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Tubal ligation — also known as having your tubes tied or tubal sterilization — is a type of permanent birth control. During tubal ligation, the fallopian tubes are cut, tied or blocked to permanently prevent pregnancy. Tubal ligation prevents an egg from traveling from the ovaries through the fallopian tubes and blocks sperm from traveling up the fallopian tubes to the egg. The procedure doesn't affect your menstrual cycle. Tubal ligation can be done at any time, including after childbirth or in combination with another abdominal surgery, such as a C-section. Most tubal ligation procedures cannot be reversed. If reversal is attempted, it requires major surgery and isn't always effective. casino en espanol Why it's done Tubal ligation is one of the most commonly used surgical sterilization procedures for women. Tubal ligation permanently prevents pregnancy, so you no longer need any type of birth control. However, it does not protect against sexually transmitted infections. Tubal ligation may also decrease your risk of ovarian cancer, especially if the fallopian tubes are removed. Tubal ligation isn't right for everyone, however. Your doctor or health care provider will make sure you fully understand the risks and benefits of the procedure. Your doctor may also talk to you about other options, including long-acting reversible contraceptives casino en ligne payant such as an intrauterine device (IUD) or a birth control device that's implanted in your arm. An alternative permanent option is hysteroscopic sterilization, in which your doctor places a small coil or other insert into the fallopian tubes. The insert causes scar tissue to form and seal off the tubes. Risks Tubal ligation is an operation that involves making incisions in your abdomen. It requires anesthesia. Risks associated with tubal ligation include: Damage to the bowel, bladder or major blood vessels Reaction to anesthesia Improper wound healing or kostenlose automatenspiele infection Continued pelvic or abdominal pain Failure of the procedure, resulting in a future unwanted pregnancy Things that make you more likely to have complications from tubal ligation include: History of pelvic or abdominal surgery Obesity Diabetes How you prepare Before you have a tubal ligation, your health care provider will talk to you about your reasons for wanting sterilization. Together, you'll discuss factors that could make you regret the decision, such as a young age or change in marital status. Your health care provider will also review the following with you: Risks and benefits of reversible and permanent methods of contraception Details of the procedurebest online casino Causes and probability of sterilization failure Ways to prevent sexually transmitted infections The best time to do the procedure — for instance, shortly after childbirth or in combination with another abdominal surgery, such as a C-section If you're not having a tubal ligation shortly after childbirth or during a C-section, consider using contraception for at least one month before the procedure and continue using a reliable form of contraception until your tubal ligation procedure is performed. What you can expect Tubal ligation can be done: Following a vaginal birth using a small incision under the belly button (mini-laparotomy) During a C-section Anytime as an outpatient procedure using a laparoscope and short-acting general anesthesia (interval tubal ligation) Before the procedure You may be asked to take a pregnancy test to make sure you're not pregnant. During the procedure slots pa natet If you have an interval tubal ligation as an outpatient procedure, either a needle is inserted or an incision is made through your belly button so your abdomen can be inflated with gas (carbon dioxide or nitrous oxide). Then a laparoscope is inserted into your abdomen. In most cases, your doctor will make a second small incision to insert special instruments through the abdominal wall. Your doctor uses these instruments to seal the fallopian tubes by destroying parts of the tubes or blocking them with plastic rings or clips. If you have a tubal ligation after vaginal childbirth, your doctor will likely make a small incision under your nat casino belly button, providing easy access to your uterus and fallopian tubes. If you have a tubal ligation during a C-section, your health care provider will use the incision that was made to deliver the baby.