The final installment in our contraception series tackles a topic that many couples face when they are certain they do not want any more children. Once you’re committed to a permanent contraception solution, the next question is – tubal ligation or vasectomy?
The Case for Tubal Ligation
Tubal ligation, also known as having your “tubes tied”, is a surgical procedure that seals the fallopian tubes by either clamping or cutting and sealing. This prevents sperm from entering the fallopian tubes, while preventing eggs from reaching the uterus.
Benefits:
- Safe
- Nearly 100% effective
- May decrease your risk of ovarian cancer
Risks/Side Effects:
- Operation performed with anesthesia
- Potential wound infection
- Pelvic and/or abdominal pain
- Higher chance of ectopic pregnancy if you conceive after the surgery
The Case for Vasectomy
A vasectomy is the procedure through which the tubes that carry sperm are cut or clamped. It’s important to follow up with your physician after a vasectomy, as they’ll need to conduct a sperm examination.
Benefits:
- Usually performed in doctor’s office
- Nearly 100% effective
- Safe and easy to perform
- Low risk of side effects or complications
Risks/Side Effects:
- Procedure using local anesthesia
- Swelling
- Mild pain or discomfort
- Potential infection
- Bleeding (in scrotum or blood in semen)
- Not immediate protection against pregnancy
Please Remember
- Neither tubal ligation nor vasectomy protect against sexually transmitted diseases.
- Both procedures can be reversed, but the reversal procedures are complicated and not guaranteed to work.
In the end, you and your partner will need to agree on which option is best for your situation. Your Capital Women’s Care provider is available to discuss the benefits and disadvantages of each method of permanent contraception.
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