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Tubal Ligation: Pros & Cons of Getting Your Tubes Tied

Tubal ligation is a common surgical procedure for women that permanently prevents pregnancy. It means you don’t need any birth control methods anymore. However, it doesn’t protect against sexually transmitted infections.

This procedure may also lower the risk of ovarian cancer, especially if the fallopian tubes are removed.

Pros of Tubal Ligation

The following are the advantages of getting your tubes tied, so read on.


If you do not want to have children or wish to have any more, tubal ligation is a great option for you because it is a permanent form of contraception.

Highly Effective

The chances of getting pregnant after tubal ligation are very low, with less than one in 200 pregnant women.

No Hormonal Changes

Tubal ligation does not affect your hormones, so it would not alter your menstrual cycle or lead to menopause. Unlike birth control pills, it does not cause side effects like mood swings, weight gain, or headaches, nor the side effects sometimes linked to IUDs, such as cramps, heavier periods, and spotting.

No Need for Daily Maintenance

Once you have had tubal ligation, you do not have to remember to do anything on a regular basis. You can say goodbye to using diaphragms, taking pills, using condoms, or tracking your menstrual cycle to prevent pregnancy. This can make you feel more relaxed about having sex.

Potential Decrease in Ovarian Cancer Risk

While the exact reasons are not fully understood, research has shown that tubal ligation can significantly reduce the chances of developing ovarian cancer.

Health Considerations

If becoming pregnant poses a health risk for you, or if you or your partner has a genetic disorder that could be harmful to a child, tubal ligation may be a suitable choice for you.

The Cons of Tubal Ligation

While there are many benefits of tubal ligation, there are also disadvantages you should know before considering this contraception.


Tubal ligation is a permanent procedure, and while it can sometimes be reversed with surgery, it is not always successful. Only about half of those who undergo reversal surgery are able to conceive. If you are uncertain about future pregnancy plans, tubal ligation may not be the right choice for you.

No Protection Against STIs

Tubal ligation does not offer any protection against sexually transmitted infections and diseases. Continue using condoms to prevent this risk.

Possibility of Pregnancy

Although rare, tubal ligation can fail, especially if the fallopian tubes are not fully closed. In such cases, pregnancy is possible.

Increased risk of Ectopic Pregnancy

If pregnancy happens after getting your tubes tied, there is a high chance of it being ectopic. This means the pregnancy develops outside the uterus, usually in one of the fallopian tubes. Ectopic pregnancy can lead to tube rupture and severe bleeding, which requires immediate surgical intervention.

Surgical Risks

Complications are rare, but still, there are risks associated with the surgical procedure itself. It may include bleeding, damage to the bowel, bladder, or major blood vessels. Infection and adverse anaesthetic reactions are also possible. There is a slight chance of experiencing persistent belly pain.

Post-tubal Ligation Syndrome

Some women may experience hormonal changes after ligation. Symptoms can resemble those of menopause (e.g., hot flashes, night sweats, vaginal dryness, mood swings, sleep disturbances, decreased libido, and irregular periods)

What to Expect from Tubal Ligation

Tubal ligation can be performed in different ways.

  1. After vaginal birth
    If you have just given birth vaginally, the procedure can be done through a small incision under the belly button. This is called a mini-laparotomy.
  2. During a C-section
    If you are having a caesarian section (C-section) delivery, tubal ligation can be done at the same time.
  3. Outpatient procedure
    Tubal ligation can also be performed as an outpatient procedure. It involves the use of a laparoscope (a thin tube with a camera) and short-acting general anaethesia. This method is known as interval tubal ligation.


Tubal ligation offers an effective and convenient means of permanent contraception for women who have decided to conceive no longer. However, it is crucial to weigh the advantages and disadvantages, as well as consult with a trusted and recommended gynae clinic in Singapore, to make an informed choice that aligns with your personal reproductive health goals.

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