Sterilization

Sterilization is a permanent and effective method of birth control. While there are several types of sterilization, they each involve surgery. There are other methods of birth control that are highly effective and can be used as an alternative to sterilization.

Sterilization is lifelong; therefore, we recommend careful consideration prior to electing a permanent procedure. You must be certain that you no longer wish to have children. If you are unsure of your decision, you and/or your physician may elect to postpone the procedure.

While sterilization is permanent and highly effective, it is subject to failure and pregnancy may occur. Pregnancy in this case may be located in the fallopian tubes or other areas outside of the uterus. This is called an ectopic pregnancy and needs specialized attention. If you have had permanent sterilization and have a possible pregnancy, please come in to see us as soon as possible.

There are several types of sterilization procedures and each is associated with risks and serious complications. Please discuss these risks and complications with your doctor prior to the procedure.

Types of sterilization:

Male sterilization: vasectomy

In a vasectomy, the tubes carrying sperm from the testes to the urethra are cut, clipped or sealed to prevent the release of sperm. Return to usual activities is quick. This procedure can be done in the office.  Please contact the office for a referral. 

Postpartum tubal ligation

This is performed after childbirth using an incision below the navel. This procedure does not extend your hospital stay beyond 48 hours for a vaginal delivery.  A postpartum tubal ligation can also be combined with a cesarean section. 

Laparoscopic tubal ligation

This procedure involves laparoscopy.  Two incisions are involved with this procedure; each is very small (approximately the length of a pencil eraser).  A laparoscope is used to view the pelvic organs and an instrument is used to cut, clip,or cauterize a woman’s fallopian tubes. You can resume activities within a week after this procedure.

Hysteroscopic tubal occlusion

This procedure involves hysteroscopy and micro-inserts are inserted into the fallopian tubes. Scar tissue forms through and around these inserts to block the tubes. Birth control must be used for three months following the procedure to allow for the scar tissue to form. A specialized test must be performed after three months to ensure the tubes are blocked. Your recovery is brief, as with hysteroscopy.

Glossary:

Uterus: The female muscular organ in which a fetus develops during pregnancy. 
Fallopian tubes: Tubes through which an egg travels from the ovary to the uterus.
Ectopic pregnancy: A pregnancy that is located outside of the uterus. It may be located within the fallopian tubes, on the ovary or on other organs.
Testes: The male organ where sperm are formed.
Urethra: The tube that takes urine from the bladder to the outside of the body.
Cesarean section: A procedure where an infant is born surgically through an incision in the abdomen.

To schedule an appointment with one of our doctors, please call our office at 903.533.8811 or use our online Request an Appointment form. For additional information on any condition, treatment or procedure, please visit our Health Glossary.