Surgery

Tubal Ligation

Tubal ligation is a permanent form of female contraception that blocks or seals the fallopian tubes so eggs cannot meet sperm.

Quick answer

Tubal Ligation: what it is, why it's done and what happens

Female sterilisation blocks, seals or removes the fallopian tubes, preventing eggs travelling from the ovaries to the womb. It is intended to be permanent.

  • Why it is done: It is chosen by women who are certain they do not want children, or more children, as a highly effective and permanent method of contraception.
  • What happens: Usually done by keyhole surgery under general anaesthetic, the surgeon blocks or removes the tubes through small cuts in the abdomen.

What it is

Female sterilisation blocks, seals or removes the fallopian tubes, preventing eggs travelling from the ovaries to the womb. It is intended to be permanent.

Why it is done

It is chosen by women who are certain they do not want children, or more children, as a highly effective and permanent method of contraception.

What happens

Usually done by keyhole surgery under general anaesthetic, the surgeon blocks or removes the tubes through small cuts in the abdomen. It is often a day-case procedure.

Recovery

Recovery from keyhole surgery is usually quick, over a few days to a week, with some soreness and shoulder-tip discomfort from the gas. Normal activities resume gradually.

Good to know

Risks and things to consider

Risks include the usual surgical and anaesthetic risks, and rarely failure of the procedure. It does not protect against sexually transmitted infections, and reversal is difficult and not routinely available, so it should be considered permanent.

Education and reference only. This explains the procedure in general terms and is not medical advice. Your own care, risks and recovery will be explained by the team looking after you.

Answers

Tubal Ligation: frequently asked questions

Is tubal ligation reversible?

Reversal is sometimes possible but is complex, not always successful and rarely available on the NHS, so sterilisation should be regarded as a permanent decision.

Will it affect my periods or hormones?

No. The ovaries continue to work normally, so your hormones and periods are generally unaffected; only the path of the egg is blocked.

Sources

Where this is drawn from

  • NHS — Tests and treatments
  • NICE — procedure and treatment guidance
  • Royal College of Obstetricians and Gynaecologists / relevant professional body

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