Tubal Ligation After C-Section – Procedure, Recovery & Reversal

tubal ligation after c-sectionWhen I had my second child I had a tubal ligation after my C-Section.

The procedure was easily done right at the time of my C-Section surgery and there was virtually no impact on recovery that I could tell.

However the biggest concerns for many women are how the tubal ligation after C-Section is done, the risks, recovery and reversing the procedure.

All great concerns that we’ll discuss here…

A tubal ligation done immediately after your a c-section is a fairly basic procedure. Most women don’t ever experience any physical complications, added pain or discomfort from the procedure. The tubal ligation itself adds about 30 minutes to the c-section surgery.

The Tubal Ligation Procedures

A tubal ligation, also known as “having your tubes tied”, involves tying, cutting or burning the Fallopian tubes so as to prevent your eggs from passing from the ovaries to the uterus.

There are several Tubal ligation procedures. For the sake of confusion I won’t cover every procedure name. Instead we’ll discuss the basic tubal ligation methods which involve cutting, burning, tying or clamping of the Fallopian tubes.  Hopefully this will give you a good reference point for researching and discussing with your doctor the fine details.

Pomeroy Technique 

The Pomeroy technique is a common tubal ligation method. Doctors like it because it’s simple, effective and reversible.  It involves tying off a segment of the Fallopian tubes and removing it leaving segments of the tube that can be rejoined later if a reversal is desired.  Fertility answers has a great graphic of the Pomeroy method so you can see how this is done and how the reversal works.

Pomeroy Reversal Success:  The Pomeroy method has about a two-thirds success rate and according to tubal-reversal.net, where they keep local patient statistics, the reversal success of this method is about 75% on average with the greatest success for patient that range in ages <30-34. The percentage drops to about 56% for ages 35-40+.

Tubal Cauterization

The tubal cauterization is another popular method that cauterizes or burns a section of the fallopian tubes. This was the tubal method my doctor used for me. My husband watched the procedure and said it looked like the doctor used a cauterizing iron to burn the ends of the tubes. That’s a rough explanation but it’s basically what happens.

Reversal: When tubes are cauterized only a small segment of the tube is burned. The majority of the fallopian tube is left in tact.  For reversal the damaged portion will be removed and the healthy segments will be rejoined.

Tubal Clips, Bands or Rings

Tubal clips, bands and rings like the Filshie and Hulka are placed on each fallopian tube preventing eggs to travel from the ovaries to the uterus.  The clips or rings gently compress the fallopian tubes unlike the other methods that burn, cut or tie the tube.

Clips, bands or Rings Reversal.  You’ll want to research each of the various methods that use clips, rings or bands but they are noted to result in minimal Fallopian tube damage providing a good amount of tube left to repair during a reversal.

Tubal Implants (Essure)

Tubal implants or the Essure method came about in around 2002, so it’s relatively new.

With Essure there is no cutting burning or tying of the Fallopian tubes. Instead they put inserts into your fallopian tubes or coils made of polyester fiber, nickel-titanium and stainless steel alloy. Scar tissue then forms around the inserts preventing the eggs from getting through.

This Essure procedure is not done during your C-Section, it has to be done as a separate procedure entering through the cervix.  The procedure is done without surgery or anesthesia.

Essure Reversal success statistics are difficult to find as the procedure is fairly recent. Reversal is possible but not recommended by many specialists. Reversal is also quite expensive costing around $6,000-$7,000.

Recovery of Tubal Ligation After C-Section 

My tubal ligation didn’t affect my C-Section recovery, I recovered just as I thought I would. There wasn’t any more or less pain, no hormonal changes out of the ordinary, I had a few days of the blues but everyone has some of that.

Of course everyone is different as you can see from these forum participants.  However unless you have unusual circumstances most doctors will tell you there’s no changes or additional pain associated with any of the tubal ligation methods, so don’t get too stressed out about it.

Tubal Ligation Reversals

I don’t ever recommend having a tubal ligation with the idea that it can be reversed.  It’s not meant to be a temporary form of birth control.

A tubal ligation by design is meant to be permanent birth control.  If you choose to reverse your tubal ligation that means more surgery which is never a good thing; also a successful pregnancy after a reversal is never guaranteed and each method varies slightly when it comes to reversal.

The dangers of reversing tubal ligations can be ectopic (tubal pregnancy) or reversal failure.  Achieving a successful pregnancy after a tubal ligation ranges from about 50% – 70% in women under the age of 40.

 Other Tubal Ligation Concerns

Tubal ligation concerns include things like risks, how your period will be affected, sex drive changes and  effects on menopause.

Risks. Tubal ligation is a relatively safe procedure and the risks are rare. However possible risks are…

  • Infection
  • Bleeding from incision or inside the abdomen
  • Damage to other organs
  • Side effects from anesthesia
  • Ectopic pregnancy (tubal pregnancy)
  • Incomplete Fallopian tube closure resulting in pregnancy

Menstrual Cycle.  You will continue to have a monthly period and it shouldn’t change. Any changes you experience with your cycle will most likely be due to things like your age or from discontinuing use of your past contraceptives.

Sex Drive. A tubal ligation also won’t decrease your sex drive. Your hormone reproduction will be the same. In fact some women have said they enjoy sex more because they no longer fear getting pregnant.

Menopause. A tubal Ligation has no effect on menopause. Your body will experience its regular hormonal change as normal.

Careful Thought for Tubal Ligation is important

If you’re considering a tubal ligation talk to your doctor about this well beforehand. It’s not a procedure to jump into. You should have well thought out discussions with both your doctor and your spouse.

It’s also important to remember that how you feel today about more children isn’t necessarily how you will feel two, three, five or ten years from now.

No one can predict the future but think of your future in terms of the kind of person you are, your maternal instincts, your spouse’s views and also your faith beliefs. All these things play a part in how to make your decision and how it will affect you and your family later on.

Did you have a tubal ligation?  What are your thoughts?


Photo courtesy of Photo by dream designs & Freedigitalphotos

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11 thoughts on “Tubal Ligation After C-Section – Procedure, Recovery & Reversal

  1. Christina J says:

    Elizabeth, I have a friend who in fact for pregnant two times after having her tubes cut and burned. Her first resulted in a miscarriage and second resulted in a beautiful daughter who is now I’m 4th grade. There is a 3% chance (from what my Dr told me after my procedure)

  2. Wendy says:

    Hello,I’ve done c-section on the 04/03/2017 given birth to the twins,so now I’ve decided to do the tubal ligation,are they gonna open the c_section the have done to me or I have to wait for c_section to be healed inside to do the tubal ligation,if I have to wait how many months must I wait?

  3. Elizabeth McGee says:

    Hi Purie, I suppose anything is possible but it’s highly unlikely. I don’t know of anyone who has gotten pregnant after a tubal ligation and waiting the recommended amount of time before having sex again. 🙂

  4. Dalynn says:

    I have had 5 c-sections and I’m married now and my husband and I want a baby but my tubes r tied what do y’all think I should do and none of my five are for him biologically I’m so stressed about this

  5. Chamaine says:

    I have not had a tubal ligation after my son was born but Lord knows I wish I had. I feel that if it is told to you that it would be best and would be beneficial to your health then Yes, absolutely that would be the best route to take, because you have to think about the children that you already have and what would be best for them. Plus there are some very self-centered men out there that do not care about the risk -and that you have had 3 c-sections already and the risks of having another; therefore from experience if you are one of those women then I would have the procedure preformed, it would save you a lot of heartache. I am going to get my tied and I will not feel guilty about making that choice.

  6. Lorena says:

    I had C-Section and tubal ligation last 17th 0f May 2016, recovery was fast but i just have this problem until now… my bleeding already stop after few days and had my menstrual cycle after over a month, eversince i have an abnormal menstrual cycle but what worries me now is… spotting almost everyday… is it bad? Thank you…

  7. Jocelyn says:

    I’m scared of what can happen too ME while getting another csection done too ME again. This will be my forth csection and I’m planning on get my tubes tied. I know Most definitely I wouldn’t want another baby. Just because I have three kids already and I’m expecting my forth one. Last time I had a csection was on March of 2013. Before that was in Febuary of 2011 And that one before that was on November of 2008. I just read that their can be complications and that just mad me so nervous I don’t even know. Do you think it would go okay? Just Nervous and Scare.

  8. saman zahra says:

    thankyou for your information i wanted to have my tubal ligation reversal as my baby died what r the risk of having it done right after my c section or how much time should i have to weight as it was done after my 2 child was born with c section

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