Skip to main content

4 Things to Consider Before Opting for Sterilization

4 Things to Consider Before Opting for Sterilization

You’re sure that you don’t want to have children moving forward — so sure that you’re contemplating a sterilization procedure in the form of tubal ligation.

Each year in the United States, about 700,000 women have this sterilization procedure done, and a total of 11 million women between the ages of 15 and 44 rely on tubal ligation as their way of preventing unwanted pregnancy.

At Capital Women’s Care, our skilled team of gynecology experts offers female sterilization and, in this blog post, we want to review a few points we bring up with our patients before making this important decision.

1. Sterilization is a mostly permanent procedure

During a tubal ligation, we tie or clip off your fallopian tubes to prevent your eggs from becoming fertilized and reaching your uterus. Once we perform this procedure, you should consider it irreversible. Technically, this isn’t entirely true, but the reversal process for a tubal ligation is incredibly complex and not always successful.

We bring this important point up because after Roe v. Wade was overturned, there was an immediate increase in tubal ligation procedures in the US, especially among women under the age of 30. This is an early age to be making this decision especially in light of the fact that 12% of women who have tubal ligations regret having the procedure.

2. Sterilization works extremely well, but it’s not perfect

Tubal ligation offers extremely good protection against future pregnancy, but it’s not perfect. The rate of pregnancy after tubal ligation is about 1 out of 1,000 after the first year and 2-10 out of 1,000 after 5 years.

While the chances of getting pregnant are small, if you do get pregnant, it will likely be an ectopic pregnancy.

3. Is a vasectomy on the table?

We perform a tubal ligation using minimally invasive techniques whenever possible, but it’s still surgery. If you have a partner and he’s willing to undergo a vasectomy, this is a route you might also consider. Each year in the US, about half a million men get vasectomies, and the procedure takes mere minutes during an in-office visit.

4. Sterilization doesn’t project against sexually transmitted infections

Lastly, while tubal ligation can do a great job in preventing pregnancy, it does not offer any protection against sexually transmitted infections. Only condoms and abstinence can accomplish that.

The upsides to tubal ligation

While we focused on potential pitfalls above, there are many upsides to sterilization. Besides offering superior protection against pregnancy, tubal ligation can also:

If you want to explore further whether sterilization is the best choice for your reproductive goals, we encourage you to contact one of our three conveniently located offices in Frederick and Mount Airy, Maryland, to schedule an appointment.

You Might Also Enjoy...

Is Sterilization Right for Me?

Is Sterilization Right for Me?

Having kids isn’t in your immediate or long-term future, and you’re exploring whether sterilization is right for you. Here, we present some information about tubal ligation to help with your decision-making.
Am I Too Young for Hormone Therapy?

Am I Too Young for Hormone Therapy?

You’re struggling with perimenopause symptoms in your early forties, but you feel like you may be too young to start hormone replacement therapy (HRT). Luckily, you’re not — learn more about HRT benefits and age guidelines here.
Why Do I Bleed Between Periods?

Why Do I Bleed Between Periods?

About one-third of women experience abnormal bleeding, which includes spotting between periods. To help you narrow the field of possible causes, here are a few of the potential culprits behind this common problem.
Can I Still Run and Exercise While Pregnant?

Can I Still Run and Exercise While Pregnant?

As you embark on your pregnancy, you want to figure out how this will affect your running and/or exercise regimen. Well, it will have a major impact, but that doesn’t mean you should ditch your fitness.
Bleeding During Pregnancy — Is It Ever Normal?

Bleeding During Pregnancy — Is It Ever Normal?

Any amount of vaginal bleeding is alarming when you’re expecting, but it doesn’t necessarily mean that something’s wrong. Learn what causes spotting and bleeding during pregnancy, and why it’s always best to check in with your doctor.
5 Causes of Heavy Bleeding

5 Causes of Heavy Bleeding

Under normal circumstances, periods aren’t exactly welcome, but yours are less so thanks to heavy bleeding that’s impacting your quality of life. Here’s what might be behind the heavy bleeding and what to do next.