After the procedure, an X-ray is taken to make sure the implants are in place and the tubes are closed. In some cases, a tubal implant can be difficult to insert. Should this happen, a second procedure is needed to completely block both tubes. For the first 3 months after insertion, you must use another method of birth control. At 3 months, dye is injected into your uterus and an X-ray is taken hysterosalpingography to make sure that the implants are in place and the tubes are fully blocked by scar tissue.
If they are, you will no longer have to use another method of birth control. Tubal ligation and tubal implants are permanent methods of birth control and allow you to be sexually active without worrying about becoming pregnant.
Although tubal ligation and tubal implants are expensive, it is a one-time cost. These procedures are usually covered by medical insurance, and there are no costs after the surgery is done. The cost of other birth control methods, such as pills or condoms and spermicide, may be greater over time.
Tubal ligation and tubal implants do not protect against sexually transmitted infections STIs , including infection with the human immunodeficiency virus HIV.
To help protect yourself and your partner from possible STIs, use a condom every time you have sex. After a tubal ligation, you will most likely go home the same day. Your surgeon will give you instructions on what to expect and when to call after the surgery. A tubal ligation or tubal implant placement is a permanent method of birth control.
Only consider this method when you are sure that you will not want to become pregnant in the future. Call your doctor immediately if you have had tubal ligation or tubal implants and you have:. Although fewer complications occur with laparoscopy than with other kinds of tubal ligation surgery, these complications can be more serious. For example, in rare cases, the bowel or bladder is injured when the laparoscope is inserted. The general risks of surgery are greater if you have diabetes, are overweight, smoke, or have a heart condition.
Tubal implants. Most women who have tubal implants don't have problems. Some women do have problems, such as:. About 2 to 3 out of women who have Essure will need another operation within 1 year. Before you receive implants, you may be tested to make sure that you don't have a vaginal infection or a sexually transmitted infection STI. If a tubal ligation or implant fails and you become pregnant, you have an increased risk of having an ectopic pregnancy. Ectopic pregnancies can occur years after the tubal ligation and are most likely 3 or more years after the procedure.
Tubal ligation and tubal implants do not change your monthly menstrual cycle. You will still release an egg each month ovulate and have menstrual periods. You will go through menopause at the same time that you would have if you hadn't had the surgery.
Your sexual desires won't change, although you may feel more relaxed about having sex because you don't have to worry about becoming pregnant. Reversing tubal ligation or removing tubal implants requires major surgery, and success rates are very low.
If you are considering tubal ligation or tubal implants, be absolutely certain that you will never want to have a biological child in the future. Author: Healthwise Staff. This information does not replace the advice of a doctor. Healthwise, Incorporated, disclaims any warranty or liability for your use of this information. Your use of this information means that you agree to the Terms of Use. Learn how we develop our content. To learn more about Healthwise, visit Healthwise.
Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated. Updated visitor guidelines. Top of the page. Tubal Ligation and Tubal Implants. Surgery Overview Tubal ligation , often referred to as "having your tubes tied," is a surgical procedure in which a woman's fallopian tubes are blocked, tied, or cut. Tubal ligation method There are several different ways of closing the fallopian tubes, including clipping or banding them shut or cutting and stitching or burning them closed.
A tubal ligation can be done using a: A laparoscopy or mini-lap. Then a laparoscope is inserted into your abdomen. In most cases, your doctor will make a second small incision to insert special instruments through the abdominal wall. Your doctor uses these instruments to seal the fallopian tubes by destroying parts of the tubes or blocking them with plastic rings or clips. If you have a tubal ligation after vaginal childbirth, your doctor will likely make a small incision under your belly button, providing easy access to your uterus and fallopian tubes.
If you have a tubal ligation during a C-section, your health care provider will use the incision that was made to deliver the baby. If gas was used during tubal ligation, it will be removed when the procedure is done. You may be allowed to go home several hours after an interval tubal ligation.
Having a tubal ligation immediately following childbirth doesn't usually involve a longer hospital stay. Your health care provider will discuss management of any post-procedure pain with you, before you go home from the hospital.
You may bathe 48 hours after the procedure, but avoid straining or rubbing the incision. Carefully dry the incision after bathing. Avoid heavy lifting and sex until your health care provider informs you that it's safe to do so. Resume your normal activities gradually as you begin to feel better. Your stitches will dissolve and won't require removal. Check with your health care provider to see if you need a follow-up appointment.
If you have any concerns that you aren't healing properly, call your doctor. Call your health care provider immediately if you have:. Tubal ligation is a safe and effective form of permanent birth control. But it doesn't work for everyone. Fewer than 1 out of women will get pregnant in the first year after the procedure.
The younger you are at the time it's done, the more likely it is to fail. If you do conceive after having a tubal ligation, there's a risk of having an ectopic pregnancy. This means the fertilized egg implants outside the uterus, usually in a fallopian tube. An ectopic pregnancy requires immediate medical treatment. The pregnancy cannot continue to birth. If you're experiencing cramping but don't get your period, you might be pregnant.
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