Tubal Ligation

Summary

Tubal ligation is a procedure that is done for the purpose of closing a woman’s fallopian tubes. These tubes connect a woman’s ovaries to her uterus. When the procedure is complete a woman cannot get pregnant.

Tubal ligation is a permanent form of birth control. It is never recommended as a method of short term birth control. Although the procedure can be reversed with another surgery, there is no guarantee that fertility will be restored.

Length of the procedure: 30 minutes

Hospital Stay: Most patents are released form care the same day as their procedure, but some some woman may need to stay overnight. 

Recovery before traveling home: Patients seeking a tubal ligation through medical tourism can return home within 24 to 48 hours of their procedure.

Travel Tip: It is best to plan to stay at least one day beyond your procedure to ensue you are accommodated should you require an overnight hospital stay.

Procedure Details

Your surgery will begin with the administration of general anesthesia. The surgeon will make 1 or 2 small incisions on your belly close to your belly button. They will use air to expand your belly, this will help the surgeon have a better view of your fallopian tubes and uterus.

The surgeon will insert a laparoscope through the small incision. The laparoscope has a camera so they can see inside of the pelvis and it also has the instruments they need to perform the procedure. To close the fallopian tubes they will either cauterize them or clamp them with a clip or rubber band.

After the Procedure

After the procedure you will be taken to recovery. Your vitals will be monitored carefully during this time. When you have woken from the surgery and your vitals are stable you will be released from care or moved to a regular hospital room. The first 2 to 4 days post-op are the most uncomfortable. You may be swollen, crampy and have vaginal bleeding or discharge. Most woman are able to return to normal activity within 2 or 3 days. 

Self care after tubal ligation:

     •          Incisions should be kept clean, dry and covered per doctor’s instructions

     •          Avoid bathing or soaking in a tub, hot tubs or swimming until incisions are healed

     •          Avoid heavy lifting for 3 weeks

     •          Avoid sex for 7 days

Results

Tubal ligation is a very common procedure and most woman do not experience complications after the procedure. It is an extremely effective method of birth control. No further tests are required to ensure that you will not get pregnant after tubal ligation. In fact, less than .05% of women get pregnant after tubal ligation.

Risks and Complications

As is with any surgery there are risks associated with tubal ligation. The following is a list of the most common risks and complications:

     •          Reaction to anesthesia or medication

     •          Breathing problems

     •          Bleeding

     •          Infection

     •          Heart problems

     •          Incomplete tubal closing

     •          Increased risk of tubal pregnancy

     •          Organ damage

Contact your physician if any of the following occur:

      •          Severe belly pain uncontrolled by medication

     •          Belly pain that has increased

     •          Heavy vaginal bleeding

     •          Unreduced vaginal bleeding

     •          Fever above 100.5 degrees

     •          Chills

     •          Shortness of breath

     •          Pain

     •          Faintness

     •          Nausea or vomiting

     •          Discharge from surgical wound is green, yellow, thick or foul smelling

     •          Vaginal discharge has an odor

     •          Redness or warmth of surgical wound

     •          Incision pain

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