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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

Surgical sterilization

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.

Non-surgical sterilization

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 ligation is 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.


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


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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