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Tubal sterilization or so called tubal ligation is a permanent form of contraception. Tubal
sterilization is surgery to block a woman's fallopian tubes. After this procedure, eggs cannot
move from the ovary through the fallopian tubes, and eventually to the uterus. Also, sperm
cannot reach the egg in the fallopian tube after it is released by the ovary. Thus, pregnancy is
prevented.
There are two options for tubal sterilization:
1). When surgical procedure includes cut or tie or burn of fallopian tubes; or
2). Essure spring-like coils inserted to block the fallopian tubes. Essure is a new non-surgical
method of permanently blocking the fallopian tubes to stop pregnancy from occurring.
Many years ago the tubal ligation was performed only for medical reasons but later it was
suggested for family planning mainly for women with several children or for women with health
problems.
This technique closes the “road” through fallopian tubes, and stops the egg from traveling to
the uterus from the ovary. It also prevents sperm from reaching the fallopian tube to fertilize an
egg. In a tubal ligation, fallopian tubes are cut, burned, or blocked with rings, bands or clips.
The surgery is effective immediately. Tubal ligations are 99.5% effective as birth control. They
do not protect against sexually transmitted infections, including HIV/AIDS.
Future Fertility after Sterilization
Tubal ligation is the permanent method of birth control. Surgery to reverse a tubal ligation is
not always effective but possible.
Sexuality
Tubal sterilization has no influence at women sexual potential and activities. Usually, hormone
levels and a woman's menstrual cycle are not changed by sterilization. Ovaries continue to
release eggs, but they stop in the tubes and are reabsorbed by the body. Some women
experience improved sexual pleasure because they are less worried about becoming
pregnant.
Sterilization Advantages
• Permanent birth control.
• Immediately effective.
• Allows sexual spontaneity.
• Requires no daily attention.
• Not messy.
• Cost-effective in the long run.
Sterilization Disadvantages
• Does not protect against sexually transmitted infections, including HIV/AIDS.
• Requires surgery.
• Has risks associated with surgery.
• Usually not be reversible.
• Possible regret.
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