Tubal Ligation/Tubectomy

Tubal Ligation/Tubectomy 

Tubal Ligation or Tubectomy is a surgical procedure in which a woman has her fallopian tubes tied. It is a type of female sterilization to prevent the eggs from traveling from the ovaries to the uterus and block the sperm from traveling up the fallopian tubes to the egg. It is a type of permanent birth control. 

Tubal Ligation doesn’t affect the menstrual cycle and can be done at any time. Tubectomy cannot be reversed, however, if attempted, it requires a major surgery that may not be effective. 

Why is Tubal Ligation done?

Tubal Ligation is done to permanently prevent pregnancy. After this procedure, you don’t need to take any type of birth control. Tubal Ligation doesn’t protect against sexually transmitted infections and diseases but it can reduce the risk of ovarian cancer if the fallopian tubes are removed. 

Tubal Ligation should only be done after understanding its risks and benefits. It isn’t right for everyone. 

What happens during the procedure?

Tubal Ligation is performed on anesthesia so that the patient won’t feel anything. During the surgery, the doctor will make a cut or two in the belly and use a laparoscope- a long, thin device to cut, seal, band, fasten or tie the fallopian tubes shut. After that, the doctor will stitch the cuts in the belly, and in a few hours, the patient can go home. 

What are the risks of Tubal Ligation?

As tubal ligation involves making an incision in the abdomen, some of the risks associated with it are:

  • improper healing post-surgery
  • prolonged pelvic and abdominal pain
  • damage to bowel, bladder and blood vessels

Diabetes, obesity, and past abdominal surgery increase the complications from tubal ligation.

How effective is Tubal Ligation?

Tubal Ligation is an extremely safe and effective form of permanent birth control. There is a minimal and rare risk of getting pregnant after Tubal Ligation which only happens if the fallopian tubes grow back together.

If one does conceive after tubal ligation, there is a possibility of ectopic pregnancy where the fertilized egg implants outside the uterus. This may require immediate medical treatment. 

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Is the egg retrieval painful?

During egg retrieval, you will be sedated and given medication so that you don’t’ feel the pain. After the surgery/procedure, you may feel cramps, soreness, or fullness.

Is bleeding expected after egg retrieval?

After egg retrieval, vaginal bleeding/spotting is common. It is similar to bleeding in periods. In case of excess bleed, you should contact the doctor immediately.

How long do I have to stay in the hospital during and after the procedure?

IVF Procedure does not require any hospitalization. It only requires frequent visits from time to time.

How soon can I return to normal life after IVF?

Once the embryo transfer is done, you can resume your normal life. You may experience cramps because there might be a minor swelling in the ovaries. Stick to a mild routine and avoid exertion as it may affect your chances of getting pregnant.