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Tubal occlusion

Tubal occlusion, commonly known as “having your tubes tied”, is a permanent method of birth control for women. It is achieved by an operation to permanently block both fallopian tubes. This prevents sperm from fertilising an egg.

Advantages of tubal occlusion:
  • Tubal occlusion is a more reliable and permanent method of contraception than some other methods, e.g., diaphragms and intra-uterine devices (IUDs).
  • The woman does not have to remember to take a contraceptive pill every day.
  • The woman has no hormonal side effects, as may occur with the contraceptive pill, or other hormonal treatments.
  • Tubal occlusion does not upset the menstrual bleeding pattern (although bleeding may be heavier than periods produced by the contraceptive pill)
  • There are no chemicals or devices to put in or take out at the time of sexual intercourse (e.g., a diaphragm or female condom).
  • There are no on-going costs, as there are with some other methods of contraception.

The decision to have tubal occlusion

A woman should consider tubal occlusion only if she is certain that she does not want to have any more children. She should think about such circumstances as the death of her spouse or a child, and the possibility of a divorce or remarriage. Younger women are more likely to regret their decision to have a tubal occlusion.

Although surgical reversal of tubal occlusion is possible in some cases, there is no guarantee that a surgical reversal will always be successful and that a pregnancy will follow. Also, a reversal can be expensive (currently no medicare or private health fund rebate considered to be equivalent to "cosmetic surgery" by government and private health funds). If you think that you are likely to want a reversal at some time in the future, then tubal occlusion is not the right birth-control option for you.

A decision about tubal occlusion should be made after discussion with your gynaecologist.

 

The information above is reproduced from 'TUBAL OCCLUSION AND VASECTOMY - a guide about Female and Male sterilisation', published by the Royal Australian and New Zealand College of Obstetricians and Gynaecologists and Mi-tec Medical Publishing. The complete pamphlet is available from your doctor.

 

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Laparoscopic tubal occlusion

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