What You Should Know About Having Your Tubes Tied

May 24, 2018  |  
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When I hear women talk about getting their tubes tied, they can be very casual about it. One friend who has already had three children before the age of 30 has joked that, for her next birthday, she just wants to get her tubes tied—as if it’s something she could do after champagne and before her cake. When you hear that term “tubes tied,” it sounds like a doctor just wraps your fallopian tubes up into a neat little bow, that he can always untie later, should you decide you want children again. But having one’s tubes tied isn’t the light, relaxed procedure that it sounds like. A lot of women realize that only after letting their hopes get too high, taking a couple of hours to visit their doctor, and hearing it firsthand from their physician. We can save you some time and delusion: here are things women should know about getting their tubes tied.

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First, they aren’t tied

The fallopian tubes are not actually tied. The accurate term is tubal ligation. The tubes can be cut, clamped, or even burned. There are various methods the doctor may use, depending on what he believes is right for your body, but tying is not one of them. Typically either damaging or obstructing the tubes is the chosen method.

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They go in through the belly button

Your doctor will make a few small incisions, right around where he would perform a cesarean section, and go in through under your belly button. There will be a scar.

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Or, there’s Essure

If you prefer a non-surgical procedure, there is a new option called Essure. In this method, the doctor goes in through the vagina with a coil that causes the tubes to scar up. It’s very new, however, and the FDA is calling for more research on it.

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You may still get pregnant

The body wants to do what the body wants to do. Your fallopian tubes can grow back together or develop a new pathway. All your body needs to become pregnant is for sperm to meet an egg, and if your fallopian tubes come back together, that can very well happen.


And it could be an ectopic pregnancy

The trouble with pregnancy occurring after having one’s tubes tied is that there is a high chance of this being an ectopic pregnancy, in which the egg implants outside the uterus where it cannot survive and can damage nearby organs.


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The reversal is invasive

You should be absolutely certain that you won’t want children in the future before damaging your tubes. The reversal is quite invasive, as the doctor will need to go back in and remove the ring or clip blocking the tubes.

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The reversal is expensive

By the way, having the procedure reversed can cost anywhere between $5,000 and $9,000. So, again, be certain you’re totally done having children because reversal is far more expensive than simple condoms or other forms of birth control would have been.

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Not all doctors say yes

Your doctor doesn’t have to say yes. Many doctors, in fact, refuse women who are in their twenties, believing that they’re impulsive and may change their mind later about having kids. They sometimes also turn down women who are fresh off a bad divorce, believing their pain is influencing their decision and they could meet another partner down the line and want children.

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Some suggest total removal

Some doctors recommend the complete removal of the fallopian tubes. This is the most effective in preventing pregnancy, and reduces the chances of ovarian cancer. This procedure, naturally, cannot be reversed.

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You’ll still menstruate

It would be nice to say goodbye to periods when you say goodbye to part or all of your fallopian tubes, but that simply isn’t the case. Your ovaries still work, and your lining of your uterus still sheds, so you will still get a period.

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Menstruation could be worse

Some women report having more severe menstrual cramps after tubal ligation. Remember that part of your reproductive organs have been damaged, so any type of cramping can be intensified.

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If possible, have it done with a c-section

The best way to have your tubes tied is during a c-section. Once your doctor is already in there (remember, he’ll open you up for a c-section the same way he would for tubal ligation), he can easily perform both procedures.

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Or, have him get a vasectomy

Your doctor might strongly suggest that your partner just get a vasectomy, if you have a stable partner. It’s far less intrusive since the organs worked on in the procedure are outside the man’s body. It’s also more effective.

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Risks are small, but scary

Though the risks are very small, you are going under the knife, so there is always some risk. This can include damage to the bladder, bowels, or arteries.

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It’s a big deal

Ultimately, it’s important to understand that having one’s tubes tied is no small thing. It’s a major operation for which you’ll be anesthetized, and parts of your body will be damaged or removed.

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