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Tubal Sterilization

Tubal sterilization is a permanent method of birth control. The fallopian tubes are removed or cut and tied, sealed with an electric current, closed shut with bands or clips, or blocked with scar tissue formed by small implants. This prevents the egg from moving down the fallopian tube to the uterus and keeping the sperm from reaching the egg.

Did you know…
that laparoscopic sterilization is highly effective? After 10 years of having the procedure done, pregnancy rates range from 18 out of 1,000 women to 37 out of 1,000 women.

Tubal sterilization does not protect against sexually transmitted infections, including human immunodeficiency virus (HIV)
If pregnancy does occur after tubal sterilization, the risk of an ectopic pregnancy is about 25%

What are the benefits of laparoscopic sterilization?
Laparoscopy has some benefits over minilaparotomy. Recovery is quicker. There are fewer complications. It is performed as outpatient surgery, where you can go home the same day. It has some benefits over hysteroscopic sterilization as well. Unlike hysteroscopic sterilization, laparoscopic sterilization is effective immediately.

When should sterilization be avoided?
You should avoid making this choice during times of stress (such as during a divorce or after losing a pregnancy). You also should not make this choice under pressure from a partner or others. Research shows that women younger than 30 years are more likely than older women to regret having the procedure.

What if I decide I want to become pregnant after I have laparoscopic sterilization?
If you choose to have sterilization and you change your mind after the operation, attempts to reverse it may not work. After tubal sterilization is reversed, many women still are not able to get pregnant. Also, the risk of problems, such as ectopic pregnancy, is increased.

What are some alternatives to sterilization?
Long-acting reversible contraception, such as the intrauterine device or implant, last for several years. They are about as effective at preventing pregnancy as sterilization. They can be removed at any time if you want to become pregnant.

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