Tubal ligation - Marie Stopes Bangladesh

Tubal ligation

A permanent contraception method for women

Tubal ligation

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A surgical procedure for providing a permanent contraceptive solution

Tubal ligation is a contraceptive method suitable for women who are sure they don’t want anymore children.

Tubal ligation involves a short medical procedure, usually 15-20 minutes long, and once complete offers highly effective protection against unexpected pregnancy.

It also has no effect on a woman’s hormones, so have no effect on a woman and her partner’s sex life.

Please be aware however that we are only able to provide this permanent method of contraception to those who have at least two children.

How tubal ligation works

Tubal ligation involves closing a woman’s fallopian tubes. The fallopian tubes normally carry an unfertilised egg to the womb.

Closing the fallopian tubes prevents the egg and sperm meeting, so a pregnancy cannot occur. Female sterilisation is a quick and safe surgical operation. It needs to be done by a trained health provider. 

The tubes can be closed in several ways. One method is to make one small cut in the lower stomach to see the tubes on each side of the womb, and then cut the tubes. The other method is to place a small camera and other instruments through a hole in the stomach to see the tubes, which are then clipped.

Tubal ligation advantages

Tubal ligation can offer several advantages compared with other contraceptive methods, including:

  • It is a permanent, so you do not need to remember to use contraception again
  • It doesn’t interrupt sex or affect your sex life. A woman’s sex drive after tubal ligation will be the same as before, as hormone levels remain the same
  • It has minimal side effects.

These benefits come from a successful tubal ligation procedure performed by a trained provider.

Things to consider

When deciding if a tubal ligation procedure is right for you, here are a few quick facts you should consider:

  • Tubal ligation is a permanent, irreversible method of contraception. Therefore, it should only be adopted by those who either do not want children or already have the desired number of children.
  • Using this method does not offer protection against sexually transmitted infections and HIV/AIDS.

In case of any questions or doubts before opting for this method, women are advised to consult a doctor or arrange a meeting with our clinic staff.

What to expect at your appointment

The procedure is performed by a highly trained doctor and takes approximately 15-20 minutes.

It is carried out under local anaesthetic and sedation, using simple techniques to seal the fallopian tubes. After this procedure has been performed, an egg cannot move from the ovary through the tubes (a woman has two Fallopian tubes), and eventually to the uterus.

Frequently asked questions about tubal ligation

Female sterilisation is an excellent way to prevent a pregnancy. It is a way to permanently stop you having any further pregnancies.
If 100 women had the female sterilisation operation and carried on with their normal sex life then fewer than 1 of those women would fall pregnant again.

-The operation works straight away. As soon as you have a female sterilisation it will prevent a pregnancy.

-It is permanent, so you do not need to remember to use contraception again.

-It does not interrupt sex or affect your sex life. After sterilisation you can still experience an orgasm.

-Having a female sterilisation does not have any negative effects on the rest of your health.

-You are likely to continue to have normal periods after sterilisation.

-You can have the operation straight after an abortion.

– As it is permanent, you should only choose sterilisation if you do not want children or have completed your family. You cannot change your mind once the operation is done.

– It does not protect you against sexually transmitted infections.

Tubal ligation aftercare

After recovering from the initial anaesthetic of the procedure and completing a few minor checks, you’ll be allowed to go home.

Our trained staff will provide you with a detailed guide of what to expect after the surgery, and are on hand to answer any questions you may have.

It is completely normal to feel some discomfort and you should consider a few days of rest immediately after the procedure.

Some women experience vaginal bleeding or spotting. We recommend using a sanitary towel if you experience any bleeding. Discomfort, similar to period pain, is also common, and you may be prescribed painkillers for this. Contact us or your doctor for advice if you are still experiencing excessive pain after taking painkillers.

Depending if you have stitches and/or a dressing over your wound, we will advise caring for your wound following the surgery. Generally, however, you should be able to resume showering or bathing as normal once the dressing is removed.

Your sex drive should not be affected by the operation and you can begin having sex as soon as it is comfortable to do so. Long-term partners may not need to use other forms of contraception to prevent pregnancy, but remember that tubal ligation will not protect you from STIs.

Recovering from a female surgical procedure? We recommend booking a follow-up appointment to check your health after the procedure.