7 doctors weighed in:
What are my options if I want to get my tubes tied after delivery?
7 doctors weighed in

Dr. Jeff Livingston
Obstetrics & Gynecology
5 doctors agree
In brief: Essure
The safest, most effective method with the lowest complication rate is called essure.
This is done in the office and requires almost no down time. Most patients do not need pain medication after and can resume normal activity. In some cases we still go through the belly button under general anesthesia to clip or cut the tubes. More info on essure here: http://macobgyn.Com/drpl/?Q=node/13.

In brief: Essure
The safest, most effective method with the lowest complication rate is called essure.
This is done in the office and requires almost no down time. Most patients do not need pain medication after and can resume normal activity. In some cases we still go through the belly button under general anesthesia to clip or cut the tubes. More info on essure here: http://macobgyn.Com/drpl/?Q=node/13.
Dr. Jeff Livingston
Dr. Jeff Livingston
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1 comment
Dr. Scott Kramer
Hysteroscopic Sterilization (Essure or Adiana) is safer, less painful, less expensive, and more effective than traditional tubal ligation. So for women who have completed their families it's a logical choice--especially as a simple 10 minute office visit. Learn about your choices at: http://www.womenshealthfremont.com/essure-birth-control-womens-health-obstetrics-fremont-san-francisco.htm
Dr. Alysia Townsend
Obstetrics & Gynecology
In brief: Varies by insurance
Usually your options may vary by insurance or the institution at which you deliver. At a catholic institution sterilization may or may not be an option regardless of your coverage.
Methods include tubal done within 24-48 hours after birth via a small incision under your belly button, or tubal done hysteroscopically (through the uterus) or laparoscopically about 6 weeks or more after delivery.

In brief: Varies by insurance
Usually your options may vary by insurance or the institution at which you deliver. At a catholic institution sterilization may or may not be an option regardless of your coverage.
Methods include tubal done within 24-48 hours after birth via a small incision under your belly button, or tubal done hysteroscopically (through the uterus) or laparoscopically about 6 weeks or more after delivery.
Dr. Alysia Townsend
Dr. Alysia Townsend
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Dr. Craig Keathley
Obstetrics & Gynecology
In brief: Tubal sterilization
Post partum tubal only requires a small umbilical incision and can be done shortly after delivery, frequently with the epidural from delivery.
Hospitalization and recovery time is not significantly affected and it is immediately effective. If not able to be performed prior to hosp discharge, office essure is a good option ~ 8wks post partum. It generally takes 3 months to be effective.

In brief: Tubal sterilization
Post partum tubal only requires a small umbilical incision and can be done shortly after delivery, frequently with the epidural from delivery.
Hospitalization and recovery time is not significantly affected and it is immediately effective. If not able to be performed prior to hosp discharge, office essure is a good option ~ 8wks post partum. It generally takes 3 months to be effective.
Dr. Craig Keathley
Dr. Craig Keathley
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