Tubal ligation
| Normal anatomy |
|
The ovaries are connected to the uterus by the uterine tubes
(fallopian tubes). The egg travels through the tube to the
uterus.
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| Procedure |
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Tubal ligation is surgery to tie the tubes (fallopian tubes) of
a woman. This prevents transport of the egg (ovum) to the uterus,
causing permanent sterility. Tubal ligation may be recommended for
adult women who wish to prevent future pregnancies (permanent
sterilization). Tubal ligation is not recommended as a temporary or
reversible procedure.
Tubal ligation occurs in the hospital while the patient is
deeply asleep and free of pain (using general anesthesia). A small
incision is made in the abdomen, through which a small
telescope (laparoscope) is inserted. The tubes (fallopian tubes)
are tied off and cut apart. The skin incision is stitched closed.
The patient is able to return home within a few hours after the
procedure.
Tubal ligation can be performed immediately after
childbirth.
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| Aftercare |
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Most women recover with no problems. No tests are required to
verify sterility.
Most women are advised to avoid strenuous exercise for several
days. Oral pain medications can usually manage the pain. Most women
are able to return to work within a few days. Women who have this
procedure can resume sexual intercourse as soon they feel ready
(usually within a week).
|
Review Date: 12/31/2008
Reviewed By: David C. Dugdale, III, MD, Professor of Medicine,
Division of General Medicine, Department of Medicine, University of
Washington School of Medicine; and Susan Storck, MD, FACOG, Chief,
Eastside Department of Obstetrics and Gynecology, Group Health
Cooperative of Puget Sound, Redmond, Washington; Clinical Teaching
Faculty, Department of Obstetrics and Gynecology, University of
Washington School of Medicine. Also reviewed by David Zieve, MD,
MHA, Medical Director, A.D.A.M., Inc.
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