having a tubal ligation?

Post T L Syndrome: Some women suffer from post tubal ligation syndrome after having tubal ligation. Can have following symptoms ectopip pregnancy hot flashes bouts of rapid heart beat irritability mood swings and sudden tears insomnia loss of libido irregular periods itchy&dry vagina memory lapses color changes in vaginal area chronic fatigue anxiety&depression osteoporosis successfuly treated with reversal of tl.