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It prevents a woman from getting pregnant and is effective immediately after the procedure. The procedure is done by cutting and removing a section of both tubes, permanently blocking the tubes with different devices, or removing the fallopian tubes entirely. No matter the method, tubal ligation surgery usually takes minutes. The egg can no longer get to the uterus to be fertilized by the sperm. This is done through a small cut in the belly button.

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Interviewer: You've had all the children you and your partner want. Your family is complete, and now you're considering permanent birth control. But how do you decide who gets it done? Is it the dad, and he gets a vasectomy, or is it the mom, and she gets tubal ligation? Alex Pastuszak is a urologist and a fertility expert at University of Utah Health. What is your take on this question, tubal ligation or a vasectomy? Pastuszak: So, Scott, I'm going to come right out and say that I would be strongly in favor of the vasectomy.

Interviewer: All right. But that's what you do, so I would expect that. Do you have some more support for it? Pastuszak: But it has everything to do with the safety and the cost of the two procedures relative to one another.

Pastuszak: So I would tell you that vasectomy is the safer and cheaper option compared to tubal ligation. So let's go ahead and, just like you said, break that down.

So what are the risks of tubal ligation? So we know that, just like a vasectomy, it can include bleeding and infection. Unlike vasectomy really, though, it can include injury to other organs because you're dealing with the tubes that are inside a woman's pelvis, which are really close to a lot of other sensitive structures.

Tubal ligation requires general anesthetic or strong regional, so the anesthesia is already more significant, and the side effects from that can be more significant than that for a vasectomy. And then just in terms of pregnancy itself. So while tubal ligation is just as effective, effectively, as vasectomy, so more than 99 percent, you can still run the risk of an ectopic pregnancy or incomplete closure of fallopian tube which results in pregnancy.

Now, if you counterpoint those against the risks of a vasectomy, then you're really just talking about bleeding, infection, some pain, and maybe failure of that vasectomy as the main risks. Very few. Pastuszak: Right. Because tubal ligation, again, you need to make an actual hole in the abdomen, which by surgical standards in this case, it's a minor surgery, but it's still much more major than a vasectomy.

Interviewer: Gotcha. What about the cost? I think this'll be a short conversation because vasectomy is cheaper. Pastuszak: Well, it's cheaper, and the reason it's cheaper is just because you can do it in the office under local anesthesia.

Interviewer: Gotcha, gotcha. Is there a reason why a couple might actually want to get a tubal ligation versus a vasectomy in spite of the reasons that you just gave?

Is there anything that you're aware of? Pastuszak: So unless there's an actual reason that a man cannot physically get a vasectomy, and I can't think of one off the top of my head, they may exist, or the woman is already undergoing another surgical procedure, like a Caesarian section, and at the time of that procedure wants to go ahead and have that tubal ligation, I don't see any reason why a tubal ligation would be or should be preferred over a vasectomy.

Interviewer: The difference is, though, a tubal ligation, a pregnancy could still occur that could be. Pastuszak: Which means that the pregnancy actually starts in the fallopian tube, and since that fallopian tube is now closed, that fertilized egg can't get to the uterus, and so it starts growing in the fallopian tube, which becomes an urgent or emergent surgical situation for the woman.

Interviewer: And, as of right now, there are more tubal ligations than vasectomies in the United States, isn't there? Interviewer: So, in this conversation, is there anything else that you would recommend for a couple to consider while having it, other than just kind of the facts that you laid out?

Pastuszak: So I think the couple really does need to have the facts because, you know, guys are a afraid. I shouldn't say afraid, but guys do not tend to seek medical care, right.

In the US, women are often the driver of their own and their partner's and family's medical care. So that is one barrier to more men having vasectomies. In fact, maybe not most, but a lot of the men I see in my office come because their partner, their female partner asked them to come, not because they have taken the responsibility. You know, and I would kind of put this back in the men's court just to sort of say, well, how sexy do you think your woman thinks you are, you know, if you're sitting there and pushing back against this vasectomy?

What do you think she would think if you said, "Honey, I'm going to go ahead and get this vasectomy, and I'm going to do this for us and for our family"?

Interviewer: Yes, because it's a safer and a more economically cheaper option. That's pretty sexy. Interviewer: So I think, finally, if in spite of all this information, a guy still has it in about getting that vasectomy, what would you say at that point?

Because, to me, the course of action seems obvious, but men can still be hesitant. What would you say at that point? Pastuszak: So I really do think information is power, and I know that men are hesitant. You know, at the very least, go get the facts. Go see somebody who knows what they're talking about this. Go see your local urologist. Just talk to him about it.

He's not going to commit you to having a vasectomy in the office that day. It's your decision, but at least know objectively what you're walking into. And I will tell you, most of you will go with the vasectomy after you talk to him. Subscribe to Clinical. Find a doctor or location close to you so you can get the health care you need, when you need it.

Subscribe on Itunes. Download Podcast. Pastuszak: Right, yeah. So, no, this has nothing to do with my pocket. Interviewer: Okay. Break that down. Tubal Ligation Risks So what are the risks of tubal ligation? Vasectomy Risks Now, if you counterpoint those against the risks of a vasectomy, then you're really just talking about bleeding, infection, some pain, and maybe failure of that vasectomy as the main risks. Interviewer: And recovery is also much quicker for a vasectomy versus tubal ligation.

Ectopic Pregnancy After Tubal Ligation Interviewer: The difference is, though, a tubal ligation, a pregnancy could still occur that could be.

Pastuszak: That could be damaging to the woman. Interviewer: Yes, exactly. Pastuszak: In the setting of, say, an ectopic pregnancy. Interviewer: Which means? Pastuszak: That's right. Interviewer: Yeah. Even though the other one is the clear winner, it sounds like, to me. Pastuszak: Yes. Pastuszak: I think so. For Patients Find a doctor or location close to you so you can get the health care you need, when you need it. Related Podcasts.

Female Sterilization

Interviewer: You've had all the children you and your partner want. Your family is complete, and now you're considering permanent birth control. But how do you decide who gets it done? Is it the dad, and he gets a vasectomy, or is it the mom, and she gets tubal ligation?

Done having kids or sure you never want any? If you answer yes, you might be thinking about permanent birth control, also called sterilization. Sterilization can be done for women or men.

It's , not Until I can guarantee my children can have a better childhood than mine, they'll never come to be. Gynecologic laparoscopy is an alternative to open surgery. It involves using a laparoscope to look inside your pelvic area.

Tubal ligation: A permanent birth control surgery

Female sterilization is an effective form of contraception that permanently prevents a woman from becoming pregnant. The operation involves cutting or blocking the fallopian tubes, which carry eggs from the ovaries to the womb. This prevents the eggs from reaching the sperm and becoming fertilized. It can be a fairly minor operation, with many women returning home the same day. However, sterilization should only be considered by women who do not want any more children, or who do not want children at all. Once a woman is sterilized, it is very difficult to reverse the process. Couples often decide upon sterilization mutually, when they both feel they do not want any more children.

Vasectomy or Tubal Ligation? What Is the Best Option for You and Your Partner?

Visit coronavirus. Female sterilization permanently prevents women from becoming pregnant. There are two different procedures to achieve this goal: tubal ligation and tubal implants. Because these methods cannot be undone, they are only recommended for women who are sure that they do not want to have any children in the future.

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What Every Woman Should Know About Female Sterilization

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Tubal ligation (also called female sterilization or “getting your tubes tied”) is a safe surgical procedure that permanently prevents pregnancy.‎How do I get a tubal ligation · ‎What can I expect if I get a.

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