Tubectomy or tubal ligation is a permanent process of tubal sterilization. The fallopian tubes are cut, tied, or blocked to prevent pregnancy permanently. This prevents the egg and the sperm from traveling to the fallopian tubes. This procedure does not affect the menstrual cycle.
It is a surgical procedure that prevents pregnancy, however, does not protect against sexually transmitted infections.
The doctor suggests the patient to perform a pregnancy test before the start of the procedure. During the procedure, either a needle is inserted, or an incision is made through the belly button so the abdomen can be inflated with gas then, a laparoscope is inserted into the abdomen. In most of the cases, the doctor makes a second small incision to insert special instruments through the abdominal wall. The doctor uses these instruments to seal the fallopian tubes by destroying certain parts of the tubes or blocking the same. Plastic rings or clips are used to block the tubes. This process can also be performed following a vaginal birth using a small incision under the belly button, during a c-section, and anytime as an outpatient procedure that uses a laparoscope and general anesthesia.Returning to normal activities can slowly begin as per the advice of the doctor.
Tubal ligation or tubectomy is considered to be a safe and effective form of permanent birth control, but it may not work for all women. If a woman is young, then there are chances for the treatment to fail. Conceiving after tubal ligation indicates ectopic pregnancy wherein the fertilized egg gets implanted outside the uterus, usually in the fallopian tube. An ectopic pregnancy requires immediate medical attention and treatment. If there are any complications related to tubal ligation, then it is better to consult the doctor promptly.
Authored By : DR RUCHI MALHOTRA, DGO DNB - Obstetrics & Gynecology