Contraception
Contraceptive Methods
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Tubal Ligation
In tubal ligation (often known as getting your "tubes tied"), the two fallopian tubes which transport the eggs from the ovaries to the uterus are disconnected. This means that the egg can never meet the sperm, so pregnancy is impossible. The process can be reversed, but because it is costly, difficult and not always possible, a tubal ligation is generally considered permanent. In very rare cases, a woman may still get pregnant up to 10 years later, because sometimes the tubes will try to "heal" themselves and will reconnect to the uterus.
Benefits
It's the most effective method of contraception that is controlled by women. It is ideal for women who don't want to have any more kids.
Disadvantages
A woman may be in pain and have bleeding or nausea after her surgery. Because it's permanent, some women may eventually regret their choice. Tubal ligation provides no protection against STIs.
Where to find it
After having a consent form signed and a full medical exam, a gynecologist will perform the surgery. There are two popular types of tubal ligation surgery. In a laparoscopy surgery, a doctor disconnects the tubes through a cut made in a woman's bellybutton. In the other surgery, called a laparotomy, a larger cut is made in the belly. This surgery is less common, but is often used when tubal ligation is requested shortly after a woman delivers a baby.
Troubleshooting
A dangerous condition called an ectopic pregnancy - in which a pregnancy develops inside of a woman's fallopian tube - is more likely in women who have had a tubal ligation. If you've had a tubal ligation and start showing signs of pregnancy, you should contact your doc as soon as possible. You may want to continue to use condoms, because a tubal ligation does not protect against STIs.
Last Modified: September 5, 2006
