The Female Sterilization
Also known as tubal ligation.
INTERESTING FIGURES AND DETAILS
WHERE TO HAVE IT CARRIED OUT?
At a hospital
Tubal ligation is performed in a hospital setting by a gynaecologist. It is a surgical procedure carried out in the operating block under general anaesthetic. In Luxembourg, this procedure costs around 4.000 euros, but this price can vary depending on the healthcare professional. The CNS does not reimburse this contraceptive, except on medical advice, and after the CNS’s medical control agreement (APCM).
La ligature des trompes
Is tubal ligation reversible?
Tubal ligation is called “permanent contraception”, so it should be considered irreversible. An operation called tubal ligation reversal is possible for some people to reconnect the fallopian tubes, but as these small tubes are less than a millimeter of diameter, therefore the operation does not guarantee a return to fertility and is quite costly. The success of this operation also varies according to other factors, such as age, type of sterilisation, type of tubal ligation reversal surgery, etc.). Tubal ligation must therefore be considered irreversible.
Is the procedure painful?
Tubal ligation is performed under general anaesthesia during an operation called laparoscopy. In some cases, it can also be done during a caesarean section. This means that you will not feel any pain during the operation. However, discomfort, pain and cramps may occur for a week or more after the operation. Medication may be prescribed to reduce the pain. If you are worried about pain, talk to your physician.
How long does the recovery take?
It is advisable to rest for a week after the operation, keep the incision clean, avoid scratching it or soaking it in water. It is also advisable not to have sexual relations for a week after the operation. If you have any questions, do not hesitate to contact your physician.
Does it have an impact on sexual desire?
No, tubal ligation does not affect sexual desire. You can have sex as before the operation.
Will I get my period again?
Yes, there is no change in menstruation following a tubal ligation. If you stop taking hormonal contraception to have a tubal ligation you will return to your natural hormonal cycle and therefore your periods as they were before taking hormonal contraception.
Does tubal ligation increase the risk of ectopic pregnancies (extrauterine)?
An ectopic pregnancy is the implantation of a fertilised egg outside the uterus (e.g. in the fallopian tubes). This is a dangerous situation, as the pregnancy cannot be carried to term and its development can lead to internal bleeding (heavy bleeding) which requires emergency treatment.
No. On the contrary, tubal ligation actually reduces the risk of ectopic pregnancies. The risk is 0.06% (6 ectopic pregnancies per 10,000 pregnancies) for women with tubal ligation compared to 0.6% (65 ectopic pregnancies per 10,000 pregnancies) for women without ligation.
The frequency of ectopic pregnancies increases slightly when a ligation operation fails, i.e. when it does not prevent a pregnancy, or during a tubal ligation reversal surgery.