Am I Ready to Consider Tubal Ligation? Pros, Cons & Alternatives

Am I Ready to Consider Tubal Ligation?

If you’re done having children, considering a tubal ligation procedure can be a great way to prevent future pregnancies without relying on medicines, implants, IUDs, or other devices. Most women who have tubal ligation never regret their decision. Instead, they embrace the freedom that comes from not having to worry about birth control.

But for a very few women, there can be regrets. Life is ever-changing, and it is natural for individuals to reassess their views on expanding their family. Should they or their partner experience second thoughts, it is crucial to carefully evaluate their decision to undergo tubal ligation. This permanent form of birth control or sterilization requires complete certainty. To make an informed choice, it is essential to familiarize oneself with the advantages and disadvantages of tubal ligation. Additionally, one should explore alternative contraceptive options that may better suit their needs and aspirations.

Benefits of Tubal Ligation

Most women who have their tubes tied do so because they want to be as sure as they can possibly be that they won’t become pregnant in the future. Tubal ligation is well over 99 percent effective in preventing pregnancy; still, it’s not 100 percent. Data show about one out of every 200 women who have tubal ligation may still become pregnant.

The other big benefit of tubal ligation is convenience. Once your tubes are tied, you can say goodbye to the hassle of remembering to take a pill, inserting a diaphragm or ring, or having to replace your IUD or implant. Additionally, there are no messy spermicides to deal with. And unlike many other forms of contraception, tubal ligation doesn’t use hormones. Consequently, you don’t have to worry about potential side effects associated with estrogen and progestin. Additionally, tubal ligation offers a long-lasting solution for contraception, ensuring peace of mind.

Tubal ligation can also be a good choice if you or your partner have a genetic or chromosomal disorder you don’t want to risk passing on to a child, or if you have health conditions that make pregnancy very risky.

Downsides of Tubal Ligation

The biggest con of tubal ligation is that it’s permanent. Yes, some women can reverse it, but you should not rely on being able to “undo” your procedure to get pregnant if you change your mind in the future. In many cases, doctors cannot successfully reverse tubal ligations. If you get pregnant while your tubes are tied, it could lead to an ectopic pregnancy, meaning you would require a surgical procedure to remove the fertilized embryo from outside the uterus.

Another disadvantage: It can’t prevent sexually-transmitted diseases. Of course, that’s true of other forms of birth control as well. You’ll still need to use condoms and mouth dams to prevent an STD.

And finally, tubal ligation is a surgical procedure. Even though it’s very safe and straightforward, it still carries some of the same risks as other surgeries, including the risks of bleeding and infection.


Are you looking for a convenient and highly effective method of preventing pregnancy? Many women consider tubal ligation due to these reasons. However, if you have any doubts about the permanence of this procedure and think you might want to get pregnant in the future, it may be good to explore alternative birth control methods.

IUDs and implants provide about the same level of protection against pregnancy as tubal ligation. According to the CDC, about 0.5 percent of women will become pregnant during the first year following a tubal ligation, compared to 0.2 percent to 0.8 percent of women who have an IUD. Women who use arm implants have an even lower chance of becoming pregnant — about 0.2 percent. Of course, if you have an IUD or an implant, you must be sure to have the devices replaced on a regular schedule (determined by the type and brand of device you’re using) in order for it to remain effective. In that regard, these devices are a bit less convenient than a tubal ligation that’s a one-time procedure.

Is a Tubal Ligation Right for You?

If you’re considering tubal ligation, take time to assess the implications of the procedure and explore your options. At IBI GYN Center, our team will assist in reviewing all contraceptive methods, helping you make an informed decision. To learn more about tubal ligation and other forms of contraception, book an appointment online today.

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