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Tubectomy Surgery by Expert Gynecologists

Looking for a healthcare provider for tubectomy contraception treatment? Contact Pristyn Care and speak to experienced gynecologists with a proven track record of performing tubectomy surgeries with high success rates. Contact us to book your free doctor appointment.

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  • What is Tubectomy?

    Tubectomy, also known as tubal ligation or tubal sterilization, is a permanent birth control method for women. The female reproductive system consists of the ovaries, fallopian tubes, uterus, cervix, and vagina. The ovaries produce eggs, which travel through the fallopian tubes to the uterus. The uterus is where a fertilized egg implants and develops into a fetus during pregnancy. The cervix is the lower part of the uterus that connects to the vagina. The vagina serves as the birth canal and also allows for menstrual flow to exit the body.

    If you do not want to become pregnant, you may choose a birth control method from one of these categories:

    • abstinence
    • contraception
    • sterilization, to permanently avoid pregnancy through a medical procedure.

    India conducts between 40 lakh and 50 lakh tubectomies annually, which is about 760 to 950 women per year. This is roughly 5–6 million procedures, which accounts for 98% of all sterilizations and 62% of contraceptive use in India. 

    Pristyn Care is one of the most trusted healthcare providers offering advanced surgical procedures by experienced doctors. The gynecology specialty of Pristyn Care is staffed round the clock by expert and experienced Obstetricians and equipped with world-class infrastructure to facilitate different types of gynecology surgeries.

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    Difference Between Tubectomy and Vasectomy

    Tubectomy and vasectomy are both surgical procedures for permanent contraception, but they differ in terms of anatomy and procedure. Tubectomy, also known as female sterilization, involves blocking or cutting the fallopian tubes. This prevents the eggs from reaching the uterus for fertilization. Tubectomy is a major surgical procedure and is performed under general anesthesia. Vasectomy, on the other hand, is the sterilization procedure in men that involves cutting and sealing the vas deferens, the tubes that carry sperm from the testicles to the urethra. Once vasectomy is done, the sperm cannot travel to meet with the semen ejaculated during intercourse. Vasectomy is less invasive than tubectomy and is performed either under general or local anesthesia.

    A quick comparison of vasectomy and tubectomy

    Factors Tubectomy Vasectomy
     Performed on Females Males
    Surgery duration More invasive Less invasive
    Recovery duration Almost 2 weeks 1 week or so
    Success rate 99% 99%
    Reversal Possible, but Complex Easy and not Complex

     

    Indications of Tubectomy

    Tubectomy is indicated for women who do not want to become pregnant in the future. 

    Before undergoing tubal ligation, a woman should carefully consider the following:

    • Her motivation for opting for permanent sterilization.
    • Whether tubal ligation aligns with her contraceptive needs.
    • Awareness of potential risks, complications, and side effects associated with the procedure.
    • Exploration of alternative contraceptive methods if deemed appropriate.

    Types of Tubectomy

    Tubectomy involves cutting or sealing the fallopian tubes to prevent the eggs from reaching the uterus. During tubectomy, the doctor makes a small incision in the abdomen to access the fallopian tube. Gas is pumped into the abdomen to view the fallopian tubes better. The tubes are then either cut or sealed using methods such as rings, clips, or electrocoagulation.

    There are different approaches to performing a tubal ligation surgery, some of which include:

    1. Laparoscopic Tubal Ligation – This is the most common method, where small incisions are made in the abdomen to access and ligate (tie off) or cut the fallopian tubes.
    2. Minilaparotomy Tubal Ligation – A small incision is made near the navel or bikini line, through which the fallopian tubes are accessed and sealed.
    3. Postpartum Tubal Ligation – This procedure is done immediately after a vaginal delivery or during a cesarean section.
    4. Hysteroscopic Tubal Occlusion – This is a non-surgical method where a small device is inserted into the fallopian tubes, causing scar tissue to form and block the tubes.
    5. The most suitable approach for tubectomy may vary depending on individual circumstances and medical considerations.

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    Side Effects of Tubectomy

    Undergoing a tubectomy, like any surgery, has its own set of potential side effects and risks. After the procedure, some women may experience mild discomfort, swelling, or bruising around the incision sites. Although rare, there’s a chance of complications such as infection or damage to nearby organs. Additionally, some women might notice changes in their menstrual cycle or temporary increases in menstrual cramps.

    While tubectomy offers a permanent form of contraception, there’s still a slight risk of pregnancy if the fallopian tubes reconnect or if the procedure isn’t successful. Aside from these physical concerns, it’s important to acknowledge the emotional and psychological impact this decision might have. For some, choosing tubectomy can stir up feelings of loss or sadness, especially if they had hoped for more children in the future. This sense of finality regarding their fertility can lead to emotional distress or regret, particularly if they felt pressured into the decision.

    Recovery after Tubectomy Surgery Procedure

    Immediately, after the tubal ligation, you will be shifted to a recovery room where the medical team will monitor your vital signs. You might experience some grogginess, discomfort, and possibly mild pain in the abdominal area, which is likely to go away within the next few days.

    • Tubal ligation is an outpatient treatment and the patient will be allowed to go home the same day after primary observation.
    • Arrange someone to drive you home as you will be under the influence of anesthesia.
    • Avoid strenuous activities and heavy lifting during the initial recovery period. Indulge in light walking to promote circulation and prevent blood clots.
    • Keep the incision areas clean and dry. Follow aftercare tips given by the surgeon and change the dressings at regular intervals. 
    • Report any signs of infection, such as increasing pain, redness, swelling, or discharge from the incisions.
    • Stay hydrated and eat a balanced diet to aid the healing process.

    Risks and Complications of Tubectomy

    Tubectomy, like any surgical procedure, carries certain risks and potential complications. 

    • There might be a risk of infection at the incision site or within the abdominal cavity.
    • There is a small risk of damage to nearby organs such as the bladder or intestines during the surgery.
    • Some individuals may experience complications related to the anesthesia used during the procedure.
    • In rare cases, the fallopian tubes may spontaneously reconnect or recanalize, leading to a failure of the tubal ligation.
    • Some women may experience long-term pelvic discomfort or pain following the procedure.

    It’s important for individuals considering tubectomy to discuss these potential risks and complications with their healthcare provider and to weigh them against the benefits of the procedure before undergoing the procedure.

    FAQs around Tubectomy Surgery

    Can tubectomy be reversed?

    Yes, tubectomy can sometimes be reversed through a surgical procedure called tubal ligation reversal. During this procedure, the blocked or tied-off sections of the fallopian tubes are reconnected to restore fertility. However, the success of tubal ligation reversal can vary, and it’s not always guaranteed to result in pregnancy. It’s important for individuals considering tubal ligation reversal to discuss their options with a fertility specialist and to understand the potential risks and success rates involved.

    How many days of bed rest are required after tubectomy?

    Typically, after tubectomy, patients are advised to rest for about 1 to 3 days. However, the exact duration may vary depending on individual factors and the specific surgical technique used. Patients need to follow their doctor’s post-operative instructions for optimal recovery.

    Does tubectomy affect periods?

    Tubectomy does not typically affect the menstrual cycle or periods. The procedure involves blocking or sealing the fallopian tubes to prevent eggs from reaching the uterus, but it doesn’t directly interfere with hormonal regulation or menstruation. However, individual experiences may vary, so it’s essential to discuss any concerns or changes in menstrual patterns with a healthcare provider. Get in touch with an experienced gynecologist to discuss the consequences of the surgery beforehand.

    Does menstruation occur after tubectomy?

    Yes, menstruation typically continues after tubectomy (tubal ligation). Women who have undergone tubal ligation should continue to have regular periods unless they experience other changes due to factors unrelated to the procedure. If the body exhibits any other unusual side effects, it is crucial to consult with the doctor.

    Can I get pregnant after a tubectomy?

    Tubal ligation is a permanent contraception procedure. While the chances of pregnancy after tubal ligation are extremely low, it’s not impossible. If pregnancy is desired after tubal ligation, options such as in vitro fertilization (IVF) may be considered. It’s essential to discuss any concerns or desires regarding pregnancy with your gynecologist.

    Which doctor to consult for a tubectomy?

    For a tubectomy procedure, you would typically consult with a gynecologist or an obstetrician-gynecologist (OB-GYN). These medical specialists are trained in women’s reproductive health and are qualified to perform tubal ligation surgeries.

    Who is not eligible for tubectomy?

    While tubectomy (tubal ligation) is a commonly performed procedure for permanent contraception, there are certain situations where a person may not be eligible for the procedure. Some factors that might make someone ineligible for tubectomy include uncertainty about the decision or any other health condition that may contradict the surgery. It’s essential to discuss your circumstances with a healthcare provider to determine if tubal ligation is appropriate for you.

    Is tubectomy better than vasectomy?

    The choice between tubectomy (female sterilization) and vasectomy (male sterilization) is a personal decision based on circumstances and preferences. Both procedures are effective for permanent contraception. Tubectomy is invasive and carries slightly higher risks, while vasectomy is less invasive and does not involve much risks. The final decision should be made after discussing with a healthcare provider and considering factors such as medical history, potential risks, and personal preferences.

    When can we have intercourse after tubectomy?

    After a tubectomy, healthcare providers typically advise waiting for at least 14 days before resuming sexual intercourse. This allows time for initial healing and reduces the risk of complications. However, it’s essential to follow the specific post-operative instructions provided by your healthcare provider, as individual recovery times may vary. 

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    Content Reviewed By
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    Dr. Sujatha
    18 Years Experience Overall
    Last Updated : July 10, 2024