Tubal ligation is an operation that closes the tubes between the ovaries and uterus, thus preventing a man's sperm cells from reaching the eggs in a woman's body. This procedure is also called "having your tubes tied"and is considered a permanent form of birth control.

The fallopian tubes connect the ovaries to the uterus. Each month an ovary releases an egg through the fallopian tubes to the uterus. By blocking the tubes, the egg cannot meet the sperm, so pregnancy cannot occur.

Why Choose Tubal Ligation?

Reasons women choose tubal ligation as permanent birth control:

• She has all the children she wants and does not wish to become pregnant again.
• She wants to enjoy sex without the fear of an unintended pregnancy.
• She has health problems which may be complicated by pregnancy.

• Medication is given to reduce the pain.
• The stomach cavity is filled with carbon dioxide gas so internal organs may be clearly viewed by the surgeon.
• A narrow instrument with a viewing lens (laparoscope) is inserted through a small incision near the patient's
  belly button.
• A second incision is made near the pubic bone to insert
  the instrument that will block the tubes.
• The tubes will be blocked either by sealing the tubes with cauterization or by placing a clip on the tubes.
• The incisions are stitched and bandaged. The stitches will dissolve and should not require removal.

After Surgery Care

• Go home and rest.
• Avoid heavy lifting and exercise for one week.
• Keep incision areas dry for 24 hours, a bath or shower may be taken after this time.
• You may have sex about a week after the operation.
• You should have a post-operative check-up three to four weeks after surgery.
• Use another method of birth control until your next period.

Common Side Effects

Most symptoms will disappear in the first few days, but some discomfort and tiredness may last up to two weeks. Some women report:

• Shoulder and/or chest discomfort because of the gas used during the procedure.
• Pain in the incision areas.
• Light vaginal bleeding for up to two days.

Risks Involved

• Problems rarely occur, but an operation may be needed to fix damage to the intestines, bladder or blood vessels.
• Allergic reactions to local anesthesia may occur in some people. In addition, certain medicines or street drugs may cause other serious reactions. Be sure to inform your clinician of any such information—all information is kept confidential.
• One out of 100 women experiences complications due to adhesions or damaged blood vessels. These problems can be treated by simple surgery.
• If the procedure fails and the tubes reconnect, there is an increased risk of a pregnancy occurring outside the uterus, and emergency surgery may be necessary.

It's Your Choice…

You may change your mind about having the sterilization procedure at any time before the operation. It is entirely your choice. You will still get the same high-quality medical care.

Cost

The cost of tubal ligation at Planned Parenthood ranges from $0 to $1,750. Free or reduced-cost surgeries may be available for those who qualify. Call us at 269.372.1200 for more information.

Private insurance may also pay for the procedure. Consult your insurance carrier for more information.

How Long Does it Take?

The procedure is done out-patient and takes about 15 to 30 minutes, with one hour of rest before going home.

NOTE: Permanent birth control does not protect a woman from sexually transmitted infections (STI's). A woman at risk for STI's should have a man use a condom during sex, even after she has had her tubes ties. A woman should continue to visit her doctor for normal health services, including breast exams and pap smears.