Diagram of tubal ligation: Tubal Ligation – StatPearls – NCBI Bookshelf
Tubal Ligation – Family Planning
Tubal Ligation – Family Planning
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What is tubal ligation?
Permanent contraception is called sterilisation.
A tubal ligation (also known as ‘having your tubes tied’) is a procedure to close both fallopian tubes which means that sperm can’t get to an egg to fertilise it.
How is a tubal ligation done?
The tubes are closed using rings or clips or by cutting and tying.
It is usually done by putting a tiny telescope called a laparoscope in through a small cut near the belly button and closing the tubes through another small cut near the pubic hair.
If a laparoscope can’t be used then a longer cut is made near the pubic hair.
Tubal ligations are done in hospital under a general anaesthetic. Depending on the type of operation it may be day surgery or may require a stay of one to two days in hospital.
How effective is tubal ligation?
The failure rate for tubal ligation is one in 200.
Does Family Planning do tubal ligations?
We don’t do tubal ligations at our clinics.
Our nurses and doctors can refer you to a hospital or to a specialist who can perform the procedure.
Talk to our staff if you think tubal ligation might be an option for you.
IS TUBAL LIGATION REVERSiBLE?
It is not always possible to reverse tubal ligation and the reversal procedure is not available in public hospitals.
If you consider your decision carefully and do not feel pressured by anyone, you are unlikely to regret your choice.
DO I NEED TO HAVE CONSENT FROM ANYONE?
It is recommended that you discuss sterilisation fully with your partner. This is because you are both affected by the decision.
However, it is not a legal requirement for your partner to give consent. You can choose a tubal ligation if you have no partner or if you have no children.
Family Planning has clinics located throughout New Zealand. Use the clinic finder to find your nearest clinic.
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Visits are free if you are under 22 (NZ residents only)
Are you in an unsafe situation?
Click this Shielded icon to contact Women’s Refuge or find information that could help.
Will IVF Work After A Tubal Ligation?
Tubal Ligation can be performed in a number of different ways and whilst all ways should be considered permanent, some methods are more permanent than others.
Is Pregnancy Possible After Tubal Ligation?
What happens if you have a tubal ligation and change your mind about having another child? Are there options for you? Most definitely. You can use IVF or In vitro fertilization to attempt for a pregnancy. IVF was originally created as a way to help women who had tubal blockages and tubal problems to be able to conceive. At the time IVF was being developed the procedure known as tubal ligation was not around, but thanks to technology you can now benefit from this procedure.
Blocked Fallopian Tubes
For some women, their fertility issue relates to having blocked fallopian tubes. Some of the reasons you might have a blocked fallopian tube is Infection resulting in Pelvic Inflammatory Disease or Endometritis. Tubal damage can also occur as a result of a Chlamydia infection or as the result of certain birth control appliances.
If you suffer from tubal blockages and would like to start a family or extend one there are options. You could opt to have a laparoscopic (keyhole surgery) evaluation, where your doctor will get a better idea of how much of tube is affected. If you only have a partially blocked Fallopian tube, a small operation called tuboplasty, may be able to correct the blockage. The goal of tuboplasty is to restore patency to fallopian tubes. Even if this surgery is successful there can still be a higher chance of ectopic pregnancy.
Some women who suffered severe infections or Chlamydia tend to have the entire fallopian tubes affected which could result in complete blockage or severe damage to the tube so that it does not function properly and again can result in a higher chance of an ectopic pregnancy occurring. In cases of tubal blockage, In Vito Fertilization is often the only solution.
Scarred Fallopian Tubes
Conventional medicine does not have anything to help heal and repair scarred fallopian tubes. While it’s not impossible to get pregnant with scarred fallopian tubes, it can be dangerous. If you do get pregnant with scarred fallopian tubes you’re at higher risk of an ectopic pregnancy (most commonly tubal) as previously mentioned. An undiagnosed tubal pregnancy can result in the tube bursting and caused permanent tubal damage. Tubal pregnancies need to be diagnosed within the first 6-8 weeks, because it is a life threatening condition and hospitalization is required.
Once you test positive for pregnancy, you need to go see your doctor. Your doctor will need to make sure the embryos is developing in the uterus and not in the tube.
The IVF process might sound overwhelming or incredibly complex, but it is actually quite simple. In vitro fertilization involves stimulating your ovaries using injectable medications, once stimulated you’ll have your eggs collected from your ovaries. You will have the choice of being a sleep or away for your egg retrieval. Once collected the scientist will take your eggs back to the clinic laboratory and then attempt to fertilise them with your male partner’s sperm. If there are viable embryos that develop to day 5/6 (only about 1/3 of fertilised eggs will reach this stage of development), your doctor will transfer one back into your uterus. One of the biggest advantage of in vitro fertilization is that you avoid the major surgery that is associated with a tubal reversal. Because tubal ligation is considered major surgery, you’re required to stay in the hospital for a few days. In addition to this, in Australia some of your IVF cycle is covered by Medicare, however there is no Medicare rebate for a tubal reversal.
IVF Pros And Cons
Many women choose IVF because there’s a better chance success than with a tubal reversal, but the chance of success with both procedures depends upon a number of things such as the method used for the initial tubal surgery, how long it has been since the surgery and the age of the female. Another benefit of IVF over tubal ligation is that you can find out within two weeks of having an embryo transfer if the procedure was successful, whereas if you have a tubal reversal, you might have to wait more than a year to find out if the procedure was a success. This would not be considered an ideal option for women in their late 30’s.
The biggest disadvantage with in vitro fertilization is you need to take injectable medications to stimulate the development of multiple eggs. Using these injections can mean that you have a risk of Ovarian Hyperstimulation Syndrome (OHSS) developing, which is a serious side effect of IVF however the risk of this happening in a severe form is around 1-2% and your cycle is monitored closely to reduce the risk of this occurring.
IVF Success Rates
According to a study from the National Perinatal Epidemiology and Statistics Unit (NPESU) there is a higher rate of live deliveries in younger women having IVF, defined as women under 30. 27.2% per fresh cycle and 27.8% for thawed. Women over 44 having IVF showed a low live delivery rate. 1.2% for fresh and 5.4% for thawed.
Should a pregnancy occur, a small percentage of women will miscarry the pregnancy shortly after it is seen on an ultrasound, this risk is often irrespective of whether you have had IVF or not to achieve a pregnancy.
The bottom line is IVF or in vitro fertilization is an excellent option for you if you’ve had a tubal ligation, scarred tubes, or blocked tubes. The process of IVF is much quicker than having surgery and for some is considered less invasive. Learn more about understanding IVF success rates or check out our published statistics.
How do you move forward? The first thing you need to do is call us on 07 5478 2482 (1300 FERTILITY) and schedule a free private consultation with a fertility specialist. The specialist will sit down with you and your partner in a home-like environment to discuss your options. You’ll learn what the best plan or procedure is for you. Each woman will have their own individualized plan.
You’ll benefit from a doctor who will guide you from pre-conception to birth as all our doctors not only do IVF but are also obstetricians and gynaecologists.
Tubal ligation in Voronezh – the price of surgical sterilization
✔ tubal ligation by video laparoscopic method;
✔ reliable and safe methods;
✔ irreversible method of contraception;
✔ quality anesthesia.
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Primary appointment (examination, consultation) with an obstetrician-gynecologist
Appointment (examination, consultation) of an obstetrician-gynecologist, leading specialist, primary
Reception (examination, consultation) of an obstetrician-gynecologist, chief specialist
Laparotomic tubal sterilization
Sterilization of fallopian tubes using video endoscopic technologies
Benefits of visiting the SOVA clinic:
✔ The latest diagnostic and treatment equipment.
✔ We use advanced techniques with guaranteed results.
✔ Comfortable hospital with round the clock medical supervision.
✔ Pre-registration without waiting and queues.
Sterilization (tubal ligation) is an irreversible form of female contraception. The essence of the surgical procedure is the artificial violation of the patency of the body, in which the fusion of the sperm with the egg becomes impossible. Anatomical blockade is performed by ligation using electrocoagulation.
The method is very reliable for those who need to avoid unwanted pregnancies. When prescribing an operation, it should be borne in mind that the consequences are irreversible.
One of the indisputable advantages of the technique is that the quality of life remains the same. After bandaging, the menstrual cycle does not change, sexual desire and libido are preserved.
Tubal ligation is prescribed in the presence of the following conditions:
repeated caesarean section or scar on the uterus after myomectomy;
have a history of cancer;
diseases of the cardiovascular system;
diseases of the endocrine, digestive, urinary or musculoskeletal systems;
pathology of blood and hematopoiesis;
After 35 years, sterilization can be carried out at the request of the woman. To do this, it is necessary that a prerequisite is met – the presence of two or more healthy children. Before the procedure, a preliminary conversation is held. The doctor describes the upcoming stages, explains the pros and cons of the operation. The consequences are described in detail, which may differ in each case.
If there are medical indications, the patient signs an individual voluntary consent to the surgical intervention.
The limitations of the procedure include:
acute inflammation of the genital organs;
blood clotting disorders;
obesity II-IV degree;
severe pathology of the cardiovascular system;
some types of neoplasms on the genitals;
acute kidney and liver diseases;
All contraindications are individual and are discussed with the doctor. The doctor makes a decision after a thorough assessment of the results of the study, anamnesis and the individual characteristics of the patient’s body.
If necessary, the surgeon will prescribe additional research methods, techniques of specialized specialists. Recommendations for proper home preparation are given on the eve of the intervention.
Sterilization at the SOVA Clinic
Surgical contraception is performed by various methods. A specialist should choose the right one.
Before the procedure, a comprehensive examination is carried out. It is necessary to pass a number of tests and undergo functional diagnostics:
general and biochemical analysis of blood, urine;
tests for HIV, syphilis, hepatitis;
ECG with interpretation;
smear from the genital tract and cervical canal;
examination by a gynecologist;
The intervention is performed under general anesthesia or epidural anesthesia with laparoscopic access.
Through small punctures in the abdominal cavity, endoscopic equipment and instruments are introduced. For better visualization of the surgical field, carbon dioxide is injected. Then the fallopian tubes are sealed using special devices, thereby blocking sperm from accessing the egg. At the end of the insertion site, the trocars are sutured with a cosmetic suture.
Among the advantages of this option, it should be noted:
short rehabilitation period;
minimal risk of complications;
after 2-3 days you can return to the normal rhythm of life.
Get advice by phone or make an appointment
The following recommendations must be followed:
1. Give up physical activity for 1-2 weeks, until complete recovery.
2. Observe sexual rest in the first 10-14 days after discharge from the hospital.
3. Do not visit saunas, pools, baths. Do not take hot baths for 1 month. Wash in warm water at the optimum temperature.
4. There is no need to use additional methods of contraception.
The risk of complications is minimal. In the first hours after the intervention, pain in the abdomen is possible. To stop the symptom, take painkillers prescribed by a doctor.
If you experience non-specific complaints, you should consult a doctor.
Make an appointment
The success rate for tubal ligation is 99.9%. According to world statistics, conception occurs only in 5 out of 1000 women and only in cases where the procedure was performed incorrectly.
If the patient later decides to have a child, then IVF becomes the most affordable option. However, the effectiveness depends on many factors. In some situations, surgical treatment may be recommended.
Tubal ligation is performed once and is a guarantee to exclude unwanted pregnancy. This keeps the menstrual cycle going. The production of hormones goes at the same pace, so there is no danger of a decrease in sexual desire. The procedure does not affect the nature of the menopause.
Over the past 10 years, anesthesia and surgical techniques have been improved. Surgical sterilization has become the most reliable, safe and economical way to prevent pregnancy.
In the SOVA clinic, all surgical interventions are performed in modern operating rooms equipped with top-end equipment. In one place, you can quickly and comfortably undergo a preoperative examination, consult a doctor.
Recovery after surgical interventions takes place in a round-the-clock hospital under the supervision of specialists. Each room has a bathroom, air conditioning, TV and free Wi-Fi.
To make an appointment for tubal ligation, appointment with a specialist, call the call center or fill out the online form on our website. Administrators will help you choose a convenient time for a visit to the clinic, answer all your questions.
Get advice by phone or make an appointment
st. Nikitinskaya, 52
7 (473) 373-03-03
How to get there
st. Nikitinskaya, 52
How to get there
7 (473) 373-03-03
Laparoscopic tubal ligation – Cost of surgery in Ukraine
At the doctor’s appointment for laparoscopic intervention
Contents of the page:
- Advantages of the method
- Indications and contraindications
- Preparation for surgery
- Operation progress
- Rehabilitation period
- Features of treatment in the clinic
Laparoscopic fallopian tube ringing to prevent pregnancy is an operation in which part of the fallopian tube is intercepted by a special ring, during which its patency is impaired, and pregnancy does not occur.
A woman refuses to get pregnant for various reasons. Each case has its own grounds for voluntary sterilization. There are also medical contraindications for pregnancy. These are severe chronic diseases in the stage of decompensation, a serious psychiatric pathology. In such cases, laparoscopic placement of rings on the fallopian tubes is used to prevent pregnancy.
This sterilization method compares favorably with other sterilization methods due to its reliability and reversibility. The use of temporary sterilization has undeniable advantages over permanent sterilization. The life situation can change, and a woman may want to give birth. That is why this technique is used in the Uzhgorod clinic of Bilyak.
Alternative methods have their drawbacks. Electrocoagulation of the tubes cannot guarantee complete occlusion of the lumen. The imposition of clips is also not reliable, since the clip can be damaged, as a result of which the patency of the fallopian tube is restored.
Crossing the tubes, crushing their ampullar section is an irreversible action, does not allow the resumption of the ability to give birth. The trauma of the intervention can provoke an adhesive process in the small pelvis.
Contacting the Bilyak clinic guarantees an individual approach and professional assistance to women who decide to give up children. Voluntarily or involuntarily, it doesn’t matter. The method used does not affect the state of health and leaves the possibility of pregnancy in the future.
Any questions regarding the prevention of pregnancy can be asked to a specialist of the Bilyak clinic using the service on the website.
Benefits of the
method First of all, it is worth mentioning that surgical sterilization provides the highest guarantee of contraception compared to other methods. It removes the functionality of the fallopian tube, which is the path for the egg that has left the ovary. It is here that fertilization occurs, and then the embryo passes into the uterine cavity. Tubal ligation completely eliminates the possibility of germ cells meeting and fertilization.
And yet, in some cases, when it comes to unsuccessful surgical interventions, fertilization does occur. And then the risk of developing an ectopic pregnancy is high. However, if the method of sterilization by applying rings is chosen, this danger is reduced to zero. It gives the lowest risk of complications, moreover, is reversible.
Fallopian tube rings have several advantages:
- Maximum protection against unwanted pregnancy.
- No effect on the state of the reproductive organs, female libido, hormonal levels.
- Reducing the risk of inflammation of the appendages in the future – the path of infection into them is blocked.
- Absence of injury – the tissues of the fallopian tubes are not damaged in any way, they are simply pulled by the ring.
- Preservation of ovulation and the menstrual cycle.
- Absence of complications and side effects.
- Reversibility – the rings can be removed if desired, and the patency of the pipes is restored.
Many women choose to have this operation during a caesarean section. If this is not possible, laparoscopy is used. This technique compares favorably with alternative options:
- Minimum time investment.
- Absence of injury to muscle tissue and skin.
- Reduced risk of complications.
- Minimal blood loss.
- Quick recovery.
- Pronounced aesthetic effect.
Since laparoscopy does not require muscle dissection, the woman quickly recovers after it. And even if in the future she wants to reverse the consequences of the operation, remove the rings and become pregnant, there will be no obstacles to this. After all, the muscles of the abdominal wall are not injured, which means that she has every chance to endure and give birth to a child.
Indications and contraindications
Laparoscopic tubal ringing, if medically necessary, is performed in the following cases:
- A woman over 35 does not want to become pregnant again, and she already has at least one child.
- There are inflammatory processes in the pelvic organs, in which pregnancy is undesirable.
- Conditions were diagnosed in which pregnancy and childbirth pose a danger to the patient’s life – decompensated diabetes mellitus, severe pathologies of the heart, kidneys, lungs, malignant tumors.
- Serious genetic anomalies that are inherited.
The main indicator in which tubal ligation is performed is the desire and consent of the patient herself. But unfortunately, it is not always possible to carry out this operation. Contraindications to the imposition of rings are:
- Severe obesity.
- Inflammatory processes in the small pelvis.
- Started adhesive process.
- STD in the active phase.
- Poor blood clotting.
- Umbilical hernia.
- Tumors of the genitals or intestines.
In any case, the decision to operate is made by the doctor after studying the patient’s history and carefully examining her.
Typical placement of trocars for placing rings on the fallopian tubes
Preparing for surgery
If a woman has made a conscious decision to abandon pregnancy (permanently or temporarily), laparoscopic sterilization is performed. This is a surgical intervention, so a number of clinical examinations are to be performed. The list of studies is small, you can go through them during the day. The list includes:
- clinical and biochemical blood tests;
- tests for blood clotting, HIV and other viral infections;
- cytological smear;
- detailed interview and examination by a gynecologist;
- Ultrasound of the pelvic organs, abdominal cavity and retroperitoneal space.
The data obtained helps to plan the upcoming laparoscopic application of rings on the fallopian tubes.
Our doctors undergo regular training in clinics in the USA and developed European countries. Modern equipment and the experience of surgeons make it possible to perform the intervention through three punctures in the abdominal cavity. But, nevertheless, this operation is performed under general anesthesia. Therefore, bowel preparation is required: hunger from the evening before the intervention, a cleansing enema before the procedure itself. On the day of the operation itself, it is also forbidden to eat and drink.
View of the ring for application to the fallopian tube (enlargement)
Laparoscopic prevention of pregnancy requires three punctures of the anterior abdominal wall, 10 mm and 5 mm in diameter.
A laparoscope is inserted into the area around the umbilicus. With its help, the surgeon examines the accessible areas of the abdominal cavity and small pelvis, and other trocars are installed under visual control.
Access to the fallopian tubes is provided, their middle section is displayed in the field of view. Then an applicator with a latex ring is inserted into the abdominal cavity.
The middle part of the fallopian tube is brought into the lumen of the applicator and a ring is put on it. As a result, a loop is formed, which the ring fixes. Upon completion of the manipulation, the pipe has the same appearance as in the figure below.
View of the fallopian tube after application of the anti-pregnancy ring
The same procedure is performed on the second fallopian tube. The light is completely covered. The ovary is not affected, the intervention does not affect the woman’s health.
After the rings have been placed, the trocars are removed. The punctures are either closed with adhesive bandages, or several stitches are applied to them. The procedure is completely bloodless and takes about 20 minutes.
If pregnancy becomes desired again, the ring is dissected laparoscopically and patency is restored, temporary sterilization is eliminated.
Recovery after surgery is quite easy. The patient is allowed to get out of bed on the same day, and discharge is carried out after 1-2 days. After that, for 2 weeks you need to follow the precautions:
- Replace bathing in a shower.
- Eliminate physical activity completely.
- Apply special complexes to prevent swelling and bleeding.
- Refrain from sexual activity.
- Eat a healthy diet.
In general, the majority of patients easily endure the operation and soon return to their usual way of life. The imposition of rings on the pipes does not affect the woman’s sexual desire and the ability to have fun. Also, this intervention does not cancel the possibility of motherhood in the future. And there are two options here. The first is to perform a laparoscopy again and remove the rings. The second is IVF. The patient herself chooses which option is more preferable for her.
Peculiarities of treatment in the clinic
Each case of visiting the clinic is individual. A harmonious approach to the treatment of any woman is a feature of the treatment process in our clinic. Our specialists respect the decision of the patient and do not dissuade from the operation. Moreover, the method of female sterilization offered in the Bilyak clinic does not cancel the possibility of motherhood in the future.
The special treatment of the staff is noticeable from the moment you ask for help. An individual nursing post is organized for each patient. Health is monitored by a qualified and experienced doctor. During her stay in the clinic, the woman’s condition is carefully monitored in order to exclude possible complications and immediately take measures in case of sudden bleeding, rupture, etc. But do not worry – such cases are rather an exception, because the sterilization method used here does not give complications.
The menu is compiled taking into account the individual characteristics of the patient’s body
The menu is compiled taking into account the individual characteristics of the patient’s body
The room is separate. Equipped in accordance with the standards adopted in the world’s leading clinics. This contributes to a quick recovery and improves the psychological mood of the patient – she feels more like in a hotel than in a hospital.
Special attention is paid to nutrition in the Bilyak clinic. The menu is compiled individually, taking into account the characteristics of the body of each patient. The composition of the dishes includes only organic products.
Ozone therapy is another progressive method used by Bilyak clinic specialists. Well-established schemes of this physiotherapeutic method of treatment contribute to the rapid restoration of strength and health after laparoscopic imposition of rings on the fallopian tubes.
Self-catering and movement is allowed after a few hours after the end of the procedure. An extract is possible already on the day of the operation, sometimes on the next. Thanks to the professionalism of the surgeons and the modern equipment of the clinic, the recovery period is not required! A woman only needs to follow the simple recommendations described above.
|Service name||Vartist, UAH|
|Laparoscopic tubal rings to prevent pregnancy||30000|
Price includes full patient care during the standard period of stay in the clinic, namely:
Please note! In other clinics of Ukraine, the above is not included in the price of the operation, but is paid additionally, and therefore the cost of surgical intervention increases significantly. Even dressings, injections, enemas, etc. are included in the surcharge.
Frequently Asked Questions
How much does Laparoscopic fallopian tube ringing to prevent pregnancy cost at Bilyak Clinic?
Laparoscopic imposition of rings on the fallopian tubes in order to prevent pregnancy in the Bilyak Clinic costs 30,000 UAH.
What is included in the cost of the operation?
The cost of the operation at the Bilyak Clinic includes the full provision of the patient, namely:
– surgical and medical support
– meals and accommodation
– 24-hour supervision of medical personnel
– dressings and all nursing procedures
Who performs operations and treats diseases in the Bilyak Clinic?
Operations in the Clinic of Bilyak are carried out by Ph.