What are the risks and side effects of tubal ligation. How is tubal ligation surgery performed. Can tubal ligation be reversed. What is Post Tubal Ligation Syndrome.

Understanding Tubal Ligation: A Permanent Birth Control Solution

Tubal ligation, colloquially known as “getting your tubes tied,” is a surgical procedure designed to provide permanent contraception. This method involves either cutting or blocking the fallopian tubes, effectively preventing the egg from traveling from the ovary to the uterus. By doing so, it eliminates the possibility of fertilization and implantation, making it a highly effective form of birth control.

The efficiency of tubal ligation is remarkable, with success rates ranging from 95% to 99%, depending on the specific surgical technique employed. This high efficacy rate makes it an attractive option for women who are certain they do not want future pregnancies.

How does tubal ligation compare to other forms of birth control?

Compared to other contraceptive methods, tubal ligation stands out for its permanence and effectiveness. Unlike hormonal birth control methods that require daily, weekly, or monthly administration, tubal ligation is a one-time procedure that provides lifelong contraception. However, it’s crucial to note that while highly effective at preventing pregnancy, tubal ligation does not protect against sexually transmitted diseases (STDs).

The Tubal Ligation Procedure: What to Expect

Tubal ligation is a relatively straightforward surgical procedure that can be performed at various times, including immediately after childbirth or as part of a Cesarean section. The procedure typically involves two main approaches:

1. Standard Tubal Ligation
2. Hysteroscopic Tubal Occlusion

Standard Tubal Ligation: Step-by-Step

The standard tubal ligation procedure involves the following steps:

• Administration of general anesthesia or a spinal block
• Creation of two small abdominal incisions
• Insertion of a laparoscope (a small camera mounted on a tube) into the abdomen
• Inflation of the abdomen with gas to improve visibility and access
• Cutting or cauterizing of each fallopian tube
• Clamping or tying off of the tubes

Hysteroscopic Tubal Occlusion: A Less Invasive Alternative

The hysteroscopic tubal occlusion procedure offers a less invasive option that can be performed in an outpatient setting without the need for anesthesia. This method involves:

• Accessing the fallopian tubes through the cervix
• Inserting coils into the fallopian tubes
• No cutting or cauterizing required

This approach eliminates the need for incisions and can often be completed more quickly than the standard procedure.

Post-Operative Recovery: What to Expect After Tubal Ligation

Recovery from tubal ligation is generally quick, with most women able to return home on the same day as the surgery. However, the effects of anesthesia necessitate having a family member or friend available to assist with transportation and initial home care.

Immediate Post-Op Period

In the days following the procedure, patients may experience:

• Localized abdominal pain around the incision sites
• Cramping
• Dizziness
• Fatigue
• Bloating
• Gassiness
• Shoulder pain

Doctors may prescribe pain medication to manage discomfort during this period.

When should you contact your doctor post-surgery?

It’s important to reach out to your healthcare provider if you experience any of the following symptoms:

• Temperature of 100.4° F or higher
• Persistent or increasing pain, bleeding, or discharge from the incision site 12 hours after the operation
• Fainting spells

Resuming Normal Activities

Most women can return to their regular activities shortly after the surgery, with a few exceptions:

• Heavy lifting should be avoided for 2-3 weeks
• Sexual intercourse should be delayed for 2-3 weeks to ensure full recovery

If the tubal ligation was performed in conjunction with a Cesarean section, it typically does not extend the hospital stay beyond what is normal for a C-section recovery.

Effectiveness and Follow-Up: Ensuring Successful Contraception

The effectiveness of tubal ligation depends on the method used:

• Laparoscopic method: No further tests are required, and other forms of birth control can be discontinued immediately.
• Hysteroscopic tubal occlusion: Women should continue using contraceptives for three months post-procedure. A hysterosalpingogram test is performed after this period to confirm the surgery’s effectiveness.

Benefits and Risks: Weighing the Pros and Cons of Tubal Ligation

Tubal ligation offers several benefits beyond its primary function as a permanent birth control method. However, like any surgical procedure, it also comes with potential risks that should be carefully considered.

Benefits of Tubal Ligation

• Highly effective permanent contraception (95-99% success rate)
• Reduced risk of ovarian cancer
• One-time procedure with long-lasting effects
• No need for ongoing contraceptive management

Potential Risks and Considerations

• Surgical risks associated with anesthesia and the procedure itself
• Slight increase in the risk of ectopic pregnancies
• Not recommended for women unsure about future pregnancy plans
• Does not protect against sexually transmitted diseases
• Potential for Post Tubal Ligation Syndrome (PTLS)

Who might not be an ideal candidate for tubal ligation?

Some women may face higher risks of complications from tubal ligation, including:

• Those with a history of previous abdominal surgeries
• Women with diabetes
• Individuals with obesity

It’s crucial for women to discuss their medical history and options thoroughly with their healthcare provider to determine if tubal ligation is the right choice for them.

Post Tubal Ligation Syndrome (PTLS): A Rare but Serious Complication

Post Tubal Ligation Syndrome (PTLS) is a relatively rare but potentially serious complication that can occur following a tubal ligation procedure. This condition results from damage to the blood supply to the ovaries during the operation to tie the tubes.

What are the symptoms of PTLS?

The primary effect of PTLS is a significant decrease in the production of estrogen and progesterone hormones. This hormonal imbalance can lead to symptoms similar to those experienced during menopause, including:

• Hot flashes
• Night sweats
• Vaginal dryness
• Mood swings
• Decreased libido
• Irregular menstrual cycles
• Fatigue
• Memory issues

Who is at higher risk for PTLS?

Research suggests that women in their 20s appear to be at a higher risk for developing PTLS compared to women who undergo tubal ligations in their 30s and 40s. The exact reasons for this age-related risk difference are not fully understood and require further study.

How is PTLS diagnosed and treated?

Diagnosing PTLS can be challenging as its symptoms overlap with various other conditions. Healthcare providers typically consider a combination of factors:

• Patient’s medical history, including the timing of tubal ligation
• Reported symptoms
• Hormone level tests
• Exclusion of other potential causes

Treatment for PTLS often focuses on managing symptoms and may include:

• Hormone replacement therapy
• Lifestyle modifications
• In some cases, tubal ligation reversal or removal of fallopian tubes

Tubal Ligation Reversal: Options for Changing Circumstances

While tubal ligation is intended as a permanent form of contraception, life circumstances can change, and some women may later desire to have children. In such cases, tubal ligation reversal might be considered.

Is tubal ligation reversal always possible?

Tubal ligation reversal is not always possible or successful. The feasibility of reversal depends on several factors:

• The type of tubal ligation procedure originally performed
• The amount of fallopian tube remaining
• The woman’s age and overall fertility
• The presence of other fertility factors

What does tubal ligation reversal involve?

Tubal ligation reversal is a more complex surgical procedure than the original ligation. It typically involves:

• General anesthesia
• A larger incision than the original procedure
• Microsurgery to reconnect the fallopian tubes
• A longer recovery period compared to the initial tubal ligation

Success rates and alternatives to reversal

The success rates for tubal ligation reversal vary widely, depending on individual circumstances. Even after a successful reversal, conception rates may be lower than before the original tubal ligation. In cases where reversal is not possible or unsuccessful, In Vitro Fertilization (IVF) may be an alternative option for achieving pregnancy.

It’s important to note that tubal ligation reversal is often not covered by insurance and can be expensive. Women considering reversal should discuss their options thoroughly with a reproductive specialist to understand the potential outcomes and alternatives.

Making an Informed Decision: Is Tubal Ligation Right for You?

Deciding to undergo tubal ligation is a significant choice that requires careful consideration. It’s essential to weigh the benefits of permanent contraception against the potential risks and the possibility of changing circumstances in the future.

Key factors to consider before opting for tubal ligation:

• Certainty about not wanting future pregnancies
• Age and life stage
• Current health status and medical history
• Understanding of the procedure’s permanence
• Awareness of potential complications, including PTLS
• Consideration of alternative long-term contraceptive methods
• Partner’s involvement in the decision-making process
• Psychological readiness for a permanent change

How can you prepare for a discussion with your healthcare provider?

To make the most of your consultation regarding tubal ligation, consider preparing the following:

• A list of questions about the procedure, risks, and recovery
• Your complete medical history, including any previous surgeries
• Information about your current contraceptive method and why you’re considering tubal ligation
• Any concerns or doubts you may have about the permanence of the procedure
• Your future life plans and how they might impact your decision

Remember, your healthcare provider is there to offer guidance and information, but the final decision should be yours, made with a full understanding of the procedure’s implications.

Alternative long-term contraceptive options

For those who are unsure about the permanence of tubal ligation, there are other long-term contraceptive options to consider:

• Intrauterine Devices (IUDs): Both hormonal and non-hormonal options available, lasting 3-10 years
• Contraceptive Implants: Hormonal implants placed under the skin, effective for up to 3 years
• Vasectomy for male partners: A less invasive surgical option for permanent contraception

Each of these alternatives has its own set of benefits and considerations, and discussing them with your healthcare provider can help you make the best choice for your individual circumstances.

Tubal Ligation Surgery, Risks, Side Effects & Reversal

Tubal Ligation is a surgical procedure that permanently prevents pregnancy. It is also casually known as “getting your tubes tied,” and involves the cutting or blocking off of the fallopian tubes.  This stops the egg from traveling from the ovary to the uterus so fertilization and implantation cannot occur.

The Tubal Ligation Procedure  

Tubal ligation is a relatively simple surgery. It can be done at any time, including immediately after giving birth, and many women prefer to have it done as part of a Cesarean section procedure.

During a standard tubal ligation, either general anesthesia or a spinal block is administered. If the operation is not part of a C-section, the surgeon makes two small abdominal incisions and inserts a small camera mounted on the end of a tube called a laparoscope. The abdomen is then inflated with gas, allowing greater visibility and access. The surgeon will then cut or cauterize each of the fallopian tubes and clamp or tie them off.

Another form of tubal ligation is called a “hysteroscopic tubal occlusion procedure” and it requires no anesthesia and can be done in an outpatient clinic. A hysteroscopic tubal occlusion procedure is done via the cervix and involves inserting coils inside of the fallopian tubes instead of cutting or cauterizing them.    

Post-Op Recovery After Tubal Ligation

After a tubal ligation, women can usually go home on the same day as the surgery. However, the effects of the anesthesia will require a family member or friend to help with driving and getting the patient settled at home.

In the days following the tubal ligation, it is very important to allow the body time to heal. There is often some localized abdominal pain around the incisions for which a doctor may prescribe painkillers, and some women may experience cramping, dizziness, fatigue, bloating, gassiness or shoulder pain.

Women should contact their doctor if they have a temperature of 100.4° F or greater, if they experience pain and/or bleeding or discharge from the incision site that continues or increases 12 hours after the operation, or if they have fainting spells.

Women can expect to resume to normal activities almost immediately after the surgery unless there are other factors such as needing to recover after Cesarean section, but if the tubal ligation is done in conjunction with giving birth, it should not add to the length of hospital stay. Heavy lifting and sexual intercourse should be delayed for two to three weeks after the surgery to ensure a full recovery.

If the tubes have been tied using the laparoscopic method, there is no need for further tests to ensure efficacy and women can end other forms of birth control immediately. However, if the tubes were tied via a hysteroscopic tubal occlusion, women should continue using contraceptives for three months.  After three months a test called hysterosalpingogram will confirm the surgery was effective.

Benefits and Risks of Tubal Ligation

Tubal ligation is a common, low-risk surgery that provides permanent birth control. For women who are sure they want to prevent any future pregnancies, it is approximately 95 to 99 percent effective, although rates vary according to the type of surgery performed. Tubal ligation also has the additional benefit of lowering the risk of ovarian cancer. For that reason, some women with a history of ovarian cancer may opt to have their tubes tied as a preventive measure against the disease.

Tubal ligation is not recommended for women who are not absolutely positive they want to prevent the future pregnancies. In some cases, reversing the procedure is possible, but it is expensive and rates of conception are often decreased and In Vitro Fertilization (IVF) may be necessary. There is also a slight increase of ectopic pregnancies after a tubal ligation and the procedure does not protect against sexually transmitted disease (STDs).

Tubal ligation is not an appropriate form of sterilization for everyone. Women who have had previous abdominal surgeries, diabetes, or are obese tend to have a higher risk of complications related to getting their tubes tied. Women should discuss their options with the doctor to decide if the surgery is right for them.

A relatively rare but serious complication of tubal ligation is a condition called Post Tubal Ligation Syndrome (PTLS). PTLS occurs when the blood supply to the ovaries is damaged during the operation to tie the tubes. The result of PTLS is a significant decrease in the production of the hormones estrogen and progesterone. This can have lasting health effects, including symptoms similar to those of menopause. Women in their 20s appear to be at a higher risk for PTLS than women who have tubal ligations in their 30s and 40s.

Side Effects of Tubal Ligation

Many women may worry about side effects after tubal ligation. Generally, these are rare or have been shown to be related to issues other than the surgery.

Unplanned and Ectopic Pregnancies

Pregnancy, or failure of the tubal ligation, is one potential unwanted side effect of the procedure. Women who have had their tubes tied are slightly more likely to have ectopic, or tubal, pregnancies than other women. The U.S. Centers for Disease Control and Prevention studies show approximately one in 200 women will experience pregnancy after having their tubes tied. Of these, less than seven out of 1,000 of the pregnancies will be ectopic, but that number is still higher than the rate of ectopic pregnancies among non-sterilized women. Research conducted over an eight to 14-year period by the U.S. Collaborative Review of Sterilization and published in 2015 showed pregnancy happened in only 143 of the 10,685 (1.33%) women studied.  Women who were under age 30 when they had the procedure had a higher failure rate.

Post-Tubal Ligation Syndrome (PTLS)

Post-Tubal Ligation Syndrome (PTLS) is a cluster of symptoms reported which include heavy or missing menstrual periods, hormonal problems, or problems that may mimic menopause. Its existence remains controversial among doctors and researchers.  Women reporting PTLS list side effects such as hot flashes, heavy periods, mood swings, anxiety, depression, sleep problems, fatigue, mental “fog” or confusion, and vaginal dryness, among others.

Some doctors feel that a loss of blood flow to the severed fallopian tubes is to blame, while others suggest women who were using birth control pills prior to surgery may be more likely to experience PTLS. They experience symptoms from stopping the contraception, rather than the result of the surgical procedure. Dr. Stephen L. Corson, professor at Thomas Jefferson University and Women’s Institute in Philadelphia, conducted a study comparing hormone levels in women who had tubal ligations versus those who had not had the surgery. He found no significant differences in the hormone levels of the groups, indicating no damage to the ovaries from tubal ligation surgery. Other studies, including one by the American Society for Reproductive Medicine, also failed to support the existence of PTLS.

Future Hysterectomy

Another side effect that may concern women is the reported connection between tubal ligation and the risk of future hysterectomy. Clinical studies published in the Journal of Obstetrics and Gynecology show a statistically small increase in hysterectomies in sterilized women in the U. S. The researchers hypothesized this was due to the sterilized women’s lower threshold for being willing to undergo a hysterectomy rather than the presence of other factors. American Family Physician points out that hysterectomy rates are higher in the U.S. than in the rest of the world. They state, “For women who were sterilized before the age of 30, a plausible biologic effect of sterilization on hysterectomy risk is unlikely.” Findings from studies in other countries do not report the same increased risk for hysterectomy after tubal ligation as that seen in the U.S.  

Ovarian or Breast Cancer?

Women considering tubal ligation may worry about increasing their risk for ovarian cancer or breast cancer, or an increased risk for other diseases. However, the Collaborative Review actually saw a reduction in rates of ovarian cancer in patients who had tubal ligation surgery both in the U.S. and in other countries, and they found no relationship between breast cancer and tubal ligation. The rates for pelvic inflammatory disease also decreased in women who had their tubes tied. When P.I.D. abscesses do occur, fewer sterilized patients required hospitalization for treatment than did their un-sterilized counterparts.

Regretting the Decision

Regret is perhaps the side effect of tubal ligation most discussed among women and their doctors before surgery. Common factors associated with regret, according to the report in American Family Physician, include a young patient and unpredictable life events. Pressure from spouses, doctors, relatives, and others also influence whether a woman feels regret about her decision to seek permanent birth control through tubal ligation.

Tubal Ligation vs.  Vasectomy

The male equivalent of a tubal ligation is a vasectomy. In a vasectomy, the vas deferens is severed and prevents the release of sperm. Like a tubal ligation, a vasectomy is a permanent form of sterilization. A vasectomy is a safe medical procedure with a recovery period of only a few days. It is 99 percent effective in preventing pregnancies, and has no sexual side effects. Like a tubal ligation, though, it does not protect against STDs.

In the Unites States, tubal ligation is more common than vasectomy; however, vasectomies are usually cheaper than tubal ligations and have even fewer associated complications.

People who are in a committed relationship and are sure they do not want to have children in the future should consider the pros and cons of getting a tubal ligation or a vasectomy. The risks for each person and their personal medical history should be carefully considered.

Choosing Tubal Ligation

Choosing to have a tubal ligation is a personal decision that should be considered carefully. For women who are sure they do not want to have children in the future and want to have full control of their reproductive health, getting their tubes tied is a safe and effective option.

If you have any questions about whether a tubal ligation procedure is right for you, please contact Kansas City ObGyn today at This email address is being protected from spambots. You need JavaScript enabled to view it. or 913-948-9636.

Pros & Cons of Getting Your Tubes Tied

Written by Diana Reese

Medically Reviewed by Neha Pathak, MD on January 03, 2023

• What Is Tubal Ligation?
• The Pros of Tubal Ligation
• The Cons of Tubal Ligation
• What Happens During Tubal Ligation?
• Tubal Ligation Recovery
• How Soon Can I Have Sex After a Tubal Ligation?
• Tubal Ligation Cost
• Other Methods of Birth Control
• More

Tubal ligation — also known as having your tubes tied — is a kind of surgery that will keep you from ever getting pregnant. If you’re thinking about having it done, it’s important to understand the procedure and the advantages and disadvantages before making a decision.

“Tubal” refers to your fallopian tubes, and “ligation” means to tie off. Fallopian tubes are thin tubes that connect each of your ovaries to your uterus — they’re passageways for unfertilized eggs. In a tubal ligation, you’ll have surgery to cut or block your fallopian tubes. That way, the eggs released by your ovary each cycle can’t meet up and be fertilized by sperm.

Tubal ligation is a permanent method of birth control that involves surgery to cut or block your fallopian tubes. Photo Credit: Getty Images

It’s permanent. This is a big plus if you don’t want to have children or you don’t wish to have any more.

It works. Only about 1 in 200 of those who’ve had a tubal ligation get pregnant. That’s less than 1%.

It doesn’t affect your hormones. It won’t change your periods or bring on menopause. And it doesn’t cause the side effects that birth control pills can, like mood swings, weight gain, or headaches, or the ones sometimes caused by IUDs, like cramps, heavier periods, or spotting.

You don’t need to remember to do anything. You don’t have to put in a diaphragm, take a pill, use a condom, or count days on the calendar to avoid pregnancy. That may make you feel more relaxed about sex.

It may lower your chances of ovarian cancer. Scientists aren’t sure exactly why this happens, but research has shown that tubal ligation can greatly lower the odds of this type of cancer.

If pregnancy would be a health risk for you, or if you or your partner has a genetic disorder that would be risky to pass on to a child, tubal ligation may be right for you.

It’s permanent. While it can sometimes be reversed with surgery, that’s not always possible. Only around half of those who have a reversal are able to get pregnant. Unless you’re certain you’ll never want to get pregnant, tubal ligation isn’t right for you.

It doesn’t protect against STDs. You’ll need to use condoms to prevent sexually transmitted diseases, including HIV.

Pregnancy. It’s rare, but tubal ligation can fail. If your tubes aren’t completely closed, you can get pregnant.

It may lead to an ectopic pregnancy. If you do get pregnant, you’re more likely to have this type of pregnancy, which occurs someplace other than the uterus, usually in one of your fallopian tubes. Ectopic pregnancy may cause the tube to burst. This can lead to severe bleeding. You’ll need surgery right away to fix it.

There are risks to surgery. Problems are very rare, but this type of surgery can cause bleeding or damage your bowel, bladder, or major blood vessels.

After tubal ligation, you might have a rapid decline in the hormones estrogen and progesterone. Whether this may occur is often debated but it is referred to as post-tubal ligation syndrome (PTLS). Symptoms are a lot like menopause: hot flashes, night sweats, a dry vagina, mood swings, trouble sleeping, a lower sex drive, and irregular periods. Or you could have heavy, painful periods.

The cut made from your surgery can get infected, or you might react to the anesthesia. There’s also a small chance of lingering belly pain.

Your risk for these types of issues is higher if you’re overweight, have had surgery in the same area before, or have diabetes, lung disease, or pelvic inflammatory disease.

Burns to your bowel or skin are also possible if your surgeon uses electric current to seal off your fallopian tubes.

You’ll get your tubal ligation in a hospital or at an outpatient surgical clinic. The doctor will give you medicine to make you “sleep” so you won’t feel anything during the surgery.

The surgeon will make one or two small cuts in your belly, then inflate it with gas. They’ll put a long, thin device called a laparoscope into one cut to look into your belly. They’ll put tools into the other to cut, seal, band, clamp, or tie your fallopian tubes shut.

Your surgeon will then stitch up the cuts on your belly. You can go home a few hours later to rest.

Your incision sites (where you got the cuts) may be a little uncomfortable afterward. You might also have pain or cramps in your belly, fatigue, mild vaginal bleeding, dizziness, or a sore throat from the anesthesia.

If the surgeon used gas to inflate your abdomen to do the tubal ligation, you may have some bloating. It could cause belly or shoulder pain. This should go away in a couple of days.

Wait 48 hours after your tubal ligation to bathe or take a shower. Don’t rub or scrub your incision sites for at least a week. Pat your skin dry carefully after your bath or shower.

You should be able to get back to your normal routine a few days after your tubal ligation. But don’t lift anything heavy until your doctor says it’s safe to do so.

You should be able to have sex a week after your tubal ligation.

You don’t need to use a backup form of birth control after the procedure, but it won’t protect you from sexually transmitted diseases (STDs). Using a condom during sex will help prevent STDs.

The cost of your tubal ligation may vary based on where you live, your doctor, and your insurance coverage. Average costs range from $1,500 to $6,000.

Up to 20% of those who have tubal ligation eventually wish they hadn’t, so it’s important to think about all the possibilities. Those younger than 30 are more likely to change their minds later.

If you’re not sure, you might think about these long-term options for birth control:

Vasectomy. If you’re in a committed relationship, your partner might be willing to get this procedure that keeps sperm from getting into semen. It’s a safer procedure than a tubal ligation, and it can be done while the patient is awake.

IUD. Your doctor puts this small T-shaped plastic device into your uterus. It can stay in place from 3 to 10 years. IUDs are more than 99% effective in preventing pregnancy.

Implant. Your doctor puts a plastic rod about the size of a matchstick under the skin of your upper arm. It releases the hormone progestin and can stay in place for up to 3 years.

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Laparoscopic tubal ligation – Operation cost in Ukraine

At the doctor’s office for laparoscopic intervention

Contents of the page:

• Advantages of the technique
• 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 ampullary 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

technique First of all, it should be said 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 offer several benefits:

• 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 dissection of the muscles, the woman after it quickly comes into shape. 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 life of the patient – decompensated diabetes mellitus, severe pathologies of the heart, kidneys, lungs, malignant tumors.
• Serious genetic anomalies that are inherited.

The main indicator for tubal ligation 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;
• urinalysis;
• 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 US 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 fallopian tube ring (enlargement)

Procedure

Laparoscopic pregnancy prevention requires three punctures of the anterior abdominal wall, 10 mm and 5 mm in diameter.

A laparoscope is inserted in 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.

Rehabilitation period

Recovery after the operation 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 the 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 they 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.

Frequently asked questions

How much does Laparoscopic tubal ringing to prevent pregnancy cost in Bilyak Clinic?

Laparoscopic imposition of rings on the fallopian tubes 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
– food 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. D.0003

Hysterosalpingography (HSG), HSG of the fallopian tubes, x-ray of the fallopian tubes in Nizhny Novgorod in the Tonus clinic, checking the patency of the fallopian tubes, obstruction of the fallopian tubes

To successfully assess the patency of the fallopian tubes, hysterosalpingography is performed on days 5-11 of the cycle, although for the diagnosis of certain diseases (uterine fibroids) the phase of the cycle does not matter, the main thing is that there should be no menstruation during the procedure.

Hysterosalpingography technique

For tubal HSG, water-soluble radiopaque agents are used. They are introduced through a catheter. Next, a series of x-rays is taken, with the help of which the patency of the fallopian tubes, the presence of pathological formations in the uterine cavity, etc. are assessed.

If a woman has obstruction of the fallopian tubes , then the contrast cannot fill them completely and go into the pelvic cavity

The interpretation of the results and the issuance of a conclusion is carried out by a radiologist.

X-ray of the fallopian tubes has a number of contraindications.

Absolute contraindications to hysterosalpingography examination of the fallopian tubes:

• History of allergic reactions to radiopaque agents
• Cardiovascular insufficiency
• Renal failure
• Pregnancy

After the procedure for a couple of days, you may experience spotting and mild pain in the lower abdomen. There is no need to worry about this. The use of antispasmodics is recommended to reduce pain.

Benefits of hysterosalpingography:

• Minimally invasive procedure
  This is a minimally invasive procedure that does not cause much discomfort to the woman
• Fast procedure
  The method is quite fast and allows to check the fallopian tubes in a short time. Timely diagnosis is the key to successful and effective treatment
• Under the pressure of a substance introduced into the fallopian tubes, their obstruction can independently recover right during the procedure
• Safe procedure
  X-ray used in diagnostic doses is harmless

Recommendations for hysterosalpingography (HSG)

HSG is carried out from the 5th to the 11th day of the menstrual cycle )

Bring with you:

• Doctor’s referral
• Passport
• Robe
• Slippers
• Panty liners for critical days

Two days before the examination, it is necessary to refrain from sexual activity, as well as to epilate the intimate area.