Tubal Ligation
What is Tubal Ligation ?
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Why do you need Tubal Ligation ?
Tubal ligation is indicated for:
- Permanent contraception:
- Women who are certain they do not want future pregnancies.
- Couples seeking a reliable, non-hormonal birth control method after completing their family.
- Medical reasons:
- High-risk pregnancies: When future pregnancies pose health risks (e.g., severe heart disease, previous cesarean complications).
- Performed during cesarean delivery or postpartum period (within 24–48 hours after vaginal birth) for convenience.
- Alternative to salpingectomy:
- While bilateral salpingectomy (removal of both tubes) is increasingly preferred for sterilization due to its added ovarian cancer risk reduction, tubal ligation remains widely used.
The procedure aims to provide permanent contraception with a high success rate (99.5% effective). It does not affect hormonal function or menstruation, as the ovaries remain intact.
Why Do Tubal Ligation Costs Vary in Philippines?
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Tubal Ligation Procedure
- Before Surgery Evaluation:
- Assessment:
- Counseling: Ensures the patient understands the procedure’s permanence; alternatives (e.g., IUD, vasectomy) are discussed.
- Medical history: Confirms no contraindications (e.g., active pelvic infection).
- Blood tests: Hemoglobin, clotting profile, and pregnancy test (to rule out pregnancy).
- Medications: Antibiotics (e.g., cefazolin) pre-surgery to prevent infection.
- Consent: Risks, including failure rate and ectopic pregnancy risk, are explained.
- Assessment:
- Surgical Techniques:
- Laparoscopic Tubal Ligation:
- Minimally invasive, lasting 20–40 minutes, under general anesthesia.
- 2–3 small incisions (0.5–1 cm) in the abdomen (one near the navel, others lower).
- CO2 gas inflates the abdomen for visualization.
- A laparoscope (camera) guides the procedure; the fallopian tubes are sealed using:
- Clips (e.g., Filshie clips): Clamp the tubes.
- Rings (e.g., Falope rings): Loop and block the tubes.
- Cautery (bipolar): Burns and seals the tubes.
- Tubes may also be cut and tied (Pomeroy method) during laparoscopy.
- Minilaparotomy:
- Common postpartum method, lasting 20–30 minutes, under spinal or general anesthesia.
- A small incision (2–5 cm) is made below the navel (postpartum) or above the pubic bone.
- Tubes are accessed, cut, and tied (Pomeroy method) or sealed with clips/rings.
- During Cesarean Delivery:
- Performed immediately after baby and placenta delivery; tubes are accessed, cut, and tied or sealed.
- Intraoperative Tools:
- Laparoscope: Visualizes pelvic structures (laparoscopic).
- Clips/rings/cautery devices: Block the tubes.
- Laparoscopic Tubal Ligation:
- After Surgery:
- Hospital stay: Same-day discharge (laparoscopic); 1–2 days (minilaparotomy, postpartum); 3–5 days (cesarean).
- Pain management: Oral analgesics (e.g., ibuprofen) for 2–5 days.
- Antibiotics: For 1–2 days to prevent infection.
- Instructions: Avoid heavy lifting or intercourse for 1–2 weeks (laparoscopic) or 4–6 weeks (cesarean/minilaparotomy).
Recovery After Tubal Ligation
- Hospital Stay: Same-day discharge (laparoscopic); 1–2 days (minilaparotomy); 3–5 days (cesarean).
- Post-Surgery Care:
- Pain: Incision pain and shoulder discomfort (from CO2 gas, laparoscopic) for 2–5 days (laparoscopic) or 1–2 weeks (minilaparotomy), managed with analgesics.
- Activity: Walking within 24 hours to prevent clots; avoid heavy lifting (>5 kg) or strenuous activity for 1–2 weeks (laparoscopic) or 4–6 weeks (minilaparotomy/cesarean).
- Bleeding: Light vaginal spotting for 1–2 weeks; heavy bleeding is abnormal.
- Menstruation: Unaffected; resumes with the next cycle.
- Intercourse: Avoid for 1–2 weeks (laparoscopic) or 4–6 weeks (minilaparotomy/cesarean).
- Bowel/bladder: Normal function resumes in 1–2 days; laxatives if constipated.
- Diet: Normal diet; 2–3 liters water daily; high-fiber foods (e.g., fruits) to prevent constipation.
- Follow-Up:
- Visit at 1–2 weeks for wound check; 6 weeks (if postpartum) for recovery assessment.
- Contraception: Effective immediately; no additional birth control needed.
Most resume normal activities in 1–2 weeks (laparoscopic) or 2–4 weeks (minilaparotomy/cesarean). Contraceptive success: 99.5% effective; failure rate <0.5% (e.g., tube recanalization).
Risks and Complications
- Surgical Risks:
- Bleeding (1–2%): Rare; <1% need transfusion or reoperation.
- Infection (1–2%): Wound or pelvic; treated with antibiotics.
- Blood clots (1–2%): Deep vein thrombosis (DVT); early ambulation reduces risk.
- Organ Injury:
- Bowel/bladder injury (<1%, laparoscopic): Rare, requires repair.
- Long-Term:
- Failure (0.5%): Tubes may recanalize, leading to pregnancy; 30–50% of failures are ectopic pregnancies (monitor early pregnancy symptoms).
- Post-tubal ligation syndrome (disputed, <5%): Controversial; some report menstrual irregularities or pain, but studies show no clear link.
- Regret (5–20%): Higher in women under 30 or with few children; reversal possible but complex (success 40–70%) and costly.
- Adhesions (1–3%): Scar tissue causing pain; rare, may need adhesiolysis.
- Fertility: Ends natural fertility; IVF possible if regret occurs (if uterus remains).
Report fever, severe pain, heavy bleeding, or signs of pregnancy (e.g., missed period) promptly.
Frequently Asked Questions (FAQs)
How effective is tubal ligation?
99.5% effective; <0.5% failure rate, with a small risk of ectopic pregnancy if failure occurs.
Will tubal ligation affect my periods or hormones?
No, ovaries remain intact, so hormonal function and menstruation are unaffected.
Can I avoid tubal ligation?
Yes, alternatives include long-acting reversible contraceptives (e.g., IUD, implants, 99% effective) or vasectomy (partner’s procedure, equally effective).
How soon can I resume activities?
Light activities in 1–2 days (laparoscopic); normal routines in 1–4 weeks, depending on the approach.
Is tubal ligation covered by insurance in India?
Yes, under family planning or medical necessity; often subsidized by government programs; confirm with your provider.
Signs of complications?
Fever, severe pain, heavy bleeding, or signs of pregnancy (e.g., missed period, pain).
Can tubal ligation be reversed?
Yes, but success rates vary (40–70%); costly (₹1–3 lakh in India) and not guaranteed; IVF is an alternative.
Lifestyle changes post-surgery?
Avoid heavy lifting for 1–4 weeks, monitor for signs of failure (e.g., pregnancy), attend follow-ups, and consider counseling if regret occurs.
Conclusion
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Looking for Best Hospitals for Tubal Ligation
Note: we are not promoting any hospitals
We do not promote any hospitals. All details are sourced from Google and hospital websites. Please verify independently. Start with your surgery—here’s the list of government, budget, and superspecialty hospitals accredited by the Department of Health (DOH), Philippine Health Insurance Corporation (PhilHealth), and Joint Commission International (JCI)
- click on your city and schedule your surgery now done in good hands.
| City | Minimum Price (₱) | Maximum Price (₱) |
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Angeles City |
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Antipolo |
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Bacolod |
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Bacoor |
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Baguio |
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Butuan |
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Cagayan de Oro |
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Caloocan |
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Cebu City |
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Dasmariñas |
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Davao City |
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General Santos |
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General Trias |
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Iligan |
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Iloilo City |
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Las Piñas |
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Makati |
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Malolos |
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Manila |
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Muntinlupa |
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Parañaque |
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Pasay |
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Pasig |
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Puerto Princesa |
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Quezon City |
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San Fernando |
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San Jose del Monte |
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Taguig |
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Valenzuela |
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Zamboanga City |
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Disclaimer
This information is sourced from open platforms and is for general awareness only. Costs may vary based on individual cases. Please consult a qualified doctor for medical advice and explore options within your budget before deciding on the procedure.