Tubal ligation

Tubal ligation Treatment Hospitals & Gynecologist in India

Tubal ligation is the method of permanent birth control and it also referred to as tube ties or tube sterilization. In this particular form of birth control, the fallopian tubes are either cut or permanently blocked in order to prevent pregnancy. 

When the fallopian tubes are cut, the sperms won’t be able to reach to the ovaries. There is no effect to menstrual cycle of this procedure.

The quick facts regarding this procedure are as follows: 

  • They can be done at anytime

  • This process is permanent.

  • They cannot be reversed.

What are the reasons to choose this form of birth control?

  • It is a permanent form of birth control

  • It decreases the chances of ovarian cancer.

  • It is one of the most common surgical sterilization methods for women.

In what cases this form of procedure is not recommended?

  • If you have had some form of ovarian cancer in the past.

  • If you are not fully informed regarding the procedure.

  • If you suffer from unexplained vaginal bleeding.

  • If you suffer from a continuous abdominal pain.

  • If you are pregnant.

Preparing for the procedure

In preparation of this procedure, you need to inquire about the following with the doctor:

  • The risks and benefits of this procedure.

  • Details pertaining to the procedure.

  • What might be the cause if the process fails?

  • Is there a way that sexually transmitted infections can be prevented?

  • What is the best time to deliver the baby?

When is this form of surgical process suited for you?

There are three times that this procedure can be done for you where the chances of failure are low:

  • During the C section.

  • Any other time using the laparoscopic procedures. 

Before, during and after the procedure

Before the procedure:

Before the procedure, a test is done to make sure that you are not currently pregnant. This test is an important one as it ascertains your pregnancy and during such a time, this procedure should not ever be done. 

During the procedure:

  • You will be provided a general anesthesia.

  • An incision will be made on your belly button and through this incision; the abdomen is inflated with either nitrous oxide or carbon dioxide.

  • Once enough space is present, a laparoscope is inserted.

  • While laparoscope provides an inner pathway.

  • Now, special instruments are used in order to seal the fallopian tubes.

  • The sealing process is done using either of the following ways:

  • a. Cutting or damaging the parts of the tube.

  • b. Using clips or plastic bags to block the tube.

 After the procedure:

  • You can experience some pain in the abdominal region

  • You might be fatigued

  • You might feel shoulder pain

  • You might be fatigued.

  • There might be a fair bit of abdominal pain or cramping. 

What are the risks associated with tubal ligation?

  • Reaction of the anaesthesia might be an adverse one

  • The surgical wounds might not heal properly 

  • The abdominal pain might be a bit consistent for long time. 

  • There also can be a case where the procedure might fail. 

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Dr. Madhu Goel

Senior Gynecologist and a Senior Consultant

Dr. Madhu Goel is a well renowned senior gynaecologist and a senior consultant at Fortis La femme, New Delhi. She runs a private consultation in Goel’s surgery and Gynea centre and prior to being associated with Fortis; she was a consultant a Rockland Hospital.