Tubal ligation, often referred to as “getting your tubes tied”, is a surgical procedure in which a woman’s Fallopian tubes are cut or burned to prevent pregnancy. This is a very effective form of birth control, because it prevents the egg and sperm from meeting, thus the egg cannot be fertilized. This surgery can be done several ways:
1. Post partum tubal ligation is tubal ligation done either at the time of a c-section delivery or a couple of days after a vaginal delivery. This type of tubal ligation usually involves closing the tube with sutures, cutting a section of the tube out and then “burning” (cauterizing) the edges to prevent bleeding. This procedure is usually done through the C-section scar or through an incision just below the belly button.
2. Tubal ligation may also be done weeks or months after delivery by laparoscopy. Laparoscopy is when a camera is inserted through the belly button and the tubes are either burned, clipped, or tied using an instrument called fallope-rings.
3. Fallopian tubes can also be occluded using a device called Essure. This is done hysteroscopically (a camera that is inserted through the vagina in to the uterus) and does not involve any incision. The tubes are then plugged using the Essure Device. This device is inserted into the fallopian tube. The recovery from this procedure is quicker than that of the laparoscopy. However, there has been growing concern in FDA hearings regarding the side effects that Essure may cause. These side effects include pelvic pain, irregular bleeding and others.
Determining what birth control is right for you is a serious and personal choice. Between 1–20 percent of women that undergo tubal ligation regret their decision at some point in their life. It is important to make sure that you are in the right state of mind before undergoing tubal ligation.
Tubal ligation reversal is an option that can be an effective way of getting pregnant after tubal ligation. The success of tubal reversal depends on many factors including age, the length of the tube after the reversal is done, hormone levels, sperm count of the husband and presence of adhesion (scar tissue) at the time of the tubal reversal.
If you have changed your mind or your circumstances have changed since your tubal ligation you do have options. The best way to find out what your best chance of having another child after a tubal ligation surgery is to make an appointment with a doctor. When you are ready to take that step, we will be here to help. Dr. Peyman Saadat and his team of professionals are ready to help answer any questions you may have. Please call RFC at 310.929.6707 and we will help you become the parent you were meant to be.