Sterilization (Women)

THE BASICS

What is it?

Sterilization for women is a procedure that blocks the fallopian tubes so that eggs do not reach the uterus. Many people call it “getting your tubes tied.” Doctors may call it tubal ligation or tubal occlusion. This is a permanent form of birth control.

There are 4 ways to do the procedure:

  • Cut the tubes in half, or cut out a section, then seal the ends.
  • Use electric current to block the tubes.
  • Close off the tubes from the outside using a clip or ring.
  • Remove the tubes.

How well does it prevent pregnancy?


A very effective form of birth control — one of the lowest pregnancy rates of all birth control methods.

Less than 1 out of 100 women get pregnant in a year of use.

HOW DOES IT WORK?

Blocks or removes the fallopian tubes so eggs can’t reach the uterus.

WHAT ARE SOME PRODUCT NAMES?

Filshie or Hulka clip, Falope or Yoon ring

PROS

  • Very effective. No need to think about birth control again. Failure rates are very low.
  • Sex can be spontaneous, with no worries about pregnancy.
  • Hormone-free.
  • Can have procedure right after having a baby. If you have a cesarean section (C-section), surgeon will use the incision used to deliver the baby.

CONS

  • Permanent. Must be sure you never want to have another child. Younger women are more likely to regret having the procedure than older women.
  • These methods require surgery. It can be done through tiny incisions and you'll go home the same day. (Or if you have a C-section, it can be done through that incision.)
  • Female sterilization is more complicated, costs more, and has a higher failure rate than vasectomy (male sterilization).

POSSIBLE CONCERNS

There’s a small risk of problems related to surgery. This includes:

  • Infection
  • Bleeding
  • Pain
  • Injury to another organ or large blood vessel
  • Failure to complete the procedure.